線上教育：滿足學生需求.pdf

1、Learner Disclosures1 Provider Statement:Assessment Technologies Institute,LLC(ATI Nursing Education)is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Centers Commission on Accreditation Criteria for Successful Completion:To obtain credit

2、for this activity,the participants must:Attend 100%of the session Complete activity by 07/31/2023 and submit the online evaluationExpires 7/31/20232 All information included in National Nurse Educator Summit presentations is the copyrighted property of ATI or the individual presenters.You may not re

3、cord this presentation or copy and/or distribute any of the handout materials.Missouri State University-West PlainsAccelerated LPN to RN Bridge ProgramLacey Campbell,MSN,RNBarbara Canton,MSN,RN,CNELindsay Hill,MSN,MSEd,RN,CNELisa Wade,MSN,NP-COnline Education:Meeting the Needs of the Student3Online

4、Education:Meeting the Needs of the StudentMeasurable Learning Outcome&Learning Objectives4Learning Outcome:Upon completion of the presentation,participants will be able to explain the key considerations and challenges when creating a student centered online Licensed Practical Nurse(LPN)to Registered

5、 Nurse(RN)program.Learning Objectives:1.Identify some of the challenges of the LPN-to-RN student.2.Discover how to make didactic learning and assessment more adaptable to the online student while still maintaining high rigor and quality.3.Discuss the clinical experience in an online program.4.Descri

6、be new methodologies for evaluating the online student.A Little Background.5Prior to Our Curricular Change6 Annual Graduation35 regular track students10 LPN-RN studentsWhy Change?7Challenges Faced8Working Full-TimeGoing to School Insufficient time to study Too tired Excessive absencesAccelerated LPN

7、 to RN DesignProgram Expansion10From 90 to 135 studentsGraduating students twice a yearBegan the LPN-RN bridge program 15 seated LPNs15 online LPNsAccelerated LPN to RN Program Design118 week and 16-week courses to ensure students could complete with in 1 year.Associate of Science in Nursing Curricu

8、lum-LPN-to-RN TrackSemester 1Credit HoursNUR 190 Transitions for the LPN-to-RN3NUR 201 Nursing Care Across the Life Span3NUR 212 Nursing Care Across the Life Span9Semester 2Credit HoursNUR 202 Pharmacology3NUR 204 Adult Medical-Surgical Nursing II9NUR 220 Current Trends and Issues in Nursing(capston

9、e course)3Credit Breakdown(65 hours for the ASN):Credit HoursPrerequisite Courses11General Education Courses9Advanced Placement Nursing Credit15Nursing Courses30Degree Total:65Classroom InstructionHigh Quality Instruction on the Students ScheduleCourse Design&Calendar Content posted to mimic a“seate

10、d”courseNot mandatory these dates,just to help paceWeekly Anchor Dates Mondays at 11:59pmRelease folder usually Thursday/Friday before(Start of Week Tuesday)Allows flexibility with:Family/life scheduleThose working“weekends”have Monday to tie up loose endsLearning Management System(LMS)Set UpEASY TO

11、 USE FORMATTINGFormat is CONSISTENT from Instructor to InstructorFour Main tabs AnnouncementsFaculty InfoSyllabus/Course InfoWeekly Units AssignmentsWeekly Units/Assignments15Folders broken apart by Week/DateEach Weeks folder contains:Day 1 Materials folderDay 2 Materials folderAssignments Due This

12、Week Folder Each Assignment has DETAILED instructions from the syllabus1617Inside the Day 1 Materials FolderInside the Assignments Due This Week folderFrequent Communication&Instructions18 Explains how LMS course is set up/where to find thingsStarting Week Email Basic Template with changing dates,as

13、signments,etc Reassures the student Students feel like they are getting“communication”and“interaction”Consdering trying“recorded”weekly emailsWeekly Emails with Instructions19Actually Delivering the Content20 Traditional“Lecture”materials,reading,etcDaily Materials Comparable to the class entry of s

14、eated group Helps them focus on the“lecture”content in Daily Materials to prepare for application during class timeWeekly Assignment Think Flipped Classroom-Application,critical thinking activities They do NOT have to complete for pointsSupplemental MaterialsContent Delivery Getting in that actual c

15、lass timeRecording of class time that is posted onlineKeeps“connection”with studentsThey can see the MODELING OF CRITICAL THINKING!Example as seen in videoRepercussions?Ways to avoid them.Example of Content Delivery22Technology to get the“Classroom”to the Online Student Cameras for class time record

16、ingsUsed to borrow camera from library!Apps on phone to turn notes/drawings on paper to pdfsTechnology to turn writing on large white board(ex:Concept map,etc)into digital imageConversion of large sticky notes to PDF with phone app24Long white board into digital image25Testing via LMS with a WebcamT

17、hree to Four Day WindowUse a white board/dry erase marker;Show blank at beginning/endStudents do not see exam Exam score until instructor has reviewedStudents never see exam questions again Get“Topics to Review”Worried about cheating?They tell you when things happenExam average within 3%when compari

18、ng a groups testing environmentProviding Assistance to the Struggling Student27Exam Success PolicyOnlineTutoring/Study SessionsIntrusive Remediation and AdvisingConnect with Services on CampusClinical ApprenticeshipPrecepted Clinical TimeClinical Experience29RN PreceptorshipsClinical requestsClinica

19、l contracts and affiliationsSecuring the preceptor Preceptor agreements Preceptor Training ModuleSelf-Scheduled RN PreceptorshipOnboardingOrientationEMR TrainingClinical RequirementsChallengesFinalizing Clinical ContractsPreceptor availabilityAdequate faculty membersTime for Clinical AdvisingEnsurin

20、g Evaluation of the sudentClinical Advisors30Each student is assigned a faculty member as a clinical advisorStudents must schedule with the clinical advisor to review and discuss CET within 7 days of completed time frame(updating to scheduled group times similar to post conference)Clinical advisor m

21、ust also contact preceptors and review daily skills evaluation from preceptorEach advisor now has 2-4 students for online cohortSeated cohort meets as a group on campus with an advisory every 2 weeks(changed to ensure students will complete hours in timely manner)students will complete hours in time

22、ly manner)Clinical Evaluation31Preceptor FeedbackLikert scale rating clinical performance areasStudent Self EvaluationClinical Performace ToolFinal Clinical EvaluationClinical Advisor EvaluationReview of Clinical Evaluation Tools and additional clinical paperworkFeedback from RN preceptorEvaluating

23、the StudentBootcamp(Orientation)Week33Students are brought in the week prior to courses starting to review classroom and clinical requirements.Lab work:skills,standardized testing programs,Simulation and virtual simulation to expose students and evaluate skill setStudents get introduced to clinical

24、advisor and other faculty to make them feel more comfortable and put a face to the instructor especially in the online trackClinical Evaluation Tools This concept is adapted from Dr.Linda Caputis paper on“Focus on Thinking”and Merced College course information.Clinical Evaluation tools are utilized

25、to demonstrate clinical judgment by the student.One two tools are utilized for every 24 hours of completed clinical time Tools are mapped throughout the course to address learning outcomes and NCLEX-RN categories Students must also complete 5 medication sheets,face sheet,pathophysiology concept map

26、and planning table for each tool.34Clinical Evaluation Tools Time Table35Clinical hours completed:Tool:Objective:Next Gen concept application:Clinical Progression1-24 hoursCET 1OB#3Recognizing cuesForm Hypothesis25-48 hoursCET 2&3OB#5&OB#6Analyze cuesForm Hypothesis49-72 hours CET 4OB#7Prioritizing

27、cuesRefine Hypothesis73-96 hoursCET 5&6OB#1&OB#2Generate SolutionsRefine Hypothesis97-120 hoursCET 7OB#4Take ActionEvaluate121-132 hoursCET 8OB#8Evaluate OutcomesEvaluateCET Example36The Results2020-presentStill in Progress38Having the flexibility of online and self-scheduled clinical rotations allo

28、ws working nurses to continue to work and obtain RN licensure.Applicants for the online program are soaring(80 applicants for 30 spots-15 seated/15 online for the Spring 2023 cohort)Able to meet students where neededPass rates promising-though COVID effects have changed outcomes so we are mapping ou

29、r standardized testing curriculum program throughout the courses and having all faculty practice same content to improve pass ratesImplemented testing success policy to meet with students early to catch anyone that is strugglingContinuing to develop CETs that will encourage more clinical judgment an

30、d follow the NEXT GEN ModelStill in Progress39 High student satisfaction scores,high employer and preceptor satisfaction,positive program outcomes,increased application numbers in a time of low enrollments nationwide.Lower than previous incidents of academic dishonesty,increased diligence to homewor

31、k and assignment completions,increased clinical reasoning and lower time needed for hospital onboarding post graduation.References40Caputi,L.(2022).Think like a nurse:The Caputi method for learning clinical judgment.Chicago:Windy City Publications.Caputi,L.(2012).Merced College Registered Nursing 34

32、:Advanced Medical/Surgical Nursing and Pediatric Nursing.https:/www.mccd.edu/academics/alliedhealth/nurse-registered/downloads/REGN34-CourseDescription.pdfCornine,A.E.,Crawford,S.L.,&Sullivan-Bolyai,S.(2023).Facilitators and Inhibitors of LPN-to-RN Student Transition:A Cross-Sectional National Survey.Nursing Education Perspectives(Wolters Kluwer Health),44(1),1823.https:/doi.org/10.1097/01.NEP.0000000000001051Hew,K.F.,&Kwan Lo,C.(2018).Flipped classroom improves student learning in health professions education:a meta-analysis.BMC Medical Education,18:38