University of Delaware



University of Delaware - School of Nursing

College of Health Sciences

NURS 674: Psychiatric-Mental Health NP Practicum I

Course Description: This course provides the first clinical experience for psychiatric nurse practitioner students. Knowledge learned in the didactic course will be applied in the mental health care setting during mentored clinical experiences with selected patients across the lifespan. Students will develop advanced interviewing and assessment skills with selected clinical populations. Students will manage selected mental illnesses under the supervision of clinical preceptors. Students are expected to require a great deal of input from preceptors for clinical decision-making at this level. Emphasis will be placed on providing care within an interdisciplinary health care framework.

Credit Hours: 3

Co-requisites: NURS 671 Psychiatric-Mental Health NP I

Class (Day, Time, & Location): Hybrid format includes online (group supervision and discussion forums), classroom (on-campus immersion weekends), and clinical components.

Required on-campus weekend immersions (concurrent with NURS 671):

|Friday, Sept. 9, 2016 |9am - 3pm |STAR Campus Health Sciences Complex – |

| | |Conference Room 113 |

|Saturday, Sept. 10, 2016 | | |

|Friday, Nov. 18, 2016 | | |

|Saturday, Nov. 19, 2016 | | |

Group supervision sessions will be held via videoconference. Sessions to be scheduled.

Enrollment: Students admitted to the Psychiatric/Mental Health Nurse Practitioner Program. Requires permission of department.

Faculty: Dr. Cynthia Diefenbeck, PsyD, APRN, BC

Associate Professor

369 McDowell Hall

cynthia@udel.edu

Office Hours: Online or in-person office hours are available by appointment.

Clinical Location: To be determined between student, faculty, and preceptor.

Clinical Dates/Times: Specific dates and times will be determined between student, faculty, and preceptor/site. Students are expected to accommodate to specific requests of preceptor and site. A minimum of 168 direct clinical hours (approximately 12 hours per week) are required for successful completion of the course. Additional hours are encouraged. A maximum of 8 hours a day and no more than 16 clinical hours a week may be scheduled (unless permission otherwise is granted by the course faculty). The student will submit a clinical schedule by the second week of class. Students can earn up to 8 hours of clinical time by attending an Advanced Practice Nursing or Medical Conference that is approved by the faculty of record for the course.

Resources:

• Required Textbooks

o American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

o American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd Edition). Silver Spring, MD: Author.

• Additional Teaching Tools

o This course uses the Canvas learning platform. Additional readings and other supplemental materials are available on Canvas. Students can access the canvas at the following:

Program Outcomes and Course Objectives

Program Outcome 1: Evaluate theories and concepts drawn from nursing, the arts and humanities, and the biological, social, and physical sciences as the basis for practice as clinical nurse specialists, nurse practitioners, or nurse administrators.

Course Objective 1: Using theories and concepts drawn from nursing, the arts and humanities, and the biological, social, and physical sciences, the student will critically assess, diagnosis, conceptualize, and treat mental health and illness across the lifespan, in preparation of one’s role as a Psychiatric-Mental Health Nurse Practitioner.

Program Outcome 2: Analyze the influence of value systems and ethnicity on healthcare practices, healthcare systems, and the roles of clinical nurse specialists, nurse practitioners, or nurse administrators.

Course Objective 2: The student will reflect upon the influence of value systems and ethnicity on healthcare practices, healthcare systems, and the nurse practitioner role.

Program Outcome 3: Demonstrate competence as a clinical nurse specialist, nurse practitioner, or nurse administrator.

Course Objective 3: The student will demonstrate population-specific competences including:

3a. Demonstrate competency in advanced interviewing and assessment skills required to fulfill the role of the Family Psychiatric Mental Health Nurse Practitioner.

3b. Demonstrate the ability to assess episodic and chronic health care needs through history-taking, physical examination and interpretation of laboratory/diagnostic tests.

3c. Assess for and provide targeted health promotion interventions to individuals, families, and populations at risk for or with selected mental illnesses.

3d. Synthesize data from a variety of sources to make clinical decisions regarding appropriate management, consultation or referral.

3e. Develop differential diagnoses for new or recurring health problems.

3f. Provide clear, concise case presentation grounded in appropriate psychological theory and clinical modality to the clinical preceptor and other members of the health care team, when appropriate.

3g. Diagnose and manage episodic and chronic health problems in close collaboration with a clinical preceptor, at the beginner level in accordance evidence-based treatment guidelines.

3h. Demonstrate proficiency in selected clinical modalities (cognitive-behavioral therapy).

3i. Demonstrate proficiency in documentation reflective of visit type.

Program Outcome 4: Collaborate in interdisciplinary efforts to provide health care and improve healthcare delivery systems to local, state, and/or national levels.

Course Objective 4: The student will demonstrate competency in interdisciplinary team collaboration.

Program Outcome 5: Assume leadership in interpreting and promoting professional nursing to other members of the profession, other disciplines, consumers, and legislators.

Course Objective 5: The student will promote professional nursing by demonstrating appropriate role behaviors in the clinical setting.

Program Outcome 6: Provide leadership in defining, developing, and implementing current and emerging nursing roles.

Course Objective 6: Not a major focus of this course

Program Outcome 7: Develop proposals for studies or projects that can contribute to the expansion of nursing knowledge and practice.

Course Objective 7: Not a major focus of this course

Program Outcome 8: Demonstrate ethical decision making and professional accountability as a clinical nurse specialist, nurse practitioner, or nurse administrator.

Course Objective 8: The student will analyze ethical issues and professional scope of practice issues emerging in the care of individuals with mental illness across the lifespan.

Program Outcome 9: Advocate for health legislation at local, regional, and/or national levels.

Course Objective 9: The student will identify opportunities for local, regional, and/or national advocacy efforts to promote mental health and wellness.

Academic Honesty:

The University of Delaware Academic Honesty Policy is in effect for this course. Academic dishonesty in any form, e.g., plagiarism, cheating on exams, etc., will not be tolerated. All students must be honest and forthright in their academic studies. To falsify the results of one's research, to steal the words or ideas of another, to cheat on an assignment, or to allow or assist another to commit these acts corrupts the educational process. Students are expected to do their own work and neither give nor receive unauthorized assistance. Any violation of this standard must be reported to the Office of Student Conduct (). Nursing faculty will strictly enforce the University policy on academic dishonesty. Falsification of any portion of any assignment will not be tolerated. Any student who violates this policy will receive appropriate disciplinary action. More information may be found at the UD website for the Office of Student Conduct, . Any questions related to this policy should be discussed with their office and/or nursing faculty.

Academic Misconduct:

From the University of Delaware Code of Conduct ():

Academic misconduct is any other act that disrupts the educational process or provides a student with an academic advantage over another student. Academic misconduct includes, but is not limited to:

i. The unauthorized possession, copying, distribution, sale, or other transfer of all or any part of an academic exercise, or the answers or solutions to an academic exercise, whether or not the exercise has been administered;

ii. Changing, altering, attempting to change or alter, or assisting another in changing or altering any grade or other academic record, including grades or records contained in a grade book or computer file, that is received for or in any way attributed to academic work;

iii. Entering any University building, facility, office, or other property, or accessing any computer file or other University record or storage for the purpose of obtaining the answers or solutions to an academic exercise or to change a grade;

iv. Continuing to work on an academic exercise after the specified allotted time has elapsed;

v. Bribing another person to obtain an academic exercise, including answers to questions of an unadministered academic exercise;

vi. Failing to adhere to standards of professional behavior established by a faculty member, academic program or college in conjunction with an academic course; or

vii. Posting of notes or other materials from a class (whether the student is enrolled in the class or not) on the Internet, whether or not for a fee, if the faculty member has expressly prohibited the posting of such materials.

viii. Possession, distribution, photographing, or posting of any materials containing information about exam questions from the current semester or previous semesters is academic misconduct as defined in i. and vii. above.

Students involved in these activities will be reported and charged through the Office of Student Conduct.

Disruptive behavior and use of alcohol or other illegal substances in class, laboratory field experiences, and/or clinical will not be tolerated.

a. Talking, texting, ringing/buzzing cell phones, communicating on Facebook, or other distractions disrupt both teacher and students.  Students will be asked to turn off their laptops or leave the classroom, laboratory, field experience(s), and or clinical, if necessary.  Students who feel that peer behaviors are disrupting class are encouraged to diplomatically approach their peer.  If this option does not bring resolution to the problem, students should inform faculty of the situation.

b. Disruptive behavior and use of alcohol or other illegal substances in class, laboratory, field experiences, and/or clinical will not be tolerated. The University policies related to use of alcohol and illegal substances will be strictly enforced by course faculty. See .

Disability Support Services:

The University of Delaware is committed to diversity and welcomes students with disabilities. If you have a disability related need for a modification or reasonable accommodation in this course, please contact the Office of Disability Support Services located at 240 Academy St., Suite 130 Alison Hall (). You can contact them via email at dssoffice@udel.edu or call 302-831-4643.

Course Policies

Course Communication and Faculty Availability:

The instructor will communicate to the entire class via announcements on the Canvas course page and/or course e-mail. Phone and UD e-mail are used for individual student contact. Students are responsible for checking the Canvas site and their University of Delaware e-mail account on a regular basis.

Open lines of communication are encouraged during the semester. Students should make appointments to meet with course faculty to review exams, discuss problems, or answer questions regarding the course. Students experiencing academic difficulties and/or situations affecting their academic performance are strongly encouraged to contact the professor early in the semester.

Course Issues/Problems:

Issues/problems that arise in the clinical area should be discussed with your faculty instructor for resolution. Problems that cannot be resolved in this manner should be directed to Paula Klemm, Graduate Program Director, 303 McDowell Hall (email: klemmpa@udel.edu, office phone 302-831-8501).

Attendance:

Students are expected to attend all their scheduled classes and laboratories and not to be absent without adequate reason. Deficiency in any required work resulting from absence from class must be made up to the satisfaction of the instructor. A student who is absent from a course without adequate reason may be assigned a failing grade. In inclement weather, when classes have not been cancelled, students should notify their faculty promptly if they are unable to attend class, as described in the policies on Holding Classes and Inclement Weather.

Successful web-based students will plan to access course on a regular basis to insure appropriate participation in course discussion and/or assignments.

For full attendance policy, please visit the following website:



Participation:

Participation in scheduled practicum and group supervision experiences is required. Students should be on time for clinical and group supervision experiences. Late arrivals/early departures disrupt teaching, learning, and/or patient care for students, faculty, and healthcare staff.

Mandatory Clinical Requirements:

All nursing graduate students are required to be in 100% compliance with the clinical requirements outlined in the Graduate Program Policy Manual, before registration for clinical courses. Graduate students will not be permitted to enroll in clinical courses until proof of compliance is received by the graduate program clinical coordinator in the School of Nursing.

If a student goes to a clinical site and is found to be out of compliance with any of the clinical requirements, he/she will be required to leave the clinical site and report to the program coordinator. Students risk expulsion from the graduate program if any clinical requirements are not met during a semester. Clinical requirements are subject to change at any time based on agency/hospital requirements.

All Clinical Sites: Students must complete the mandatory online education (if available) and other requirements.

Clinical Evaluation:

To pass the course, the student is required to:

• Complete the required clinical hours for the course before the end of the semester

• Submit a preceptor evaluation of the student’s performance and confirmation of clinical hours

• Submit a student evaluation of the preceptor

• Receive a satisfactory evaluation from the course instructor during the clinical site visit

Clinical Dress Code:

Professional business attire with a University of Delaware official student name tag are required to be worn at all clinical sites at all times.

Clinical Behaviors/Professionalism:

Students are required to demonstrate professional role behaviors including, but not limited to, attendance, punctuality, and being fully prepared for the clinical environment on a weekly basis.

Clinical Preceptors:

Students will be assigned to nurse practitioners and/or physicians in psychiatric settings who will serve as 1:1 clinical preceptors. When instructed to do so by course faculty, students are responsible for contacting their assigned preceptors to schedule the required 168 hours of clinical time in accordance with site requirements and preceptor needs.

It is the student’s responsibility to make contact with their preceptor and ensure they have received copies of the following documents prior to the beginning of the semester:

• Formal Letter of Introduction (by student)

• Preceptor Guidelines and Recommendations

• Preceptor-Student-Instructor Responsibilities

• Course Syllabus

During the first week of practicum, the following documents are to be given to the preceptor:

• Preceptor Evaluation of Student

• Clinical Site Visit instructions

• Student’s Clinical Schedule with Dates and Times (based on discussions with preceptor)

• Student Evaluation of Preceptor and Practicum Site

Clinical Experience:

Clinical experiences will focus on:

• Interviewing and history-taking

• Psychiatric evaluation and follow-up assessment

• Differential diagnosis

• Case conceptualization

• Cognitive-behavioral therapy for individuals

• Development of problem lists

• Psychiatric management of mood disorders, anxiety disorders, and adjustment disorders

• Oral presentation of patients

• Written documentation skills

• Interprofessional team collaboration

Typhon Clinical Tracking:

Students are required to utilize the Typhon Student Tracking system to record all patient encounters during each clinical day. The tracking system is to be updated weekly. At the end of the semester the tracking system time log must reflect the total clinical hours (within 2 hours) required for the course. All records must be complete with no missing data. The student will receive an incomplete course grade until the tracking system course requirements have been completed.

Late Paper/Written Assignment(s):

All assignments are expected to be submitted by the announced due date. Late assignments will result in 2% point deduction per day.

Grading Scale: Any graduate student with a C+ or below in a nursing course must repeat the course in order to progress in the program. An unsatisfactory in the clinical component of the course will result in course failure. Incomplete course grades will revert to failing grades after a period of time as per university policy. See graduate handbook for additional information on grading policies.

100 – 93.34 = A 79.99 – 76.67 = C+ 63.33 – 60.00 = D-

93.33 – 90.00 = A- 76.66 – 73.34 = C ................
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