OATdb Archive - Sam Houston State University

OATdb Archive

2014 - 2015

Nursing BSN

Goal

Mastery Of Curriculum Content

Curriculum content must be mastered to be licensed.

Objective

Specialty

Nursing students will achieve mastery of a specialty content area (med-surg, pediatrics, obstetrics, psych-mental health, community, fundamentals, health assessment) by the end of each of their specialty courses.

Indicator

Standardized ATI Specialty Examinations

Criterion

Score Of Level 2 Or Greater By At Least 60%

60% of cohorts taking specialty exams by ATI will achieve set score of Level 2 (Proficient) or more. Range of levels goes from zero to 3 (highly proficient)

Finding

ATI Specialty Exam Results

The results below show the percentage of students taking the ATI Specialty Examination acheived a leve 2 or higher.

Community - 69.44%
Leadership: 57.58%
Mental Health - 56.25%
Pediatrics - 63.89%
OB/GYN - 83.33%
Med/Surg - 36.36%
Nutrition - 26.47%
Fundamentals - 53.57%

Action

Focus On Improvement In Particular Courses

Goal of 60% was not met in the following courses:
Leadership
Mental Health
Med/Surg
Nutrition
Fundamentals

Focus on improved AT scores for these courses.

Goal

Mastery Of Curriculum Content

Master of the basic curriculum is required for licensure.

Objective

Mastery By Graduation

Nursing students will achieve mastery of all nursing content just prior to graduation.

Indicator

Standardized ATI Exit Examination

Assessment Technologies Institute, LLC (ATI) is a software-based testing company that produces standardized tests and learning software for nursing students. Each student is administered the comprehensive nurse exam that tests the student' overall knowledge in key areas of the nursing curriculum. In many ways, the ATI Exit Exam is similar to the National Council of Licensing Examination for the Registered Nurse (NCLEX-RN) and, therefore, performance on the ATI Exit Exam is considered to be a good predictor of a student's readiness for the licensing exam.

Criterion

Achievement Of Graduating Seniors On Comprehensive ATI Exam

At the time of graduation, sixty percent (60%) of students taking a standardized exit examination will achieve at least the baseline score of national BSN mean on their last attempt.

Finding

Standardized Exit Examination Results For Cohort 5

66.7% of students in cohort 5 achieved the baseline score of the national BSN mean.

Action

Actions

One-third of the students in cohort 5 did not meet the nation BSN mean. We will continue to focus on and monitor ATI predictor scores.

Update to previous cycle's plan for continuous improvement 1. A policy has been written regarding the administration and scoring of ATI specialty exams. We now give either 3 or 4 ATI's including 1-2 practice exams, and 2 proctored exams. The ATI counts as 5% of the exam grade for juniors and 10% for seniors.
2. All teachers are giving more quizzes of NCLEX style questions
3. ExamSoft purchased in June of 2015. Fall 15 all teachers began using it.
4. Done
5. The spring 15 graduating class received 3 exit exams (practice, proctored exam A and proctored exam B)
6. Done in May 2015. Will repeat in December of 2015
7. ATI review was mandatory for December 14 and May 15. Will be mandatory again this year.
8. Done. we went from a 74% pass rate in December to a 97% pass rate in May!

Plan for continuous improvement Our most current graduating class passed the NCLEX with a 97% pass rate. The Texas Board of Nursing requires schools to have an 80% or greater pass rate to remain state approved. We will take the following steps:

1. Give 3 instead of 2 ATI specialty exams in each course to increase their practice
2. Give more quizzes that are NCLEX style question (perhaps even every week)
3. Purchase and utilize Exam Soft which will provide better psychometrics on tests
4. Refer all students scoring below a proficiency level of 2 to our Resource Coach for intensive remediation of that content.
5. Give 3 instead of 2 Exit Exams the final semester and give them at least 2 weeks apart to allow time for remediation.
6. Provide one 8 hour day at the end of the final semester in Concepts II to have faculty content experts come to class and review the important content from their area: content that may be on the NCLEX based on the published test blueprint.
7. Continue to provide a mandatory 3-day live NCLEX Review
8. Urge students to take the NCLEX as soon after graduation as they are eligible.