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MASTER PLAN

OUTCOMES EVALUATION BSN PROGRAM University of Puerto Rico

Mayagüez Campus

College of Arts and Sciences

Department of Nursing

UNIVERSITY OF PUERTO RICO

MAYAGUEZ CAMPUS

COLLEGE OF ARTS AND SCIENCES

DEPARTMENT OF NURSING

MASTER PLAN: OUTCOMES EVALUATION 2014-2019

BSN PROGRAM

EVALUATION PLAN

STANDARD 1: Mission and Administrative Capacity

The mission of the nursing education unit reflects the governing organization’s core values and is congruent with its mission/goals. The governing organization and

program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified program outcomes.

OUTCOMES:

1.1 The mission/philosophy and program outcomes of the nursing education unit

are congruent with the core values and mission/goals of the governing

organization.

1.2 The governing organization and nursing education unit ensure representation

of the nurse administrator and nursing faculty in governance activities;

opportunities exist for student representation in governance activities.

1.3 Communities of interest have input into program processes and decision

making.

1.4 Partnerships that exist promote excellence in nursing education, enhance the

profession, and benefit the community.

1.5 The nursing education unit is administered by a nurse who holds a graduate

degree with a major in nursing and is doctorally prepared.

1.6 The nurse administrator is experientially qualified, meets governing

organization and state requirements, and is oriented and mentored to the role.

1.7 When present, nursing program coordinators and/or faculty who assist with

program administration are academically and experientially qualified.

1.8 The nurse administrator has authority and responsibility for the development

and administration of the program and has adequate time and resources to fulfill the role

responsibilities.

1.9 The nurse administrator has the authority to prepare and administer the program budget

with faculty input.

1.10 Policies for nursing faculty and staff are comprehensive, provide for the welfare

of faculty and staff, and are consistent with those of the governing organization; differences

are justified by the goals and outcomes of the nursing education unit.

1.11 Distance education, when utilized, is congruent with the mission of the governing

organization and the mission/philosophy of the nursing education unit.

PLAN IMPLEMENTATION

Component Frequency of

Assessment

Indicators/Assessment Method Report of Data Collection &

Analysis

Responsible person/Committee:

Actions or

Comments

I. MISSION AND

ADMINISTRATIVE

CAPACITY

A. Congruency

1. Vision

2. Mission/Philosophy

3. NEU Conceptual

Framework

Every 5 years and as

needed or required

UPR- UPRM-College of Arts and

Sciences-NEU

Mission, Vision

Department Strategic Plan

Philosophy of the NEU

Outcomes of the NEU

UPR-UPRM-College of Arts and

Sciences-NEU Organization Chart

General Regulation of the UPR

Undergraduate Catalogue

Director of Nursing

Education Unit

Faculty

Curriculum Committee

MASTER PLAN - OUTCOMES EVALUATION 2014-2019

PAGE 2

PLAN IMPLEMENTATION


Assessment


Analysis


Actions or Comments

4. Goals

5. NEU Outcomes

6. Societal and

Professional Trends

7. Policies, Procedures

and Bylaws

B. Governance Organization

1. Director of NEU

2. Faculty

3. Students

C. Administrator

1. Academic credential

2. Experience

3. Authority and

responsibility

4. Welfare of Faculty

and Staff

D. Policies of Nursing

Faculty/Staff

1. Consistent

2. Accessibility

3. Rationale for policies

that differ from

governing organization

Yearly or as needed

As necessary or

required (According to

Certification 86-87-476

of the Administrative

Board).

Every 2 years or

as needed

As necessary or

required

Professional Nursing Standards of

CPEPR

Safety National Standards

Standards of Professional Association

(ACEN)

Institutional Policies

Faculty Minutes

Curriculum Committee Minutes

Listing of participation of faculty and

students in governance

Committees/Task Forces/Workgroups

of the UPRM and NEU

The General By-laws of the Students

of UPR

According to Certification 86-87-476

of the Administrative Board-UPRM

Curriculum Vitae

Portfolio

Credentials of the Nurse Administrator

Faculty Handbook UPRM and NEU

Human Resources UPRM

Standards and Criteria of ACEN 2013

Questionnaire for the Evaluation of

Faculty Satisfaction and Staff

General Regulation Policies of the

UPRM

UPR, UPRM-College of Arts and

Sciences and NEU Website


Accrediting Agency Report (MSCHE,

CSE, ACEN)

Rules and Regulations of State of

Board of Nursing in Puerto Rico

Director of Nursing

Education Unit

NEU Standing

Committees

Director of NEU

See NEU Organizational Chart


PAGE 3

PLAN IMPLEMENTATION


Assessment


Analysis

Responsible person/Committee

Actions or Comments

E. Communities of interest

F. Partnerships

G. Budget

At the end of every

academic year

Fiscal Year

National Safety Standards

Professional Nursing Standards

Evidence of participation of

Communities of Interest

Partnership agreements (MOU,

description of partnerships, contracts,

grants, etc.)

Evaluation Committee Minutes

Faculty Minutes

Memorandum of Understanding

(MOU) with UPRM-UPR Aguadilla,

Utuado and Ponce)

(Certification No. 115 – 1996-97)

UPR Boards of Trustees

Other Memorandum

Faculty Minutes

Budget Discussion with Faculty

Director of Nursing Budget Report

and Administrative Budget Officer

ACEN Accreditation Standards

OIIP

Questionnaire of Faculty

Satisfaction

Director of NEU

The Associate Director

UPR System Legal

Services

Evaluation Committee

Budget

The UPR System

(Certification Number

100-2005-2006) Board of

Trustees’

Budget Regulation of

UPR

Dean of College of Arts

and Sciences

Dean of Administration

College of Arts and

Sciences

Director of Nursing

Education Unit

Administrative Officer


PAGE 4

EVALUATION PLAN

STANDARD 2: Faculty and Staff

Qualified and credentialed faculty is sufficient in number to ensure the achievement of the student learning outcomes and program outcomes. Sufficient qualified staff

are available to support the nursing education unit.

OUTCOMES:

2.1 Full-time faculty hold a minimum of a graduate degree with a major in nursing; a minimum of 25% of the full-time faculty also hold an earned doctorate or are currently

enrolled in doctoral study. Full- and part-time faculty include those individuals teaching and/or evaluating students in classroom, clinical, or laboratory settings.

2.2 Part-time faculty hold a minimum of a graduate degree with a major in nursing.

2.3 Faculty (full- and part-time) credentials meet governing organization and state requirements.

2.4 Preceptors, when utilized, are academically and experientially qualified, oriented, mentored, and monitored, and have clearly documented roles and responsibilities.

2.5 The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved.

2.6 Faculty (full- and part-time) maintains expertise in their areas of responsibility, and their performance reflects scholarship and evidence-based teaching and clinical practices.

2.7 The number, utilization, and credentials of staff and non-nurse faculty within the nursing education unit are sufficient to achieve the program goals and outcomes.

2.8 Faculty (full- and part-time) are oriented and mentored in their areas of responsibility.

2.9 Systematic assessment of faculty (full- and part-time) performance demonstrates competencies that are consistent with program goals and outcomes.

2.10 Faculty (full- and part-time) engage in ongoing development and receive support for instructional and distance technologies.

PLAN IMPLEMENTATION


Assessment


Analysis

Responsible person /Committee:

Actions or Comments

I. FACULTY

A. Credentials

B. Scholarship activities

C. Performance/evaluation

D. Staff

II. ADMINISTRATIVE STAFF

A. Director

B. Associate Director

C. Administrative Officer

D. Administrative Secretaries

E. Laboratory Nurse

F. Auxiliary Services

Yearly and/ or as

needed

Law 9 Oct 11, 1987

Law 11 June 23, 1976

Law 82 June 1st 1973

UPR General Regulation

NEU Faculty Bylaws.

Evaluation Report by the NEU

Personnel Committee

Appendix Modules for

Evaluations: A, B, C, F, G,

H, I, L (Certification 86-87-

476 of the Administrative

Board UPRM

Professional Portfolios

Faculty Curriculum Vitae

COE Survey

Academic Course Allocation

(workload)

Job Description

Personnel Committee

NEU

Director of NEU


PAGE 5

PLAN IMPLEMENTATION


Assessment


Analysis


Actions or

Comments

E. Orientation and Mentorship

As needed

Certification UPR General

Regulation

State requirement and

affiliated agencies

requirement

Report of activity involvement

submitted to the Director of the NEU

Faculty, lab personnel, and staff

academic and experiential credentials

Position and Job Descriptions and

responsibilities for faculty, lab

personnel and staff

Evidence of scholarly activities as

defined by the nursing education unit

Policies for evaluation processes

Evidence of orientation and

mentoring processes for faculty and

staff

COE Survey

In progress NEU Mentorship Plan

Mentorship Guidelines and Reports

Certification 96-97-596

UPRM-Professional Enrichment

Center (PEC)

Bylaws of the Faculty of the

Department of Nursing

Director of NEU


PAGE 6

EVALUATION PLAN

STANDARD 3: Students

Student policies and services support the achievement of the student learning outcomes and program outcomes of the nursing education unit.

OUTCOMES:

3.1 Policies for nursing students are congruent with those of the governing organization, publicly accessible, non-discriminatory, and consistently applied; differences are justified

by the student learning outcomes and program outcomes.

3.2 Public information is accurate, clear, consistent, and accessible, including the program’s accreditation status and the ACEN contact information.

3.3 Changes in policies, procedures, and program information are clearly and consistently communicated to students in a timely manner.

3.4 Student services are commensurate with the needs of nursing students, including those receiving instruction using alternative methods of delivery.

3.5 Student educational records are in compliance with the policies of the governing organization and state and federal guidelines.

3.6 Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained, including default rates and the results of financial

or compliance audits.

3.6.1 A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with lenders is available.

3.6.2 Students are informed of their ethical responsibilities regarding financial assistance.

3.6.3 Financial aid records are maintained in compliance with the policies of the governing organization, state, and federal guidelines.

3.7 Records reflect that program complaints and grievances receive due process and include evidence of resolution.

3.8 Orientation to technology is provided, and technological support is available to students.

3.9 Information related to technology requirements and policies specific to distance education are accurate, clear, consistent, and accessible.

PLAN IMPLEMENTATION


Assessment


Analysis

Person responsible/Committee

Actions or Comments

J. STUDENTS

A. Policies

1. Congruency

2. Accessible

3. Non-discriminatory

4. Consistency

5. Compliance

6. Complaint/Grievances

B. Services

C. Integrity

D. Technology

Yearly and/ or

as needed

Review of Undergraduate Catalogue,

UPRM Institutional Policies, NEU

Brochure, NEU Student Manual,

UPRM Website, NEU Website

Evidence of currency, accuracy,

clarity, completeness, and consistency

of all program information (paper or

electronic)

Revision of Institutional Policies

Tittle IV Regulation Act, FERPA,

ADA, and other federal and state

guidelines and regulations

Complaint and Grievances, Policies

and Record

Admission Policies and Criteria

Associate Director


Teaching Resources and

Faculty Development

Committee

Skills Labs Personnel

Dean of Student

Deanship of Student

Ombudsperson of

Student

Counselor of the NEU


PAGE 7

PLAN IMPLEMENTATION


Assessment


Analysis

Person responsible/Committee

Actions or Comments

Certification No. 040-1998-99

Board of Trustee of the UPR.

Financial Policies

Students credential for Clinical

Practice

Interview with Directors of Support

Services

Interview with Financial Director

and Registrar Officer

Certification 83-2 Academic

Senate-UPRM

Liability Insurance

Evidence of Tutoring Program

Admission Policies

Transfer Policies

Interview with the Affiliated

Coordinators


Satisfaction with the Alumni of the

Program

Management Plan for the

Recruitment, Retention Marketing

and Advertising


PAGE 8

EVALUATION PLAN

STANDARD 4: CURRICULUM

The curriculum supports the achievement of the identified student learning outcomes and program outcomes of the nursing education unit consistent with safe practice in

contemporary health care environments.

OUTCOMES:

4.1 The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning outcomes and program outcomes

consistent with contemporary practice.

4.2 The student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress.

4.3 The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor, and currency.

4.4 The curriculum includes general education courses that enhance professional nursing knowledge and practice.

4.5 The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or global perspectives.

4.6 The curriculum and instructional processes reflect educational theory, interprofessional collaboration, research, and current standards of practice.

4.7 Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of the student learning outcomes.

4.8 The length of time and the credit hours required for program completion are congruent with the attainment of identified student learning outcomes and program outcomes and

consistent with the policies of the governing organization, state and national standards, and best practices.

4.9 Practice learning environments support the achievement of student learning outcomes and program outcomes.

4.10 Students participate in clinical experiences that are evidence-based and reflect contemporary practice and nationally established patient health and safety goals.

4.11 Written agreements for clinical practice agencies are current, specify expectations for all parties, and ensure the protection of students.

4.12 Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with the student learning

PLAN IMPLEMENTATION

Component

Frequency of

Assessment

Indicators /Assessment Method

Report of Data collection &

Analysis

Person responsible/ committee

Actions or Comments

IV. Curriculum and Instruction:

Educational Purposes

A. Curriculum

Every 5 years

or as needed

Review of: Program Philosophy,

Vision, and Mission, NEU Conceptual

Framework, Program and Student

Learning Outcomes, Curriculum

Designs, Program Competencies,

Literature, Curriculum Sequence

Brochure

Evidence of Faculty systematic review

of the Curriculum (Faculty meetings,

Curriculum Committee and Evaluation

Committee meetings minutes)

NEU Director

Associate Director



Faculty


PAGE 9

PLAN IMPLEMENTATION

Component

Frequency of

Assessment



Analysis


Actions or Comments

B. Achievement of Program

Outcomes

At the end of

Academic

Year

Every

Semester

Every year or

depending of

agreement

Questionnaire for the Evaluation of the

Program by Graduating Students of the

Baccalaureate of Science in Nursing

Evidence that diverse concepts, best

practices and national patient health

and safety goals are incorporated into

the curriculum

Course materials (syllabi, evaluation

methods, learning activities)

Sample of student written work

Evidence that program length

facilitates achievement of learning

outcomes and is consistent with state

and national standards

Class and clinical schedule

Affiliated contracts and agreements

Evaluation tools/methodologies for

classes, clinical and labs.

Analysis and revision of:


General Courses Syllabus

Nursing Courses Syllabus

Certification #130-Council of Higher

Education of P.R.

Certification No. 83-2 – Academic

Senate UPRM

Analysis and revision of:

Guidelines for Professional Nursing

Practice Standards of CPEPR

Student Learning Outcomes

National Safety Goals

Program Outcomes

Revision of students Program

Competencies

Evaluation tools and methods in every

nursing courses


PAGE 10

PLAN IMPLEMENTATION

Component

Frequency of

Assessment



Analysis


Actions or Comments

C. Practice learning

environments

ACEN Accreditation Standards

ACEN Self Study Report

Nursing Code of Ethics of the CPEPR

Law #9 of October 11, 1987

Literature review of new issues and

trends of societal and practice of

nursing that affects health in PR


Affiliated Agencies

Questionnaire for the Graduating

Students of the Baccalaureate of

Science in Nursing Program


Satisfaction with the Program by

Alumni


Employer’s Satisfaction with the

Alumni of the Program

Aggregated Qualitative Data from each

Questionnaire as collected

Record of verbal or written grievances

Review of facilities and resources

utilizing Clinical Agencies Survey by

students

Evaluation and recommendation of a

potential new affiliated agencies by

Faculty

Associate Director and governance

authorities’ evaluation of clinical

contracts and/or agreements


Affiliated Agencies


PAGE 11

EVALUATION PLAN

STANDARD 5: RESOURCES

Fiscal, physical, and learning resources are sustainable and sufficient to ensure the achievement of the student learning outcomes and program outcome of the nursing

education unit.

OUTCOMES:

5.1 Fiscal resources are sustainable and sufficient to ensure the achievement of the student learning outcomes and program outcome and commensurate with the resources of

governing organization.

5.2 Physical resources are sufficient to ensure the achievement of nursing education unit outcomes and meet the needs of faculty, staff, and students.

5.3 Learning resources and technology are selected with faculty input and are comprehensive current and accessible faculty and students.

5.4 Fiscal, physical, technological, and learning resources are sufficient to meet the needs of the faculty and students engaged in alternative methods of delivery.

5.5 Learning resources fundamental to all educational activities, and the library are adequately supported and stuffed to accomplish students learning outcomes.

PLAN IMPLEMENTATION


Assessment


Analysis


Actions or

Comments

V. Resources

A. Fiscal Resources

B. Physical Resources

C. Learning Resources

Every year or as

needed

Every year or as

needed

Every year or as

needed

Review of :

General Budget of the UPRM

NEU Budget - Interview with the

Administrative Assistant

Comparative Table of mean salaries

Faculty meeting minutes

College of Arts & Sciences Research

and Project Allocations

Faculty Satisfaction Survey

Evaluation of administrative and

clerical support services

Physical and learning resources and

facilities inventory

Graduating Student Satisfaction with

the Program Survey

Faculty Satisfaction Survey

NEU resource inventory

Minutes of Teaching Resources and

Faculty Development Committee

Faculty recommendations

Graduating Student Satisfaction with

the Program Survey

Graduates Student Satisfaction with

Program Survey


Faculty Development

Committee

NEU Administration


Faculty Development

Committee

NEU Administration

Skills Lab Personnel

NEU Administration

Sills Lab Personnel


PAGE 12

PLAN IMPLEMENTATION


Assessment


Analysis


Actions or

Comments

D. Technological Resources

Every year or as

needed

NEU Technological resources

inventory

Graduating Student Satisfaction

Survey

Teaching Resources and Faculty

Development Committee

NEU Administration


PAGE 13

EVALUATION PLAN

STANDARD 6:

Program evaluation demonstrates that students and graduates have achieved the student learning outcomes, program outcomes and role- specific graduate competencies

of the nursing education unit.

OUTCOMES:

6.1 The systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of each of the following:

• Student learning outcomes;

• Program outcomes;

• Role-specific graduate competencies; and

• The ACEN Standards.

The systematic plan of evaluation contains specific, measurable expected levels of achievement; frequency of assessment; appropriate assessment methods; and a minimum of

three years of data for each component within the plan.**

6.2 Evaluation findings are aggregated and trended by program option, location, and date of completion and are sufficient to inform program decision-making for the maintenance

and improvement of the student learning outcomes and the program outcomes.

6.3 Evaluation findings are shared with communities of interest.

6.4 The program demonstrates evidence of achievement in meeting the program outcomes.

6.4.1 Performance on licensure exam: The program's three-year mean for the licensure exam pass rate will be at or above the national mean for the same three-year period.

6.4.2 Program completion: Expected levels of achievement for program completion are determined by the faculty and reflect student demographics and program options.

6.4.3 Graduate program satisfaction: Qualitative and quantitative measures address graduates six to twelve months post-graduation.

6.4.4 Employer program satisfaction: Qualitative and quantitative measures address employer satisfaction with graduate preparation for entry-level positions six to twelve

months post-graduation.

6.4.5 Job placement rates: Expected levels of achievement are determined by the faculty and are addressed through quantified measures six to twelve months post-

graduation.

PLAN IMPLEMENTATION


Assessment


Analysis


Actions or

Comments

VI. OUTCOMES

A. Systematic Evaluation Plan

Yearly or as indicated

Comparative analysis of proposed

evaluation plan schedule

Evaluation of Nursing Courses

Survey

Evaluation of Affiliated Agencies

Survey

Graduating Students Satisfaction with

the Program – every year

Graduates Satisfaction with the

Program Survey – every year

NEU Director


Associate Director

Faculty



PAGE 14

PLAN IMPLEMENTATION


Assessment


Analysis

Responsible person /Committee:

Actions or

Comments

B. Report of Evaluation Findings

C. Program Outcomes

D.

1. Nursing Board Passing

Rate

2. Program Completion

a. Graduate Rate

b. Attrition Rate

3. Program Satisfaction

a. Graduating Students

Satisfaction

Yearly report with

improvement or

continuation plan.

Yearly or as need

Yearly

Yearly

Employer’s Evaluation Satisfaction

Survey – every year

Evaluation of Faculty Satisfaction

Survey

Aggregated qualitative data on each

questionnaire as collected

Evaluation Committee minutes

Faculty Meeting minutes

Evaluation Finding Reports

Associate Director’s Report

Comparison of Attrition and

Retention Rates Report of the Office

of Institutional Research and Planning

UPRM Graduation Rates Report

Puerto Rico Board of Nurse

Examiners Report

Associate Director of Nursing Annual

Report

Law 9 of October 11, 1987 and its

Regulations

Report of Institutional Research and

Planning Office (OIIP)

Report of Associate Director

Faculty Meeting Minutes

Assessment of the State Board

Report, Strategic Planning for

Maintenance and Board


the Program by Graduating Students

of the Baccalaureate of Science in

Nursing Program

NEU Director


Associate Director


Faculty Team Member

Outreach Recruitment

and Alumni Committee


PAGE 15

PLAN IMPLEMENTATION


Assessment


Analysis


Actions or

Comments

b. Graduates Programs

Satisfaction

c. Employer

Satisfaction

d. Employment Rates

Aggregated Qualitative Data



Revision for Improvement Plan

Affiliated meeting minutes

Questionnaire for the Evaluation

Satisfaction with the Program by

Alumni




Employer’s Satisfaction with the

Alumni of the Program




the Program by Graduating Students

of the Baccalaureate of Science in

Nursing Program

Improvement Plan Report

dtl

June 2014

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