sjsu annual program assessment form program website: sjsu ... · a 100% pass rate. our annual first...

SJSU Annual Program Assessment Form Academic Year 2016‐2017

Department: NURSING Program: Baccalaureate College: CASA Program Website: sjsu.edu/nursing Link to Program Learning Outcomes (PLOs) on program website: http://www.sjsu.edu/nursing/docs/BA%20Nursing%20SLOs_16.pdf Program Accreditation (if any): Commission on Collegiate Nursing Education (CCNE) Contact Person and Email: Diane L. Stuenkel EdD, RN Date of Report: 2/28/2017

Part A 1. List of Program Learning Outcomes (PLOs) Baccalaureate Nursing Program Learning Outcomes (PLOs) End-of-Program Competencies The baccalaureate nursing program prepares the graduate to be a competent professional nurse who demonstrates the ability to: 1. Conduct comprehensive and focused biopsychosocial and environmental assessments of health and illness parameters in clients, using culturally appropriate approaches. 2. Plan, implement, and evaluate client-centered care that demonstrates the safe application of the pathophysiological, medical, and nursing management of common acute and chronic illnesses, and health promotion. 3. Use the nursing process to provide appropriate evidence-based nursing care to manage the client’s experience and promote health. 4. Deliver client-centered education that integrates the application of developmental stages across the lifespan, cultural background, educational level, and health literacy considerations. 5. Act as a client advocate to develop strategies for addressing adherence/compliance issues in client-centered care. 6. Demonstrates accountability for safe administration and evaluation of pharmacologic agents and complementary modalities used in health promotion as well as acute and chronic illnesses.

7. Use relevant technology to provide nursing care that contributes to safe and high quality client outcomes. 8. Communicate effectively with clients and members of the interprofessional healthcare team to improve client outcomes. 9. Demonstrate beginning levels of clinical judgment, systems thinking, and accountability for client outcomes when delegating to and supervising other members of the healthcare team. 10. Assumes responsibility for and evaluates own professional nursing practice according to the ethical standards of the ANA Code for Nurses, standards of nursing practice, and legal mandates. 11. Coordinate and manage healthcare for a group of individuals across the lifespan in order to maximize health, independence, and quality of life. 12. Analyze the influence of health care policy, finance, and regulatory environments on nursing practice in the global community. (Approved Full Faculty 3/9/2009) 2. Map of PLOs to University Learning Goals (ULGs)

Nursing PLO’s Linked to Undergraduate Learning Goals (2013 – Reviewed Annually)

UNIVERSITY LEARNING GOALS

Spec

ializ

ed

Kn

ow

led

ge

Bro

ad

Inte

grat

ive

Kn

ow

led

ge

Inte

llect

ual

Skill

s

Ap

plie

d

Kn

ow

led

ge

Soci

al a

nd

Glo

bal

Res

po

nsi

bili

ties

PROGRAM LEARNING OUTCOMES

1. Conduct comprehensive and focused bio-psychosocial and environmental assessments of health and illness parameters in clients, using culturally appropriate approaches.

X

X

X

X

X

2. Plan, implement, and evaluate client-centered care that demonstrates the safe application of the pathophysiological, medical, and nursing management of common acute and chronic illnesses, and health promotion.

X

X

X

X

X

3. Use the nursing process to provide appropriate evidence-based nursing care to manage the client’s experience and promote health.

X

X

X

X

X

http://www.sjsu.edu/about_sjsu/mission/

http://www.sjsu.edu/about_sjsu/mission/

4. Deliver client-centered education that impacts the health literacy of individuals, groups, and communities.

X

X

X

X

X

5. Act as a client advocate to develop strategies for managing client-centered care and addressing client’s rights.

X

X

X

X

X

6. Demonstrates accountability for safe administration and evaluation of pharmacologic agents and complementary modalities used in health promotion as well as acute and chronic illnesses.

X

X

X

X

X

7. Use relevant technology to provide nursing care that contributes to safe and high quality client outcomes.

X X X X X

8. Communicate effectively with clients and members of the interprofessional healthcare team to improve client outcomes.

X X X X X

9. Demonstrate beginning levels of clinical judgment, systems thinking, and accountability for client outcomes when delegating to and supervising other members of the healthcare team.

X X X X X

10. Assumes responsibility for and evaluates own professional nursing practice according to the ethical standards of the ANA Code for Nurses, standards of nursing practice, and legal mandates.

X

X

X

X

X

11. Coordinate and manage healthcare for a group of individuals across the lifespan in order to maximize health, independence, and quality of life.

X X X X X

12. Analyze the influence of health care policy, finance, and regulatory environments on nursing practice in the global community.

X X X X X

Last Reviewed: 5/24/2016

3. Alignment – Matrix of PLOs to Courses

San Jose State University

The Valley Foundation School of Nursing Curriculum Map – Course Objectives and Alignment with Program Learning Outcomes

(Revision Dates: 12/12/2013; 5/29/2014; 5/2015; Revised 5/25/2016)

1.

Co

nd

uct

Ass

essm

ents

2.

Pro

vid

es C

lien

t-ce

nte

red

Car

e

3.

Nu

rsin

g P

roce

ss a

nd

EB

P

4.

Clie

nt-

cen

tere

d E

du

cati

on

,

Hea

lth

Lit

erac

y, C

ult

ure

5.

Ad

voca

cy

6.

Safe

Pra

ctic

e/M

ed

icat

ion

s

7.

Tech

no

logy

8.

Co

mm

un

icat

ion

9.

Clin

ical

Ju

dgm

ent/

Del

ega

tio

n

10

. P

rofe

ssio

nal

Acc

ou

nta

bili

ty

11

. C

oo

rdin

ates

an

d M

anag

es C

are

12

. H

ealt

h P

olic

y/R

egu

lati

on

s

N23 I

N24 R R R R R R R R

N33 I I I I I I I I I

N34 R R R R R R R R R R

N43 I I I I

N44 R R R R R R R R R R R R

N53 I I I I I I I I I

N54 R R R R R R R R

N125 R R R R R R R R R


N127A R R R R R R R R R R R R

N127B R R R R R R R R R R R R

N128 R R R R R R R




N138 M M M M M M M M M

N145 R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M

N146A R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M

N146B R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M

N147A R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M

N147B R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M R,M

N148A M M M M M M M M M M M M

4. Planning – Assessment Schedule

Table 2. Program Planning Cycle Assessment Schedule – Baccalaureate Program

PLO’s 1-12 All outcomes assessed annually via Capstone Clinical Course (N 148A).

PLO’s 1-12 First time pass rates on the NCLEX-RN. Data are collected each semester.

NCLEX-RN results are received from the California Board of Registered Nursing quarterly. Results are filed in the nursing office and are available to faculty for review. Program learning outcomes are measured in the Capstone Clinical Course (NURS 148A) for every student in that course, every semester. This information is filed in the student’s file in the nursing office. Implementation of changes and re-assessment are based on findings. Major curricular changes may take up to 1 ½ years to implement due to current University policies/procedures and the cohort model of the curriculum. 5. Student Experience Baccalaureate PLOs are posted on TVFSON website “quick link” at: http://www.sjsu.edu/nursing/docs/BA%20Nursing%20SLOs_16.pdf. Program Learning Outcomes are included in the Student Handbook. Each nursing course syllabus links the course objectives to the PLOs. The Program Learning Outcomes were developed after intensive review of the Commission on Collegiate Nursing Education (CCNE) accreditation standards, California Board of Registered Nursing Rules and Regulations, American Nurses Association guidelines, and the National Council of State Boards of Nursing licensure examination blueprint. Student input was not solicited. Student representatives participate in semester level curriculum meetings and provide input regarding courses, curriculum issues, policies and procedures, clinical sites, etc. Part B

6. Assessment Data and Results

A) First time National Council Licensure Examination for Registered Nurses (NCLEX-RN) pass rates are obtained from the National Council of State Boards of Nursing (NCSBN). First time pass rates continue to improve. In the 2nd Quarter of 2016 a small group of our graduates (N = 7) achieved a 100% pass rate. Our annual first time pass rate for 2015-2016 was 92%. Some graduates are still experiencing delays in having their testing applications processed. The length of time graduates waited before taking the exam ranged from 1 – 8 months). TVFSON NCLEX-RN pass rate for the 4th quarter of 2016 is 92.31% (N = 13).

Data are reviewed regularly by the Director, Curriculum Coordinating/Content Experts Committee, the Executive Committee and shared with Full Faculty.

http://www.sjsu.edu/ugs/faculty/programrecords/index.html

http://www.sjsu.edu/ugs/faculty/programrecords/index.html

http://www.sjsu.edu/nursing/docs/BA%20Nursing%20SLOs_16.pdf

Annual NCLEX-RN First Time Pass Rates 2011 - 2016

Quarterly NCLEX-RN First Time Pass Rates January 2016 – October 2016

01/01/2016- 03/31/2016

04/01/2016- 06/30/2016

07/01/2016- 09/30/2016

10/01/2016- 12/31/2016

01/01/2017- 03/31/2017

N % N % N % N % N %

54 94.44 7 100 56 96.43 13 92.31 N/A N/A

B) Successful Completion of Capstone Clinical Course (NURS 148A) The NURS 148A senior preceptorship/project course objectives are the PLOs and are reflected on the clinical evaluation tool. Students must apply theoretical knowledge and specialized skills in the clinical setting. Pass rates for this course for the previous 5 semesters are shown below (Note: Summer NURS 148A students are included in Fall data). Data are tracked every spring and reviewed by the Curriculum Coordinator and the Semester 6 Chair. Issues with course pass rates are addressed at the next Curriculum Committee meeting.

NURS 148A – Preceptorship Pass Rates Fall 2014 – Fall 2016

N 148A Fall 2014 Spring 2015 Fall 2015 Spring 2016 Fall 2016

N 86 88 105 78 89

% Pass 98% 100% 100% 100% 100%

7. Analysis: 6-A) Annualized pass rates remain above California Board of Registered Nursing and CCNE standards. Results shared with Full Faculty. Recommended Actions: Continue to monitor pass rates and discuss at Curriculum, Executive, and Full Faculty meetings. Establish a formal remediation program for students at risk based on theory grades and HESI standardized achievement examination scores. 6-B) Recommended Actions: No planned changes to course. Faculty members are developing a detailed rubric for evaluating student projects.

Source: http://rn.ca.gov/schools/passrates.shtml

11-12 12-13 13-14 14-15 15-16

N % N % N % N % N %

The Valley Foundation School of Nursing at San Jose State University

156 94.23% 132 93.94% 119 86.55% 104 80.77% 126 92.06

8. Proposed changes and goals (if any) Discussed developing a formal student remediation plan based on HESI assessment results across curriculum at nursing curriculum meeting 2/13/2017. Action Items: Re-convene Remediation Task Force to develop a) TVFSON testing policy and procedure; and b) standardized, student-driven remediation policy and procedure and a standardized testing policy and procedure during Spring 2017 semester.

Part C

Proposed Changes and Goals Status Update

Faculty Remediation Task Force is looking at requiring additional critical thinking exercises (case studies), and increasing test taking practice using HESI standardized examinations for at-risk students.

As Above. Addressed the need to develop a formal student remediation plan based on HESI assessment results across curriculum at nursing curriculum meeting 2/13/2017. Action Items: Re-convene Remediation Task Force to develop a) TVFSON testing policy and procedure; and b) standardized, student-driven remediation policy and procedure during Spring 2017 semester. Lead for Task Force identified 2/13/2017.

Succession Planning Continue to mentor tenure track and non-tenure track faculty members into leadership roles. Failed search for 2 faculty positions during Fall 2016. Recruiting efforts continue Spring 2017. Several faculty members are planning to retire within the next 3 years thus recruiting/hiring qualified faculty is of critical importance.

Global Studies Initiative a) Global Studies committee in conjunction with the CASA Assoc. Dean made the decision to offer international clinical experiences through FLP and Special Sessions during summer term. b) Ireland and Grenada groups scheduled for Summer 2017.

Home Hospital Initiative Plan to survey students again Spring 2017 and to seek additional feedback from agencies.

HESI Implementation (HESI is a

software-based testing company

that produces standardized and

customized learning materials

and tests for nursing students to

enhance learning and success.)

Skills faculty reviewed available case studies across curriculum and identified some redundancies. Plan to align HESI case studies and Virtual Simulation (VSim) activities so there is no overlap and appropriate progression for Fall 2017 semester.

Major Curriculum Revision Undertaking baccalaureate curriculum revision to achieve 4 year

program. Implementation date: Fall 2019.

Last updated: Jan 31, 2017

The Valley Foundation School of Nursing at San Jose State University

NURS 148A- SEMESTER 6 CLINICAL EVALUATION TOOL

COURSE: N148A: Final Nursing Practicum and Preceptorship Semester: Fall

Spring Summer YR__________

Student Name: _____________________________ Student ID# _________________

Midterm Evaluation Date: _______________________ Clinical Faculty: ______________

Final Evaluation Date: ____________________________ Clinical Site and Unit : ____

Clinical Conferences completed:__________________ Preceptor Name: ________________

Instructions:

Please evaluate the student’s performance, using the following rating scale

S = Satisfactory D= Developing NI = Needs Improvement U=

Unsatisfactory

RATING SCALE Satisfactory

Almost Never Requires (<10% of the

time)

Direction

Guidance

Monitoring

Support

Almost Always Exhibits (>90% of the

time)

A focus on the client or system

Accuracy, safety & skillfulness

Assertiveness and initiative

Efficiency and organization

An eagerness to learn

Developing

Occasionally requires (25% of the time)

Direction

Guidance

Monitoring

Very often exhibits (75% of the time)




QSEN Competencies

1. Patient-centered Care Recognize the patient or designee as the source of control and full partner in

providing compassionate and coordinated care based on respect for patient's

preferences, values, and needs.

2. Teamwork and Collaboration Function effectively within nursing and inter-professional teams, fostering

open communication, mutual respect, and shared decision-making to achieve

quality patient care.

3. Evidence Based Practice Integrate best current evidence with clinical expertise and patient/family

preferences and values for delivery of optimal health care.

4. Quality Improvement (QI) Use data to monitor the outcomes of care processes and use improvement

methods to design and test changes to continuously improve the

quality and safety of health care systems.

5. Safety Minimizes risk of harm to patients and providers through both system

effectiveness and individual performance.

6. Informatics Use information and technology to communicate, manage knowledge,

mitigate error, and support decision making.

Support Efficiency and organization


Needs Improvement

Often requires (50% of the time)

Direction

Guidance

Monitoring

Support

Often Exhibits (50% of the time)






Unsatisfactory

Very often requires (75% of the time)

Direction

Guidance

Monitoring

Support

Occasionally Exhibits (25% of the time)






***Criteria marked with ** indicate knowledge, skills, or attitudes expected to be satisfactorily

demonstrated at all times.

Note: In N148A all criteria must be MET at the level of ‘’Developing or ‘Satisfactory’ by the

end of the N148A clinical experience. Any student performing at the levels of ‘Needs

Improvement’ or ‘Unsatisfactory’ at the end of the assigned clinical hours will NOT PASS the

N148A course and will receive a grade of “No Credit” for the course.

Program Outcome #1

Conducts comprehensive and

focused bio-psychosocial and

environmental assessments of

health and illness parameters in

clients, using culturally

appropriate approaches. (QSEN

1)

MIDTERM FINAL

COMMENTS

1. Demonstrates respect and

sensitivity for patient and

family preferences, values, and

needs in the provision of care.

S/ D/ NI/ U

S/ D/ NI/ U

2. Implements a comprehensive

plan of holistic care in

collaboration with the patient

and family based on their

preferences, values, and needs.

S/ D/ NI/ U

S/ D/ NI/ U

3. Incorporates analysis of data,

priority nursing assessments,

and diagnoses, and expected

outcome criteria.

S/ D/ NI/ U

S/ D/ NI/ U

4. Evaluates patient centered,

culturally sensitive care

provided to individuals,

families, and communities

with chronic or acute illnesses

with complex health systems.

S/ D/ NI/ U

S/ D/ NI/ U

5. 5. Relates knowledge of

pathophysiology and patient’s

conditions differentiating

normal from abnormal

findings and follows up with

appropriate intervention on

abnormal findings.

S/ D/ NI/ U

S/ D/ NI/ U

6. Recognizes the boundaries of

therapeutic relationships.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #2:

Plans, implements, and evaluates

client-centered care that

demonstrates the safe application

of the pathophysiological, medical,

and nursing management of

common acute and chronic

illnesses, and health promotion.

[Essent. 2](QSEN 1,4,5)

MIDTERM FINAL

COMMENTS

1. Demonstrates proficiency in

performing comprehensive

assessments of the health status

of diverse patients and families.

S/ D/ NI/ U

S/ D/ NI/ U

2. Incorporates scientific

principles, theoretical, and

developmental knowledge in

the performance of safe and

effective care and performance

of skills, integrating previous

learning into performance.

S/ D/ NI/ U

S/ D/ NI/ U

3. Demonstrates knowledge and

skill in the administration of

medications using standardized

practice guidelines.

S/ D/ NI/ U

S/ D/ NI/ U

4. Identifies and implements

strategies to prevent and

analyze errors, increase safety,

reduce risk, and support quality

patient and family care.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #3

Uses the nursing process to

provide appropriate evidence-

based nursing care to manage

the client’s/clients’ experience

and promote health (QSEN 3).

MIDTERM FINAL COMMENTS

1. Uses sound theory and

evidence from the research to

improve practice and patient

outcomes.

S/ D/ NI/ U

S/ D/ NI/ U

2. Evaluates research and

determines the merits of its

use when applied to practice

(see research activity).

S/ D/ NI/ U

S/ D/ NI/ U

3. Integrates legal, ethical, and

policy issues in the delivery of

optimal health care.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #4

Delivers client centered

education that impacts the health

literacy of individuals, groups,

and communities (QSEN 1, 4, 5)

MIDTERM FINAL

COMMENTS

1. Examines common barriers to

active involvement of patients

and provides access to

resources.

S/ D/ NI/ U

S/ D/ NI/ U

2. Describes strategies to

empower patients or families

in all aspects of the health care

process.

S/ D/ NI/ U

S/ D/ NI/ U

3. Examines how the safety,

quality and cost effectiveness

S/ D/ NI/ U

S/ D/ NI/ U

of health care can be improved

through the active

involvement of patients and

families.

Program Outcome #5

Acts as a client advocate to

develop strategies for managing

client-centered care and

addressing client’s rights. (QSEN

1)


1. Advocates for quality care for

clients.

S/ D/ NI/ U

S/ D/ NI/ U

2. Takes initiative when situation

calls for action.

S/ D/ NI/ U

S/ D/ NI/ U

3. Recognizes factors that place

clients at risk for abuse and/or

neglect, and/or unsafe

conditions.

S/ D/ NI/ U S/ D/ NI/ U

Program Outcome #6

Demonstrates accountability for

safe administration and

evaluation of pharmacologic

agents and complementary

modalities used in health

promotion as well as acute and

chronic illnesses. (QSEN 5)


1. Safe with IVs, medications, and

adjuvant therapies. S/ D/ NI/ U

S/ D/ NI/ U

2. Includes medication teaching to

client and /or family as

appropriate for setting.

S/ D/ NI/ U

S/ D/ NI/ U

3. Calculates correct dosages

100% of the time.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #7

Uses relevant technology to

provide nursing care that

contributes to safe and high

quality client outcomes. (QSEN


#6)

1. Utilizes technology to

document and communicate

patient assessment, plan of

care, referrals, and

interventions performed.

S/ D/ NI/ U

S/ D/ NI/ U

2. Applies technology and

information management tools

to support safe processes of

care.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #8

Communicates effectively with

clients and members of the inter-

professional health care team to

improve client outcomes. (QSEN

#2)


1. Analyzes effective teamwork

and collaborative strategies to

address concerns of diverse

populations, identifying system

barriers and facilitators.

S/ D/ NI/ U

S/ D/ NI/ U

2. Communicates effectively with

nursing and interdisciplinary

team members to meet patient

and family needs, adapting own

style to meet needs of patients,

teams and situation.

S/ D/ NI/ U

S/ D/ NI/ U

3. Follows communication and

documentation practices that

minimize risk associated with

handoffs among providers and

across transitions in care,

utilizing SBAR or agency’s

guidelines.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome # 9

Demonstrates beginning levels of

clinical judgment, systems

thinking, and accountability for


client outcomes when delegating to

and supervising other members of

the health care team. (QSEN #4)

1. Coordinates and delegates the

delivery of care for multiple

patients as appropriate for

setting.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #10

Assumes responsibility for and

evaluates own professional

nursing practice according to the

ethical standards of the ANA

Code for Nurses, standards of

nursing practice, and legal

mandates. (QSEN #3, 4)


1. Accepts responsibility for own

actions and attitudes.

S/ D/ NI/ U

S/ D/ NI/ U

2. Demonstrates a respectful

sensitive, and non-judgmental

manner when communicating

with others. [“Others” are

defined as: peers, faculty,

clients, staff, families,

community, and staff].

S/ D/ NI/ U

S/ D/ NI/ U

3. Demonstrates personal and

professional ethics, honesty and

integrity.

S/ D/ NI/ U

S/ D/ NI/ U

4. Provides prior notification to

appropriate faculty, and follow-

up when he/she is unable to

meet commitments, or

requirements.

S/ D/ NI/ U

S/ D/ NI/ U

5. Participates in clinical activities

as scheduled, arriving on time

and prepared for the daily

assignments.

S/ D/ NI/ U

S/ D/ NI/ U

6. Demonstrates professional

appearance and professional

presentation in clinical settings,

and SJSU sponsored activities.

S/ D/ NI/ U

S/ D/ NI/ U

7. Demonstrates the ability to use

good judgment in all decision

S/ D/ NI/ U

S/ D/ NI/ U

making and provides sound

rationale for actions.

8. Respects others during clinical

activities (i.e., no talking while

others are talking, cell phones

are silenced and no

inappropriate use of

computers).

S/ D/ NI/ U

S/ D/ NI/ U

9. Communicates with others with

respect, sensitivity, and

politeness in all forms (verbal,

nonverbal, written, and

electronic; includes listening

and caring behaviors).

S/ D/ NI/ U

S/ D/ NI/ U

10. Maintains confidentiality of all

client information in

conversation, electronic and

written means.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #11

Coordinates and manages health

care for a group of individuals

across the lifespan in order to

maximize health, independence,

and quality of life. (QSEN #1, 3, 5)


1. Identifies and questions

inconsistencies in practice at the

unit, department, and/or agency

levels.

S/ D/ NI/ U

S/ D/ NI/ U

2. Provides recommendations for

changes in practices based on a

synthesis of evidence-based

practices and standards of care.

S/ D/ NI/ U

S/ D/ NI/ U

3. Demonstrates the ability to

manage a beginning

patient/client assignment

expected of a new baccalaureate

registered nurse.

S/ D/ NI/ U

S/ D/ NI/ U

Program Outcome #12

Analyze the influence of health


care policy, finance, and

regulatory environments on

nursing practice in the global

community. (QSEN #3, 4, 6)

NURS 148A COURSE EVALUATION TOOL

ADDITIONAL COMMENTS: Comment on student’s overall strengths, weaknesses, and next steps for

professional development and transitioning to practice.

MIDTERM EVALUATION

Faculty Signature: ______________________Date_______ Student Signature: __________________

FINAL EVALUATION

Faculty Signature: _____________________Date______ Student Signature: ______________

Final: This student’s final NURS148A grade is : _________CREDIT _______NO CREDIT

(assigned by instructor only)

SAN JOSE STATE UNIVERSITY

The Valley Foundation School of Nursing

NURS 148A -- EVALUATION BY CLINICAL PRECEPTOR/CLINICAL FACULTY

(Non-Acute Care Experience)

Name of Student _______________________________ Instructor ____________

Preceptor ___________________Agency/Hospital____________ Unit____________

Project Title____________________________________________________________

DIRECTIONS: Please rate this student’s performance for the following behaviors using the

rating scale. Circle O the number in the column to the right of each statement for the Midterm

evaluation and use a Square □ for the Final evaluation. Additional written comments are

welcome and may be written on the back of the last page or attached separately.

3 Student meeting course objectives, with minimal assistance.

2 Student sometimes meets course objectives, but needs significant

assistance or supervision.

1 Student is not meeting course objectives or is not doing so consistently.

0 Unsatisfactory performance

NO Not observed or situation did not present itself

Project Scoring System

(3= Satisfactory; 2 = Developing; 1= Needs Improvement;

0= Unsatisfactory NO= Not Observed)

SAFETY

1 Practices safely at all times 3 2 1 0 NO

2 Identifies and implements strategies to prevent and analyze

errors, increase safety, reduce risk, and support quality

patient/client and family care in project area.

3 2 1 0 NO

Client-Centered Care

3 Demonstrates respect and sensitivity for patient/ client and family

preferences, values, and needs in the provision of care.

3 2 1 0 N.O.

4 Synthesizes data in regard to project and communicates these to

preceptor/faculty and project stakeholders.

3 2 1 0 NO

5 Evaluates patient or clients culturally needs and provides patient

centered care with regard to project as applicable

3 2 1 0 NO

6 Relates knowledge of pathophysiology, differentiates normal from

abnormal findings (as applicable for project topic.)

3 2 1 0 NO

7 Includes psychosocial needs, educational level, and spirituals

preferences into plan of care or project goals as appropriate for

project.

3 2 1 0 NO

8 Sets appropriate priorities. 3 2 1 0 NO

Evidence-based Practice

9 Incorporates scientific principles, theoretical, and developmental

knowledge in the performance of safe and effective care via this

project and integrates previous learning into project deliverable.

3 1 0 NO

10 Uses sound theory and evidence from the research to improve

practice and patient /client outcomes

3 1 0 NO

11 Aware of and shares concerns with faculty, regarding legal, ethical,

and policy issues in the delivery of optimal health care.

3 1 0 NO

12 Researches topic thoroughly and evaluates and implements

recommendations from faculty member for other related areas of

research or practice.

Informatics

13 Utilizes technology to access, assess and communicate

information to faculty and project stakeholders.

3 2 1 0 NO

14 Applies technology and information management tools to

support safe processes of care as related to project.

3 2 1 0 NO

TEAMWORK AND COLLABORATION

15 Works cooperatively as a member of a project team,

collaborating with faculty and stakeholders.

3 2 1 0 NO

16 Participates in clinical conferences as scheduled and notifies

faculty and stakeholders of absences when presence is

expected.

3 2 1 0 NO

QUALITY IMPROVEMENT

17 Discusses recommendations for changes in practice- based on a

synthesis of evidence-based practices and standards of care.

3 2 1 0 NO

18 Shares with faculty and stakeholders how the safety, quality and

cost effectiveness of health care can be improved with specific

regard to this project.

3 2 1 0 NO

19

Determines ‘deliverables’ initially and produced agreed upon

deliverables according to time line, with instructor approval.

Please attach written Deliverables to this form.

COMMUNICATION

20 Communicates with faculty and stakeholders appropriately

and effectively

3 2 1 0 NO

21 Demonstrates respectful, professional, culturally

appropriate, and non-judgmental communications. (verbal,

written, electronic, etc).

3 2 1 0 NO

LEADERSHIP/ADVOCACY

22 Researches and implements sound decision making for quality

improvement, safety, and standards of practice as relates to

project.

3 2 1 0 NO

23 Takes initiative when situation calls for action (and keeps

faculty and stakeholder informed).

3 2 1 0 NO

24 Recognizes own limits and scope of practice; seeks assistance

when appropriate.

3 2 1 0 NO

25 Recognizes factors that place patient/clients at risk for unsafe

conditions, via project (as appropriate).

3 2 1 0 NO

26 Recognizes when becoming overwhelmed with project and

consults with faculty/stakeholder.

3 2 1 0 NO

27

Accepts responsibility for own actions and attitudes.

3 2 1 0 NO

28

Demonstrates personal and professional ethics, honesty and

integrity

3 2 1 0 NO

29 Demonstrates professional appearance and a professional

presentation in clinical conference and when interacting with

various stakeholders.

3 2 1 0 NO

30 Accepts constructive criticism and takes appropriate action,

based on faculty/stakeholder input.

3 2 1 0 NO

31 Follows agency/SJSU rules, policies, & procedural guidelines. 3 2 1 0 NO

32 Seeks new experiences and takes initiative. 3 2 1 0 NO

TIME MANAGEMENT/PRIORITIZATION

33 Completes work in a timely fashion and meets mutually accepted

deadlines (faculty/stakeholder/student).

3 2 1 0 NO

34 Demonstrates the ability to use good judgment in all decision

making and provides sound rationale/s for actions.

3 2 1 0 NO

STUDENT NAME__________________________________

Midterm Evaluation Final Evaluation

Date of in-person meetings with

faculty/preceptor/student

Number of shifts worked with student

Student’s Name:__________________________ Preceptor’s Name_______________________________

Student’s Signature:________________________ Preceptor’s Signature____________________________

PRECEPTOR'S MIDTERM COMMENTS: DATE:_________________ PLEASE DISCUSS PT. LOAD, STRENGTHS, AREAS FOR IMPROVEMENTS & ADDRESS ANY SCORES OF 0 (ZERO) OR 1’S

PRECEPTOR’S FINAL COMMENTS: DATE:__________________

PLEASE FEEL FREE TO DISCUSS PT. LOAD, STRENGTHS, AREAS FOR IMPROVEMENTS & ADDRESS ANY SCORES OF 0 (ZERO) OR 1’S

sjsu annual program assessment form program website: sjsu ... · a 100% pass rate. our annual first...

Documents