CAPSTONE PROCTORED MODULE 3 ATI QUIZ 90 QUESTIONS AND ANSWERS.pdf

West Virginia University’s Interim Report to t
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he Higher Learning Commission
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February 11, 2016
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WVUghasgaddressedgthegchallengesgidentifiedgingtheg2014gHLCgVisitinggTeam greport.gThegsummarygbelowghighli
ghtsgWVU’sgefforts,gpayinggparticulargattentiongto:gfirst-timegNCLEX-
RNgpassgrates;gagnewgGeneralgEducationgFoundationsgprogram;gQualitygMattersgcertificationgandgtraining;gtheghi
ringgofgagnewgDirectorgofgAcademicgExcellencegandgAssessment;gandgcleargevidencegofgongoinggassessmentgofg
programs.gAllgeffortsgoutlinedgbelowgintegrategallgthreegcampuses,gasgwellgasgfostergagvibrantgculturegofgassessm
ent.


I. First-
Time Nursing Pass Rates for the WVU Nursing Progra
g g g g g g g g



m at WVUIT
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ThegAugustg2014gActionglettergrequestedgthatgWVU’sg2016gInterimgReportgaddressgthegfollowing:
3A:g1)gThegWVUgNursinggProgramgongthegWVUITgcampusgfirst-
timegpassgrategisgunacceptable.gTheregisgagplangingplacegtogaddressgthis.gThegreportgshouldgincludegpr
ogressgmadegandgfuturegplanninggtogavoidgrecurrencegofgthisgissue.
ThegfirstgtimegNCLEX-RNgpassagegrateging2013gdroppedgdrasticallygtog43.7gpercentgfromgthegpreviousgrategof
93.3gpercentging2012.gThegpassagegrateghasgsincegimprovedgandgadditionalgeffortsgaregbeinggimplementedgtogad
dressgthegissue.

A. Background
ThegWestgVirginiagUniversitygSchoolgofgNursingg(WVUSON)ghasgofferedgagCommissiongongCollegiategNursin
ggEducationg(CCNE)gaccreditedgBachelorgofgSciencegingNursingg(BSN)gdegreegongthegWVUgInstitutegofgTech
nologygCampusg(WVUIT)gsinceg1997gwithgthegfirstggraduatinggclassging1999.gPriorgtogJuneg2008,gWVUITghadg
fiscalgauthoritygforgthegprogram,gwhilegWVUSONghadgacademicgauthority.gDiminishedgfiscalgresourcesgatgWV
UITgresultedginglowgfacultygsalariesgandgincreasinggusegofgadjunctgfaculty.gIng2006,gthegNCLEX-
RNgpassagegrategwasg56gpercent,gresultinggingthegWVgBoardgofgExaminersgforgRegisteredgProfessionalgNurs
esg(RNgBoard)gplacinggthegaccreditationgofgthegprogramgongprovisionalgstatus,glimitinggadmissionsgtogthegprog
ram,gandgrequiringgagcompletegcurricularganalysis.
Ing2008,gWVUITgandgWVUSONgsignedgagMemorandumgofgUnderstandingg(AppendixgA)gtogallowgforgagchangeg
ingadministrativegstructuregforgthegnursinggprogramgatgWVUITgthatggavegWVUSONgbothgacademicgandgadmini
strativegauthoritygforgthegprogram.gWithgthisgMOU,gorganizationally gthegWVUITgDepartment gofgNursinggbecam
egagfourthgdepartmentgofgthegWVUSON.gThegbudgetgforgthegprogram gwasgestablishedgbasedgongWVUSONgres
ourcegreview,gandgWVUSONgwasggivengthegauthoritygforgadministeringgthegbudget.gRecruitment, ghiring,gandge
valuationgofgfacultygfollowgWVUSONgpolicy.gAllgfacultygmeetgthegcriteriagforgnationalgandgstategaccreditationgag
enciesgandgWVUSONgpolicies.gWVUITgDepartmentgofgNursinggfacultygmembersghavegvotinggprivilegesgandgar
egrepresentedgongcommittees. gSalariesgforgfacultygweregraisedgtogbegequivalentgtoglikegranksg atgWVUSON.gIng
additiongtogfacultygsalaries,gfundsgweregprovidedgtogpurchaseghighgfidelitygsimulationgequipment gforgthegnursin
ggskillsglab.
2016g INTERIMg REPORT 1

,Aftergthegchangegingadministrativegstructure,gthegperformancegongthegNCLEX-RNgimproved,gincreasing gfrom
56.82gpercentging2006,gtog89.5gpercentging2009.gHowever,gthegpassagegrategcontinuesgtogfluctuategandgis




2016g INTERIMg REPORT 2

,impactedgbygthegdecreasegingnumbergofgstudentsggraduatinggasgagresultgofgthegrestrictiongingadmissiongnumbe
rs.

B. Improvement Plan g


ThegWVUSONghasgmadegsignificantgprogressgingimprovinggthegNCLEX-
RNgpassgrategatgthegWVUITgcampusgthroughgthegimplementationgofgagcomprehensivegimprovement gplangthatgincl
uded:
1. Updatedgskillsglabgandgsimulationgcenter
AgnewgnursinggtraininggcentergwasgestablishedgatgMontgomerygGeneralgHospitalgingsummerg2014gtogbegusedg
bygWVUITgnursinggstudentsgandgstaffedgbygWVUITgfaculty.gThegtraininggcentergincludesgagbasicgskillsglabgand
gsimulation gcenter, gwhichgwere gmovedgtogthegnew glocation gprior gtogthegstart gof gthegacademic gyear. gThegcenter

gincludes g six g patient g rooms,g storage g areas, g ag centralg nurses’ g stationg andg twog largeg rooms g forg conferences g

andgdebriefing.gThreegofgthegpatientgroomsgaregequippedgforgbasicgskillsgwithgmanikins.gThreegadditionalgpatie
ntgroomsgaregequippedgwithgaghigh-fidelitygSimMan,gaghigh-
fidelitygchildgmanikin,gandgagmaternitygsimulationgmanikin.

2. Comprehensivegevaluationgofgcoursesgtogensuregconsistencygingteaching-
learninggmethodologiesgbetweengthegWVUgMorgantowngandgWVUITglocations
Thegprocessesgforgannualgcoursegevaluationgandgannualgcurriculumgevaluationgweregchanged gforgtheg2014-
15gacademicgyear.gPreviously,gcoursesgofferedgatgthegWVUITglocationgweregreviewedgonlygbygWVUITgnursinggf
aculty.g Thisg academicg year,g nursingg coursesg atg bothg locationsg areg reviewedg simultaneouslyg byg thegWVUSO
NgBSNgCurriculumgCommittee, gwhichgincludesgfacultygfromgMorgantowngandgWVUIT.
Annualgcoursegevaluations,gwhichgincludegstudentgevaluations, gstandardizedgtestganalysis,gclassroomgtestga
nalysis,gfacultygevaluationgofgstrengthsgandgareasgforgimprovement,gandgfacultygrecommendations gforgcours
egchanges,garegpresentedgtogthegcommitteegbygcoursegcoordinatorsgfromgbothgcampuses.gThegcommitteegre
viewsgthegevaluationsgandgmaygoffergadditionalgrecommendations gforgcoursegimprovement.
Annualgcurriculumgevaluationgbygfacultygmembersgfromgbothgcampusesgalsogoccursgatgthegendgofgthegacade
micgyeargingpreparationgforgthegupcoming gyear.
3. Appointmentg ofg ang Academicg Counselor
OnegWVUITgfacultygmemberghasgbeengassignedgtogworkgwithgat-
riskgstudentsgasgpartgofghergworkloadgagreement.gThegresponsibilities gforgthisgpositiongmirrorgthosegheldgbygag
similargpositiongatgthegMorgantownglocation.gResponsibilities ginclude:
• Providinggindividualizedgacademicgcounselinggtogstudents,gwithgagfocusgongstudygandgtest-
takinggstrategies,gtimegmanagement,gandgstressgmanagement;
• Consultingg withg facultyg tog developg individualizedg studyg plans;
• Referringg studentsg tog facultyg forg tutoringg ing specificg contentg areas;
• Overseeingg remediationg forgstudentsg whog dog notgmeetg benchmarksg ong standardizedg tests;
• Makinggreferralsgtogothergcampusgresources;
• ConsultinggwithgstudentsgwhogfailgthegNCLEX-
RNgandgassistinggwithgthegdevelopmentgofgangindividualizedgstudygplangandgreferralgtogappro
priategresources;
• CoordinatinggthegNCLEX-
RNgreviewgcoursegthatgisgtakengingthegstudent’sgfinalgsemestergofgthegprogram;gand
• Usinggagnewgstandardizedgtestinggpredictorgtoolg(ATIgPULSE)gthatgcangidentifygstudentsgatgthe
gsophomore glevel gandgabovegwhog aregat grisk gof gnot gpassing gthegNCLEX-RN.




2016g INTERIMg REPORT 3

, 4. ChangegingthegNCLEX-RNgreviewgcoursegtogindividualizegpreparationgforgthegNCLEX-RNgexam
Asg partg ofg theg curriculum,g studentsg enrollg ing theg NSGg 486g courseg duringg theg finalg semester,g whichg focusesg
ongNCLEX-
RNglicensuregexamgpreparation.gChangesghavegbeengmadegtogthisgcoursegtogemphasizegstudentgaccountabili
tygingpreparinggforgthegexam,gasgwellgasgidentifyinggindividualgstudents’gstrengthsgandg weaknesses. g Ing additio
ng tog reviewingg contentg areasg andg takingg practiceg tests,g studentsg developg ag portfoliogofgreviewgmaterialsgan
dgpreviousgstandardizedgtestgresults,gwhichgallowsgthem gtogidentifygandgfocusgong specificgareas.gBeginninggin
gspringg2016, gstudents gwillg have gaccess gtogagstandardized gtesting gpredictor gtoolg(ATI gPULSE) gthat ggraphically

gpredicts gNCLEX-

RNgsuccessgbasedgongindividualgstudentgtestgresults.gStudentsgalsogmeetgindividuallygwithgangacademicgcoun
selorgtogdevelopgagcustomizedgreviewgplan.
StudentsgtakegmultiplegproctoredgexamsgingthegcomputerglabgthatgsimulategthegNCLEX-
RNgandgagcomprehensivegstandardizedgexamgthatgpredictsgtheglikelihoodgofgpassinggthegNCLEX-
RN.gAgthree-day,gon-gcampusgNCLEX-RNgreviewgisgconductedgbygSTATgNursinggConsultants.
Studentsgwhogdognotgmeetgthegrequiredgbenchmarkgofgag91gpercentglikelihood gofgpassinggNCLEX-
RNgongthegcomprehensiveg examg areg allowedg tog retest.gStudentsg whog dog notgmeetgtheg benchmarkg ong thegc
omprehensivegexamgmaygelectgtogenrollgingonlinegtutoringgthroughgATIgpriorgtogretakinggthegcomprehensivege
xam.gIfgtheygdognotgmeetgthegrequiredgbenchmarkgongthegretest,gtheygaregrequiredgtogcompletegangadditionalg
onlinegreviewgwithgangindividualgtutorgthroughgATIgandgdognotgsuccessfullygcompletegNSGg486guntilgthegtutorg
believesgthegstudentgisgreadygtogpassgthegNCLEX-RN.

5. Newgcurriculum
AgnewgWVUSONgcurriculumgwasgimplementedgforgthegMayg2014ggraduatinggclass.gJuniorsgaregnowgrequiredg
togtakegtwogsemestersgofgadultghealthgnursing;gpreviouslygonlygonegsemestergwasgoffered.gThisgadditionalginst
ructionghasgresultedginghighergscoresgongthegATIgcontentgmasterygtestgforgadultgmedicalgsurgicalgnursing.gScor
esgforgallgATIgcontentgmasterygtestsgatgthegjuniorglevelgincreasedgfromgpreviousgyears.

C. Progress Made g


1. First-Timeg Passg Rates
Ing2013,gStategBoardgRNgNCLEX-RNgfirst-
timegstudentgpassgrategatgthegWVU gNursinggProgram gongthegWVUITgcampusg was g 43.75g percentg (whichg amou
ntsg tog seveng outg ofg 16g students).g Afterg studentsg retookg theg exam,gtheg2013gpassgrategwasg81.25gpercent.
ThegStategBoardgofgNursinggsitegvisitgingAprilg2014gresultedgingthegcontinued gaccreditationgofgthegprogram,gw
ithgfollow-
upgreportsgrequiredgforgthegWVUITgcampusgpriorgtogeachgBoardgmeeting.gIngcompliancegwithgthegBoard’sgre
quirement,gprogressgreportsghavegbeengsubmittedgpriorgtogeachgBoardgmeetingg(AppendixgB).gIngaddition,ga
gprogress greport gis gincluded gwithgthegannual greport gtogthegBoard, gduegby gAugust g31g of geach gyear. gThegtableg

belowggivesgNCLEX-RNgpassgratesgforgthegpastgfourgcalendargyears.



WVUITgNCLEX-RNgPASSgRATES

GraduatinggClass 2012 2013 2014 2015
st
NCLEX-RNg1 gTimegPassgRategatgWVUIT 93.33% 43.75% 81.48% 69.2%

NCLEX-RNgWVUITgpassgrategallgtakersg(first-timegandgrepeat) 100% 81.25% 96.3% 84.6%

NumbergofgWVUITgStudentsgTakinggthegNCLEX-RNgforgtheg1stgTime 15 16 27 26

2016g INTERIMg REPORT 4