NURS 6620 Family Nurse Practitioner FNP Diagnosis and Management for Aging Families: Clinical Application

COURSE DESCRIPTION

The focus of this course is integration of the Family Nurse Practitioner’s (FNP) core knowledge in health promotion and diagnosis and management in the care of the mature and aging patient and families in the primary healthcare setting. Emphasis is placed on the care of mature and aging patients and families with acute and chronic complex health problems. In addition, the family nurse practitioner as a collaborative member of the interprofessional team will be emphasized.

CREDIT AND TIME ALLOCATION

Credit hour allocation: 6 semester credit hours
Clock hour allocation: 300 clock hours clinical practicum; 15 clock hours seminar

PREREQUISITES

NURS 6451 FNP Diagnosis and Management of Young Families: Concepts and Theory
NURS 6452 FNP Diagnosis and Management of Aging Families: Concepts and Theory

PROGRAM OUTCOMES

Upon completion of the Master of Science in Nursing Program (MSN) students will:

Integrate scientific findings from nursing and related sciences, including genetics and genomics, into the delivery of advanced nursing care to populations in diverse settings.
Demonstrate organizational and systems leadership to assure ethical and critical decision-making at all systems’ levels for quality and patient safety.
Incorporate performance improvement strategies for quality, safety, and patient-centered care delivery.
Use improvement science to achieve optimal patient care and care environment outcomes.
Integrate meaningful and usable information systems and healthcare technologies to support safe, quality patient care and healthcare systems effectiveness.
Advocate for policy changes that influence healthcare at appropriate levels.
Lead interprofessional teams using collaborative strategies to effect quality patient care and population health outcomes.
Analyze and incorporate broad ecological and social health determinants to design and deliver evidence-based clinical prevention and population healthcare and services to individuals, families, and aggregates/identified populations.
Integrate the advanced competencies expected of a master’s prepared nurse to design, deliver, and evaluate outcomes of systems of care for individuals, families, and diverse populations.

CLINICAL OUTCOMES

Provide patient-centered care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care to mature and aging patients and families during transitions and life-style adjustments as an integral member of the interprofessional team (Essentials I, VIII, IX).
Apply knowledge of acute and chronic illnesses to diagnose and manage mature and aging patients and families as health status varies (Essentials I, IV, IX).
Use evidenced-based guidelines related to patient health, disease management and prevention to impact health outcomes in this diverse population (Essentials I, IV, IX).
Use advanced diagnostic reasoning and differential diagnosis for disease management of the mature and aging patients and family (Essentials I, IV, IX).
Integrate history and physical exam data with the knowledge of pathophysiology of acute and chronic diseases to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions in this diverse population (Essentials I, IX).
Incorporate traditional and complementary pharmacological interventions into the treatment and management of illnesses (Essentials I, IX).
Integrate social, cultural, explanatory models and spiritual components in patient-centered plans of care for mature and aging patients and families (Essentials I, IX).
Integrate ethical principles in decision-making and demonstrate core professional values in the implementation of the nurse practitioner role (Essentials I, VIII, IX).
Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect (Essentials II, IX).
Use self-reflection to evaluate progress in professional development as an integral member of the interprofessional team (Essential II, VII, IX).

GRADING SCALE FOR GRADUATE COURSES

A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)

CRITERIA FOR EVALUATION / GRADES

Component/Item			Weighting	Description
1. Faculty Evaluations (2)			Pass/Fail	Faculty will complete an Evaluation of the Student prior to Midterm and prior to Final. Pass/Fail grade based upon student’s successful completion of the Clinical Requirements (Preceptor Feedback, Clinical Hours, and Patient Encounters Summary)* and the Faculty Site Visits.
2. OSCE (Objective Structured Clinical Examination)			Pass/Fail	Must earn at least 75% to pass and begin clinicals. Failure requires remediation and one opportunity to redo the OSCE.
3. Written Assignments			Pass/Fail	*Must earn 75% or better for all written assignments combined/averaged.
	*SOAP Notes (3)	45%
	*Seminar Patient Case Presentations (2)	10%
	*Patient Management Paper (1)	25%
	*Patient Management Presentation (1)	20%
	Total	100%
*Final Grade*			*Pass/Fail*	*Must pass all the criteria listed above to pass the course.*

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Component/Item	Weighting	Description
Preceptor Evaluations (Midterm and Final)	Required	Preceptor Evaluation of the student entered into Typhon by Mid-term and Final.
Clinical Hours Report (2)	Required	Student to submit summary of clinical hours at Midterm and Final. Clinical hours must total no less than 300 hours.
Typhon Patient Encounters Summary (2)	Required	Student to submit pie graph summary of the patient encounters at Midterm and Final. Students must enter every patient they see in the clinical setting within the week of seeing those patients.

WRITTEN ASSIGNMENTS

If written assignments are made in a course they are required.
Students are expected to submit written work on the scheduled date and time.
The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a “zero” for that written work.
If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
Each student is responsible for making sure that he or she has completed the written work prior to submission.
Late work will be accepted with consequences as outlined per course syllabi.

APA GUIDELINES

The APA Publication Manual 6th edition is required for use in all nursing school programs.