Innovative Hybrid On-Line/On Site Instruction:

1. Innovative Hybrid On-Line/On Site Instruction: Leveraging Technology to Improve Learning Success

2. “In times of drastic change, it is the learners who inherit the future. The learned usually find themselves equipped to live in a world that no longer exists.” (Author Unknown)

3. Objectives: • Identify the evolution of the on-line nursing programs • Discuss development of strategies to infuse technology in an on-line and on-ground nursing program • Describe the implementation of on-line nursing programs for student success • Explore lessons learned when implementing on-line programs

5. CCBC School of Health Professions 14 Nursing and Allied Health Programs Nursing RN Program on Catonsville – Day RN Program on Essex Campus – Day RN Evening/Weekend Program - Essex Campus RN Evening/Weekend FSH Cohort – Essex Campus RN Online – Catonsville Campus Paramedic to RN online LPN to RN PN Program

6. Applicants On-Ground Nursing On-Line Nursing Applications- 48 Total Accepted- 34 Qualified Applicants not Admitted- 0 W/D Application- 3 Rejected- 11 Declined- 5 • Applications - 404 • Total Accepted- 176 • Qualified Applicants Not Admitted- 113

7. Demographics On-Ground On-Line Mean age – 29 Race 71% Caucasian 25% African-American 0% Asian 4% Hispanic 0% other GPA 2.5-3.64 • Mean age – 30 • Race • 66% Caucasian • 17% African-American • 9% Asian • 1% Hispanic • 7% other • GPA 2.85 -4.0

8. Evolution of the On-Line Nursing Program- Rationale • Classroom Space • Clinical Sites • Student Work Schedules • Demand for Innovative Scheduling Options • Student Financial Constraints • Nursing Shortage

10. Grant Funding Paramedic to RN Online- Health Service Cost Review Commission Grant- Nurse Support Program II Nursing Program Online Dept of Health and Human Services Health Resources and Service Administration (HRSA Grant) MLT Program Online (Dept of Labor Grant)

11. Strategies for Successful Development and Implementation • Dialogue with Ocean County College • Faculty release time • Faculty development • Conference attendance • College training centers • User friendly software, i.e. Soft Chalk • Instructional designer • Designate group of faculty to work on a course

12. Engaging Essential College Resources • Enrollment management and students services are essential partners • On-line from application to program completion • Discussions need to be honest and open • The challenge is to deal with internal resistance to outside suggestions

13. Instructional Designers and Online Learning Management CCBC Partnered with SunGard Higher Education (SGHE) SGHE Instructional designers are a major key to success • Faculty development • Templated appearance and design • Consistent navigation tools

14. Nursing Program Online Funded by the Health Resources and Services Administration (HRSA)

16. Online Nursing Program Objectives • Recruit and Enroll 96 students (Emphasis on recruitment of minority populations) • 24 in Year One • 32 in Year Two • 40 in Year Three • Redesign existing CCBC nursing curriculum for online format • Modify delivery to allow for one-day-per-week clinical experience

17. Nursing Program Online • Hybrid Program • One day a week – face to face • Clinical • Nursing Lab • Simulation scenarios • Seminars • Didactic content online • Same curriculum with expanded calendar

18. Online Nursing Program AdmissionRequirements Completion of all 33 non-nursing credits Completion of pre-entrance exam- Test of Essential Academic Skills (TEAS) Minimum GPA of 2.5 Recent direct patient care experience Successful interview/writing sample Computer and internet access

19. NURN 151Foundations of Nursing Concepts • F2F Successful Rate • 82% • Online Success Rate • 87%

20. NURN 152Foundations of Nursing Concepts • F2F Successful Rate • 82% • Online Success Rate • 71%

21. Student Perspective What are the positive things about being an on-line student?

22. Student Perspective • “I am still able to work and go to school, it fits my schedule” • “I can read the material as often as I want and at my own pace” • “You don’t have to physically go to school as much” • “It is flexible”

23. Student Perspective What things did you find difficult or didn’t work for you?

24. Student Perspective -Negatives • “It is hard to pick out the most important points without the face to face lecture” • “The 12 hour day was too long, we didn’t function well after clinical” • “Finding time for lab practice was hard” • “I miss the personal stories and examples given by the lecturer”

25. Lessons Learned- Development • Presentation of content online • Content must be congruent with identified learning outcomes • Lack of experience with online delivery of nursing content • Time constraints

26. Example Module Soft Chalk

27. Lessons Learned- Implementation • One day a week requirement • Student orientation • Seminars • Skills testing and lab time • Acculturation to the nursing profession • Assimilation with nursing students • Access to nursing program resources • Health care experience requirement

28. Positive Outcomes • Faculty • Increased knowledge of pedagogy related to on-line delivery of content • Transfer of innovative pedagogy to face to face format • Fostered creativity and alternative teaching methods • Impact on nursing shortage

29. Positive Outcomes • Students • Access • Similar Outcomes • Increased writing opportunities • Self paced learning • Valued the flexibility • Cohesive and supportive of peers

30. Paramedic to RN Program

31. Maryland Health Services Cost Review Commission (HSCRC Grant) “Distance Education for Paramedic to RN Students” -- $295,005 Purpose – to address Initiative 1 to expand Maryland’s nursing capacity through shared resources Partnership with Allegheny College and Chesapeake College

32. Paramedic to RN Online • Hybrid Online course • Initiated Paramedic to RN Online course Summer 2008

33. Paramedic to RN Online

34. Paramedic to RN Online • Hybrid Program • Clinical • Nursing Lab • Simulation scenarios • Seminars • Didactic content online

35. Paramedic to RN Online Credit for experience and prior knowledge Credit for the course Advanced standing Schedule options for second year of program

36. Paramedic to RN OnlinePitfalls and Challenges • Difficult to guarantee a specific number of students • Lack of Initial “pipeline” for Admissions • Resistance from Firehouses • Content delivery • Role Change

38. Questions