Standard 3 Aspect C

3c. Engages with stakeholders, including program completers, local educators, schools and districts, in data collection, analysis, planning, improvement, and innovation.

---

University Stakeholders Collaboration and Communication
The School Nurse Services Credential Program is a working partnership between the School of Nursing (SON), the Division of Continuing and Global Education (CGE) and The Kremen School of Education.  The SNSC Program coordinators work closely with the Fresno State School of Nursing for coursework, faculty, and application requirement areas and CGE provides administrative support such as enrollment, records keeping, and cost. Information about the SNSC program is posted on the Fresno State School of Nursing website.  In addition, SNSC coordinators collaborate with the CSUF Kremen School of Education on credentialing alignment and work with the Kremen Credential Analyst who oversees advising and administrative services for candidates applying for their clear credentials from the State of California,  or applying for extension appeals.

The SNSC Program Coordinators work to provide seamless entry, program operation, and online support between the three departments.  SNSC Coordinators attend monthly SON faculty meetings as well as periodic Graduate program meetings or professional development as needed, attend Kremen accreditation updates and meet periodically with CGE supervisors for program review.  The SNSC Program’s School Health Advisory Panel, consisting of Central Valley school nurse administrators, provides valuable feedback on the program and its outcomes.

Communication with stakeholders and the program across the state, including local educators, schools, districts.
The School Nurse Services Credential Program establishes collaborative arrangements with other institutions and entities that contribute substantially to the quality and effectiveness of the design and implementation of candidate preparation.  These arrangements include collaboration between School Nurse Credential Program providers and local education agencies for purposes of providing appropriate practicum and other fieldwork relating directly to the practice of school nursing.  Participants cooperatively establish and review the terms of the agreements, including well-defined roles, responsibilities and relationships.

Stakeholder Partnerships/Engagement in the SNSC Program
The School Nurse Services Program is embedded in the local community and works with a diverse group of stakeholders.  Stakeholders range from informational to curriculum recommendations and provide a wide range of opportunities for SNSC candidates to participate in practicum experiences.  In addition, stakeholders bring to the SNSC program discussion of hands-on current medical practice, scholarship opportunities, and SNSC program resources.  Many of the stakeholders are graduates of the SNSC program at Fresno State in the past.

The CSUF School Health Advisory Panel
One example of stakeholder involvement is our CSUF School Health Advisory Panel (SHAP), which meets bimonthly to interface with stakeholders and to engage in program improvement and innovation.  The SHAP consists of Health Services Coordinators/Lead Nurses from school districts in the Central Valley of California. Many of the attendees  worked with or attended the CSU Fresno SNSC program in the past. These nurse leaders meet to discuss current issues in school nursing and the application of school nursing in the school setting. During this meeting the SNSC program gives an update on current challenges and concerns and receives feedback on potential program improvement areas.  This provides an opportunity to discuss any concerns with individual students. Additionally, the meetings are held at Valley Children’s Hospital, a premiere hospital in the Central Valley.  Meetings at this location provide the participants with the ability to speak with personnel from various clinics in the hospital to assist in keeping nurse leaders up to date on medical management of health issues affecting children of all ages. The Valley Children’s Hospital provides professional opportunities that we share with our candidates to assist with professional development.  VCH has been actively reaching out to the SHAP to explore ways they can help support school nurses in the Central Valley.  Recent Central Valley SNSC graduates have joined the SHAP for support in their small districts, plus a student is invited each year to share their perspective on the SNSC program.

Preceptor's Input
Collaboration with school districts is an important part of the program, providing school site preceptors with direct contact between the SNSC program faculty and candidates. Practicum evaluations provide opportunity for individual student skill levels to be assessed and, if needed, learning goals modified. If a preceptor has concerns about a candidate the mid year conference is an opportunity for faculty/preceptor/student consultation and feedback.  Preceptors document skills in professional management and dispositions as well as individual school nurse skill sets. They also recommend a candidate for credentialing. Program coordinators monitor any concerns about a student's progress and invite feedback from faculty if remediation is needed.  At the end of the semester preceptors also evaluate the course giving suggestions as to content and method which is used to assess for future curriculum changes.

Preceptor Evaluation of Course 
Likert Scale: 5=Excellent  4=Very Good  3=Good  2=Fair  1=Poor

 

• _{(Preceptor Syllabus)}
• _{(Preceptor Evaluation Comments N186)}
• _{(Preceptor Evaluation Comments N187)}

Employer/Supervisor Input
The Employer/Supervisor Survey of Program Effectiveness is given at the end of the program to District Health Services Administrators/Superintendents who employ or supervise program candidates.  These aspects look at how the program prepares students in health assessment areas to improve and support a student’s ability to learn. This is usually mailed one year after the candidates have graduated.  As noted in Standard 1, feedback from employers/supervisors is minimal but the overall rating is positive in areas related to candidate support in practicum/fieldwork areas.

• (Employer/Supervisor survey data)

Candidate Input
Candidates have the ability to affect the program in their course evaluations as well as end of program summaries of goals and objectives achieved.  

Mechanisms to Collect Candidate Feedback and how data are used:

Student Voices-Candidate Evaluation of Program Experience

FRESNO STATE SNSC CANDIDATE EVALUATION COMMENTS 2016-2020

• Thank you in advance for a wonderful year of education.  I truly feel that I have gained a tremendous amount of knowledge that will serve to enhance my practice as a school nurse.  It's been worth every minute. With sincere gratitude and respect, MM.
• I enjoyed the learning opportunities in this program and appreciated the pleasant and informative interactions with you via Blackboard and email throughout each semester. Thank you for a well-planned and organized program. 
• I want to thank you so much for your instruction and guidance this past year.  It is a very rigorous program, but has been extremely beneficial.  Thank you! Alisa
• Thank you for your wonderful school nursing credential classes. I am grateful that I took your classes. I have more confidence in school nursing.
• Thank you for the guidance as the moderator/instructor for the classes and facilitating my growth as a school nurse.
• I thank you Patricia for your undying patience and guidance.  You and Candy are by far my favorite teachers in my life long career of nursing. Restfully, Sheryl
• Thank you so much for your guidance through the entirety of the credential process.-Stephen
• Instructors were easy to get hold of and I learned a lot from fellow classmates.  There was a wide variety of topics and resources.
• The course gave me more confidence, knowledge, and allowed me to grow professionally to handle future situations.
• The course was perfect and I loved it!  I learned a lot from the research questions and we got to pick what was new to us.  I saved all of the presentations.
• I loved learning from other school nurses and it was great having opportunities to share information.  Assignments complimented our roles as school nurses.
• I learned so much with the Power points and resources.  I loved the class and would highly recommend it.
• Instructors and fellow students were amazing.  I felt I received an excellent education.
• As this is  my 7th year as a SN I did not think I had much to learn..I was pleasantly surprised!

Thoughts about Preceptors….

• My preceptor was so professional, yet warm, patient, flexible and knowledgeable!
• Preceptor was very educated and experienced school nurse.  She was very supportive as she juggled extra work duties.
• A wonderful experience, a valuable resource, always available to answer questions using critical thinking skills.
• Amazing preceptor who was very supportive of my journey this semester and routinely served as a sounding board for my experience and offered solutions to my questions about how to be a better school nurse.  Highly recommended.
• An excellent preceptor in guiding me to reach and achieve my goals.

Summary of Findings 3c
SNSC works with a variety of stakeholders both to improve the program quality and impact but also to make sure the program stays current in the ever changing medical climate.  The School Health Advisory, consisting of School Nurse administrators and leadership, supports candidates and resources, Preceptors provide hands-on recommendations for candidates, and data from the Employer/Supervisor survey gives the School Nurse Credential program high marks in the practicum experience and states the SNSC program adequately prepared school  nurses to fulfill the role of the professional school nurse in meeting the healthcare needs of the students in their districts.  Finally our candidates have a voice in reviewing the program content and impact.  In evaluations candidates state that the SNSC program has had an important impact on their ability to improve and perfect the professional role of the school nurse in order to better serve the students, school staff  and families under their watch.

Aspect D →