Dr. Rose Beebe, MSN RN and B. Kent Wilson, MSN RN CLNC EdDc

1. “Gateway to the Future: Implementation of a Statewide Concept-Based Nursing Curriculum”Rural Community College Alliance Annual Conference- 2014 Dr. Rose Beebe, MSN RN and B. Kent Wilson, MSN RN CLNC EdDc

2. Item 1 Item 2 Application Process Topical Outline Historical Perspective CTCS and Partnering Institutions Curricular Changes / Concept-Based Curriculum Challenges and Opportunities Where to From Here? Looking Ahead….. Item 3 Item 4 Item 5 Item 6

3. Overview • Background • Robert Wood Johnson (RWJ) Foundation • Institute Of Medicine Report- IOM (2010) • American Association of Community Colleges (AACC)- 2011 Convention / Chancellor Skidmore • Elected Officials • West Virginia Community and Technical College System (WVCTCS)

4. West Virginia Consortium for Associate Degree Nursing

5. Forward Thinking… • Medical Model • Concept-Based Education … Transforming Nursing Education

6. Taking a Bold Move • Organizational Meeting • Chancellor Skidmore • Associate Degree Nursing Program Directors / Deans / Chairs / Coordinators • WVCTCS Council Members • West Virginia Board Of Examiners for Registered Professional Nurses (WVBOERN) Executive Director • West Virginia Licensed Practical Nursing Board Executive Director • West Virginia Center for Nursing Executive Director ……. Associate Degree Nursing (ADN) Task Force formed West Virginia Consortium for Associate Degree Nursing

7. Blue Ridge CTC, Bluefield State CTC, BridgeValley CTC, Eastern CTC, Southern West Virginia CTC, WV Northern CTC, WVUP, New River CTC Others Invited Participating Schools

8. Why Change a Good Thing? Previous Admission Processes and Curriculum The Future • NCLEX Success • Graduation and Attrition • Employment • Graduate and Employer Surveys NCLEX Exam • State’s Adoption • $$$ • 60-credit hours Changes were coming…….

9. Common Curriculum, a Good thing for Faculty and Students Advantages

10. Rationalizing a Reason for a Common Curriculum Advantages

11. West Virginia Consortium for Associate Degree Nursing Monthly meetings Numerous Retreats Development and Re-Development of Curriculum Implementation Team Presentations

12. Memorandum of Understanding WVCTCS and the Presidents

13. A Common Goal: Mission The mission of the West Virginia Consortium of Associate Degree Nursing Programs is to prepare students for professional nursing practice while promoting a knowledge base for career mobility and further academic study. These programs are committed to providing accessible, high-quality nursing education to meet the diverse and changing health-care needs of the community and beyond West Virginia Consortium for Associate Degree Nursing

14. A Common Goal: Philosophy • The WVCTCS Consortium of Associate Degree Nursing Programs is committed to a quality educational environment. • The educational philosophy of the WVCTCS Consortium of Associate Degree Nursing Programs incorporates the seven core values of the National League for Nursing Competencies Framework which includes caring, diversity, ethics, excellence, holism, integrity, and patient centeredness (NLN, 2010). We believe that “all nurses should display integrity, respect diversity in all forms, uphold given legal and ethical responsibilities and strive for excellence while promoting caring, holistic, patient centered care” (NLN, 2010). West Virginia Consortium for Associate Degree Nursing

15. A Common Goal: Philosophy • The Consortium supports education as a life-long process incorporating a spirit of inquiry, supported by evidence based research. The faculty believe that students need to develop nursing judgment in their practice, develop a professional identity as a nurse, and learn to support patients and families in development of their ongoing growth as human beings. Life-long learning consists of acquiring knowledge, demonstrating proficient skills, and developing ethical attitudes and values. West Virginia Consortium for Associate Degree Nursing

16. A Common Goal: Learning Outcomes 1. Collaborate with the patient or designee to plan and provide nursing care that respects the patient’s individual values and needs. 2. Generate safe and effective patient centered care using the nursing process. 3. Incorporate effective communication strategies to reduce risk and injuries in the healthcare environment. 4. Create caring relationships with patients and support systems consistent with the ANA Standards of Nursing Practice and the Code of Ethics. 5. Evaluate the utilization of healthcare system resources to efficiently and effectively manage care. 6. Integrate current best practices to plan and implement safe and effective patient care. West Virginia Consortium for Associate Degree Nursing

17. Other Common Goals • Collection of Data • Ongoing Assessment and Sustainability West Virginia Consortium for Associate Degree Nursing

18. What is it? • Conceptual-Based Education ……. and the use of • Exemplars • Skills West Virginia Consortium for Associate Degree Nursing

19. More importantly, “Active Learning” • Simulation • Case Studies • Adaptive Quizzing • Adaptive Learning • ……………… “Think Like a Nurse,” from DAY ONE! West Virginia Consortium for Associate Degree Nursing

20. Constructing a curriculum… • Accrediting Commission for Education in Nursing (ACEN, formerly the NLNAC) Accrediting Body • WVBOERN • National Council Licensing Examination - RN Blueprint • National League for Nursing (NLN) • Quality and Safety Education Nursing (QSEN)

21. Constructing a curriculum… Core Values • Caring • Diversity • Ethics • Excellence • Holism • Integrity • Patient- centeredness

22. Constructing a curriculum… Integrated Concepts / Common Threads • Context and environment • Knowledge and Science • Personal and Professional Development • Quality and Safety • Relationship-Centered Care • Teamwork

23. Constructing a curriculum… Common Threads • Pharmacology • Life Span and Development

24. Admission Criteria • Prior to 2014 • Eligibility for Institutional Admission • Grade Point Average • Minimal Scores on the Admission Exams • Variations • 2014 and Beyond • Eligibility for Institutional Admission • 2.50 Grade Point Average (3.0 for HS Students) • Minimal Composite Score on the TEAS V / HESI • Eligibility for English 101 and College-level Math • Flexibility in Scoring of Applicants No worries!

25. Now and Then…… an example Curricular Changes

26. The following 6 months….. The WVCADN • WVBOERN Approval • ACEN Approval • Partnering Institutions (curriculum) • Faculty participation • “Above the line and blow the line” • …..and then again, some things won’t change….. West Virginia Consortium for Associate Degree Nursing

27. Minimal Criteria Set • Nursing Handbook • Protecting Individuality Individual Institutions

28. Challenges • Impacts all Divisions at all Colleges / Student Services / Adult Basic Education • Pre-Nursing • LPN-RN Bridge • Faculty • Transition Period • Scheduling Changing Direction

29. Over the Past Year • WVBOERN Approval • ACEN Substantive Change Reports • Professional Development for Faculty Substantive Change

30. Fall 2014 • First Semester Implementation- a Change of Pedagogy • Technology, Technology, Technology! • Active Learning • Spring 2015 Integration • Continuing Professional Development Under Construction

31. Institutional / Program Opportunities • TEAS V / HESI Test Administration Opened Doors

32. A Look Ahead • Assessment and Data Collection • Analysis • LPN-RN Bridge Opportunities Looking Long-Term

33. Special thanks to….. Jim Skidmore, Chancellor West Virginia Community and Technical College System

34. West Virginia Consortium of Associate Degree Nursing Rose Beebe, EdD MSN RN- WVUP rbeebe@wvup.edu B. Kent Wilson, MSN RN CLNC- BVCTC Kent.Wilson@BridgeValley.edu Questions?

35. West Virginia Consortium for Associate Degree Nursing