The University of Texas at Arlington School of Nursing



THE UNIVERSITY OF TEXAS

AT ARLINGTON

SCHOOL OF NURSING

N5350 Section 001

Role of the Nurse in

Advanced Practice

Dr. Phyllis Adams

Spring 2009

Classroom: Room 223 Pickard Hall

N5350 Role of the NP in Advanced Nurse Practice

3 semester hours (2-hour class, 3 hours clinical laboratory experience)

Spring 2009

Tuesday 4:00 pm – 9:00 pm

223 Pickard Hall

|INSTRUCTOR: |Phyllis Adams, EdD, RN, FNP, APRN, BC, NP-C |

| |Associate Clinical Professor |

| |Office: #619 Pickard Hall |

| |Office Hours: By Appointment |

| |Office Phone: (817) 272-7334 |

| |Office Fax: (817) 272-5006 |

| |Campus Mailbox: 19407 |

| |E-mail: pcadams@uta.edu |

| |Website: |

|COURSE WEB SITE OR WORLD WIDE WEB SITE: | |

|COURSE PREREQUISITES: |Nursing 5301, 5315, 5327 or 5328, or concurrent enrollment |

|REQUIRED TEXTBOOKS & MATERIALS: |1. Buppert, C. Nurse Practitioner’s Business Practice and Legal Guide, 3rd ed. ISBN 13; |

| |978-0-7637-4933-0 Sudbury, MA: Jones & Bartlett, 2008. |

| |2. Joel, L. Advanced Practice Nursing: Essentials for Role Development. ISBN 9780803611191 |

| |Philadelphia: FA Davis, 2004. |

| |3. Annotated Guide to the Texas Nurse Practice Act. ISBN 9781930614000 Texas Nurses Association. |

| |Most current. |

| |4. CPS GEN 2RF Response Pad, Author: Einstruction Edition. (clicker system available in UTA |

| |Bookstore) |

|SUPPLEMENTAL TEXTBOOKS (Not required to purchase): |Abood, S. & Keepnews, D. Understanding Payment for Advanced Practice Nursing Services. Volume |

| |One: Medicare Reimbursement. ISBN 9781558101487 Washington DC: American Nurses Association, |

| |2000. |

| |Buppert, C. Billing Physician Services Provided by Nurse Practitioners. ISBN 0972247645 |

| |Anapolis: Buppert Law Offices, 2004. |

| |DHHS. (Current Edition). Health United States. ISBN 978-0160480423 Department of Health and |

| |Human Services. () |

| |Kleinpell, R. (Ed.) Outcome Assessment in Advanced Practice Nursing. ISBN 9780826113863 New York:|

| |Springer, 2001. |

|COURSE DESCRIPTION: |Theory and application of the multiple roles of the advanced practice nurse within the health |

| |care system. |

|STUDENT LEARNING OUTCOMES: |Upon completion of this course, the student will be able to: |

| | |

| |Implement an NP role that is based on a successful role transition from an RN identity to an |

| |advanced role identity. |

| |Integrate a historical perspective of APN role development into his/her role identity. |

| |Function in a variety of APN role dimensions as indicated: provider, coordinator, researcher, |

| |educator, consultant, & clinician. |

| |Implement an NP role using required legal strategies & parameters. |

| |Implement business & mgt principles and strategies required for successful NP clinical practice. |

| |Evaluate personal clinical practice outcomes using a measurement plan. |

| |Implement marketing and negotiation strategies designed to promote acceptance of the NP role by |

| |colleagues, consumers, and policy makers. |

| |Enact the NP role based on a specialty clinical practice in relationship to the overall health |

| |care system. |

|ATTENDANCE AND |Regular class attendance and participation is expected of all students. |

|DROP POLICY: |Students are responsible for all missed course information. |

| |Graduate students who wish to change a schedule by either dropping or adding a course must first |

| |consult with their Graduate Advisor. Regulations pertaining to adding or dropping courses are |

| |described below. Adds and drops may be made through late registration either on the Web at MyMav|

| |or in person through the student’s academic department. Drops may occur until a point in time |

| |two-thirds of the way through the semester, session, or term. The last day to drop a course is |

| |listed in the Academic Calendar available at . |

| |A student may not add a course after the end of late registration. |

| |A student dropping a graduate course after the Census Date but on or before the end of the 10th |

| |week of class may with the agreement of the instructor, receive a grade of W but only if passing |

| |the course with a C or better average. A grade of W will not be given if the student does not |

| |have at least a C average. In such instances, the student will receive a grade of F if he or she |

| |withdraws from the class. Students dropping a course must: (1) complete a Course Drop Form |

| |(available online or MSN office rooms 605|

| |or 606); (2) obtain faculty signature and current course grade; and (3) submit the form to MSN |

| |office rooms 605 or 606. |

| |A student desiring to drop all courses in which he or she is enrolled is reminded that such |

| |action constitutes withdrawal (resignation) from the University. The student must indicate |

| |intention to withdraw and drop all courses by filing a resignation form in the Office of the |

| |Registrar or by: (1) Completing a resignation form (available online |

| | or MSN office rooms 605 or 606; (2) |

| |obtaining faculty signature for each course enrolled and current course grade; (3) Filing the |

| |resignation form in the School of Nursing office room 606 or 606; and (4) Filing the resignation |

| |form in the Office of the Registrar in Davis Hall room 333. |

| |In most cases, a student may not drop a graduate course or withdraw (resign) from the University |

| |after the 10th week of class. Under extreme circumstances, the Dean of Graduate Studies may |

| |consider a petition to withdraw (resign) from the University after the 10th week of class, but in|

| |no case may a graduate student selectively drop a course after the 10th week and remain enrolled |

| |in any other course. Students should use the special Petition to Withdraw for this purpose. See |

| |the section titled Withdrawal (Resignation) From the University for additional information |

| |concerning withdrawal. |

| |Last Date Drop or Withdraw: - April 3, 2009 |

|TENTATIVE LECTURE/TOPIC SCHEDULE (COURSE CONTENT): |see schedule pages 8-10 |

| | |

| |Policy Regarding Due Dates For Assignments |

| |Students are expected to complete all assignments and provide to faculty at the beginning of |

| |class on the due date. Late papers are not acceptable and may receive a grade of zero. |

| | |

| |Due Dates for Papers |

| |Clinical Practice Evaluation Plan |

| |Mar. 3, 2009 |

| | |

| |Resume/CV |

| |March 24, 2009 |

| | |

| |Marketing Fact Sheet |

| |March 24, 2009 |

| | |

| |NP Promotion Product |

| |March 24, 2009 |

| | |

| |Clinical Log |

| |April 7, 2009 |

| | |

| |Group Project Clinical & Paper |

| |April 7, 2009 |

| | |

| |NP Observation Experience |

| |April 7, 2009 |

| | |

| |(optional) |

| | |

| | |

|SPECIFIC COURSE REQUIREMENTS: |Group Clinical Project |

| |NP Observation Assignment (optional for those who have not worked with a nurse practitioner) |

| |Class Participation |

| |Conferences with faculty as needed |

| |Clinical (45 hours) –for project |

| |Clinical Log Of Activities |

| |Small Group Class Assignments |

| |Marketing Fact Sheet |

| |Out of Class Assignments |

| |Written assignments (Clinical Practice Evaluation Plan, NP Promotion Product, etc.) |

| |Final Exam |

|TEACHING METHODS/STRATEGIES: |Lecture |

| |Guest lectures |

| |Class discussion |

| |Small group activities |

| |Group project |

| |Conferences with faculty |

|GRADE CALCULATION |Clinical Project (group grade*) 30% |

|(COURSE EVALUATION & |Marketing Fact Sheet 20% |

|FINAL GRADING): |NP Promotion Product 10% |

| |Clinical Evaluation Plan 10% |

| |NP Observation credit |

| |Experience (optional) Credit 4 hours clinical time |

| |Project Presentation credit |

| |Final Exam 20% |

| |Discussion/Participation/Individual 5% |

| |Assignments |

| |9. Professional Resume/ CV 5% |

| | |

| |* Faculty retains the right to adjust an individual student grade within the group depending on |

| |performance. |

| | |

| |GRADING: A = 92-100 |

| |B = 83-91 |

| |C = 74-82 |

| |Failure: D = 68-73 |

| |F = below 68 |

|STATUS OF RN LICENSURE: |All graduate nursing students must have an unencumbered license as designated by the Board of |

| |Nurse Examiners (BNE) to participate in graduate clinical nursing courses. It is also imperative|

| |that any student whose license becomes encumbered by the BNE must immediately notify the |

| |Associate Dean for the MSN Program, Dr. Mary Schira. The complete policy about encumbered |

| |licenses is available online at: |

|CONFIDENTIALITY AGREEMENT: |You signed a Confidentiality Form in orientation and were provided a copy of the form. Please |

| |take your copy of this Confidentiality Form with you to your clinical sites. Please do not sign |

| |other agency confidentiality forms. Contact your faculty if the agency requires you to sign |

| |their confidentiality form. |

|GRADUATE STUDENT HANDBOOK: |Students are responsible for knowing and complying with all policies and information contained in|

| |the Graduate Student handbook online at: |

|AMERICANS WITH |The University of Texas at Arlington is on record as being committed to both the spirit and |

|DISABILITIES ACT: |letter of federal equal opportunity legislation; reference Public Law 93112 -- The Rehabilitation|

| |Act of 1973 as amended. With the passage of new federal legislation entitled Americans With |

| |Disabilities Act - (ADA), pursuant to section 504 of The Rehabilitation Act, there is renewed |

| |focus on providing this population with the same opportunities enjoyed by all citizens. |

| | |

| |As a faculty member, I am required by law to provide "reasonable accommodation" to students with |

| |disabilities, so as not to discriminate on the basis of that disability. Student responsibility |

| |primarily rests with informing faculty at the beginning of the semester and in providing |

| |authorized documentation through designated administrative channels. |

|STUDENT SUPPORT SERVICES: |The University of Texas at Arlington supports a variety of student success programs to help you |

| |connect with the University and achieve academic success. They include learning assistance, |

| |developmental education, advising and mentoring, admission and transition, and federally funded |

| |programs. Students requiring assistance academically, personally, or socially should contact the|

| |Office of Student Success Programs at 817-272-6107 for more information and appropriate |

| |referrals. |

|STUDENT CODE OF ETHICS: |The University of Texas at Arlington School of Nursing supports the Student Code of Ethics |

| |Policy. Students are responsible for knowing and complying with the Code. The Code can be found|

| |in the student Handbook online: . |

|ACADEMIC INTEGRITY: |It is the philosophy of The University of Texas at Arlington that academic dishonesty is a |

| |completely unacceptable mode of conduct and will not be tolerated in any form. All persons |

| |involved in academic dishonesty will be disciplined in accordance with University regulations and|

| |procedures. Discipline may include suspension or expulsion from the University. |

| | |

| |"Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, the |

| |submission for credit of any work or materials that are attributable in whole or in part to |

| |another person, taking an examination for another person, any act designed to give unfair |

| |advantage to a student or the attempt to commit such acts." (Regents' Rules and Regulations, Part|

| |One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22) |

|PLAGIARISM: |Copying another student’s paper or any portion of it is |

| |plagiarism. Additionally, copying a portion of |

| |published material (e.g., books or journals) without |

| |adequately documenting the source is plagiarism. If |

| |five or more words in sequence are taken from a source, |

| |those words must be placed in quotes and the source |

| |referenced with author’s name, date of publication, and |

| |page number of publication. If the author’s ideas are |

| |rephrased, by transposing words or expressing the same |

| |idea using different words, the idea must be attributed |

| |to the author by proper referencing, giving the author’s |

| |name and date of publication. If a single author’s ideas |

| |are discussed in more than one paragraph, the author |

| |must be referenced at the end of each paragraph. |

| |Authors whose words or ideas have been used in the |

| |preparation of a paper must be listed in the references |

| |cited at the end of the paper. Students are encouraged to review the plagiarism module from the|

| |UT Arlington Central Library via |

|BOMB THREATS: |If anyone is tempted to call in a bomb threat, be aware that UTA will attempt to trace the phone |

| |call and prosecute all responsible parties. Every effort will be made to avoid cancellation of |

| |presentations/tests caused by bomb threats. Unannounced alternate sites will be available for |

| |these classes. Your instructor will make you aware of alternate class sites in the event that |

| |your classroom is not available. |

|E-CULTURE POLICY: |The University of Texas at Arlington has adopted the University e-mail address as an official |

| |means of communication with students. Through the use of e-mail, UT-Arlington is able to provide|

| |students with relevant and timely information, designed to facilitate student success. In |

| |particular, important information concerning department requirements, registration, financial aid|

| |and scholarships, payment of bills, and graduation may be sent to students through e-mail. All |

| |students are assigned an e-mail account and information about activating and using it is |

| |available at uta.edu/email. Students are responsible for checking their e-mail regularly. |

|NO GIFT POLICY: |In accordance with Regent Rules and Regulations and the UTA Standards of Conduct, the School of |

| |Nursing has a “no gift” policy. A donation to one of the UTA School of Nursing Scholarship Funds,|

| |found at the following link:  Nursing Scholarship List would be an appropriate way to recognize a|

| |faculty member’s contribution to your learning.  For information regarding Scholarship Funds, |

| |please contact the Dean’s office. |

|GRADUATE COURSE SUPPORT STAFF: |La Shun Parish, Sr. Secretary |

| |Office: #624A – Pickard Hall |

| |Phone: (817) 272-2776, ext 24856 |

| |Email: lashun@uta.edu |

|LIBRARY INFORMATION: |Helen Hough, Nursing Librarian |

| |Phone: (817) 272-7429 |

| |E-mail: hough@uta.edu |

| |Research Information on Nursing: |

| | |

|MISCELLANEOUS INFORMATION: |Inclement Weather (School Closing) Inquiries: |

| |Metro: (972) 601-2049 |

| | |

| |UTA Police (Emergency Only): |

| |(817) 272-3003 |

| | |

| |Fax Number (UTA School of Nursing): |

| |(817) 272-5006 |

| | |

| |Mailing Address for Packages: |

| |UTA School of Nursing |

| |c/o Dr. Phyllis Adams |

| |411 S. Nedderman Drive, Pickard Hall |

| |Arlington, Texas 76019-0407 |

GRADUATE NURSING WEBSITES

|Description |Website |

|University of Texas Home Page | |

|Graduate Catalog & Faculty | |

|Graduate Nursing Programs | |

| | |

|Graduate Nursing Courses & Syllabi | |

|Faculty and Staff Email Contacts and Bio-sketches | |

|Graduate Student Handbook | |

|Miscellaneous Graduate MSN Forms: | |

|Banking Clinical Hours | |

|Code of Ethics | |

|Drop Request | |

|E-log Consent Form | |

|Liability Policy | |

|Master’s Completion Project Forms | |

|Nurse Admin Preceptor Package | |

|Nurse Practitioner Preceptor Package | |

|Personal Insurance Verification Form | |

|Petition to Graduate Faculty | |

|Resignation Request | |

|Student Confidentiality Statement | |

|Traineeship Statement Forms | |

| |Clinical Evaluation MSN Forms: |

| |Educator Evaluation |

| |Faculty Evaluation of Preceptor |

| |NP Clinical Evaluation (Practicum Tools) |

| |Nurse Admin Faculty Eval of Preceptor |

| |Nurse Admin Preceptor Eval of Student |

| |Preceptor Evaluation of Student |

| |Psych Therapy Preceptor Eval of Student |

| |Student Evaluation of Preceptor |

| |Student Self Evaluation |

|Clinical Online Submission (Elogs) | |

|Criminal Background Check (Group One) | |

|Instructions for E-Reserves | |

| |Select under Library Catalogs |

| |(UTA Library Catalogs) |

| |Select Course Reserves |

| |Look for Instructor’s Name, Click Search, Select Article |

| |Password is course abbreviation and course number. |

| |ALL CAPS no spaces (ex. NURS5340). |

| | |

Last Revision: December 17, 2008

N5350 ADVANCED NURSING ROLE

SCHEDULE

Spring 2009

|Date/Time |Class Topic |Chapter Assignments & Course Assignments |

|January 20, 2009 | | |

|4:00-5:00 pm |Course Overview | |

|5:00 – 7:00 PM |History & Evolution of Advanced Practice Role |Joel, Chapters. 1,2,3,4; Buppert Chapter 1 |

| | |Safreit article in packet (check library, hard copy or |

| | |E-reserve) |

|7:00-8:00 PM |Role Transitions: Who Am I and Where AM I? |Joel, Chapters. 3 |

|8:00 – 9:00 PM |Health Care System & NP: Past, Present & Future |Joel, Chapter. 8 & Packet readings |

|9:00 – 10:00 pm |Clinical Group Meeting - PRN | |

| | | |

|February 3, 2009 | | |

|4:00 pm – 5:00 pm |Health Care System & the NP: Past, Present & Future |Joel, Chapter 8 & Webct readings |

| | |‘Sick around the World’ video (if available) |

| | |WEB assignment: NP Issue DUE |

|5:00-6:00 pm |Student Discussion NP Issues | |

|6:00-8:00 pm |APN Role Issues and Professional Organizations/Resources |Joel, Chapters. 5,6,7,9 & Safriet |

|8:00-9:00 pm |Clinical Group Meetings-PRN |Clinical Project Topics Selected |

| | | |

|February 17, 2009 | | |

|4:00-8:00 pm |APN Legal Parameters |Joel, Chapter 27 |

| | |Buppert’s Business and Practice Guide, Chapters 2,3,4,7,14|

| | |TNA Annotated Guide to NPA |

| | |Packet readings |

| | |WebCt Assignment: What would you do? DUE |

|8:00-9:00 pm |Economics & Productivity for NPs |Joel, Chapters. 10,11,22 |

| | |Buppert’s Business and Practice Guide, Ch. 9,10,11 |

|9:00-10:00 pm |Clinical Group Meeting - PRN |WebCt Assignment: What are you Worth? DUE |

| | | |

|March 3, 2009 | | |

|4:00-5:00 pm |Economics & Productivity cont. | |

|5:00-6:00 pm |Student Presentation: Revenue & Productivity | |

|6:00-7:00 pm |Making Change as an NP | |

|7:00-8:00 pm |Negotiation: Getting What You Want |Joel, Chapter. 12 and Packet readings |

|8:00-9:00 pm |Evaluation of NP Practice |Joel, Chapter 23 & packet of articles |

|9:00 - 10:00 pm |Clinical Group Meetings-PRN |Clinical Evaluation Plan DUE |

| |Spring Break March 16 -21, 2009 | |

| | | |

|March 24, 2009 | | |

|4:00-6:00 pm |Leadership & NPs |Guest Speaker |

|6:00-7:00 pm |Practice Models for NPs (Primary Care, Acute Care, etc.) | |

|7:00-8:00 pm |Collaboration: How to be successful |Joel, Chapter 15 |

|8:00-9:00 pm |Student Presentations – Marketing Product |NP Promotion Product DUE |

| | |Marketing Fact Sheet Due |

| | |Resume’ and Curriculum Vitae DUE |

|9:00-10:00 pm |Clinical Group Meetings - PRN | |

| | | |

|April 7, 2009 | | |

|4:00-6:00 pm |Marketing the NP Role |Joel, Chapter 25, Buppert: Chapter 13 |

|6:00-7:00 pm |Overview of Position Descriptions, Contracts & Practice Management |Joel, Chapters 24, 26 |

| | |Buppert: Chapter 11, & Packet readings |

| | |NP Observation Experience DUE (optional) |

|7:00-8:00 pm |Position Interviews and Practice Negotiations | |

|8:00-9:30 pm |Clinical Project Presentations & Promotion Products presentations |Group Project Paper & Clinical Logs Due |

|April 21, 2009 | | |

|4:00 pm-9:00 pm |TBA |TBA |

| | | |

|May 5, 2009 | | |

|4:00-7:00 pm |Final Exam | |

ASSIGNMENTS

All written assignments must be turned in with TWO copies. One copy will be returned with comments and the second copy will remain on file.

Nurse Practitioner Observation Experience (OPTIONAL Experience)

After your observation experience, please write your answers to the questions below.

Identify the NP’s who you observed and describe the practice setting.

1. Most important things that you learned?

2. What surprised you most about the NP role?

3. What might concern you about the NP role?

4. What was the NP’s schedule like?

Number of Patient Scheduled?

Types of patients seen?

5. What was NP documentation like?

6. How is the NP evaluated in the practice?

7. What was most impressive about the experience?

8. What things do you have questions about?

11

Nurse Practitioner Promotion Product Assignment

Purpose: NPs must be prepared to market themselves to others so that the key characteristics and contributions of their expertise and the role are recognized. This assignment will give you the opportunity to do that.

Develop a written promotion product for the Nurse Practitioner role synthesizing the assignments below:

1) the nurse practitioner role questions covered over the semester,

2) the marketing fact sheet assignment,

3) reading assignments, and

4) class discussions.

The outcome of this assignment is to develop an end product that promotes you as a nurse practitioner to other health care providers and/or to the lay public. You decide the target group.

This is to be a written assignment yet can be developed in many formats. Examples include but are not limited to: brochure, website, graphic display, flyer, other visual aids such as a minimum 2 page handout, or other types of props

Turn in two copies of your product. One copy will not be returned.

Be sure to review the tips provided for developing a brochure or promotion piece located in WEB CT

Grading Scale: It will be faculty discretion to assign a numerical grade within the final letter grade.

A - Creative, provocative, compelling, attention-grabbing, clear message

B – Creative, attractive, clear message

C – Attractive, relatively clear message, many improvements needed

1 year? How many patient visits so you know they are “in” care? etc

c. Who collects data-be specific

d. How will data be collected (when, where, how often)

e. How and where will results be maintained?

f. A tool for data collection/documentation is to be provided

Paper:

Document the above steps in a maximum of 3-4 pages. Use the “areas” of the paper underlined above as headings in your paper.

Group Project

Clinical Assignment

NP Clinical Intervention Project

Purpose: To design an NP intervention that is consistent with the advanced practice role. Most projects will include the design of a major clinical program. This program can be an educational project or clinical service delivery project. For example, students may design such things as a program for the primary care of patients with diabetes, a clinic program for educating parents and children about asthma, a weight loss program for adults including clinical and educational strategies, design for a new rural clinic, or development of an NP independent practice.

This group project is the focus of your clinical hours and is considered a major project. As such, it is expected that the project paper will be a minimum of 20-25 pages not including appendices.

The group project will result in a paper that contains the following components:

• Statement of the Problem to be addressed by the NP intervention (e.g., a disease condition, a health problem, a health system deficit) 5 points

• Review of Literature regarding the nature, scope, and impact of the problem at the national, state and local levels (15 points)

• Review of literature of previous interventions and support for the need for the proposed intervention (15 points)

• If possible, identify a local site/resource that may support and/or implement the intervention

• Clear description of the intervention with specific, operational components (35 points)

▪ Program goals & objectives (state as expected outcomes)

▪ Specific program operations (who, what, when, where, how, etc)

▪ If you are developing an educational intervention, you need to include teaching-learning principles that were used to develop the education program.

▪ Describe the NP role in the project.

• Budget plan for year one (10 points) of intervention or program operation (faculty will provide a template)

• Evaluation plan (10 points) for year one. Consider including evaluations by health professionals involved in the program as well as patients. Show a diagram of the evaluation plan including the tools to be used and when data is to be collected.

• Results of a small pilot project or a clinical consultation are also required to be submitted. Please consult with the faculty to develop the plan for this. This will require accessing a clinical site. (10 points)

APA format & professional appearance is required. Include all relevant materials in an appendix.

Two copies required.

Steps:

1. Faculty is to approve project objectives at start.

2. Clear delineation of each student’s role in the project is expected.

3. Each student is expected to spend up to 40 hours working on the project.

4. Students will evaluate each other’s performance as a group participant.

Faculty retains the right to adjust an individual student grade within the group depending on student performance and participation.

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