Title: Clinical Evaluations Using QSEN KSAs: Developing Tools and Strategies
1Clinical Evaluations Using QSEN KSAs
Developing Tools and Strategies
- The Catholic University of America
- Cindy Grandjean, Mary Paterson
- And Terry Walsh
June, 2008 QSEN Annual Meeting Charlotte, NC
2Impetus For Change
The Catholic University of America School of
Nursing
- Challenges with Prior Evaluation Tool
- Difficult grading algorithm.
- Inconsistent grading implementation of clinical
behaviors by part time clinical faculty. - Major Change in Curriculum.
- Expanding and growing undergraduate enrollment.
- Change in Grading Schema.
3Grading SchemeDiadatic Scheme
The Catholic University of America School of
Nursing
OLD GRADING SCHEME A
96-100 A- 95-92 B 91-89 B
88-86 B- 85-83 C 82-79 C 77-74 C-
73- 70 D 69- 60 F 59 or Below
NEW GRADING SCHEME A
94-100 A- 90-93 B 89-86 B
85-83 B- 82-80 C 79-76 C 75-73
C- 72-70 D 69-60 F 59 or Below
In both schemes students Had to achieve at least
a C to pass the clinical course
4Grading SchemeClinical Evaluation Tool
The Catholic University of America School of
Nursing
OLD GRADING SCHEME A
A- B B B- C C C- D F
NEW GRADING SCHEME
PASS FAIL
Matriculated according to class level
Matriculated according to Key for each course
5Grading SchemeComplete Clinical Course Grade
The Catholic University of America School of
Nursing
- OLD GRADING SCHEME
-
- Average of
- Didactic Grade (Ex., A, A-, B, etc.) AND
- Clinical Evaluation Grade (Ex., A, A-, B, etc.)
-
- NEW GRADING SCHEME
- Didactic Grade (Ex., A, A-, B, etc.) IF AND ONLY
IF - Clinical Evaluation Grade is PASS
- If Clinical Evaluation is a FAIL, student does
not progress and FAILS the course -
6Development Process
The Catholic University of America School of
Nursing
- Major outline of criteria tool needed to meet
determined by BCC - Sub-committee developed to create a draft
document - Review of AACNs Core competencies
- Review of QSENs KSAs
- Examination of Schools Terminal objectives and
mission - Draft document approved by Baccalaureate
Curriculum Committee and in undergoing pilot
testing this summer
7Description of Tool
The Catholic University of America School of
Nursing
8 Core Competencies Midterm Midterm Midterm Final Final Midterm Comments Final Comments
S NI U S U
Provides Patient-Centered Care
Values
Caring
Spirituality
Human Dignity
Ethics
Exhibits Teamwork and Collaboration
Communication
Personnel (Faculty, Staff, Patients, Peers, Family)
Oral (non-verbal)
Written (Documentation)
Roles
Incorporates Evidence-Based Practice
Critical Thinking
Understands Applies Quality Improvement Methods
Leadership
Assessment
Promote Healing
Promotes Safety
Technical skills
Understands Utilizes Informatics
Appropriate decision making based upon core competencies above and implemented with informatics support
- S SatisfactoryNI Needs ImprovementU
Unsatisfactory
9Pilot Guidelines Summer 2008 N376
The Catholic University of America School of
Nursing
- Each student will fill out an evaluation at (1)
midterm (2) final. - Each faculty member will fill out an evaluation
at (1) midterm (2) final. - Each row item (boxes) must be checked at (1)
midterm (2) final. - The Clinical Score will be completed by the
Clinical Faculty by placing a v or a x
in the appropriate box for each student. - The Clinical Score will be completed by the
Student by placing a v or a x in the
appropriate box for each student. - The score for Clinical Evaluation will be either
Passing or Failing. - A passing grade will only be assigned if all the
items are checked S at the time of the final
evaluation.
10Core Competency Key
The Catholic University of America School of
Nursing
- Each core competency (as outlined in BOLD on the
tool and seen below) will have a template or key,
which specifies individual guidelines and
examples for each. - Provides Patient-Centered Care
- Exhibits Teamwork and Collaboration
- Incorporates Evidence-Based Practice
- Understands Applies Quality Improvement Methods
- Promotes Safety
- Understands Utilizes Informatics
- The keys are based upon level of matriculation in
each clinical course in the following
specialties Medical Surgical, Psychiatric,
Obstetric and Community Health Nursing.
11Implementation focus areas
The Catholic University of America School of
Nursing
- 360 Senior evaluation that would include staff
nurse preceptors, patient opinion, clinical
faculty opinion and student review. Intended for
final clinical evaluation at the end of senior
year. - Validity and reliability assessment of core
competency key will include expert review,
score-rescore assessment, and efficiency
evaluation. - Student rating expectation management to assure
clear understanding of pass/fail criteria. - Use of clinical evaluation in student portfolios.
12Plan for Evaluation
The Catholic University of America School of
Nursing
- Meet with faculty students for input on tool
post summer clinical session, revise tool and
prepare for full pilot test in the fall. - Define procedure/criteria for assessing validity
and reliability of tool post pilot test - Outline the evaluation protocol to be used and
orient all faculty and students to the new tool
and protocol