A'D'N' R'N' CURRICULUM Model PROJECT

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A.D.N. (R.N.)CURRICULUM Model PROJECT

• A Statewide Project for California Community
  College Associate Degree Nursing Programs

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Dawn of the 21st Century
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In The Beginning

• Grant from Chancellors Office, California
  Community College
• Project Monitor Barbara Whitney
• Supported by Carl D. Perkins VTEA, Title 1, Part
  B Funds and awarded to Butte Community College
  District
• Project Director Linda Zorn Director, RHORC,
  Butte College, Chico, CA

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In The Beginning

• Project Coordinators
• Bonnie Adams Health Education Training and
  Consulting and Professor Emeritus, Mt. San
  Antonio College
• Barbara B. Napper - Ebony Hands and Professor
  Emeritus, Mt. San Antonio College

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In The Beginning

• Annual Fall Directors Conference 2003 - input
  was given by you re
• Conceptual models/frameworks used in your
  programs
• Average number of graduates annually

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In The Beginning

• Input continued
• Immediate nursing area for employment post
  graduation
• Medical-Surgical Nursing
• Medical Surgical Nursing Special Care Areas
  (ICU/PCCU/Telemetry, etc)

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In The Beginning

• Advisory Committee Meeting held in Sacramento
  March 2004
• Representatives included ADN Directors, a Nurse
  Educator, Health Care Industry and staff member
  from the Board of Registered Nursing

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In The Beginning

• Review of data
• DACUM Job Analysis completed to identify duties
  and tasks of entry level nurse.
• Writers were solicited and invited to a meeting
  to discuss the project and their responsibilities.

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COLLEGES REPRESENTED BY WRITERS

• Cypress College 1
• Evergreen College 1
• Golden West College 2
• Grossmont College 1
• Los Angeles Harbor
• College 1
• Marin College 1
• Mt. San Antonio
• College 2
• Mt. San Jacinto College 2

• Pasadena College 1
• Saddleback College 4
• Santa Ana College 5
• Shasta College 1
• Sierra College 1
• Yuba College 1
• Total representatives
  24
• Total colleges 14

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Second Phase

• Writers produced a theoretical framework on which
  to base the curriculum for ADN Programs and there
  was further input from Advisory Committee
• Includes Developmental Theories, Caring, Learning
  Theories, Eclectic Framework for Nursing

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Developmental Theory

• Infancy Trust
• Childhood Autonomy- Initiative- Industry
  
• Adolescence Identity
• Adulthood Intimacy/ Generativity/
• Integrity
• 
  

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Goals for Writers

• Goal - Prepare graduates whose
• practice demonstrates caring, critical
• thinking, effective communication/
• collaboration and cultural and clinical
• competence.
• In addition the changing health care environment
  requires that the nurse of tomorrow be adaptable,
  politically aware, and committed to life long
  learning.

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Vision

• Prepare nurses to provide and
  improve health care in California

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Directions for Development of Organizing Framework

• BRN Regulations Section 1426 (b)
• The curriculum shall reflect a unifying theme,
  which includes the nursing process as defined by
  the faculty, and shall be designed so that a
  nurse who completes the program will have the
  knowledge and skills necessary to function in
  accordance with the minimum standards for
  competency set forth in Section 1443.5

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Directions for Development of the Organizing
Framework (contd)

• BRN Regulations Title 16, Sec 1424 a)
• There shall be a written statement of
  philosophy and objectives which serves as a basis
  for curriculum structure. Such statements shall
  take into consideration the individual
  differences of students,

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Directions for Development of Organizing
Framework (contd)

• including their cultural and ethnic background,
  learning styles, goals and support systems. It
  shall also take into consideration the concepts
  of nursing and man in terms of nursing
  activities, the environment, the health illness
  continuum and relevant knowledge from related
  disciplines.

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• Philosophy/Organizing Framework

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Philosophy/Organizing Framework

• Based on the nursing process, nursing
  competencies and educational outcomes,
  facilitates the integration of information
  relevant to nursing and patient care.

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Philosophy/Organizing Framework (contd)

• Curriculum and course sequence progress from
  simple to complex knowledge and skills with
  emphasis on caring, problem solving and critical
  thinking.

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Philosophy/Organizing Framework (contd)

• Persons
• Individual open systems with physiological,
  psychological, social, cultural, developmental
  and spiritual dimensions that are in constant
  interaction with the environment

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Philosophy/Organizing Framework (contd)

• Health
• Dynamic state of equilibrium maintained by lines
  of defense and exists on a continuum between
  optimal functioning or wellness and alterations
  in functioning or illness. Health is affected by
  lifestyle behaviors and noxious stressors.

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Philosophy/Organizing Framework (contd)

• Environment
• consists of internal and external factors that
  impact the individual

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Philosophy/Organizing Framework (contd)

• Nursing as defined in Nursings Social Policy
  Statement is
• the prevention of illness, alleviation of
  suffering and the protection, promotion and
  restoration of health in the care of individuals,
  families. . .
• (ANA, 2003).

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Philosophy/Organizing Framework (contd)

• Education
• A dynamic and synergistic process of sharing
  information between individuals resulting in a
  modification of behavior

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Philosophy/Organizing Framework (contd)

• Education
• Respects the individuality of students and
  recognizes that each student has different
  educational, experiential, cultural, spiritual,
  economic and social backgrounds and a unique
  support system.

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Third Phase

• Writing of the curriculum by teams representing
  Associate Degree Nursing Faculty throughout the
  State

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Writing the Curriculum

• Units for Model ADN Curriculum
• 18 Hours 1 Unit Theory
• 54 Hours 1 Unit Clinical Lab

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ADN Curriculum WritingUnits and Curriculum Order

• 1st Semester
• Foundations of Nursing 4.0 Units
  Pharmacology 3.0 Units
• Introduction to
• Medical Surgical Nursing I 5.0 Units

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ADN Curriculum WritingUnits and Curriculum Order

• 2nd Semester
• Beginning Medical Surgical
• Nursing II 4.0
  Units
• Nursing the Childbearing Family
• ( OB - Stand Alone) 3.5
  Units
• Mental Health Psych
• (Stand Alone) 3.0
  Units
• May be taught in other semesters Stand
  Alone Courses

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ADN Curriculum WritingUnits and Curriculum Order

• 3rd Semester
• Intermediate Medical Surgical Nursing III
  5.0 Units
• Nursing Care of Children
• and Families (Pediatrics) 3.5 Units

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ADN Curriculum WritingUnits and Curriculum Order

• 4th Semester
• Advanced Medical Surgical IV 4.5 Units
• Leadership/Preceptorship 2.0 Units
• Gerontology
• Community Based Nursing 2.0 Units

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ADN Curriculum WritingUnits and Curriculum Order

• 1st Semester 12.00 units
• 2nd Semester 10.5 units
• 3rd Semester 8.5 units
• 4th Semester 8.5 units
• _____________________________
• Total 39.5 units

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Foundations of Nursing Pre-requisites
Units Lecture Clinical Hours

• 45 Hours Lecture 2.5 Units
• 81 Hours Clinical/Lab 1.5 Units
• Suggest 4.5 hours Clinical/Lab per day x 2 days
  a week for 18 week semester and 2.5 hours Lecture
  x 2 days a week for 9 weeks.

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Foundations of Nursing Curriculum Writing Team

• Darlene Fishman Team Leader
• Dir. ADN Program, Cypress College
• Bonnie Adams
• Coordinator ADN Project
• Health Education Training
• Barbara Napper
• Coordinator ADN Project
• Consultant
• Nadine Davis
• Prof. Nursing-Simulating Lab Coordinator, Golden
  West College
• Cindy Dorroh
• Asst. Dir. Prof. of Nursing, Glendale Community
• Rosemarie Hirsch
• Prof. of Nursing, Santa Ana College
• Kathleen Winston
• Dean of Health, Saddleback College

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Pharmacology for Nurses Pre-requisites
Units Lecture Clinical Hours

• Pre-requisite Nursing Foundations
• Concurrent Enrollment Medical-Surgical Nursing I
• 54 Hours Lecture 3.0 Units

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Pharmacology for Nurses Curriculum Writing Team

• Samantha Venable Team Leader
• Professor - Saddleback College
• Rebecca (Susie) DesLauriers
• Professor Mt. San Jacinto College
• Bonnie Adams
• Coordinator, AND Project Health Education and
  Training

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Medical-Surgical Nursing I Pre-requisites
Units Lecture Clinical Hours

• Pre-requisite Nursing Foundations
• Concurrent Enrollment Pharmacology
• 45 Hours Lecture 2.5 Units
• 118 Hours Clinical/Lab 2.5 Units

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Medical-Surgical Nursing I Curriculum Writing Team

• Darlene Fishman Team Leader
• Dir. ADN Program, Cypress
• Tammy Rice Team Leader
• Assistant Dean, Saddleback
• Rebecca (Susie) DesLauriers
• Instructor, Mt. San Jacinto
• Nancy Tendal
• Professor Grossmont
• Becky Hagland
• Professor, Santa Ana

• Joyce Saxton
• Professor Nursing, LA Harbor College
• Rosemarie Hirsch
• Prof. of Nursing, Santa Ana
• Bonnie Adams
• Coordinator ADN Project, Health education
  Training
• Barbara Napper
• Coordinator, ADN Project, Consultant

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Medical-Surgical Nursing II
Pre-requisites Units Lecture Clinical Hours

• Pre-requisite Medical-Surgical Nursing I
• Total Units 4.0
• 36 Hours Theory/Lecture 2.0 Units
• 108 Hours Clinical Lab - 2.0 Units

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Medical-Surgical Nursing II Curriculum Writing
Committee

• Darlene Fishman Team Leader
• Dir. ADN Program, Cypress
• Tammy Rice Team Leader
• Assistant Dean, Saddleback
• Rebecca (Susie) DesLauriers
• Instructor, Mt. San Jacinto
• Nancy Tendal
• Professor, Grossmont
• Becky Hagland
• Professor, Santa Ana

• Joyce Saxton
• Professor Nursing, LA Harbor College
• Rosemarie Hirsch
• Prof. of Nursing, Santa Ana
• Bonnie Adams
• Coordinator, ADN Project, Health education
  Training
• Barbara Napper
• Coordinator, ADN Project, Consultant

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Nursing the Childbearing Family (OB/ Maternity
Nursing) Pre-requisites Units Lecture
Clinical Hours

• Pre-requisite Foundations
• Pharmacology
• Medical-Surgical Nursing
  I
• Total Units 3.5 Units
• 31.5 Hours Lecture 1.75 Units
• 94.5 Hours Lab 1.75 Units

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Nursing the Childbearing Family Curriculum
Writing Team

• Velora Ferris Team Leader
• Professor, Mt. San Antonio
• Gina Giroux
• Professor, Santa Ana
• Joyce Saxton
• Professor, Harbor
• Terrie Snow
• Professor, Shasta College
• Bonnie Adams
• Coordinator ADN Project Health Education Train.
• Barbara Napper
• Coordinator ADN Project Consultant

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Psychiatric Mental Health Nursing Pre-Prequisites
Units Lecture Clinical Hours

• Pre-requisite Foundations of Nursing
• Pharmacology
• Total Units 3.0
• 32 Hours Lecture
• 67 Hours Lab

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Psychiatric Mental Health Nursing
Curriculum Writing Team

• Jane Poynter Team Leader
• Professor, Yuba College
• Donna Archer
• Professor, Sierra College
• Elwanda Gammil
• Professor, Marin College
• Lianna Hain
• Professor, Evergreen Valley
• Carolyn Perry
• Professor, Mt. San Antonio

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Medical-Surgical Nursing III
Pre-requisites Units Lecture Clinical Hours

• Pre-requisite Medical-Surgical Nursing II
• 45 Hours Lecture 2.5 Units
• 135 Hours Lab 2.5 Units

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Medical-Surgical Nursing III Curriculum Writing
Committee

• Darlene Fishman Team Leader
• Dir. ADN Program, Cypress
• Tammy Rice Team Leader
• Assistant Dean, Saddleback
• Rebecca (Susie) DesLauriers
• Instructor, Mt. San Jacinto
• Nancy Tendal
• Professor, Grossmont
• Becky Hagland
• Professor, Santa Ana

• Joyce Saxton
• Professor Nursing, LA Harbor College
• Rosemarie Hirsch
• Prof. of Nursing, Santa Ana
• Bonnie Adams
• Coordinator ADN Project, Health education
  Training
• Barbara Napper
• Coordinator ADN Project, Consultant

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Nursing Care of Children and
Families - Pediatrics Pre-requisites Units
Lecture Clinical Hours

• Pre-requisite Completion of Foundations of
  Nursing, Introduction to Medical-Surgical Nursing
  I and Beginning Medical-Surgical Nursing II and
  Pharmacology
• 27 Hours Lecture 1.5 Units
• 108 Hours Clinical/Lab 2.0 Units
• Total Units 3.5

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Nursing Care of Children and
Families - Pediatrics Curriculum Writing
Team

• Teresa Simbro, Team Leader
• Professor, Santa Ana
• Tammy Rice
• Asst. Dir., ADN Program, Saddleback
• Joyce Johnson
• Professor, St. San Jacinto
• Terry Snow
• Professor, Shasta
• Jackie Hils-Williams
• Professor, Golden West
• Bonnie Adams
• Coordinator ADN Project, HETC
• Barbara Napper
• Coordinator ADN Project, Consultant

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Medical-Surgical Nursing IV
Pre-requisites Units Lecture Clinical Hours

• Pre-requisite Medical-Surgical Nursing III
• Total Units 4.5
• 40 Hours Theory/ Lecture 2.5 Units
• 95 Hours Clinical/Lab 2.0 Units

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Medical-Surgical Nursing IV Curriculum Writing
Team

• Darlene Fishman Team Leader
• Dir. ADN Program, Cypress
• Tammy Rice Team Leader
• Assistant Dean, Saddleback
• Rebecca (Susie) DesLauriers
• Instructor, Mt. San Jacinto
• Nancy Tendal
• Professor, Grossmont
• Becky Hagland
• Professor, Santa Ana

• Joyce Saxton
• Professor Nursing, LA Harbor College
• Rosemarie Hirsch
• Prof. of Nursing, Santa Ana
• Bonnie Adams
• Coordinator ADN Project, Health education
  Training
• Barbara Napper
• Coordinator ADN Project, Consultant

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Leadership/Preceptorship Pre-requisites
Units Lecture Clinical Hours

• Pre-requisite Completion of the third semester
  ADN Program
• Total Units 2.0
• 36 Hours Classroom 2.0 Units

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Leadership/Preceptorship Curriculum
Writing Committee

• Kathleen Winston -Team Leader
• Dean of Health, Saddleback
• Nadine Davis
• Professor of Nursing-Simulating Lab, Golden West
• Tammy Rice
• Assistant Dean, Saddleback
• Bonnie Adams
• Coordinator ADN Project, Health Education
  Training
• Barbara Napper
• Coordinator ADN Project, Consultant

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Gerontology Community Based Nursing
Pre-requisites Units Lecture Clinical
Hours

• Pre-requisite Completion of Third Semester of
  the ADN Program
• Co-Pre-requisite Advanced Medical-Surgical
  Nursing IV or Leadership/Preceptorship
• Total Units 2.0
• 18 Hours Theory/Lecture 1.0 Unit
  
• 54 Hours Clinical Lab 1.0 Unit

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Gerontology Community Based Nursing
Curriculum Writing Committee

• Rosemarie Hirsch Team Leader
• Asst. Dir. Prof. of Nursing, Santa Ana
• Joyce Saxton
• Professor Nursing, LA Harbor College
• Nadine Davis
• Prof. Nursing Simulating Lab Coordinator-Golden
  West
• Bonnie Adams Coordinator ADN Project
• Health Education Training
• Barbara Napper Coordinator ADN Project
• Consultant

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Role Transition Pre-requisites
Units Lecture Clinical Hours

• Pre-requisite Advanced Placement, LVN, PT
• Total Units 3.0
• 36 Hours Theory/Lecture 2.0 Unit
  
• 54Hours Clinical Lab 1.0 Unit

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Role Transition Curriculum Writing Committee

• Barbara B Napper Team Leader
• Coordinator ADN Project, Consultant
• Donna Archer
• Professor, Sierra College
• Nadine Davis
• Professor, Simulation Lab Golden West College
  
• Jo Ann Nix
• Professor, Santa Ana Community College
• Joyce Saxton
• Professor, Los Angeles Harbor College
• Bonnie Adams
• Coordinator ADN Project, Health Education
  Training

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Disclaimer

• The information in the Mission Statement,
  Philosophy/Organizing Framework and Threads
  reflect the combined efforts and views of
  Advisory Committee members and major input from
  the diverse faculty members who comprised the
  Curriculum Writing Teams.

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Disclaimer (contd)

• The information is intended solely as a Model
  to be used as a guide as needed and may be
  adopted in part or whole depending on the needs
  of the individual nursing program and community
  college district in curriculum development or
  refinement.