1. U N I V E R S I T Y O F C E N T R A L F L O R I D A College of Nursing A Partnership for Concurrent ASN-BSN Enrollment for Degree Completion Linda M. Hennig, EdD, RN Jean D. Leuner, PhD, RN Stephen Heglund, PhD, ARNP Cheryl Cicotti, MSN, RN SREB 11/12/12

2. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA 1.Describe the essential components of a partnership between a baccalaureate nursing program and an associate degree nursing program for concurrent enrollment toward baccalaureate degree completion. Objectives

3. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA 2. Describe at least two barriers to implementation of this unique educational collaboration. 3. Describe at least two facilitators to implementation of this unique educational collaboration. Objectives

4. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA 25-year history of partnering with area community /state colleges to facilitate the transition of ASN graduates into a BSN completion program. RN-BSN program became available online 1997 Background RN-BSN PROGRAM

5. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Overflowing pool of qualified applicants each year for basic baccalaureate (BSN) program Students wait-listed but odds of admission low Must reapply each year Unable to increase capacity BASIC PROGRAM

6. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Following considerable planning and collaboration: Seminole community College ASN program Offered to increase available seats Reserved a percentage of seats for students on the UCF BSN admission wait list. University of Central Florida BSN program Carefully constructed a concurrent ASN-BSN curriculum. Allowed an equal or greater number of qualified SCC students to participate in the program Students admitted to BOTH programs concurrently. UCF-SCC Partnership How it began……2003

7. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Pre-requisites for both programs were evaluated Nursing curricula of both BSN and ASN were compared BSN courses were sequenced around the ASN courses each term Consideration given to what knowledge was pre-requisite to each BSN course. While enrolled in ASN program, 1-2 BSN courses taken each term Concurrent BSN curriculum (31 credits) patterned after the RN-BSN curriculum to avoid duplication Curriculum Development

8. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Students complete ASN program, take NCLEX Must pass NCLEX in order to complete BSN program Remaining credits (9-12) taken either full- time or part-time BSN completion

9. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Students must: meet the nursing pre-requisite requirements for both ASN and BSN programs meet the general education requirements (or hold an AA) be eligible for admission to UCF have an overall cumulative GPA of 3.0 Have acceptable score on ATI TEAS Admission requirements

10. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA YearSSCConcurrent Jan. 20032410 2003-200410829 2004-200510754 2005-200613062 2006-200716661 2007-200818471 2008-200918473 2009-201018276 2010-2011200156 Goal of this program is to have 100% of their students admitted to the Concurrent Program. Students admitted SSC

11. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA 2 nd concurrent program with Valencia College 2010 began 2010 3 rd pilot concurrent program with Lake-Sumter Community College began 2012 Two additional schools wanting a partnership have entered into serious discussion Current status

12. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA SSC 70 + 70 (will increase to 85 x 2 in 2013) (increase to 100 x2 in 2014) VC 40 (will increase to 2x yr in 2013) LSCC 20 (will increase seats gradually) More applicants than available seats = strong applicant pool Total enrollment Fall 2012 = 378 Admissions all sites

13. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA POS different at each partnering school – Examples – 5 semester plan – 4 semester plan (ASN Summer off) Addition of Pathophysiology for next year instead of two electives Plan of study

14. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Insufficient amount of faculty advising and recruitment personnel lead time for intensive planning office and classroom space Barriers

15. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Other: a mismatch of transfer credit interpretation between schools Scheduling of UCF courses around the ASN classes, clinical, and labs ASN faculty resistance and concerns over student workload. the coordination of financial aid packages across two schools lack of formal agreements between schools Barriers

16. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Include Concurrent Program information on web site and catalogs for both schools Hold regularly scheduled information sessions Faculty members and Advisors from both schools attend information sessions ASN advisors work closely with UCF nursing faculty/advisor for admission decisions Actions to overcome barriers

17. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Additional resources added as enrollment has grown. Full-time UCF faculty member on all campuses Administrative assistant hired for largest program Designated advisors from both schools UCF faculty member attends ASN faculty meetings. Faculty members of both programs communicate early about any student difficulties Actions to overcome barriers

18. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA demand for BSN by the employers demand for the BSN from prospective students Enrolling highly motivated students Motivation from both schools to increase the percentage of BSN prepared nurses in the profession Facilitators

19. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA addresses community demand for more BSN prepared nurses. BSN improves graduates’ marketability (local hospitals give preference to BSN) Accelerates pathway to BSN and graduate degrees Students excited by shortened educational path Recruitment strategy for Community/State college Benefits

20. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA SCC NCLEX pass rate averaged 83.5% for five years before Concurrent program (2000-2004) Increased to average 91.4% from 2007-2011 2011 96.79 2010 90.71 2009 93.38 2008 87.26 2007 89.47 http://www.doh.state.fl.us/mqa/nursing/nur_edu_info.html#down2 Other positive outcomes

21. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Positive: ability to start BSN early convenience of taking courses at community college or online high level of faculty support and flexibility ability to integrate BSN content with basic ASN content while learning both Negative: juggling both curricula simultaneously Usually unable to have gainful employment Student feedback

22. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Overall Low response rate Of those responding 80% indicated able to manage time and keep up with assignments in both programs. 80% indicate will pursue graduate nursing degree within 5 years End of program evaluations

23. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Rapid expansion requires resources- (faculty, staff, facilities) Advisement is labor intensive and needs to occur 1- 2 years in advance for highest success. Open communication between nursing programs is essential. Strong communication between support services (i.e. financial aid, registrar) of both institutions is critical Must have ASN and BSN faculty “buy-in” Lessons learned

24. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Nursing schools continue to turn away thousands of qualified applicants because of budget, clinical resources and faculty shortages. Shortage of RNs which is expected to increase Half of all current nursing faculty expected to retire in the next decade. The institute of Medicine (IOM) recommended by 2020, 80% of all RNs in the USA should hold a BSN and the # of nurse held doctorates should double. IOM recommends creation of more efficient pathways to obtain more education after initial licensure. Aiken,L. (2011) The future of nursing. NEJM 364:3:196-198 The Future

25. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Nurses whose initial degree is an Associate degree are less likely to pursue graduate degrees than are nurses whose initial degree is a BSN Twice as many initial BSN graduates go on to obtain their doctorate as do ASN Increasing the number of BSN graduates should produce more nurses for graduate school

26. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Aiken (2011) sees a future for nursing where ALL pre- licensure programs grant bachelor’s degrees. Requires collaborative partnerships between institutions; community colleges to grant bachelors degrees; high use of distance learning technologies. Aiken,L. (2011) The future of nursing. NEJM 364:3:196-198

27. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Concurrent ASN/BSN Enrollment Program prime example of collaboration across program types Models a relatively efficient pathway to help meet goal of IOM report calling for 80% of all RNs to hold a BSN by 2020 Summary

28. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA http://www.nursing.ucf.edu/images/pdf/UCF- SeminoleConcurrentInfoPacket.pdf http://www.nursing.ucf.edu/images/pdf/UCF- SeminoleConcurrentInfoPacket.pdf Resources

29. .......................... UNIVERSITY OF CENTRAL FLORIDA  ORLANDO, FLORIDA Thank You! Linda.Hennig@ucf.edu Linda Hennig Associate Dean University of Central Florida