Using the Kotter model as a framework, the Steering Committee identified goals for Curriculum 2019. A list of stakeholders and School of Nursing leaders was generated, and individuals were contacted via email to schedule interviews. The email included questions aimed at identification of goals, challenges, and resources, which were then discussed during the interview. Benchmarking of comparable institutions was completed and reviewed. The SON Faculty Curriculum Assessment survey was developed and sent to faculty to identify strengths, weaknesses, opportunities, and threats that impact curricular change at our SON.

The Steering Committee met with Dean Peragallo Montano monthly to provide an update on progress and ensure alignment with the vision for the School and University, and national trends. Minutes from all meetings were recorded and later reviewed to identify gaps and areas that needed further development. The minutes and other Committee information are available to SON faculty and staff on the 2019 Curriculum Committee Sakai site.

The goal of this effort was to reach data saturation. The Steering Committee continuously reviewed interview minutes and notes, immersed themselves current national recommendations and literature, and consulted with educational experts to develop and define ten core tenets of the Curriculum called “The Carolina Core.”

The Steering Committee (in consultation with Dean Peragallo Montano) used the data to make recommendations for overall curricular and program changes. SON Faculty were updated through the Curriculum 2019 Sakai  announcements; and all Phase I collected resources may be found in the resource section of the Curriculum 2019 Sakai site.

Interviews were conducted with the following stakeholders:

UNC SON Administration

Nilda (Nena) Peragallo Montano, DrPH, RN, FAAN, Dean, School of Nursing
Office of Student Affairs: Kathy Moore, MSN, RN, Assistant Dean
Office of Academic Affairs: Peggy Wilmoth, PhD, MSS, RN, FAAN, Associate Dean
Office of Advancement & Alumni Affairs: Anne Webb, Assistant Dean
Office of Research Support & Consultation: Ruth Anderson, RN, PhD, FAAN, Associate Dean
Office of Diversity & Inclusion: Rumay Alexander, EdD, RN

UNC SON Program Directors (before fall 2017)

PhD Program: Barbara Mark, PhD, RN, FAAN
MSN/DNP Program: Jennifer D’Auria, PhD, RN, CPNP
BSN: Julie Page, EdD, MSN, RN (incoming); Beverly Foster, PhD, RN (outgoing)

UNC SON Assistant Deans (beginning fall 2017)

PhD: Linda Beeber, PhD, RN, CS
DNP: Jennifer D’Auria, PhD, RN, CPNP
MSN: Cheryl Giscombe, PhD, RN, PMHNP-BC
Undergraduate: Anita Tesh, PhD, CEA-II, CNE, ANEF, RN
Practice: Tom Bush, DNP, FNP-BC, FAANP

UNC SON APA Coordinators

Family Nurse Practitioner: Diane Caruso, DNP, RN, FNP-BC
Adult-Gerontology Primary Care Nurse Practitioner: Elaine Harwood, DNP, RN, FNP-BC
Pediatric Nurse Practitioner, Primary Care: Amanda Davis, DNP, RN, CPNP & Ann Jessup, PhD, RN, FNP-BC
Psychiatric Mental Health Nurse Practitioner: Cheryl Giscombe, PhD, RN, PMHNP-BC
Health Care Systems: Meg Zomorodi, PhD, RN

UNC School of Pharmacy Curriculum Revision Committee

 Wendy Cox, PharmD, & Scott Singleton, PhD

Internal Consultants

 Education, Innovation, Simulation Learning Environment: Carol Durham, EdD, RN, ANEF, FAAN, Professor and Director
 Hillman Scholars Program: Cheryl Jones, PhD, RN, FAAN
 AHEC Statewide Nursing Liaison: Mary Schuler, EdD, MSN, RN, CNE
 Cathy Madigan, DNP, RN, NEA-BC, Senior Vice President & Chief Nursing Officer, UNC Hospitals
 Steve Matson, PhD, Dean, & Stephanie Schmitt, PhD, MPA, Associate Dean for Academics, The Graduate School, UNC

External Consultants

 Linda Norman, DSN, RN, FAAN, Dean, Vanderbilt University SoN
 Bobby Lowery, PhD, RN, FNP-BC, FAANP, Education and Advanced Practice Nursing Consultant, NC Board of Nursing
 Karen Stallings, MED, RN, FAAN, Associate Director AHEC
 Rick Garcia, PhD, RN, CCM, Director of Nursing Education, AACN

 Nursing in UNC System Schools
 Comparing UNC to ECU
Recent NIH Funding among Schools of Nursing

Peer Institutions

  1. Arizona State University
  2. Boston College
  3. Case Western University
  4. Columbia University
  5. Duke University
  6. Emory University
  7. Johns Hopkins University
  8. New York University
  9. Northeastern University
  10. Ohio State University
  11. Oregon Health and Sciences University
  12. Rush University
  13. UCLA
  14. University of Arizona
  15. University of Colorado
  16. University of Illinois Chicago
  17. University of Iowa
  18. University of Maryland Baltimore
  19. University of Michigan
  20. University of Minnesota Twin Cities
  21. University of Pennsylvania
  22. University of Pittsburgh
  23. University of Texas at Austin
  24. University of Virginia
  25. University of Washington
  26. University of Wisconsin Madison
  27. Vanderbilt University
  28. Villanova

  1. Arizona State University
  2. Augusta University
  3. Case Western Reserve University
  4. Columbia University
  5. Duke University
  6. Emory University
  7. Georgetown University
  8. Indiana University-​Purdue University—​Indianapolis
  9. Johns Hopkins University
  10. Medical University of South Carolina
  11. New York University (Meyers)
  12. Ohio State University
  13. Pennsylvania State University—​University Park
  14. Rush University
  15. Rutgers University—​Newark
  16. University of Alabama—​Birmingham
  17. University of California – Los Angeles
  18. University of California San Francisco
  19. University of Colorado Anschutz Medical Campus
  20. University of Illinois—​Chicago
  21. University of Iowa
  22. University of Maryland—​Baltimore
  23. University of Michigan—​Ann Arbor
  24. University of Minnesota- Twin Cities
  25. University of Pennsylvania
  26. University of Pittsburgh
  27. University of San Francisco
  28. University of Texas Health Science Center—​Houston
  29. University of Texas—​Austin
  30. University of Utah
  31. University of Virginia
  32. University of Washington
  33. Vanderbilt University
  34. Yale University

  1. Arizona State University
  2. Case Western Reserve University
  3. Columbia University
  4. Duke University
  5. Emory University
  6. Georgetown University
  7. IUPUI
  8. Johns Hopkins University
  9. Medical University of South Carolina
  10. New York University (Meyers)
  11. Ohio State University
  12. Rush University
  13. Rutgers University —​Newark
  14. University of Alabama—​Birmingham
  15. University of California – Los Angeles
  16. University of California San Francisco
  17. University of Colorado Anschutz Medical Campus
  18. University of Illinois—​Chicago
  19. University of Iowa
  20. University of Maryland—​Baltimore
  21. University of Michigan—​Ann Arbor
  22. University of Minnesota—​Twin Cities
  23. University of Pennsylvania
  24. University of Pittsburgh
  25. University of Texas Health Science Center—​Houston
  26. University of Utah
  27. University of Virginia
  28. University of Washington
  29. Vanderbilt University
  30. Yale University

The curriculum committee sent an 8-question survey to all School of Nursing faculty.  Overall, 89 of 170 faculty responded to the survey, which was a 52% response rate. Faculty noted that our School of Nursing has strong faculty, excellent students, and robust research.

Survey Questions

  1. The goal of our School of Nursing is to be the #1 Public Nursing School in the country. What do you think we need to do to achieve this goal? Please be as specific as possible.
  2. Why do you think we have not already done what you suggested above?
  3. Are there specific barriers you see in our moving forward to become the best public university in the country?
  4. If there is any additional information that you would like to add that can assist the curriculum committees, please enter it here.
  5. Because we want you to answer a few questions about one of the SON curricula, please indicate the one program with which you are most familiar:
  6. When you think about the program you are most familiar with, what are we currently doing well?
  7. When you think about the program you are most familiar with, what is missing and should be added?
  8. When you think about the program you are most familiar with, what are we currently doing that needs to be deleted?

Results

 To become the #1 public university, general themes identified from the survey include the need to:

  • Provide faculty development about teaching innovations,
  • Integrate theory, research, and practice to promote & disseminate evidence based practice,
  • Increase focus on leadership, scholarship, and clinical skills
  • Develop proactive curriculum that addresses workforce needs.
 Programmatic issues and themes identified include:

  • Provision of a seamless transition for student progression,
  • Increase online and hybrid offerings,
  • Offer more elective options,
  • Create innovative clinical opportunities,
  • Increase enrollment, and
  • Provide more opportunities for recruitment and retention of diverse students and faculty.

Faculty were asked at the beginning of the survey to select one program as their primary teaching focus to guide their responses. Specific themes identified related to each program include:

 ABSN – 7 participants selected ABSN as their primary teaching focus. Foci identified include:

  • Addressing long class days (6 hours of class),
  • Consider increasing early program coursework,
  • Increase cohesion across the programs,
  • Thread courses throughout the curriculum,
  • Increase efficiencies such as Exam Soft, and
  • Increase use of simulation.

 BSN – 26 participants selected BSN as their primary teaching focus. Foci identified include:

  • Increase lab, clinical, and simulation;
  • Teach across the lifespan,
  • Increase cohesion across the programs,
  • Content mapping of courses,
  • Focus on common healthcare needs (mortality and morbidity),
  • Address large class sizes, and
  • Prepare students for the workforce (not just NCLEX).

 MSN – 49 participants selected MSN as their primary teaching focus. Foci identified include:

  • Offer more online/hybrid offerings,
  • Integration of business skills, policy, leadership in coursework,
  • Offer more opportunities for growth of preceptors and faculty,
  • More collaboration of faculty for understanding across coursework,
  • Improve evidence based practice implementation, and
  • Offer more QSEN content and interprofessional learning opportunities.

 DNP – 7 participants selected DNP as their primary teaching focus. Foci identified include:

  • Reduce overlap between the MSN/DNP,
  • Scaffolding of content,
  • Define the role of the DNP,
  • Provide clarity and innovation around the DNP projects, and
  • Offer online coursework.