2016 Spring Nursing Student SLO Assessment Survey
Nursing Spring 2016 Student SLO Report Spring 2016 – Nursing April 29th 2016, 9:29 am CDT Q3 - What did you like about this program? The instructors are great - they make every effort to ensure our success. The semesters are well organized. I liked that the text books are either used from semester to semester or the page numbers from previous editions are included on our syllabi. The year round availability. support from instructors & Flexibility of the program I like all the clinical learning opportunities that have been avaliable to me. I have had a great deal of hands on learning that greatly enhanced my knowledge. I liked how many different types of clinical rotations there are. I have felt that working along side another nurse has been very beneficial. The preceptor has challenged me to think more critically and gather more of an understanding of the whole patient picture. Very good repetition of information in order to help pull everything together. I love all the different clinical rotation. It was neat to see all the different types of nursing you could go into. The way the program presented information in small quantities in the begining and slowly built on that knowledge over the course. I remember information that was presented in first semester that I saw again in 2nd and 3rd and 4th semester, but in increasing complexity each time. I liked that this program was very hands-on, and had a lot of clinical experience versus just primarily core classes. Instructors were very helpful and I feel that I learned an immense amount in my time here. Overall it was a good and challanging program, taught me alot about the nursing profession I was able to complete it in 16 months. There was a lot of variety in teaching styles. Most instructors accomodated all teaching styles. I am a hands on learner, so the simulation labs were helpful for me. The skills labs were also very helpful as a visual learner, and getting the practice time we needed to complete the tasks. I enjoyed the teachers most of all. So many of them have a great passion for teaching and a great knowledge base. The instructors in the nursing program were very helpful! You could tell that they were truly there because they cared about the students success. That it is a 2 year program and has good instructors who are always willing to help I like that I was able to get into the fast track program. I love that the instructors were always there for me and wanted to see me pass (and hopefully I do!) ATI was amazing, even though I didn't like coming in for the tests we had to do at Western. The ability to go through the summer The hands-on experience. I appreciated the variety of clinical experiences I had. I thought the program was rigorous and thorough in teaching essential nursing concepts and functions. I liked the continuous track option that I was accepted into that honored my previous studies and allowed me to focus on completing the nursing courses in a shorter amount of time. I feel that it adequately prepares students to the perform to the best technical ability. The hands on experience we were provided That all of the facility were willing answer questions and the year round option I liked the ability to have the majority of my learning be accomplished with hands on experience. Being able to proceed uninterrupted part time to finish my degree. I felt the staff was wonderful, understanding, compassionate, caring, and interested in helping me succeed. I liked the challenge that focused me to try harder and dig deeper to be successful. The review sessions offered by some instructors. I liked the Sim Labs. I felt that I learned a lot in a safe environment when participating in Sim Lab. I liked the approachability of the deans. Flexibility in scheduling courses was OK. I like the scholarships available for this program. The pase is good. Instructors do a good job at easing you into material, preventing you from feeling overwhelmed. I like that we worked on the course work during the same time that we were applying it in clinical rotations. There were a few really great instructors who were good resources, who provided great support. The dean was very approachable and professional. I thought the skills instructors did a very thorough job. I liked the amount of hands-on learning we received. The skills classes, the amount of clinicals, and the SIM labs were all very helpful to my learning. I LIKED THE VARIOUS CLINICAL EXPERIENCES THAT WERE GIVEN TO US. I liked all the different clinical experiences the instructors are helpful. The instructors in this program have been helpful because they have challenged me to think more critically on exams and assessments. The willingness to help from all the instructors. The pace was semi adjustable it went very smoothly. all instructors went above and sometimes beyond for the students. I liked that the program could be completed in about a year and a half. Also there were some instructors that were very helpful. I really liked how well our instructors worked with us. They were easy to contact and always responded within 24 hours of us contacting them. They always gave out their cell phone numbers in case of any emergency. They always seem to have our best interest in mind both in the classroom setting as well as clinical. They all seem to have a lot of experience which was really inspiring to look up to. I liked the diversity of the clinical facilities and how quickly I was able to get through the program. I liked the hands on experience we were able to get in clinical. I also thought the skills classes were very helpful. I liked that this program has flexibility with the option of online classes and the regional campuses. I like the amount of clinical time that we were able to experience. The Nurse instructors were very knowledgeable and caring. I am so glad that I was a part of the accelerated nursing program. I have enjoyed the face to face classroom times along with where I have been located for clinical. I enjoy having classes only a few days a week. The workshops that were provided for the online students. Simulation labs. I really do feel prepared to become a registered nurse! I liked the fast track program. It sped the program up. I also liked the variety of classes. I loved finishing the program in less than two years. I like how the student to nurse ratio was small to get more individual attention Some of the instructors I liked that the teachers were very helpful and aided in helping us be successful. Q4 - What would you change about this program? I would like to see more orientation to some of the technology at clinical sites - like bed alarms and bed scales. I would like to figure out a way to get more involvement in SNA and SFLG. No on-line classes, nursing is a hands on profession. The classes should also be. If I go back to the first semester, I would highly recommend having some type of care plan teaching. I had a rough start to understanding and know what was needed in the care plan from my first semester instructor. I feel there was lack of teaching. After understanding I realized I could have saved a lot of time if I would have understood and been instructed. Offer more patient scenarios with small group discussions. In semester 4 when we did the CLT project I felt that the most of my learning came from bouncing ideas off other classmates as to what was going on in our patient. Work more with a preceptor, I felt that I have learned the most working directly with another nurse. more pharm throughout the entire program I didn't like the ITV classes. I felt that clinical experiences were inadequate. There were semesters where my instructor was on the floor maybe 15 minutes of each day. We mostly only saw them during post conference. I would've liked someone to get my critical thinking going while I was working with a patient. Sometimes I was by myself the entire day with almost no direct (in the room with me) supervision. The only thing I would change is having less focus on paperwork during clinical and more focus on the clinical experience. I felt as though I may have shyed away from some patient interactions due to making sure my paperwork was completed during clinical time. Especially in the mental health setting. Being more flexible and allow students to pick own clinical sites ie gunersen or mayo This program is very disorganized. I was also shocked and disheartened by the unprofessionalism of a number of instructors in this program. Flagrant disrespect of students is rampant. Some of the classes were way too long to sit though. There is a ton of content sometimes, so it would be nice to be able to break it up. More 1:1 work with individual nurses, as opposed to 1-2 residents in the nursing home. Fewer online classes because I never learned anything from the online classes. It was too easy to put off that studying and assignments and that became very problematic. I think there are too many things that need to be taught in person to get a good handle on the information. More space in the classrooms, specially the skills and SIM lab locations. More instructors available during clinical experiences. I don't like when we have group projects to do I would change all the traveling for SIM lab. I would also change blackboard. Blackboard is so confusing and every instructor sets up their class so differently if it were the same across the board I would like that. Possibly more user friendly. I don't like that I got notifications for every semester in the 1.2 Blackboard. So confusing and I found myself missing important information. Blackboard was confusing at times. Everything was posted in random hard to find spots. Some classes were ONLY offered online I hate online classes so that was difficult for me. Clinical location. I chose to have school at WTC in LaCrosse, not to have clinical or sim lab in places where I have to drive more than an hour to get there. I.E. Black River Falls, Whitehall, etc. Scheduling is always of concern for non-traditional students, so this is the main obstacle that I would have adjusted in the program. More consistency in clinical days throughout the semester would have been helpful (example: clinical always on Thursday/Friday for a cohort or Monday/Wednesday through the entire program). I would also change some of the standards for faculty in conduct related to test taking times. Several times specific instructors carried on phone conversations during testing times and made calls that were distracting to students taking tests. If students are required to silence phones for testing, instructors should show the same courtesy. Means of communicating- not extremely organized if blackboard could universal across the whole program. For each class things can be found under the same tab as the pervious class. The way we are prepped for exams, if we aren't being taught towards the test the tests need to reflect what we are being taught by that particular instructor. Instead of 4 exams each consiting of 3-4 chapters each why can't there be weekly exams? It seemed like 3-4 chapters created an immediate memory dump, I hope I retained most of the information. Lack of tutors. Nursing journals from clinical experiences would never be used to formulate mid-term evaluations. In fact, I would highly consider the impact of nursing journals and student feedback from end of courses as being intimidating as I have felt reprisal from honesty. I would train instructors to be more professional with interpersonal communications and actions. Furthermore, if over 50% of the class misses a question on a test then that needs to be addressed. Either instruction failed or the question failed and students should not be held to fault. The beginning of 4th semester I felt relaxed to begin with but immediately felt an almost unreasonable amount of pressure from one of the instructors concerning what I should and shouldn't know. I would insist that instructors learn to use tact in highly stressful and demanding situations, unless the issue is emergent and potentially life threatening. Being acsepted sooner after A&P, Advanced A&P, Micro. The teachers would be more organized on blackboard, with specific instruction, and overall organization on blackboard wouldn't change so much instructor to instructor; for instance, there would always be an option to get all learning plans in one document, and each class would have power points available for me to bring to class, and more supplemental study materials would be provided in all classes. Also, some of the instructors would be a lot more professional in their contacts with students, and about half of the instructors would be more approachable to students. I can't tell you how many times I asked an important question to be singled out in front of my peers and made a fool of. We are all here to learn. Also, in regards to construction, I felt that the people who were forced to move around their testing times in order to have space to test in should have been students taking elective classes rather than full time nursing students in their final two semesters who were studying really heady material with enough on their plates besides... perhaps this inconvenience to the quality of our education should have come with some sort of benefit, like a 5-10% reduction on tuition or something, because it was very distracting, and hard to accommodate around a work schedule for an education that was already almost completed. The overall organization and communication of what is expected of students throughout this program, and how to be successful was, for lack of a better word, horrendous. I disliked that the whole program is centered on test scores. I feel like homework should count towards passing, not just factored in after students pass the tests. Many people, myself included, have awful test anxiety and the fact that our passing relies solely on test scores is terrifying. Some teaching methods I would like to see all classes be face to face. The amount of paperwork that needed to be done for clinical. It took away a lot of my learning experience. Allow for a slower paced progression part-time option, evening classes in outlying campuses I felt as though I didn't get all the experiences that I wanted. Online courses should be changed to ITV whenever possible. Online students miss out on important information that is done in class at times. I felt that there was a lot of miscommunication about a lot of different things such as assignments, when due dates were for graduation etc. Although we had the folders on blackboard with all of this information regarding both sim lab and graduation, It would have been nice to have a reminder that the information was there because many of us almost missed ordering our pins because we had no idea where to find the information or what was expected. I do not think it is fair to give the choice of a face to face class or an online class for the traditional students when the accelerated program is forced to do the online classes every semester. It felt as if we weren't as valued as the traditional students at times during this program. One time being every time we have ATI testing at the end of the semester we had to come in at 0800 for testing but we were not able to actually take our test for another 30-45 minutes because one teacher is approving us and Lacrosse went first every time. I would suggest having us come in a half hour to an hour later so we don't have to sit around and wait. I also think that scheduling one make-up clinical day a semester would be beneficial to those students who would otherwise have to repeat the semester because they have a fever and were not able to provide care to their patients. The waiting list is so long already it seems like this would push students through the program faster and get the new students in the program. I also think collaborating with hospitals to get expired dressings, angiocatheters, catheter kits, etc would be more beneficial to appropriately learning the full skill while implementing safety measures without costing the program excessive amounts of money. I still have to stop myself from recapping needles because I was so conditioned to do so in skills class to save supplies. I think the program is unorganized and made a lot more complicated than it really needs to be. I also think that many of the classes skim over a lot of information and a lot of information is repeated in each class. I do not feel I have learned a lot since 3rd semester. It would be nice to go more in depth about complex disease processess and not just have the instructor say, "you don't need to know that as a nurse." I would have appreciated more clinical learning in the hospital setting. I think that the long term care clinicals could have been combined in some way to give us more opportunity in the acute setting, with mental health, or labor and delivery. I also wish that regional campuses had better options. I feel like we did not have as good options for learning as the La Crosse campus did. For example, we were required to take classes online and I am not an online learner. I got through the course work don't get me wrong but I do not think it is fair to give some students the opportunity to choose between face-to-face classes and only give the online option to other students. I think the test timing is very inconvenient to my studying and life outside of school. I feel that test should be taken during class time. This program was definitely challenging, with the many online classes the accelerated students are required to take. I think having more options as far as having "in class" classes would have benefited me big time. I really am not an online student so having had the option to hear the instructors talk and having the classroom discussions would have made those courses much less stressful. I think some of the prices for this program is quite expensive. I did utilize the ATI books but it does seem like it's a lot of money for students who do not. Option to take online or face to face classes; driving distance for clinicals; Don't feel prepared for NCLEX. Feel that I've only been taught how to pass courses. Response time from teachers, espeically those online; Considering student time when scheduling things. Doesn't make sense to have a morning class and then have a test in the late afternoon. Spend the whole day on campus and nothing gets done. Having two teachers for one course is too difficult. Teachers grade differently and generally don't compare. They also have completely different teaching styles and responses. THere should be a max amount of time a teacher has to grade an assignment. SHould have to be at the end of the semester and not know my grades and if I'll pass. Fast track students should have the ability to take classes face to face. Online courses are very difficult and should not be mandated. I think some of the classes needed to be better organized and better structured before the class started The pharmacology class, learning the meds instead of just the classifications I would not have online couses. I did the poorest without face to face interaction. At least have the option to pick online or face to face. Q5 - How many of your nursing classes did you choose to take in an online format? Answer % Count None 6.52% 3 Less than 5 80.43% 37 5 or more 13.04% 6 Total 100% 46 Q7 - As a result of this program: I have learned effective communication skills. Answer % Count Strongly Disagree 0.00% Disagree 2.22% 1 Neither Agree nor Disagree 6.67% 3 Agree 62.22% 28 Strongly Agree 28.89% 13 Total 100% 45 Q8 - Provide any comments you have on effective communication skills you learned. I feel I am a pretty good communicator but I have improved by learning proper documentation techniques. Being able to communicate patient needs with the multidisiplinary team. Communicating changes to plan of care and providing effective patient teaching to the client as well as, family members. Effectively communicating with LPN and AP regarding patient need and delagation. I feel this program has provide with the proper skills to effectivly communication as a nurse. I have learned a lot about therapeutic communication and how to effectively interact with my patients. I possessed positive communication skills before entering this program and maintained them throughout. However, I am saddened to say that there are a number of instructors whose communication skills could use improvement. My effective communication has improved because of this program I feel like SBAR was stressed a lot during my last two semesters. I feel like it could be implemented more throughout the program however. It is always useful I feel to see different approaches to effective communication. I know as a result of having gone through this program that I'm a more effective communicator and listener. The only communication skills that I learned that were new to me include using the write jargon when discussing information either with a patient or with a cohort. Many communication skills I brought with me into this course, but I did learn a little more about cultural sensitivity, crisis communication, and proper documentation. I have some concerns as they relate to communication techniques with providers as I feel that some techniques are highly submissive and not on par with professional peer-to-peer communication. This may simply be a fault of the health care system as a whole and the evolving role of nursing as a profession. I have learned to communicate effectively with providers and patients during clinicals. Able to critically think and communicate that information to peers. I believe I have a more tactful approach with clients I was taught how to properly communicate with my nursing peers. I feel that I was able to learn how to effectively communicate with my patients as well as other nursing staff and patients families. I really wish we would have had more practice on communicating with other providers and members of the healthcare team. I wish that we had more opportunities to learn or practice communicating with doctors, orders, and other members of the healthcare team aside from nursing staff. I also wish that there were more hands on. I, personally, am going into fourth semester and have yet to accomplish any skills outside of lab. This is scary to me knowing that I will be a practicing nurse in less than a month. Hence my earlier suggestion of not being in the long-term care setting for a trimester and a half. I have had many experiences communicating with patients and their families. I have gained more confidence in myself with each experience. I have learned that their are many ways to teach and things to teach about. I do believe this program changes the way one thinks and I feel it has given me more communication skills that will benefit me in my life and my career. I have had to rely heavily on my peers and forge friendships as teachers have been unreliable most times; I've had some iffy situations during clinical that I have had to approach calmly and professionally. I am better able to explain things to my patients and help them with teaching. I have learned a lot about talking with other health care staff during clinical experiences Teach back method Q9 - As a result of this program: I am able to apply mathematical concepts. Answer % Count Strongly Disagree 0.00% Disagree 4.35% Neither Agree nor Disagree 0.00% Agree 60.87% 28 Strongly Agree 34.78% 16 Total 100% 46 2 Q10 - Provide any comments you have on mathematical concepts you learned. The math lessons were very helpful. I thought it was a good idea to incorporate math into each test to make sure we continue to understand how to do it. I feel I really enhanced my mathematical concepts while in this program Math has never been my strong point and each instructor I had seemed to teach it differently. I say whatever works for the student just go with it! Xxxxx was awesome with teaching us the basic nursing map concepts in real life situations None at this time. More is better! Knowing how to calculate medication dosages quickly and accurately is a vital tool. The material here was well taught and thoroughly repeated throughout the 4 semesters. I liked that there were math questions on each test. We will always need to be assessing the amount of medication or fluids a patient is receiving and I feel that it was an excellent way to prepare us. I am strong at mathematical concepts so I really haven't learned anything new. math is not my favorite but we found a way to make it work some of the math is complex and you have to know how to do the equations or your patient will bear the consequences. I wish there would have been more review for math concepts. A quick review each semester would have been beneficial. I wish they would go over more math problems in class. I am a visual learner I know the math is not too challenging but I feel it can be difficult for some students and there just was not much guidance in the math application questions. First semester skills did a great job with preparing students for the math that we are expected to know but third semester, there was no guidance. I remember having to google ways on how to answer some of those math questions because there were not even examples on how to answer themthere were practice sheets but never examples on how they got the answer. I have learned a lot of mathematical concepts during skills class that I have been able to apply during clinical changing kg to lbs Q11 - As a result of this program: I learned how to transfer social and natural science theories into practical applications. Answer % Count Strongly Disagree 0.00% Disagree 2.17% Neither Agree nor Disagree 0.00% Agree 76.09% 35 Strongly Agree 21.74% 10 Total 100% 46 1 Q12 - Provide any comments you have on transferring social and natural science theories into practical applications. Though I feel it will take time to better enhance these skill, I feel confident that I can apply what I have learning into practice. I found that I used the examples of actual experiences from our instructors rather than the by the book theory I think it all comes together in forth semester. The concept maps done during simulation tied it all together for me. This concept should be introduced ealrier and continued throughout the program. My best scores have all been related to mental health. Knowing how to approach diverse people in various situations improves treatment facilitation. Knowing how medication interact in the body and mind is also highly important to helping people. I have a strong science background, but this program has helped me direct my energy to nursing science. Putting evidence based research to work in a clinical setting As much as I hated doing concept maps and care plans they helped me see the bigger picture and see the patient as a whole. I have learned about the importance of evidence-based nursing research which is always changing and has prepared me to keep up to date with it throughout my nursing career. Wish there was more emphasis on skills and applying knowledge instead of paperwork. I feel that all I did during clinical was paperwork Q13 - As a result of this program: I learned critical thinking skills. Answer % Count Strongly Disagree 0.00% Disagree 2.17% 1 Neither Agree nor Disagree 2.17% 1 Agree 54.35% 25 Strongly Agree 41.30% 19 Total 100% 46 Q14 - Provide any comments you have on critical thinking skills you learned. I appreciate how this program builds on critical thinking skills throughout the semesters. By 4th semester I feel like I am competent to take care of patients and if I have questions I am not afraid to ask. I am able to address changes in patient assessments and apply it to their plan of care. I truly enjoyed the concept maps we had to do. It lets you combine all your knowleadge and encouraged critical thinking. I also like that the facility members challenged you to critically think in clinical. It is unbelievable to think of how different my critical thinking skills are compared to when I just started the program and how I am able to put information together differently than before the nursing program. Thank you Xxx Xxxxx and Xxxx Xxxxxxxx - you two are wonderful! I knew the things that I was doing in clinical and work were important but now I really understand why! All the clinical prep really ning To think and apply the concept of how and why is my patient reacting to the conditions or medications and what can I do as an RN to better help my patient through this challenge. Choosing the best right answer is part of the critical thinking involved in nursing. The hard part for a student is connecting all the relevant information and discarding the irrelevant. Many times I have read questions and answered them wrongly and wished I could justify my thinking so that I could see how or where I went wrong. Sometimes when shown how I was wrong I have doubts. Nursing has a lot, perhaps too much, "gray area" and this makes the profession dangerous to lawsuits and burnout. I also find that for a nurse to be an effective critical thinker, a nurse needs to work with minimal distractions. Recently, it has been reported by a scientific journal that not only is the human mind terrible at multitasking but those that frequently multitask have decreased IQ. The science went on to show that the chemical residue from a distraction can take as long as a half an hour to dissipate from the brain area it was released. I am very worried for the future of nursing that requires instant charting, multiple medications, assessments, patients and telephones to be instantly reached. How can a nurse critically think about complex health issues when inundated with this vast level of distraction? As students we are expected to apply critical thinking with new technology, new information in a timely manner. I fear that Western's "One Size Fits All" policy is causing many students to drop out or fail out. Finally, I understand that Western offers assistance for those with disabilities, but what I have discussed isn't a disability issue, rather a different ability issues as in preferred learning style, and pace. The instructors have been a great influence on developing my critical thinking skills. I can't believe the change I have noticed in every aspect of my life. nursing is all about critical thinking. The exams were very difficult at first, but once I got to third semester I felt I was finally starting to get the hang of how questions on exams would be and how to critically think about them. Having the exam preview and reviews were very beneficial for learning how to critically think and to learn how to answer exam questions. I learned prioritization skills. Like I mentioned above, my way of thinking as definitely changed! I had to learn fast on how "to think like a nurse" but now that I am completing this program, I really do feel that I am thinking that way. My critical thinking skills have developed greatly throughout this program determining priority needs for those im caring for Q15 - As a result of this program: I have learned to use technology effectively. Answer % Count Strongly Disagree 0.00% Disagree 4.55% 2 Neither Agree nor Disagree 22.73% 10 Agree 50.00% 22 Strongly Agree 22.73% 10 Total 100% 44 Q16 - Provide any comments you have on what you learned about using technology effectively. I would have liked to do more with the IV pumps, the learning session we had the first day of 4th semester clincial at Gundersen was very helpful and I wish we could have maybe done it 2nd semester to feel more comfortable with them. I would have liked to do more with navigating through Epic charting but I realize due to time restraints that isn't always realistic. I am still extremely uncomfortable with IV pumps and how to use them. My clinical experiences unfortunately did not afford me the opportunity to practice many technical skills. Using computers for test taking was helpful. It took a little bit to get used to doing it, but when we had to revert back to doing paper and pencil on our snow day, it made me really appreciate the computer! I think that it would be more effective to be able to learn equipment that will be used in practice i.e medication pumps. I never had much trouble before the program. More experience with pumps is needed Each facility will have it's own software and doing things. I feel I was introduced to numerous documentation tools, MARS, and systems. Some are better than others but I really won't know until I've been at the job longer than weeks. I have been exposed to some of the technology being used locally in the hospitals and clinics and have had some limited experience with that technology. I will say that the first time I performed a bladder scan was in a clinical setting without ever having used the technology in school. It would be beneficial to include more exposure to technology in the classroom settings prior to clinical experiences. During rotation many areas of the hospital were not available for me due to the limited number of days. It would be nice to see more technology explained in detail. During my 4th semester rotation we had training on IV pumps at the hospital, hosted by the hospital, that training was thorough and involved hands on participation. I had to learn technology effectively because I found myself often being thrown to the wolves so to speak. Some of my instructors weren't able to master the intricacy of basic emails and attachments provided within them, and others never answered phone calls or failed to return them in a timely manner. One of the downfalls of this program was that unless it was one of half the instructors who actually checked their email, people were really hard to reach outside of class for questions or confirmation. I am pretty tech savvy, but I have learned how to use a couple new programs online. I think I type faster. I passed the course that is half online. All systems need to be updated and the same. Some campuses do not have updated software or computers that work. I have gotten a lot of practice with computers and computer charting throughout this program Q17 - As a result of this program: I have learned to value myself and work ethically with others in a diverse population. Answer % Count Strongly Disagree 0.00% Disagree 2.17% 1 Neither Agree nor Disagree 4.35% 2 Agree 52.17% 24 Strongly Agree 41.30% 19 Total 100% 46 Q18 - Provide any comments you have on what you learned about valuing yourself and working ethically with others in a diverse population. I have become more aware of my ethical beliefs and how not to judge a patient based on theirs and to respect their beliefs. There are a few instructors in this program who have unfortunately resulted in me having lower self-esteem than I did prior to entering this program. For this reason, I feel as though I lack the confidence needed ot be successful in my first nursing role. We work with a patient regardless of any of our own prior stereotypes or opinions. I feel I have always done this throughout my employment so I was able better to reflect and look deeper into myself and how I approach the diverse populations I intend to serve. I have learned to read my self much better and know when stress or depression or anxiety have reach a critical part of my life. I have learned safe and healthy ways of dealing with my emotions in order to effectively move beyond the "funk". I have learned to cherish my patients, even the difficult ones, so that they receive the best care I am able to provide. The instructors were good at making me feel valued. My self worth has drastically increased. This program has been life changing. I can't wait to get to work. I realize that I am braver than I thought I was! I really am capable of doing this-this program has given me much more confidence in myself and my thinking abilities. I have learned by valuing myself and what I believe it is easier to care for those of other diverse populations and being able to understand their beliefs better. Q19 - As a result of this program: I am able to make decisions that incorporate the importance of sustainability. Answer % Count Strongly Disagree 0.00% Disagree 2.17% Neither Agree nor Disagree 0.00% Agree 71.74% 33 Strongly Agree 26.09% 12 Total 100% 46 1 Q20 - Provide any comments you have on what you learned about incorporating the importance of sustainability in decisions you make. I see the need to further education beyond this program, even if it means staying up to date with the latest nursing journals. The clinical instructors have helped guide the way I provide care more cost effectively. I used to be the most indecisive person I knew, but now I am confident in making choices, and I pay attention to how outcomes are related to my decisions. I wish we would have had more opportunities to practice decision making in the nursing setting. I know how important it is for me to really consider all the different routes to a situation and to just step back and think about what my options are. Q22 - As a result of this program, I learned to: implement my role as a nurse in ways that reflect integrity, responsibility, ethical practices, and an evolving professional identity as a nurse committed to evidence-based practice, caring, advocacy, and quality care. Answer % Count Strongly Disagree 0.00% Disagree 2.17% Neither Agree nor Disagree 0.00% Agree 45.65% 21 Strongly Agree 52.17% 24 Total 100% 46 1 Q23 - Provide any comments you have about learning this program outcome. This program has shaped me into a nurse that reflects these outcomes and truly providing quality care for the patient and advocating for them. I have learned to stay calm and I truly value that! I feel the ethics was well covered, through instruction and literature reveiws I feel evidence based practice was well covered. The importance of subsribing to a nursing journal was stressed so we stay current with all aspects of nursing. I can identify with the above statement, but I have some experience in the world and I am very concerned that my cohorts may not have the training to stand up to their supervisors when they see something wrong being performed. Learning how to address serious issues should have more class time with role-play and case-studies. I feel that the clinical paperwork and post conferences did well at developing my evolving professional identity. Western has made me a nurse! Thank you to all the instructors that helped me to mold my mindset to be a professional nurse. I think the instructors do a good job of advocating for eithical decisions making and I feel I have learned the importance of patient advocacy. I also think I have learned what it is to provide quality and holistic care. I really do feel prepared to become a registered nurse. The program offers great hands on experience that has prepared me to becoming an RN. I have used knowledge about evidenced base practice to apply to clinical experiences Q24 - As a result of this program, I learned to: demonstrate appropriate written, verbal, and nonverbal communication in a variety of clinical contexts. Answer % Count Strongly Disagree 0.00% Disagree 2.17% 1 Neither Agree nor Disagree 2.17% 1 Agree 58.70% 27 Strongly Agree 36.96% 17 Total 100% 46 Q25 - Provide any comments you have about learning this program outcome. While the paperwork for clinical may seem overwhelming I appreciate how it has helped me better understand the overall picture regarding client care, assessments and interventions This program strengthens effective communication in a number of ways and I think personally it has really improved my verbal communication because I am sometimes an introvert when it comes to uncomfortable situations. This was well covered and documented on our evaluations. I believe that the appropriateness of the communication techniques taught in relation to nurse to patient is very good, but the techniques related to Nurse to Doctor and Nurse to Supervisor and Nurse to Nurse etc. are in need of a cold dose of reality. We learned a little about bullying in the workplace, but I think that information should include non-verbal forms of bullying and how to identify and correctly respond to a hostile work environment. Again, the clinical paperwork has helped greatly in developing my communication skills. I can't begin to express the learning I have encountered in the realm of communication. I feel like my ability to express thoughts and communicate with others, whether professionally or socially, has improved exponentially throughout this program. I feel ready to be a nurse! my communication skills both verbally and written were increased greatly Q26 - As a result of this program, I learned to: integrate social, mathematical, and physical sciences, pharmacology, and pathophysiology in clinical decision making. Answer % Count Strongly Disagree 0.00% Disagree 2.17% Neither Agree nor Disagree 0.00% Agree 58.70% 27 Strongly Agree 39.13% 18 Total 100% 46 1 Q27 - Provide any comments you have about learning this program outcome. The seed was planted and well cultivated. I know I stopped to research or ask questions on something I wasn't clear on. It sparked good conversation and furthered my learning opportunity. I learned the basics, the structure and format but I would say that I am far from proficient. The material is too vast and the scenarios are limitless. The instructors were great at providing us students with the big picture. I was clueless to all of these topics at the start of the program, but know implement them in almost all areas of my life in one way or another. I wish we had more focus on learning medications. I wish that we had more practice with pharmacology. I am comfortable with this in the clinical setting, but thinking about pharmacology on the NCLEX I am not prepared for. This program has already prepared me on what I do as an LPN as far as the math calculations go. Should be more emphasis on pharmacology. I know very few medications, their uses and side effects. Q28 - As a result of this program, I learned to: - provide patient centered care by utilizing the nursing process across diverse populations and healthcare settings. Answer % Count Strongly Disagree 0.00% Disagree 2.17% Neither Agree nor Disagree 0.00% Agree 50.00% 23 Strongly Agree 47.83% 22 Total 100% 46 1 Q30 - As a result of this program, I learned to: minimize risk of harm to patients, members of the healthcare team and self through safe individual performance and participation in system effectiveness. Answer % Strongly Disagree 0.00% Disagree 2.22% Neither Agree nor Disagree Count 0.00% 1 Agree 46.67% 21 Strongly Agree 51.11% 23 100% 45 Total Q31 - Provide any comments you have about learning this program outcome. I am confident in the care that I provide and keep the safety of the patient my priority. I learned to be onguard with certain situations and scenarios. I intend to go home each night in the same shape I arrived to work in. Being this was a new venue for me I have the confidence to recognize unsafe situations for myself, the patient and co-workers. I feel that cost savings issues limit my ability to feel safe when delivering care as I am used to wearing gloves any time I have physical contact with a patient from my previous work experience. I am still very cautious, but I am not nearly as nervous as I was during my first semester. The clinical instructors and preceptors were good at letting us if were doing something correctly or not. I learned that we can never lapse in practicing safety, and we can only truly trust what we do, or we could be in for a mistake. Like I mentioned earlier, I feel like having additional needles for skills class is a neccessity because safety is such a large component of nursing and constantly recapping needles conditions you to do continue recapping needles in the field. I have had to stop myself a couple of times from recapping a needle. I think I know hot to provide safe and effective care. Patient safety always comes first! Q32 - As a result of this program, I learned to: lead the multidisciplinary health care team to provide effective patient care throughout the lifespan. Answer % Count Strongly Disagree 0.00% Disagree 4.35% 2 Neither Agree nor Disagree 8.70% 4 Agree 54.35% 25 Strongly Agree 32.61% 15 Total 100% 46 Q33 - Provide any comments you have about learning this program outcome. I think it would be beneficial to have a small discussion regarding something as simple as who you call when problems arise such as social work, respiratory therapy, etc. just to get a feel for who exactly needs to be contacted in certain situations. Not being the one in charge completely has me on the fence with this question. I had input into some things but wasn't included into the care conference where I advocated, lobbied for, or could influence several resources. I didn't work with pediatrics except for a few weeks in the Mental Health clinical. I am still learning how to lead the multidisciplinary health care team and probably will for many years. During clinical, I received a lot of experience working with other disciplines within the healthcare system. I enjoy working with multiple disciplines I have no problem stepping up and taking charge when it is appropriate, or following direction when that is needed. I think that testing out toward the end of Skills I on completing a phone call with a health care provider/physician would really ease the nerves and the intimidation of communicating with them in the field. We could have done this in more than just the long-term care setting where each student only got one turn to be the "manager". For example, the nurse manager or charge nurse has a way different role/different duties than one in the long-term care facility. Second semester lifespan clinical really helped with this outcome! Q34 - As a result of this program, I learned to: use information and technology to communicate, manage data, mitigate error, and support decision-making. Answer % Count Strongly Disagree 0.00% Disagree 2.22% 1 Neither Agree nor Disagree 2.22% 1 Agree 64.44% 29 Strongly Agree 31.11% 14 Total 100% 45 Q35 - Provide any comments you have about learning this program outcome. I feel this was accomplished throughout the program. I can navigate my way through a patients' chart on the computer. I am concerned with the depth of knowledge necessary to successfully manage those systems time and again during clinical rotation as recalling how to get to where I need to get to is time consuming and relates back to the problems surrounding multitasking. Multitasking is unsafe. This is proven by laws against texting while driving but as nurses we are held accountable for our patients safety while inputting assessment data into the computer in real time while being interrupted with medication deliveries and other members of the healthcare team. If trends continue as technology advances, I wouldn't be surprised if doctors and nurses are assigned personal secretaries for the sole purpose of inputting and retrieving information in order to minimize distraction and safely increase the nurses capacity and patient to nurse ratio. At clinicals sites, I used multiple charting programs to help provide quality patient care I feel technology is ever changing and we must be flexible and willing to learn to keep up. Thorough, descriptive charting! Q36 - CONCLUSION Please use this space to share any other feedback, comments, or suggestions about your experience at Western Technical College. I would highly recommend this program to anyone thinking of becoming a nurse! There seems to be some disconnect providing information to students regarding times and locations of certain activates, such as tests, clinicals, Sim Labs etc. Xxxx Xxxxxxxx is the most supportive teacher Western has. You should be very proud to have this person as an instructor. They are very encouraging to everyone. Having such a positive instructor is the best thing that I think I could ask. It gives me the continence to work hard, feel I can do this and to be successful. I love SIM lab. It's kinda "scary" but I have learned so much from those experiences! :) I have and will continue to recommend this program to those who ask my thoughts/advice on attending school for nursing. Thank you for the great experience. The only area that I feel that I had an advantage over others was with my behavioral health clinical. I had Xxx Xxxxxx and they made an intimidating area one that became comfortable and made the patients "real." I have heard that current students in mental health have 9-1 clinicals and are behind the desk rather than with the patients. In my opinion this is completly contradictory to the purpose of this clinical. It is important for us to truly see this patient population in order to decrease the stigma for ourselves in order to better our practice in other areas. I feel that this program prepares you for the "real world nurse." I like that they are very hands on and give you more than a handful of clinical expereiences. The facility is wonderful. You can tell that they all love to teach nursing and have a strong passion for it. I truly appreciate my education that I have attained at Western. I advocate for this program to many new prenursing students and to others because of how much experience we get here. I have been told many times at work and at clinical about how great the Western TC nurses are and I can now see why. The only suggestion I might add is to have a small lecture or fit it in the curriculum to have a "emergency procedures" lecture. I think we are briefly taught what to do in certain situations via textbook, but really the practical nursing aspect in exactly what we are supposed to do if we find a patient lying in the hallway, a blood glucose of 50, or other things of that matter. Thank you for a great experience. Great experience, learned a lot and is affordable Instructors: Be RESPECTFUL and PROFESSIONAL when communicating with your students. We are paying for this education, and do not deserve to be talked to or treated the way that many of us have. Abuse of power has no place in ANY setting, especially in higher academia, and ESPECIALLY in nursing! I have worked with several healthcare professionals in the community who all comment on the huge disparity among confidence levels of Western nursing graduates versus Viterbo/Winona State grads. The way we are talked to is a major contributing factor to this phenomenon. There is no excuse for it. I would honestly like to see additional hours for the capstone/transion part of the program. It would also be nice to have that experience in two separate areas; one that we are interesting in pursuing, another in an area that we feel that we need the most improvement in. Overall the nursing program was good. Blackboard was confusing at times and the fact that some classes were only offered online was frustrating. Overall, I had a good experience with this program. I feel confident in my ability to go into the work force as a entry-level nurse. Throughout the program, however, there are a few things that I could have lived without. Having to travel at least an hour away to various clinical rotations twice a week, having class in a temporary trailer due to construction, having to travel all the way to Onalaska just to take a test. I have thoroughly enjoyed my time in the nursing program. I feel that it has been comprehensive and intense as to prepare students for the realities of nursing and patient care needs. Viroqua was a great learning facility. Although they are a small hospital and do not have extreme, intensive patients, they have the staff and time to provide hands on learning. I want to thank Xxxxx, Xxxxx, XXXXX, Xxxx, XXXXXXXX, XXXXXXX, XXXXX, XXXX, XXXX, Xxxxx, Xxxxxx, and those I'm forgetting to mention for your mentoring, time, patience, instruction, and overall professionalism and integrity to help me graduate a very difficult and time consuming program. Instructors get a bad rap many times, I'm sure my age and maturity helped me enter this adventure with eyes wide open and live the expereince for me not through someone elses glasses. I feel every instructor I had was wonderful and helped me be successful in my conquest and ultimate goal of being a Registered Nurse. I have never felt more stressed in my life than I did while here at Western, except for a couple of occasions while on active duty. Much of my stress was unnecessary as it stems from one severely unprofessional instructor and a couple mildly unprofessional instructors. I have had some very good instructors but they don't balance the scales in relation to the negative. How many positive comments must a person make to eliminate a harsh word? Some instructors leave scars. The material covered in the two years of nursing is too much to thoroughly learn it all. I would almost suggest another year of nursing and a slower pace but I doubt I could survive another year of nursing. The stress is too great. I want to know all the pharmacology of the all the meds and the pathophysiology of all the diseases and how to treat every situation but it is too much. I was severely disappointed with the harshness of Advanced A & P and the poor teaching of Pharmacology. I felt that during clinical when an instructor expected me to know all the details related to a medical condition that was only covered in one small paragraph out of 5 chapters of material encompassing over a hundred pages and having only just covered the material the week before, that instructor was creating too high of an expectation and left me feeling hurt with damaged selfesteem. I'm not advocating for lowering standards, just diversifying approach considerations when dealing with people of various skill sets. Speed is great, but safety should come first and a person can't function at their safest level when an instructor is grilling the student and offering no leads. If I had to do nursing over again here at Western, I don't know if I would have the heart. I chose this profession to improve my economic future and I have reduced my income these last two years by working part-time so that I could attend clinical. I feel burnt out and I am not the only one. Clinical paperwork in 4th semester is repedative. 3rd semester was RN level, fourth semester seemed like we were asked to explane things we already know. DEU clinical is vary benificial. Copping down patent information and re-writing what we already charted in patents charts takes away from clinical experience time. Clinicals paperwork reduction for all semesters would be benificial. I think there needs to be some sort of training for course instructors on bullying, and singling out students. Many of us would appreciate a no tolerance policy when it comes to this. I can call to mind at least 3-4 instructors in which these sorts of instances occurred through my nursing career. There is a shortage of nurses! When you bully the new nurse, or student aspiring to be a new nurse, you take the wind out of their sails! There were several times where I thought of dropping out, and had to remind myself of why I wanted to get into nursing to begin with because of mean comments and snide remarks from the people who were supposed to be around to encourage us and build us up. Questions should be encouraged and celebrated, because what better a time to ask them than right now? Certainly not down the road when we are in practice because we were too afraid to ask and be humiliated in front of our classmates during a clinical experience! I think this is a serious issue that needs to be handled in a much more serious and professional manner than maybe it has been in the past for myself and a few of my fellow students I have also noticed being singled out. The only suggestion I have is not having the program based on the test scores. I feel like the clinical setting is where the nursing students show what they learned and that they have the abilityto apply what they learned. Just because someone can test with a high 90, doesn't mean they will do well in the field. I have seen students who scored just on the mark of 78% being a very thorough and efficient nurse in the clinical settings. I have also seen students who score 90's on there test, make major mistakes and are incompetent in the clinical setting. Tests are important, but not the only way to prove you understand the teachings. Great college with great staff! Thank you for helping me obtain my dreams! I enjoyed going to WTC. I felt that the transition clinical was favored by location. I felt that the students in Lacrosse were the ones who got all of the specialty areas. I also think med/surg should be a very last option for transition since that is what a lot of our clinicals are based on. I wish we could have focused more on learning labs and medications as well. There were a few classes that needed to add assignments to schedules and organize blackboard a little more, but other than that I really appreciate all of my instructors and WTC for getting me to this point so I can start my career confidently. I am satisfied with the hands on experience I recieved in clinicals. I also really think the simulation labs were extremely beneficial and I appreciate the effort that goes into them. I think that the online nursing classes did not help me and the instructors do not put any effort into the online experience. I would not recommend the online program due to the lack of effort put in by instructors of the online classes. I also think that the pharmacology class could use improvement. We were not required to know the names of drugs, but for the NCLEX it is required. The academic success center was also not very helpful and they made it very hard to be a nursing tutor. I do not think that there is a good environment for learning on the extended campuses. I also do not think that it is fair that we have to go with ATI for reviewing the NCLEX. We are forced to pay a lot of money for the program and have no say in the choice. There are other review programs that are better. I do not think ATI was very helpful in improving my knowledge or test taking skills. Staff should be more helpful to students, especially those students who are in a regional campus. Thank goodness I had a good group of girls because we all had to rely on each other a lot for answers/guidance. I also think that the regional campus students should have that same learning opportunities as the La Crosse students, especially when it comes to class selection. I feel overall, this program was challenging and very stressful but that's nursing school for you! I never realized how bad of test anxiety I have! But I do feel confident in my skills and ability to be a nurse. Great hands-on experiences. Great clinical experiences. Teachers seems to care-some, not all. Online classes are tough-students should be given an option as to take online or in person. Overall there were a few teachers I absolutely loved. I felt that I wasn't able to establish a bond with many of my teachers as I was either ITV or online. I didn't feel comfortable seeking teachers out and trying to form a relationship with them, especially considering they had no idea who I was. I think there needs to be better communication between staff and students. For example, when students are trying to transition into the working field, it would be very helpful to walk the students through how to sign up for the NCLEX and when they should be doing this. I think classes need to be better organized and structured before starting them with actual students. Overall I think this is a good program, it was just unfortunate we were the guinea pigs for a lot of new ideas and teaching styles throughout our 4 semesters. You give more advantages to the Lacrosse students then to the students from other campuses.