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Nursing 630

NURS 630: Advanced Adult Nursing I

Pre-requisites: NURS 620, NURS 628, NURS 629, NURS 651, undergraduate course in gerontological nursing

Credit Hours: (5-7) Three hours seminar. Six hours practicum

Variable credit; 5-7 credit hours; Introduction to advanced practice in adult nursing. Emphasis is on advanced nursing management of clients/families with selected holistic needs; policy issues related to health promotion, protection and restoration; and ethicallegal issues related to health care delivery. Practicum is individualized and may involve acute care specialty units, medical-surgical units or outpatient settings. Advanced nursing practice roles are emphasized. Current research findings and advancement in nursing theory and practice also determine course content.

Detailed Description of Content of the Course

The objectives and content of this course are derived from the School of Nursing's mission and philosophy and facilitate achievement of the Graduate Program outcomes. Additionally, the major topics and skills covered in this course are essential to advanced nursing practice and national accreditation standards. Current research findings and advancement in nursing theory and clinical practice also determine course content.

1. Conceptual approach to advanced practice in adult nursing

        a. Major concepts
        b. Nursing process
        c. Advanced use of nursing diagnosis

2. Advanced practice in adult nursing

        a. Trends toward advanced practice
        b. Nursing frameworks for advanced practice
        c. Health care reform - implications for practice
        d. Opportunities for practice and research in adult health care

3. Theories related to advanced adult nursing practice

        a. Adult development
        b. Teaching/learning
        c. Family
        d. Role

4. Legal issues in adult nursing

        a. Overview of obligations
        b. Negligence and malpractice
        c. Nurse practice acts for advanced practice roles
        d. Special patient care issues

5. Ethical issues in adult nursing

        a. Ethical decision making and strategies for advanced nursing practice
        b. Ethical theories and principles
        c. Allocation of resources
        d. Withholding and withdrawing treatments

6. Advanced nursing management of adults with complex health care needs

a. Clients with complex cardiovascular illnesses/ischemia

                1. Assessment/diagnostic procedures
                2. Selected nursing diagnoses
                3. Therapeutic nursing management of clients and families
                4. Evaluation of client and family outcomes

b. Clients with pulmonary illnesses/dyspnea

c. Clients with oncologic illnesses/fatigue

d. Clients with neurologic illnesses/delirium and dementia

e. Clients with gastrointestinal illnesses/anorexic

f. Clients with pain

Detailed Description of Conduct of Course

The following teaching strategies will be employed:

Seminar, discussion, student presentations, audiovisuals, guest speakers, practicum, student-faculty conferences, and written projects.

Goals and Objectives of the Course

1. Analyze the concept of advanced practice in adult health nursing.
2. Discuss national for health care reform.
3. Propose conceptual frameworks for advanced practice in adult health nursing.
4. Analyze current ethical and legal issues related to adult health nursing.
5. Analyze current nursing research and related literature for application to advanced practice with clients/families with complex holistic needs.
6. Synthesize theories relevant to advanced nursing practice, including adult development, teaching/learning, family, and role.
7. Demonstrate beginning proficiency in advanced nursing therapeutic interventions with clients/families who have complex holistic needs in person/environment interaction.
8. Demonstrate knowledge and skill in the adult health clinical nursing specialist advanced practice roles of clinician, collaborator, and educator.

Assessment Measures

Class Participation 10%
Concept Presentation 25%
Intervention Paper 25%
Client Teaching Project 15%
Nursing Assessment Paper 15%
Clinical Log 10%

Other Course Information

None

Review and Approval

Revised March 1999