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Tri-County Nursing Pathway:Transforming Nursing Educationin California1Sandy Baker, DNP, RN, CNE, ANEFTerese Burch, PhD, RNPenny Weismuller, DrPH, RNTammy Vant Hul-Austin, PhD, RN, ACNP, CNE
Objectives Review the driving forces for change behind the establishment of theTri-County Pathway Nursing Pathway Discuss the RCC-CSU Concurrent Enrollment Program (CEP) model Describe identified challenges in planning, development andimplementation of the model Identify resources to help other institutions establish CEPs2
Driving Forces for ChangeCalifornia Status Number of RN-to-BSN programs has increased byonly 19% over the last 10 years 44% of RN-to-BSN programs reported decliningenrollments in 2016-2017 65% of pre-licensure programs are ADN3 53% of RN graduates are from ADN programsBRN Annual School Report, 2016-2017
Driving Forces for ChangeBSN Forecast 2018-Spetz, 2018 Currently 54.4% of RNs have a BSN By 2020 59.8% of RNs projected to be BSN prepared By 2025 only 66% of RNs will have their BSN Average completion time from ADN to BSN is over 8 years4
Driving Forces for ChangeBridging the Gaps in Pre-licensure Nursing Education Improve and standardize pre-licensure nursing curricula Support and streamline the academic progression of nursesseeking higher levels of educationRegional Nursing Summits Final Report-Jan. 20195
A Look Back Non-CEP Articulation Model RCC “articulates” with multiple public and private BSN programs Little to no collaboration on curriculum Awarding of credit for prior education/NCLEX-RN is determined by theuniversity and is variable6 Many BSN programs, mostly out-of-state, do not offer studentsCalifornia Public Health Nurse certification; RCC will not articulate withthose universities
A Look Back Barriers to Non-CEP RN-BSN Model RCC graduates are financially challenged and need to work Many RCC graduates lacked necessary coursework to enter CSUBSN programs (e.g., college chemistry & statistics) Redundancy in university nursing content (if applicable) increasescompletion time and costs Insufficient quantity of accessible programs Excessive ADN units limit available financial aid for BSN7
A Look Back Concurrent Enrollment Model Concepts Pre-nursing students take courses to meet both programs’ GE andprerequisite requirements Two independent program types run simultaneously and in alignmentwith each other Students are concurrently admitted to both programs and take coursesfor both institutions onsite at community college or online Streamlined ADN to BSN curricula allow completion in 120 units8 Financial aid during the CEP managed through the university
Look Back .Project Goals Develop ADN-to-BSN 120-unit pathway 70 units RCC ADN 20 units NCLEX- RN credit 30 units CSU BSN Revise CSU RN to BSN curriculum to offer 30-semester units in 5 semesters CEP students complete CSU coursework during four semesters at RCC Graduate from RCC ADN program and pass NCLEX-RN Graduate from CSU with BSN within 6 months9
Look Back .Project Goals Effect legislative changes/funding to support collaborative program Expand model throughout California Increase BSN-prepared nurses to meet IOM goal and Californiaworkforce needs10
A Look Back Timeline 2016: A workgroup was established through CSU/RCC Chancellor andSenator Roth’s offices with a common goal of establishing a morestreamlined pathway to BSN education 2017-2018: Curricula revisions and alignment occurred; BRN, ACEN,and CCNE approvals; discussions with admissions, enrollment andfinancial aid stakeholders from both institutions 2018-2019: Admissions, enrollment, and transcript evaluationsbetween institutions11 2019: Admit first RCC-CSU CEP class
Finalized CurriculaPre-Nursing Pathway Designed to fulfill all RCC and CSU GE and prerequisite requirements,with some double-counting of courses as allowed Chemistry and Statistics now required for all RCC ADN cohorts Biology 1 now incorporated as part of the CEP pathway Total of 56 units (39 LDGE 17 preadmission units)12
RCC-CSU Pre-Nursing PathwayCourseCourse NameUnitsBIO-1General Biology (B.2)4IntersessionTotal Units4First SemesterHUM-10 orPHI-10World Religions orIntroduction to Philosophy (C.2)3ENG-1ABIO -50AEnglish Composition (A.2)Anatomy and Physiology I (B.2)44Total Units11Second SemesterBIO-50BENG-1B or PHI11Anatomy and Physiology II (B.2)Critical Thinking and Writing orCritical Thinking (A.3)44MAT-12Statistics (B.4)412Total UnitsIntersessionPsy-9Developmental Psychology (D.1)Total Units33Third SemesterCHE-2ACOM-1 orCOM-9Introduction to Chemistry (B.1)Public Speaking orInterpersonal Communications (A.1)43POL-1ART-6 orDAN-6American Politics (D.2)Art Appreciation orDance Appreciation (C.1)33Total Units13Fourth13Total Pre-Nursing GEHIS-6 orHIS-7Political and Social Historyof the United States (D.2)3BIO-55SOC-1 orANT-2Microbiology (B.2)Introduction to Sociology orCultural Anthropology (D)43MUS-19 orTHE-3Music Appreciation orIntroduction to the Theater (C.1)3Total Units13Total Units56RCC Pre-NursingPathway
Finalized CurriculumRCC ADN Curriculum Five required courses: Four 9-unit semester courses Plus, a 3-unit intersession course that double counts towards theLDGE, area E Total theory units 21 Total clinical units 1814 Total nursing units 39 (including the 3- unit area E course)
First Semester-FALLRCCCSUFIntersessionRCCCourseCourse NameUnitsNRN 11/11ANURS340/340LFoundations of NursingHealth Assessment93NRN 14Total Units12Health Promotion and WellnessAcross the LifespanTotal Units3NRN 12/12ANURS 310Third Semester-FALLRCCCSUFMaternal Child/Chronic CareEBP/ResearchTotal Units9312NRN 21/21ANURS 345Fourth SemesterSPRINGRCCAcute and Chronic Illness/Mental HealthPathophysiologyTotal Units9312NRN 22/22AIntegrated Nursing Care Across theLifespanUDGE that meets C that also meets ZTotal Units9CSUFUDGE C-ZGraduate from RCC and pass NCLEX-RNSummer*CSUF option, may takein the fallFifth Semester-FALLCSUFCSUFCSUFCSUFNURS 305Professional NursingTotal UnitsNURS402/402LNURS410/410LNURS 470Bio 305-UDGETotal RCC Units:Total CSUF Units:Total NCLEX :TOTAL:31233Population Health3/2Leadership3/1Art & ScienceGenetics3312Graduate from CSUF with BSN153Second SemesterSPRINGRCCCSUF7030 (24 NURSING UNITS 6 GE 30)20120Total UnitsRCC-CSUF CEP
Finalized CurriculumCSUF CEP Curriculum Curriculum reviewed to assure all AACN Bachelor’s Nursing Essentialsmet Balanced CSU and RCC course offerings to assure integration ofcontent Strengthened upper-division General Education content of selectednursing course(s) to allow graduation within 120 units16
RCC-CSU San Bernardino Cross Enrollment Pathway-Spring StartSemesterFirst Semester-SPRINGRCCCSUSBSUMMERRCCCourseNRN 11/11ANURS 3026NRN 14Second Semester-FALLRCCCSUSBNRN 12/12ANURS 3610Course NameFoundations of Nursing9Health Assessment3(1.5 1.5)Total Units12Health Promotion and WellnessAcross the LifespanTotal Units33Maternal Child/Chronic CareStrategies for Patient Ed,Health Promotion, Care CoordinationTotal Units9312Third Semester-SPRINGRCCCSUSBNRN 21/21ANURS 3100Fourth Semester-FALLRCCCSUSBAcute and Chronic Illness/Mental HealthPathophysiology/PharmacologyTotal Units9413NRN 22/22ANURS 4222Integrated Nursing Care Across the LifespanNursing Research and EBP(UD Scientific Inquiry/B)Total Units93Graduate from RCC and pass NCLEX-RNFifth Semester SPRINGCSUSBNURS 4510CSUSBCSUSBNURS 4512NURS 3010SUMMERCSUSBCSUSBCSUSBNURS 4610NURS 461212Community/Public Health/Public HealthPromotion (UD Social Science/D)Community/Public Health Promotion LabRole Transition to Professional NursingTotal Units339Elective UDGE CNursing LeadershipNursing Leadership LabTotal Units3328Graduate from CSUSB with BSN17UnitsTotal RCC Units:70Total CSUF Units:30 (27 NURSING UNITS 3 UD GE 30)Total NCLEX :20TOTAL:1203RCC-CSUSB CEP
Finalized CurriculumEstimated Tuition/Fees Costs RCC: 4,370 If student is eligible for the Promise (formerly BOG) waiver, tuitioncosts would be 0 68% of RCC students are eligible for the Promise waiver CSU: 14,652 If financial aid eligible within the unit limits18 TOTAL COST of CEP BSN: 14,652- 21,263
CEP Today Recruitment of CEP Cohort CEP option information added to Pre-Nursing Information Workshopsheld twice monthly Application changed to allow for students to select more than one RNcohort option-Traditional or ADN/BSN CEP Nursing Counselor and Enrollment Specialist identified option toeligible students19
CEP Today Recruitment of CEP Application period moved up one month and extended for 2weeks to better accommodate CSU schedule Text advising all pre-nursing students of new option andapplication dates sent out from Admissions20
CEP Today Cohort Selection 177 qualified applicants 40 applicants selected 20% as alternates GPA differences-2.5 vs. 2.75 between RCC/CSU and CSU/CSUcaused confusion GE certification occurred at RCC and verified at CSU Cohort movement occurred21 Ranked via multi-criteria point-differences between cohorts
ConcurrentEnrollmentStudents# of ApplicantsComparison of CohortDescriptors and DemographicsTraditionalStudents177455Point Range63-8666-85Prior Bachelor’sDegree32.5%17.5%Male52.5%27.5%Average Age20-3918-60StudentsReceivingFinancial Aid2233/40 received(83%)18-loan onlyN/ADemographicsReported in 2.50022.532.512.52.5
CEP Today Orientation/Information Packet Information meeting with Dr. Vant Hul Regular Intake Day with both cohorts CSU sent CEP students an email with admission link andfinancial aid information RCC Boot Camp combined with CSUF orientation23
Lessons LearnedIssue #1-Application/enrollment dates for RCC and CSU did notcorrelate Solution-RCC moved up application period twice (will be 2 monthslater for spring) and cohort selection date; CSU used flexibleadmission periods to accommodate student movementIssue #2-Confusion re: CSU GE Certification (56 units, 2nd Bac) Solution-Education of RCC and CSU admission and recordspersonnel from CSU CO. Use of EO 1084 for 2nd bacs24
Lessons LearnedIssue #3-Financial aid Solution-All students need to complete a FAFSA and direct funds toCSUIssue #4-2nd bacs pay graduate level rates Solution-Students need to be informed upfrontIssue #5-GPA differences between institutions Solution-Increase required RCC GPA to 2.7525
Lessons LearnedIssue #6-Differences in course-related dates between systems Solutions-Flexibility from everyone; development of a mastercalendarIssue #7-Faculty Solution-Share CC and CSU faculty if available and qualified26
Next Steps Getting on the CEP Pathway Achieve national accreditation Decrease units to allow for a 120-unit ADN/BSN pathway Standardize curricula Find ADN or BSN partner institution27 As more CEP partnerships are formed, develop regionalconsortiums
Next Steps Questions for the Future How could we better use faculty across programs? Howwould we manage work load and pay? Will the impact of CEP enrollment affect traditional prelicensure enrollment numbers? Will online CEP instruction be as effective as face-to-faceinstruction?28 What will be the impact of online education onspecialized/CCNE accreditation?
Resources AvailableNursing Education Investment Fund Grant Creation of a central resource website Access to individuals with expertise in developing CEPprograms Individualized support for curriculum development andrevision Information and document sharing- CEP Information Sheet29 PD: Tammy Vant Hul-Austin tammy.vanthul@rcc.edu
Imagine the Impact What if every ADN program in CA had 50% of theirstudents concurrently enrolled in a BSN program? The number of BSN graduates would increase by 2,704 inone year, a total increase of 175%! In 5 years, there would be 13,520 more BSN graduates! Expand to other ADN-BSN collaboratives beyond the pilot Other interested programs could follow the model30
Questions? Contact Information 31Sandy Baker: sandy.baker@rcc.eduTerese Burch: terese.burch@csusb.eduMargaret Brady: Mbrady@calstate.eduAngie Gagalang egagalang@csusb.eduTammy Vant Hul-Austin: tammy.vanthul@rcc.eduPenny Weismuller: pweismuller@fullerton.edu
RCC NRN 22/22A Integrated Nursing Care Across the Lifespan 9 . CSUF UDGE C-Z UDGE that meets C that also meets Z 3 . Total Units 12 . Graduate from RCC and pass NCLEX-RN . Summer *CSUF option, may take in the fall NURS 305 Professional Nursing 3 . Total Units 3 Fifth Semester-FALL . CSUF NURS 402/402L Population Health 3/2 CSUF NURS 410/410L
