Closing the Revolving Door: An Evidence-based Success Story Lisa Gerow RN, MSN Assistant Professor,...
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Transcript of Closing the Revolving Door: An Evidence-based Success Story Lisa Gerow RN, MSN Assistant Professor,...
Closing the Revolving Door: An Evidence-based Success Story
Lisa Gerow RN, MSNAssistant Professor, NursingChairperson, Learning Enhancement Committee
Ann Anthony RN, MSNAssociate Dean, Nursing
The Future of Caring is TCC Nursing
The Future of Caring is TCC Nursing
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Our Story – Promoting Student Success
The challenge Growth + Retention Our students
Our Process The Evidence Our Options The Steps Our Results
The Future of Caring is TCC Nursing
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The Challenge
Profound and growing nursing shortage Oklahoma ranks 46th in RNs per capita Additional 1100 RNs needed annually to meet
current demand Nationally – 1 Million needed by 2015 (11/14/05 – www.nurses.com)
The shortage is likely to increase due to: Decreasing labor pool – reduced birthrates and
aging workforce Intensity of services have increased demand for
RNs in healthcare
The Future of Caring is TCC Nursing
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The Demand
Graduate MORE nurses !!!
The Future of Caring is TCC Nursing
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Who are our students?
Typical TCC Nursing Student: Raising a child Primary wage earner Seeking new career Nursing courses require 4-8 hours on
campus, up to 16 hours of clinical + 20 hours of study & prep each week
Challenge – balancing work, family, & school
The Future of Caring is TCC Nursing
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How well are we meeting the demand?
Enrollment in nursing is increasing Fall 03 – 233 Fall 04 – 240 Fall 05 – 281
Lack of space for qualified applicants
Semester Applicants % Accepted# Not Accepted
Fall 03 117 68% 42
Spring 04 132 58% 56
Fall 04 148 50% 74
Spring 05 149 50% 75
The Future of Caring is TCC Nursing
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If we lack space to add students,
We must retain & graduate those we accept
Retention within the program AY00 – AY03 67% (average)
The Future of Caring is TCC Nursing
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The Evidence: Why do we lose students?
2001 – Attrition Study Purpose: Determine any patterns of
admission criteria of students who have done poorly in the program
Process Record review “How did that student get into the program
in the first place?”
The Future of Caring is TCC Nursing
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The Evidence: Why do we lose students?
Findings: Two groups of students n=20
GPA > 3.0 with < 40 college credits (30%) GPA > 2.9 with > 40 college credits (70%)
Few similarities within higher GPA group Focused on lower GPA group
The Future of Caring is TCC Nursing
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The Evidence: Why do we lose Students?
Lower GPA Group GPAs below TCC Nursing admission
criteria (2.5) Avg GPA = 2.5
Multiple courses repeated Avg credits attempted = 70 Science courses repeated 2.6 (avg)
Algebra CPTs below TCC standard 77 Avg. Alg CPT 42
The Future of Caring is TCC Nursing
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The Options – Select & Retain
Select the Right Students
Help them succeed & Stay in to graduate!!
The Future of Caring is TCC Nursing
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The Options – Select & Retain Better selection – Admission Criteria
Focused on criteria Changed process Rank applicants based on point system,
Weighted points GPA Science > nonscience courses PCT vs. CNA Perseverance
Retain - Identify Vulnerable Students & Help Them!
The Future of Caring is TCC Nursing
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Goal – Retain Vulnerable Students
Faculty Task Force Brainstormed ideas Impaired student policy Proposed
Learning Enhancement CommitteeLE Facilitator RoleStandardized testing – external
benchmarking Faculty development
The Future of Caring is TCC Nursing
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Step 1: Learning Enhancement Committee
Members – Nursing Faculty, Nursing & Allied Health Counselor
Goals: Identify students & resources Offer remediation Interface with Counselor (Nursing & Allied
Health Counselor) Promote faculty awareness
The Future of Caring is TCC Nursing
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LEC works closely with Admissions Committee
Provisional Admissions
Readmission/Reentry
Nursing Admissions Committee
LearningEnhancementCommittee
AtRisk
Students
The Future of Caring is TCC Nursing
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Step 2: LE Rep Role Volunteer, no additional nonteaching
responsibilities Accepts referrals
Previous performance – clinical & classroom Case finding – “Early Warning System”
Entrance testing Course test scores Behavioral issues
Develop learning prescription Exit interview & re-entry guidance
The Future of Caring is TCC Nursing
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Step 3 – LE Rep Outcomes
One-to-one contact with nursing faculty Promotes dialogue, surfaces issues Thinking process vs. personal/family distractions
Behavioral checklist – measure of progress Promotes communication – with support
services Earlier referrals to counseling LER <–> Counselor <–> dSRC
The Future of Caring is TCC Nursing
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Results - Program
Retention within the program is increasing AY00 – AY03 67% (average) AY 04 80% AY 05 88%
NCLEX Pass Rate is UP: 88 – 93%
The Future of Caring is TCC Nursing
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Results – Spring 2004 Level 2 Student Referrals & Outcomes
Referral Reason
#
Referred
# Graduates Currently Enrolled
Previous Failure
13 7 2
Test Grades 3 3
Transfer 1 1
ESL 7 7
Stress 2 2
Late work, not focused
2 1
Totals 28 21 2
75% Graduation Rate
82%Retention Rate
++
AcademicIssues
Behavioral/PersonalIssues
The Future of Caring is TCC Nursing
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Summary of Results
28 Referrals to Level 2 LEC 21 graduated 2 currently enrolled 4 failed, ineligible for readmission 1 lost to follow-up
The Future of Caring is TCC Nursing
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Examples & Anecdotes
Learning Prescriptions Success stories
The Future of Caring is TCC Nursing
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Conclusions: Lessons Learned
At risk students can be identified Remediation materials & resources must
be available Faculty involvement is essential