QUANTITATIVE EVALUATION OF STUDENT CLINICAL PERFORMANCE

1. QUANTITATIVE EVALUATION OF STUDENT CLINICAL PERFORMANCE Allison Caston RN, MSN Clara Rustin MSN, FNP-BC Theresa Sparks RN, MSN

2. OBJECTIVES • Describe the evolution of past to present clinical evaluation of student performance. • Describe how different levels of student performance are determined in the clinical setting. • Analyze the impact of current clinical evaluation system on student grades and clinical performance.

3. Where did we start? • Combined theory and clinical course • Pass/fail • Numerical grade • Points system

4. Why did we need a change? • There were almost all “A”s in the clinical courses • Sought to differentiate those students who were truly “A” students • Wanted to have areas separated so that each area would be more fairly and objectively graded

5. Bridging the Gap

6. First Year Clinical Evaluation First Semester • Clinical Experience (30%) • All areas based on mastery (R&A, prep, client care, nursing process, and communication) ***must show mastery in all areas in order to progress. • Other Areas: (70%) • Points for Skills Lab Performance (1-3 points for each skill) • Medical Terminology Test • Process Recording • Portfolio

7. What makes up the points for the student grade? • Responsibility and Accountability 25% • Clinical Prep 75% • ***These 2 areas count for 60% of grade • Other Areas (count for 40% of grade) • Drug Calculation • Process Recording • Portfolio • Skills Lab

8. First Year Clinical Evaluation Second Semester GRADING RUBRIC FOR NU 125 Clinical Prep: 3 all cards submitted complete and correct; can verbalize understanding of the prep material 2 All cards correct 1 1-2 cards missing, incomplete or incorrect 0 More than 2 cards missing, incomplete, or incorrect Responsibility/Accountability: 3 Meets all outlined critical criteria in category 2 Failure in 1 area of outlined critical criteria in category 1 Failure in 2 areas of outlined critical criteria in category 0 Safety violation or failure in 3 or more areas of outlined critical criteria in category On the days of orientation, health fair prep, and health fair, the student will receive either a 1 or a 0, since there are no specific criteria to evaluate.

9. What areas must be mastered during the 2nd semester of the Freshman Year? • Client care • Nursing Process • Medications • Communication • Growth and development • Nutrition

10. Sophomore Level Clinical Evaluation

11. Areas of Evaluation for NU 215 and 225 • Responsibility and Accountability • Clinical Prep • Client Care • Nursing Process • Medications and IV Solutions • Communication • Growth and Development • Client Education

12. GRADING RUBRIC Based on a scale 0 to 3 points based on specified criteria for each specific area

13. Client Care 3 Points • Implements and evaluates a plan of care that is accurately individualized and prioritized for the client • Verbalizes decision making skills and rational • Organized • Confident in skills performance • Does not require prompting from the instructor to complete essential task

14. Client Care2 Points • Implements and evaluates a plan of care that is accurately individualized and prioritized • Demonstrates knowledge and preparation expected • Organized • Limited prompting from the instructor

15. Client Care1 point Frequent verbal or physical prompting from the instructor is necessary to complete essential task when implementing and evaluating plan of care.

16. Client CareZero points • Unable to implement plan of care without instructor intervention • Unskilled and inefficient

17. Medication Administration3 points • Knowledgeable about medications • Timely administration • Safely completes tasks without instructor intervention or prompting

18. Medication Administration2 points • Knowledgeable about medications • Timely administration • Limited prompting required

19. Medication Administration1 point • Direction from instructor needed to facilitate knowledge of medications • Requires prompting for timely administration • Requires prompting for safe administration

20. Medication AdministrationZero points • Unsafe practice/Safety

21. Nursing Process3 points • Outstanding effort and thought are evident • Material reflects individual client assessment and plan of care • Typed or neatly written

22. Nursing Process2 points • Complete and accurate • Considerable effort • Typed or neatly written

23. Nursing Process1 point • Areas of improvement are needed • Lacks detail or individualized plan of care

24. Nursing ProcessZero points • Grossly incomplete • Lacks detail or thought • Large gaps of information are evident

25. NU 225 CLINICAL GRADING POINTS SYSTEM Students must pass in all areas of the clinical critical criteria in order to pass NU 225. This clinical experience accounts for 90% of the clinical course grade. There are no areas of mastery.

27. Students are assigned additional points in the areas of drug calculation, portfolio, skills test, and skills lab which will account for 10% of the total clinical grade.

30. Calculations of Summative Grades (rounded to the nearest whole number)

31. How has the current clinical evaluation tool affected student performance in the clinical setting and how have their grades been affected?

32. Was the first attempt perfect? • Still a work in progress • Have made revisions since first inception • Rubric • Heavier weight to some areas