Nursing, B.S.

Nursing

Mission

In accordance with Neumann University’s Mission and Vision Statements, the purpose of the Nursing Programs is to enhance professional nursing practice and foster the provision of quality nursing education and care in the Franciscan tradition to persons of diverse populations, in varying circumstances and environments. Franciscan values and tradition are linked to a strong liberal arts and professional education. Graduates of the Baccalaureate and Master’s Nursing Programs will have the knowledge, skills, and attitudes required for competent, ethical, professional practice; for lifelong development of that practice; for advanced study in nursing; and for fulfillment of professional and societal responsibilities.

Philosophy

The Neumann University Core Values of reverence, integrity, service, excellence, and stewardship infuse the educational process of the professional nurse. Neumann University students learn the art and science of nursing in a caring educational community. The science of nursing is based on clinical reasoning derived from the liberal arts and sciences, and theories of nursing. The art of nursing is based on ethical behavior, caring, and respect for human dignity.

Franciscan values provide a central focus for care of persons within the multicultural local, regional, national, and global communities.

Persons are holistic beings with interdependent physical, psychological, sociocultural, political, interpersonal, and spiritual dimensions. The discipline of nursing promotes evidence-based, patient-centered healthcare, and reflects advances in nursing, inter-professional practice, and technological knowledge. The overall goal of nursing is to maintain the highest level of health for persons along a continuum of wellness to illness.

Through the educational process, students develop the foundation for clinical reasoning, effective communication, competent delivery of quality care, research, professional accountability, advocacy, and leadership. Baccalaureate education provides the foundation for the development of professional knowledge, skills, and attitudes. Master’s specialty education prepares the nurse with advanced knowledge, skills, and attitudes to practice as primary care providers.

Graduates of Neumann University Nursing Programs are prepared to practice to the full extent of their educational preparation. Graduates will provide leadership to influence the profession of nursing and effect health care practice within increasingly complex systems of care.

Nursing Policies

Students are responsible for policies and requirements related to the Nursing major that appear in this Catalog and the Undergraduate Nursing Student Manual.

Bachelor of Science Options

Qualified students of all ages with a high school diploma, college or university credits, degree in another field, licensed practical or vocational nursing (LPNs) are encouraged to pursue a Bachelor of Science degree with a major in Nursing.  The degree may be pursued on a full-time or part-time basis.

The Full-time Day Nursing Course Sequence Option (12 or more credits per semester, fall and spring):

The Full-time Option is available to recent high school graduates, students transferring from another college or university, students with a baccalaureate degree in another field, Licensed Practical Nurses (LPNs). By successfully completing all required courses in a prescribed sequence of study, students who are enrolled as full-time (e.g. registered for 12 - 18 credits per semester), may complete the Nursing Program in four years.  Classes are conducted during the week. Clinical and laboratory experiences may be scheduled weekdays or weekends, days or evenings, depending on site and faculty availability.

The Part-time Evening Nursing Course Sequence Option (less than 12 credits per semester, fall, spring and summer):

The Part-time Option is available to available to high school graduates, students transferring from another college or university, students with a baccalaureate degree in another field, or Licensed Practical Nurses (LPNs). After completing all required courses in a prescribed sequence, students following the part-time nursing course sequence may finish the nursing courses in seven semesters, including summer.  Nursing classes are conducted during the week beginning at 5:30 PM. Clinical and laboratory experiences may be scheduled weekdays or weekends, days or evenings, depending on site and faculty availability.  *

The time for program completion for transfer students will depend on whether the student elects full-time or part-time study, the number of credit hours accepted in transfer from a regionally accredited college or university, CLEP Examinations, and/or Challenge Examinations that measure specific subject knowledge learned through previous study.

Accreditation

Neumann University’s Baccalaureate Nursing Program is accredited by the Accreditation Commission for Education in Nursing, Inc [ACEN]., 3390 Peachtree Road, NE, Suite 1400, Atlanta, GA 30326; Telephone: 1-404-975-5000; Fax: 1-404-975-5020, or www.acenursing.org.

The most recent accreditation decision made by the ACEN Board of Commissioners for the baccalaureate nursing program is Continuing Accreditation.

The Baccalaureate Nursing Program is apporved by the Pennsylvania State Board of Nursing, P.O. Box 2649, Harrisburg, PA 17105; Telephone: 717-783-7142; Fax: 717-783-0822 or https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Nursing.

Student Learning Outcomes

Upon completion of this program, the graduate will earn a Bachelor of Science with a major in Nursing and will be able to:

• Synthesize theories and concepts from the humanities and fine arts, and the physical, behavioral, social, and nursing sciences as a foundation for practice.
• Ensure provision of holistic, compassionate nursing care in all settings with individuals from diverse backgrounds across the lifespan.
• Integrate evidence-based knowledge and clinical reasoning in the delivery of safe, effective, and efficient nursing care.
• Integrate information systems and health technologies in the provision of nursing care.
• Examine the implications of health policy on issues of access, equity, affordability, and social justice in health care delivery.
• Implement leadership strategies to promote quality health care delivery through communication, collaboration, coordination, and consultation with individuals, families, communities, and members of the interdisciplinary team.
• Incorporate health promotion and disease and/or injury prevention when caring for individuals, families, communities, and populations across the health care continuum.
• Assume personal responsibility for excellence in practice, lifelong learning, and professional growth and development.
• Integrate the Nursing Code of Ethics and Franciscan values (reverence, integrity, service, excellence, and stewardship) in professional practice.

Admission Criteria

Freshman/First-Year Students who intend to apply for admission to the Nursing major are required to:

• Have a minimum SAT (Verbal and Math) score of 970.
• Have earned a high school grade point average of at least 3.00 on a 4.00 scale.
• Have earned a grade point average of 80% based on Algebra and Geometry, Algebra II, Pre-Calculus, or Calculus.
• Pursued a high school program of study which includes, at a minimum:
  • 4 years of English
  • 3 years of Social Studies
  • 2 years of Mathematics (including 1 year of Algebra I and 1 year of Geometry or Algebra II).
  • 3 years of Science (including 1 year of Biology with a laboratory component, and 1 year of Chemistry with a laboratory component).

Transfer Students who intend to apply for admission to the Nursing major are required to have a minimum cumulative 2.5 grade point average on a 4.0 scale from all colleges or universities attended.

*For students from a non-English speaking country or for whom English is a second language, results of the Internet-based Test of English as a Foreign Language (TOEFL) or the Michigan Language Assessment Battery (MELAB) must be submitted. For admission, the Nursing Program requires an Internet-based TOEFL with a minimum overall score of 80 and a minimum score of 26 on the verbal subtest; the MELAB requires a minimum overall score of 81 with a speaking score of 3. 

Limitation on Transfer Credit

In addition to the University requirement of a grade of “C” or better, college courses in anatomy and physiology, microbiology, chemistry, statistics, nutrition and developmental psychology must have been taken within five years of start date to the University.

All pre-licensure candidates for admission to the Nursing major are required to:

• Achieve a grade of “C” or higher in every required allied course taken to date.
• Achieve a minimum cumulative GPA of 3.0, or the equivalent in transfer credits as approved by the Registrar, based upon the first time a final grade is assigned in the following courses: Microbiology & Lab, Anatomy & Physiology I & Lab, Anatomy & Physiology II & Lab, and Chemistry 101/111, Fundamentals of Chemistry & Lab. Please note that the required chemistry course or courses must provide content in general chemistry (inorganic), organic, and biochemistry.
• Earn an overall minimum cumulative GPA of 2.50 at the time of formal application to the major.
• Successfully complete NUR 205 Fundamentals of Professional Nursing Practice (required pre-major course with a minimum grade of “C”).
• Additional information for International Students and specific English language requirements appear in the Admission section of this catalog.

Participation in the Program

Nurses must be able to function safely and effectively in a wide variety of clinical situations. To become a licensed professional nurse, certain types of learning, including clinical training, are required; and specific legal standards must be met as well. The threshold for participation in the Neumann University Nursing Program, then, is whether the prospective student can meet both academic and technical standards, and can qualify under licensing law and other applicable laws, rules, and standards.

In preparation for professional nursing roles nursing students at Neumann University are expected to demonstrate the ability to meet the demands of a professional nursing career. The goal of Neumann University is to prepare every nursing student to think critically, and practice nursing competently with compassion in a rapidly changing practice environment. All efforts are designed to build nursing knowledge, foster professional integrity, and ultimately improve the health outcomes of patients, families, and communities across the continuum of care. Certain functional abilities are essential for the delivery of safe, effective nursing care. Qualified applicants and students are expected to meet all admission criteria, as well as technical standards with or without reasonable accommodations within the confines of safety to the patient and the student. Qualified applicants and students are expected to satisfactorily demonstrate these standards for progression through the program.

Reasonable accommodations will be considered on a case by case basis for individuals who meet eligibility under applicable statutes. Any person expecting to need accommodations should request them through the University Office of Disabilities Services prior to beginning the program, as some accommodations may not be considered reasonable and may impact an applicant’s ability to complete all components of the program.

The technical standards that have been identified as necessary to participate in the nursing curriculum are the following:

General Abilities: The nursing student is expected to possess functional use of the senses of vision, touch, hearing, and smell so that data received by the senses is able to be integrated, analyzed and synthesized in a consistent and accurate manner. The student must be able to perceive pain, pressure, temperature, position, vibration, and movement that are important to the student’s ability to gather significant information needed to effectively evaluate patients. A student must be able to respond promptly to urgent situations that may occur during clinical training activities and must not hinder the ability of other members of the health care team to provide prompt treatment and care to patients.

Observational Ability:  The student must have sufficient capacity to make accurate visual observations and interpret them in the context of laboratory studies, medication administration, and patient care activities.  The student must possess the functional use of senses and sufficient motor capacity to carry out the necessary assessment activities. The student must also be able to document assessment findings.

Communication Ability: The student must be able to communicate effectively both verbally and non-verbally to elicit and explain information to others. Each student must have the ability to read, write, comprehend, and speak the English language to facilitate communication to patients, families, and other members of the healthcare team. The student must be able to maintain accurate patient records, present information in a professional, logical manner, and provide counseling and instruction to effectively care for patients and their families. The student must possess verbal and written communication skills that permit effective communication with instructors and students in the classroom, laboratory, and clinical settings. 

Motor Ability: The student must be able to perform gross and fine motor movements with sufficient coordination needed to perform complete physical examinations using the techniques of inspection, palpation, percussion, auscultation.  The student must develop the psychomotor skills to perform or assist with procedures, treatments, administration of medications, and the management and operation of diagnostic and therapeutic medical equipment. The student must have sufficient levels of neuromuscular control, manual dexterity,  and eye-to-hand coordination as well as possess the physical and mental stamina to meet the demands associated with extended periods of sitting, standing, moving, and physical exertion required for satisfactory and safe performance in the classroom, laboratory, and clinical settings, including performance of CPR. .  Patient and student safety is of utmost concern.

Intellectual -Conceptual Ability: The student is expected to have the ability to develop and refine critical thinking and problem-solving skills essential to nursing practice.  This requires the ability to establish plans of care and set priorities. The student must be able to measure, calculate, reason, analyze and synthesize objective and subjective data and make decisions, often requiring immediate action or attention that reflect consistent and thoughtful deliberation. . The student must possess the ability to incorporate components of evidence in research and the literature, clinical expertise, and patient/family values to formulate sound judgement in assessment, analysis of information, planning, implementation, and evaluation and setting short- and long-term goals.

Behavioral and Social Attributes:  Compassion, integrity, motivation, effective interpersonal skills, and concern for others are personal attributes required for nurses Personal comfort and student acceptance is necessary when functioning under the supervision of a clinical instructor or preceptor.  The student must fully utilize intellectual capacities that exercise sound judgment, complete assessment and intervention activities, and develop sensitive interpersonal relationships with patients, families, and other health team members. Students are expected to have the ability to establish rapport and maintain sensitive and confidential interpersonal relationships with individuals, families, and groups from diverse social, emotional, cultural, and intellectual backgrounds. The student is expected to have the flexibility to function effectively under stress, including emergency situations. The student is expected to be able to learn to adapt to changing environments, to display flexibility, arrive on time and meet the demands for timely performance of duties, accept and integrate constructive criticism given in the classroom and clinical/laboratory settings; and effectively collaborate in the clinical setting with other members of the healthcare team.

References:

AACN.nche.edu/educational resources/Technical_Standards.pdf (Retrieved October 11, 2015)  

QSEN. (2014, October 8). QStudent #4 Evidence Based Practice.

            https://qsen.org/evidence-based-practice/

Progression Criteria/Degree Requirements

Progression in the Nursing major is based on academic achievement, clinical practicum performance, laboratory performance, and professional behavior.

As students of Neumann University, Nursing majors are expected to comply with the University’s Student Affairs Policies and Code of Conduct as posted on the University web site.

The Code of Ethics for Nurses with Interpretive Statement (American Nurses Association, 2015) identifies the ethical values, duties, and commitments of professional nurses. It is expected that all Nursing majors will adhere to the provisions of this Code. Any violation of the Code constitutes grounds for course failure or dismissal from the Nursing Program.

The Code emphasizes:

1. Compassion and respect for others.
2. Professional relationships and boudaries.
3. Protection of the rights of others.
4. Personal accountability and responsibility.
5. Integrity and duties to self and others.
6. Ethical behavior and values.

Progression in the Nursing major leading to a Bachelor of Science degree requires students to:

• Maintain a minimum cumulative GPA of 2.50.
• Achieve a grade of “C” or higher in every required Allied course.
• Achieve a grade of “C” or higher in every Nursing theory course.
• Achieve a grade of “Pass” in every Nursing Clinical Practicum/Laboratory course.
• Complete a minimum of 122 credits, including all required core, allied and nursing requirements.
• Complete standardized Nursing examinations at intervals during their baccalaureate program.

The School of Nursing and Health Sciences have determined that all students are to be assessed according to the following grading scale for all Nursing theory courses for which they have registered. Final course grades, expressed to the hundredths place, will not be rounded to the nearest whole number. As an example, a final course grade of 76.95 yields a course grade of D+. Therefore, the minimum passing grade earned in theory courses must be 77.00.

Laboratory and/or clinical practicum courses provide students with the opportunity to apply theoretical concepts to clinical practice and are graded as Pass or Fail. Students must earn a grade of “Pass” to successfully complete the laboratory and/or clinical practicum courses.

The application of theory in practice is integral to professional nursing practice. Therefore, students must pass theory courses with a grade of 77.00 (C) and associated laboratory and/or clinical practicum courses with a grade of “Pass” to progress.

When a grade less than 77.00 is earned in a theory course, the course must be repeated. When a grade of “Fail” is earned in a laboratory and/or clinical courses, the course must be repeated.

When students withdraw from a theory course, they must withdraw from the associated laboratory or clinical course if the laboratory or clinical course has not been completed. However, students who withdraw from a laboratory or clinical course may remain in the associated theory course.

Required Nursing and Allied courses may be repeated only one time, whether the repetition is a consequence of student withdrawal from a course, institutional withdrawal from a course, theory course grade of less than “C” in Nursing or Allied courses, science lab grade less than “C”, or a nursing laboratory /clinical course grade of “Fail.” The student must successfully complete the repeated course with a minimum grade of “C” or “Pass” the second time enrolled. 

Failure to earn a minimum grade of 77.00 “C” or ”Pass in a repeated Nursing course will result in the student’s dismissal from the Nursing major.

Failure to earn a minimum grade of 77.00 “C” or “Pass” in more than one nursing course will result in the student’s dismissal from the Nursing major.

If a student is unsuccessful in any of the following nursing courses; NUR 206, 305, 330, 306, 340, 405, 430, 440, or 499, the student must:

A. Repeat the theory course within 2 semesters (excluding the summer semester).

B. Repeat the concurrent clinical/lab course(s) along with repeating the theory course(s) if the student exceeds the 2-semester time limit.

Students seeking to repeat a course will only be enrolled after all students registering for the first time are accommodated. Enrollment of students repeating the course is dependent upon the availability of clinical facilities and staffing and cannot be guaranteed.

All degree requirements must be completed within five years after beginning the first Nursing major course,NUR 206 Health Assessment and Modalities  or its equivalent. Exception to this time limitation must be applied for in a written request submitted to the Dean, School of Nursing and Health Sciences before the end of the five-year period. The request for extension must include the situation(s) contributing to the need to extend the program beyond five years.

Clinical Practice Requirements

In as much as it is possible, clinical experiences are scheduled during the weekdays or weekend days for Nursing majors enrolled in the Full-time Nursing Course Sequence and during weekend days for Nursing majors enrolled in the Part-time Nursing Course Sequence. However, all students are advised that agency and faculty availability may require clinical attendance during weekdays, weekends, and/or evenings to assure that all who are registered for a specific course have the opportunity to meet the course/clinical/laboratory objectives during the semester of enrollment.

During the last semester of enrollment, students enrolled in both Full-time and Part-time Nursing Course Sequences will have clinical experiences during the day with laboratory experiences during the day, evenings, and/or weekends. Inability to meet practice requirements will prevent laboratory and/or clinical participation and will result in laboratory or clinical failure.

These Clinical Practice Requirements apply to all Nursing majors, both full-time and part-time.

Nursing License and Liability Insurance

LPNs who are pursuing the Bachelor of Science with a major in Nursing option must provide evidence of a current and unencumbered (unrestricted) license as a practical or vocational nurse from Pennsylvania or their state of practice.

Basic Life Support Certification

Prior to the first clinical Nursing major course(s), each student is required to present proof of certification in American Heart’s Association’s Basic Life Support for the Health Care Provider. Thereafter, evidence of current recertification must be presented to the Dean’s office. Failure to provide evidence of certification will prevent participation in clinical experiences.

Health Standards

The Nursing Program Health Standards Form must be completed and submitted to the Dean’s Office prior to beginning clinical courses in the Nursing major and, thereafter, updated annually. Forms are available from the Dean’s Office. These Health Standards policies apply to all Nursing majors, both full-time and part-time.              

Medical Insurance           

The student is responsible for maintaining current medical insurance and for notifying the Dean’s office immediately of any changes in his/her status of medical insurance coverage. Failure to maintain medical insurance or health standards will prevent participation in laboratory and clinical experiences. 

Clearances

Students are required to submit to annual substance abuse screening prior to clinical placement and random screening during clinical experiences, or if there is reasonable suspicion of drug or alcohol abuse in classroom, laboratory, or clinical settings. Students testing positive will be referred to Counseling and Health Services for assessment and assistance with their substance abuse. Such referral, however, will not preclude the University from taking other disciplinary actions, up to and including removal from the clinical placement (which may result in failure to meet degree requirements) and/or expulsion from the program/University, depending upon the circumstances. Refer to the Undergraduate Nursing Student Manual for further details.

LPN students with a positive substance abuse screening will be reported to the State Board of Nursing, as required by state law. Students are responsible for costs incurred for these screenings. For additional information refer to the Undergraduate Nursing Bulletin

Students are also required to apply for, obtain, and present to the Dean’s office a current FBI Fingerprint Clearance, State Child Abuse and Elder Abuse Clearances and Criminal Background Clearances, as required by clinical agencies, prior to their participation in clinical courses. Clearances must be in the state of residence and Pennsylvania. A criminal record and/or a history of child or elder abuse may prohibit clinical placement and, subsequently, result in failure to meet degree requirements. Clearances must be updated annually.

State Boards of Nursing may deny or revoke licensure when the applicant “has been convicted, has pleaded guilty, has entered a plea of nolo contendere, or has been found guilty by a judge or jury of a felony or crime of moral turpitude; or received probation without verdict, disposition in lieu of trial or an Accelerated Rehabilitative Disposition in the settlement of felony charge.” Similarly, “possession, use, acquisition, or distribution of a controlled substance or caution legend drug for other than an acceptable medical purpose” may be cause for denying application for professional licensure (Commonwealth of Pennsylvania, Professional Nursing Law, Act 69, Section 14).

Transportation

Each Nursing student is responsible for transportation to and from clinical practice sites throughout the entire Nursing Program. Transportation requires that each student has personal access to a car.

Clinical Arrival

The student is responsible to arrive at the unit assigned in the clinical agency at least 10-15 minutes before the prescribed time. If the student anticipates being late or absent they must notify the instructor and/or agency according to course policy and instructor direction.

Clinical/Laboratory Absence

All clinical and laboratory experiences are important to student learning and, therefore, are required. Excessive absence prevents consistent demonstration of learning and skill mastery in the clinical and/or laboratory areas.

All clinical and laboratory experiences are required. All clinical and laboratory absences will be made up. There will be no fee imposed for the make-up of the first excused clinical/laboratory absence. A Clinical/Laboratory Absence Contract must be completed by the student and faculty member for any make-up experiences. Charges to the student account for any unexcused absence or a second excused absence will be imposed at a rate set by the University. 

For continuing students, this fee must be paid to the Business Office no later than the first day of the next semester. A clearance from the Business Office must be presented to the Dean’s Office to participate in the Nursing course (s). For seniors in their final semester, this fee must be paid to the Business Office to graduate.

The day and time of any clinical/laboratory make-up is at the discretion of the agency, course coordinator and faculty member. To return to clinical, a statement from the student’s health care provider and/or University Health Services will be requested by the faculty member when the student absence is related to illness, injury, or health status.

A course grade of Incomplete (“I”) will be assigned until all required clinical and/or laboratory make-up experiences have been completed. Policies related to progression and graduation, appearing in this catalog, will apply. In a situation such as a labor dispute, agency or program problem, and/or an act of God/natural disaster whereby the clinical/laboratory session becomes unavailable for the student experience, the Nursing Program becomes responsible for arranging the clinical/laboratory experience which is needed. No fee is incurred by the student in such an instance. It is expected that the faculty-student group will arrive at an agreeable schedule for supplemental experiences.  Further details regarding the Nursing Student Attendance Policy are published in the Undergraduate Nursing Student Manual on the University Nursing Website.

Nursing Practice Settings

Assignment of students to clinical practice settings and scheduling of experiences are the purview of course faculty with approval of the State Board of Nursing, agreement of the clinical agency and availability of clinical faculty. Agencies used for clinical laboratory experiences are contracted on an annual basis and may include, but are not limited to:

Delaware: Christiana Care Health Services, Inc.; Nemours, A.I. duPont Hospital for Children; Franciscan Health Care Center of Wilmington; HCA Rockford Center; and St. Francis Hospital.

Pennsylvania: Bayada Nurses Home Care Specialists; ChesPenn Health Services, Inc.; Chichester School District, Children Hospital of Philadelphia, Episcopal Hospital of the University of Pennsylvania; Interborough School District, Main Line Health Care System (Bryn Mawr Hospital, Home Care Network-Jefferson Health System, Riddle Memorial Hospital) ; Mercy Fitzgerald Hospital;Southeast Delaware County School District; Health Department, Southeastern District; Temple University Hospital; Thomas Jefferson University Hospital.

Nursing Policies

Students are also responsible for University policies published in the Undergraduate Catalog, and specific policies and requirements related to the Nursing major published in the Undergraduate Nursing Student Manual, available on the University Nursing web site.  

Exception to Policy Process

The Nursing Program adheres to the grievance procedure of the University; however, there are unique situations in the Nursing Program for which a student may request review and/or exception to a specific Nursing academic policy. Students are directed to meet with their Nursing academic advisor to discuss the procedure for submitting their request for a hearing by the Nursing Admissions and Progression Committee. The Committee meets regularly during the academic year; meetings are scheduled as needed during the summer.

Course Requirements (Pre-Licensure Full-Time Program)

Suggested Four-Year Pre-Licensure Full-Time Curriculum, Following the Day Nursing Sequence: 122 Credits