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					                                                                   UNIVERSITY OF FLORIDA
                                                                    COLLEGE OF NURSING
                                                                         NGR 6244L
                                                                        Summer 2008

COURSE NUMBER                                       NGR 6244L Section 8456 (Gainesville)

COURSE TITTLE                                       Adult Nurse Practitioner: Chronic Health Problems

CREDITS                                             2

PLACEMENT                                           Second Clinical Course In Adult Nurse Practitioner Track

PREREQUISITES                                       NGR 6241: Adult Nursing: Common Health Problems
                                                    NGR 6241L: Adult Nurse Practitioner: Common Health Problems
                                                    Laboratory
                                                    NGR 6052C: Adult Nursing: Diagnostics and Procedures

COREQUISITES                                        NGR 6244:          Adult Nursing: Chronic Health Problems
                                                    NGR 6255:          Advanced Nursing Care of the Older Adult

FACULTY                                                           OFFICE             PHONE                 OFFICE HOURS

Carmen Rodriguez, PhD, ARNP                                       HPNP 3240          273-6328              Fridays 8:30-1030
rodrics@ufl.edu                                                                      352-413-6798          by appointment

Cynthia Figueroa-Haas, PhD, ARNP                                  HPNP 3231          273-6424              Wednesdays 11:00-1:00
cindirn@ufl.edu                                                                      352-457-3008 (cell)


DEPARTMENT CHAIR

Maxine Hinze, PhD, RN, CNL                                              HPNP 3230          273-6394        Tuesdays 1200-1400
hinzemm@ufl.edu                                                                      214-4794(cell)

COURSE DESCRIPTION This course provides the student with clinical application of advanced nursing
management of health problems in young, middle aged, and elderly adults with chronic health problems.
Emphasis is on continued development of the application of health assessment principles and diagnostic
reasoning to formulate diagnoses. Students will develop and implement management plans for adults with
chronic health problems. The focus is on the provision of adult and elderly care in the acute and out-patient
settings appropriate to the role of the nurse practitioner.

COURSE OBJECTIVES          Upon completion of this course, the student will be able to:
   1. Apply the concepts of wellness and health promotion in the advanced nursing management of
      adults with chronic health problems in acute and out-patient settings.

        2. Critique and integrate current research findings related to management of adult chronic health
           problems.

        3. Critically and accurately assess an adult client presenting with chronic health problems.




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        4. Critically and accurately develop differential diagnoses based on a health assessment.

        5. Implement management plans for adults with chronic health problems after consultation with the
           preceptor.

        6. Evaluate the effectiveness of prevention, health promotion and management plans in selected
           chronic health problems of adults.

        7. Utilize legal and ethical principles to guide decision-making in the advanced nursing practice role.

        8. Incorporate knowledge of cultural diversity and global perspectives when delivering advanced
           practice nursing care.

        9. Demonstrate professional verbal and written communication skills.

CLINICAL SCHEDULE

             Variable hours. A total of 96 clinical hours are required.

ATTENDANCE

        Students are expected to be present for all classes, other learning experiences and examinations.
Students who have extraordinary circumstances preventing attendance should explain these circumstances
to the course instructor prior to the scheduled class or clinical lab, or as soon as possible thereafter.
Instructors will make an effort to accommodate reasonable requests. A grade penalty may be assigned for
late assignments or make-up exams. Make-up exams may not be available in all courses.

         For clinical courses, students are expected to be present for all seminars and scheduled clinical
dates and times. Students who have extraordinary circumstances preventing attendance would explain
those circumstances to the clinical instructor prior to the scheduled seminar or clinical date. The clinical
instructor will make an effort to accommodate reasonable requests. A grade penalty may be assigned for
unexcused seminar and/or clinical absences.

         Students are responsible to submit a written calendar of planned clinical dates and times to
the course faculty prior to beginning the clinical rotation (see Clinical Calendar attached). Any changes to the
calendar (dates or times) must be submitted in writing to the course faculty before the change is planned to occur.
Clinical hours accrued without prior knowledge of the faculty will not be counted toward the total number of
clinical hours required for the course.

         Students are responsible to notify the course faculty at the time that any extraordinary scheduling
circumstances may occur, such as student or preceptor illness on a planned clinical date/time. Students must
established direct communication with their faculty member (no office phone messages, must use faculty’s pager or
cell) to notify about extraordinary scheduling circumstances that emerge.


ACCOMMODATIONS DUE TO DISABILITY
         Each semester, students are responsible for requesting a memorandum from the Office for Students
with Disabilities to notify faculty of their requested individual accommodations. This should be done at the
start of the semester.




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STUDENT HANDBOOK
        Students are to refer to the College of Nursing Student Handbook for information about College of
Nursing student policies, honor code, and professional behavior. Of particular importance for this course
are the sections on appearance in clinical practice areas, personal liability insurance, and student safety.

TEACHING METHODS
Clinical practice and seminar.

LEARNING ACTIVITIES
Discussion forum interactive activities, case presentations, performance of physical exam,
dictation and written documentation activities, analysis of research articles.

CLINICAL EVALUATION
Clinical experience will be evaluated through faculty observation, verbal communication with the student, written
work, and agency staff reports using a College of Nursing Clinical Evaluation Form. Faculty reserve the right to
alter clinical experiences, including removal from client care areas, of any student to maintain patient safety and to
provide instructional experiences to support student learning.

Evaluation will be based on achievement of course and program objectives using a College of Nursing
Clinical Evaluation Form. All areas are to be rated. A rating of Satisfactory represents satisfactory
performance and a rating of Unsatisfactory represents unsatisfactory performance. The student must
achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a passing
grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute a
course grade of Unsatisfactory.

Faculty will hold evaluation conferences and/or a Progress Evaluation with the student and preceptor at each site
visit. The faculty will write a summary of each conference in an advisement note and/or will complete a Progress
Evaluation as applicable. This summary and/or Progress Evaluation will be signed by the faculty and student. Final
evaluation conferences with the faculty are mandatory and will be held during the last week of each clinical rotation.
A student may request additional conferences at any time by contacting the clinical faculty.

Students enrolled in advanced practice courses with a clinical component will use Clinical Experience Form F to
document clinical experience including hours, practice location and preceptor for their personal records. Students
also assess their learning experience using Clinical Site Assessment Form G. Completed Form G is collected in class
and submitted to the Clinical Coordinator at the College. At the end of the clinical experience the student completes
a self-evaluation and the faculty completes a student evaluation using the College of Nursing Clinical Evaluation
Form.

See additional information regarding grading criteria and dates of submission for seminars in course materials.

GRADING SCALE
S=Satisfactory                                      U=Unsatisfactory

REQUIRED TEXTS
    All texts required for:
    NGR 6002C: Advanced Health Assessment and Diagnostic Reasoning
    NGR 6636: Health Promotion and Role Development in Advanced Practice Nursing
    NGR 6140: Physiology and Pathophysiology for Advanced Nursing Practice
    NGR 6101: Theory and Research for Nursing
    NGR 6192: Pharmacotherapeutics for Advanced Practice Nursing
    NGR 6241: Adult Nursing: Common Health Problems
    NGR 6052C: Adult Nursing: Diagnostics & Procedures




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                     Addendum: Adult Nurse Practitioner: Common Health Problems Laboratory

CLINICAL SCHEDULE:
   A total of 96 hours must be accumulated by August 8th, 2008 of which one (1) hour will consist of a
mandatory CON clinical orientation and two (2) hours will consist of mandatory online clinical seminars.

    Students are responsible to submit a written calendar of planned clinical dates and times to
the course faculty prior to beginning the clinical rotation (see Clinical Calendar attached). Any changes to the
calendar (dates or times) must be submitted in writing to the course faculty before the change is planned to occur.
Clinical hours accrued without prior knowledge of the faculty will not be counted toward the total number of
clinical hours required for the course.

           Minimal Requirements for Appearance in Clinical Practice Areas
            * Any faculty member has the right to remove any student from a clinical area if, in the
            faculty member's judgment, the student presents an unprofessional appearance or in anyway is
            a threat to patient safety or comfort.

            1.      Graduate students are identified with the Health Science Center ID badge in clinical settings at
                    all times during planning and/or provision of care.
            2.      Graduate students wear clean, pressed, white lab coats over professional attire in clinical settings
                    at all times during planning and/or provision of care.
            3.      Overall appearance conveys a professional image. This includes as a minimum:
                     Minimal jewelry                                   No perfumes/scented lotions/etc.
                     Minimal makeup                                    No artificial fingernails or nail polish
                     Hair neatly secured away from face                Neat, short fingernails (not visible from the
                                                                           palmar surface of the hand)

            4.      Personal hygiene and grooming are of a standard that ensures the safety and comfort of clients.
            5.      Students arrive in clinical areas with all the required equipment (e.g., stethoscope) necessary for
                    client care.
            6.      Activated cell phones and/or pagers are not allowed in either the clinical or classroom setting.

CLINICAL EVALUATION
    Feedback from clinical preceptors, direct observations of students’ performance, written documentation
      samples, and participation in online seminars will be used to complete a minimum of two progress
      evaluations: mid-term and final evaluation. More than two progress evaluations may be performed at
      faculty discretion, based on students’ performance and learning needs.

            Students must complete ALL of the following criteria to successfully pass the course:
          1. Maintain patient safety in the clinical setting.
          2. Satisfactory demonstration of advanced practice professional accountability to include:
                  a. Compliance with attendance and appearance guidelines as described in this syllabus.
                  b. Complete and submit written assignments within established guidelines and time frames
                      per expectations as described in this syllabus.
          3. Satisfactory participation in scheduled online seminar activities as per the seminar guidelines
              described in this syllabus.
          4.Satisfactory performance in the clinical setting as indicated using the NGR 6241L clinical
              evaluation tool.
      A rating of less than satisfactory in any of the above stated criteria at semester end will constitute
      a course grade of U




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     Clinical Seminar Expectations

      Mandatory clinical seminars will be held online. The Turnitin anti-plagiarism technology will be used to
      evaluate this educational activity.

      Each student is responsible to:
      1) Participate in all scheduled on-line seminars (total of 2). Seminar absences associated with extenuating
         circumstances will result in an “I” in the course and will need to be made-up before the course can be
         successfully completed.
      2) RESPOND to TWO clinical case scenarios as assigned. Refer to the Online Clinical Case
         Scenario: Seminar Presentation Guidelines and the Online Clinical Case Scenario Presentation:
         Evaluation Criteria (see attached) for completion of both activities.

             Unexcused absences will result in a zero score and unsatisfactory performance for scheduled
             seminar activity. A rating of less than satisfactory in any of the areas at semester end, will
             constitute a course grade of U.

             Clinical Seminars RESPONSE Period (refer to website for assignment)
                                      √ 6/2/2008-6/9/2008         √ 7/7/08-7/14/2008

            Clinical Documentation Expectations
             COPIES FROM ASSIGNED CLINICAL AGENCY MEDICAL RECORDS SHOULD NOT BE
             REMOVED FROM THE AGENCY AND ARE NOT PERMITTED AS EVIDENCE OF
             DOCUMENTATION FOR ASSIGNED CLIENTS. STUDENTS MUST PREPARE AND SUBMIT A
             TYPED DOCUMENT THAT FOLLOWS HIPAA GUIDELINES.

                1. Submit completed copies of the following material at the following scheduled submission dates
                   (6/4/2008 and 7/9/2008):

                                 Clinical Hours Log signed by the preceptor (including all data from the start of the semester to
                                  the day before submission of the paper)
                                 Patient Summary Log (including all data from the start of the semester or previous submission
                                  date to the day before the form is submitted)
                                 Three (3) HIPAA compliant samples of the student’s clinical documentation during the time
                                  from the start of the semester or previous submission day (focused notes). Format for
                                  documentation samples as per the monthly Documentation Samples Guidelines posted on the
                                  course website (Faculty members may request more than 2 submissions based on
                                  individualized needs of students).
                                 Forms F and G need to be completed by the end of the semester on or before August 8th, 2008


            Clinical Evaluation Expectations:
             1.    Submit the Clinical Evaluation Tool, completed by the preceptor (posted on the course
                   website):
                           at midterm (after 50% of the total required clinical hours have been completed) and
                           at the end of the course, on or before August 8th, 2008.

      Final evaluation: Student completes a self-evaluation of his/her clinical performance by using the College of
      Nursing Clinical Evaluation Form, and brings copy for review during the final evaluation meeting. A satisfactory
      in each evaluation criteria must be obtained. at semester end in order to obtain a satisfactory for the course.

      Mid-term and final grades for the course are assigned by the clinical faculty member supervising the student.

      It is strongly recommended that students make copies of all paperwork submitted to faculty for their personal
        records.


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                                       Online Clinical Case Scenario: Seminar Presentation Guidelines


                   Seminar presentations will take place during the semester following this schedule:

                          Face-to-face Seminar                    Seminar 1: Use of Legal and       Seminar 2: Integration of
                          (one clinical hour)                     Ethical Principles to Guide       Collaborative Practice
                                                                  the ARNP                          Principles in the Role of the
                                                                  (one clinical hour)               ARNP
                                                                                                    (one clinical hour)

                          Orientation Seminar                           6/2/2008-6/9/2008                 7/7/08-7/14/2008
                          May 14, 2008                            Submissions are considered late   Submissions are considered late
                          12:45-1:45                              after midnight on 6/9/2008.       after midnight on 7/14/2008.
                          G-114

      All students will respond to TWO clinical case scenarios ,as assigned, during the semester. Failure to post clinical responses
      will result in a zero score. A rating of less than satisfactory in any of the areas at semester end, will constitute a course
      grade of U.

      All seminar presentation responses should be accompanied by one relevant specific reference from the current research
      literature (less than 5 years old). Textbooks or online text resources will not be accepted as the sole reference for any
      answer.

                       Responses must be HIPAA compliant.
                       APA format is required for all references (minimum APA format include: pagination, running head, double
                        spacing, appropriate citation and integration of literature review, reference list). The level of evidence that the
                        reference represents and a brief description of qualifiers that justify the level of evidence assigned must be
                        included.
                       Responses should be clear, concise, and scholarly. Limit of 500 words.
                       Responses should be submitted to the Turnitin anti-plagiarism software prior to be posted for grading purposes.
                       Seminar participation is graded using the participation grading criteria as posted on the webpage.
                        Students will accrue a total of 3 clinical hours for seminar participation as assigned
                        (successful completion of both seminars with a satisfactory score is required).


      Unsatisfactory score in a seminar activity after original submission of activity
       Students that obtain an unsatisfactory score after an original submission of the seminar activity will have one (1)
         opportunity to submit a new response (different from original submission) for grading purposes.
         An average between original submission score and resubmission score will be obtained to assign a grade to this
         activity.
       Students that do not obtain a passing score after an average is obtained, but obtain a score that demonstrates
         improvement (80 or higher) will receive the minimum passing score allotted for that assignment (80).



                     The UF Honor Code applies to this activity, as to all coursework. Please refer to Student Policy S1-12
                            which is available via the College of Nursing website in the “Current Student” area.

                    The Turnitin anti-plagiarism software will be used to evaluate this educational activity.




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                                                             University of Florida
                                                              College of Nursing
                                              NGR 6244L: Online Clinical Seminar: Evaluation Criteria

Student:_________________________                                                                          Date:_____________

                           Responding Student Criteria                                        Possible       %
                                                                                              % points     Points           Comments
                                                                                                           earned
Responds to TWO presentations on or before deadline.*                                         10 points
                                                                                              per week
             Seminar one

             Seminar two

o      Addresses assigned seminar question                                                     20 pts
          o appropriate integration of literature findings {5                                 per week
               points}
          o clear description of standard of care based on most
               current guidelines {5 points}
          o role of the NP (specific to assigned topic and
               scenario) {5 points}
          o conclusions and recommendations {5 points}
          Seminar one

             Seminar two

o      Response is:                                                                            50 pts
           o scholarly {20 points}                                                            per week
           o clear {20 points}
           o concise (500 words or less) {10 points}
           Seminar one

             Seminar two

o      Complies with minimal APA requirements (pagination,                                     20 pts
       running head, appropriate use of headings, double space,                               per week
       appropriate citation and integration of reference content,
       reference list). {10 points}
o      Response is accompanied by one evidence-based reference.
       {5 points}
o      Describes justification for level of evidence assigned. {5
       points} Textbooks or online text sources will not be
       accepted. Correct integration of reference content is
       demonstrated.
            Seminar one

             Seminar two

                                                                                     Total       100
                                                                  *10 % Points will be deducted for late postings
                                                                       Scores of 80-100% = Satisfactory
                                                                            79-0% = Unsatisfactory




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                                                        University of Florida
                                                         College of Nursing
                                 NGR 6244L-Adult Nurse Practitioner: Chronic Health Problems Laboratory

                                                                  CLINICAL HOURS LOG
Student_________________________                                               Clinical Site:___________________
Semester______________                                                         Preceptor:_____________________

                                                          Total number of clinical hours needed 96.

                                                                     Semester
                       Clinical date                 Hours            hours               Preceptor signature
                                                   completed        remaining
                      Orientation                          1       95/96

                      Online seminar                               93/96
                      participation x 2                    2




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                                                        University of Florida
                                                         College of Nursing
                                 NGR 6244L-Adult Nurse Practitioner: Chronic Health Problems Laboratory

                                                           PATIENT SUMMARY LOG*
                                       (*List all activities for each patient interaction on each clinical date)

Student_________________________                                                   Clinical Site:___________________
Semester______________                                                             Preceptor:_____________________

Clinical           Age range                    Chief             Differential          BRIEF summary of clinical experience
 date              & gender                   complaint            diagnoses            (list activities toward course objectives)
                                                                   (5 diff dx)




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                                                       University of Florida
                                                        College of Nursing
                               NGR 6244L: Adult Nurse Practitioner: Common Health Problems Laboratory

                                                       Monthly Documentation Samples Guidelines

        □     You will be expected to submit three (3) samples of focused assessments as follows:
                o 6/4/08
                o 7/9/08

                   This activity will allow faculty to assess your ongoing progress toward the course objectives. You
                   may/may not be actually documenting your findings on the facility records. However, you will need to
                   demonstrate that you can accurately and appropriately document your findings in a medical
                   record.

        □     Include your name and the assignment date on the submission (header section).

        □     The documentation should not include any patient identifier data. COPIES FROM ASSIGNED CLINICAL
              AGENCY MEDICAL RECORDS ARE NOT PERMITTED.

             COPIES FROM ASSIGNED CLINICAL AGENCY MEDICAL RECORDS SHOULD NOT BE
             REMOVED FROM THE AGENCY AND ARE NOT PERMITTED AS EVIDENCE OF
             DOCUMENTATION FOR ASSIGNED CLIENTS. STUDENTS MUST PREPARE AND SUBMIT A
             TYPED DOCUMENT THAT FOLLOWS HIPAA GUIDELINES.

        □     Your documentation sample submissions should be typed and organized using the format described in
              Gomella, LG (2004). Clinician’s pocket reference (11th ed.) on pages 20-23 utilizing the following
              headings:

                     o     History: (identification, chief complaint, HPI, PMH, Family history, Psychosocial history, ROS
                           {general and other systems as applicable}, PE {general, vital signs, and other systems as
                           applicable}
                               o ROS/PE as applicable for focused assessments (appropriate for clinical presentation of
                                   patients)

                   o      Database

                   o      Problem List

                   o      Assessment/Differential diagnoses
                              Include a prioritized list of the top 5 differential diagnoses for the patient based on the data
                                 above. Include rationale for your choices.
                              Include rationale for “rule in” or “rule out” (prepare rationale based on history findings, PE
                                 findings and results of diagnostics and/or diagnostics to be ordered)

                   o      Treatment plan- Must include patient education, diagnostics, appropriate referrals, rationale for
                          admission, patient disposition, pharmacotherapies, and specific follow up needed. All
                          pharmacological interventions must be written following safe prescription writing.


      Students are responsible to make copies, for their own records, of all submissions to the course faculty.




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                                                                       University of Florida
                                                                        College of Nursing
                                                                          NGR 6244L
                                                             Monthly Documentation: Evaluation Criteria

   Student:________________________                                                            Date: ___________

                                                                           Possible     %       %     Average
                                 Criteria                                  % points    Doc     Doc       %    Comments
                                                                                        1       2      Earned
Submitted as scheduled.*                                                      10

Documentation is HIPAA compliant.
                                                                              10

Documentation incorporates pertinent clinical data
to describe physical assessment findings:                                     70
-Hx & demographics & applicable areas of ROS
(14)

-Physical exam (appropriate systems) (20)

-Analysis of pertinent data (20)
    Formulates problem list
    Identifies five (5) differential diagnoses with
       rationale to rule in/out

- Treatment plan (16 points)
     plan addresses problems
            o priorities for the visit
            o acknowledges other problems to be
                addressed in future visits
     pt ed
     recommended diagnostics
     pharmacotherapies
     health promotion
     appropriate referrals
     patient disposition
            o rationale for admission
     specific follow up needed


Documentation is pertinent to the clinical scenario                           10
    accurate
    organized
    concise
    non-judgmental

                                                        *10% Points will be deducted for late submissions
                                                               Scores of 80-100% = Satisfactory
                                                                    79-0% = Unsatisfactory




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                                                  MSN PROGRAM
                                 CLINICAL SITE/PRECEPTOR ASSESSMENT BY STUDENTS
                                                      Form G
                                                                             Page 1 of 2
Name of Site:                                                  Date:
Location:
Student Name:                                         Preceptor Name:
Course Number:
Clinical Track: _____________________________
Instructions:
Mark your assessment with an X in the space after each statement. Space is provided after each
statement if you choose to add any written comments.

I. Clinical Site:                                                 YES    NO       N/A     Comments
   1. Number of clients is sufficient.
   2. There are opportunities to follow up with
       clients and/or clinical problems.
   3. Lab report and x-ray are accessible.
   4. Staff are available to help.
   5. Community resources, other agencies, and
       professional disciplines are involved with
       clients.
II. Preceptor(s):
    1. Assist in identifying goals and needs for
       experience.
    2. Considers student’s limits according to status
       in program.
    3. Provides timely feedback.
    4. Provides rationale for own decisions.
    5. Reviews differential diagnoses with student.
    6. Discusses alternative management plan.

Form adapted from Criteria for Evaluation of NP Programs, National Task Force on Quality NP Education, 2002




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                                                  MSN PROGRAM
                                 CLINICAL SITE/PRECEPTOR ASSESSMENT BY STUDENTS
                                                      Form G
                                                                             Page 2 of 2

General Comments:

               List ways this agency/individual provides quality clinical experience for students.




               Recommendations:

               List other areas in which this agency/individual could provide optimal student learning.




Return to:             Supervising Faculty Member
                       Coordinator of Clinical Resources
                       College of Nursing, HPNP 1203A
                       P. O. Box 100197
                       Gainesville, FL 32610-0197
                       Fax: (352) 273-6407




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                                                                                  Clinical Evaluation Form
                                                                                     University of Florida
                                                                                      College of Nursing
                                                                                 Adult Nurse Practitioner Track                                      Student
                                                                                                                                                     Faculty
                                                                  NGR 6244L: Adult Nurse Practitioner: Chronic Health                                Preceptor
                                                                               Problems Laboratory                                                   Semester

Evaluation:                                                                                                                                               Progression       Final
A student must receive a rating of satisfactory performance in each of the categories by completion of the semester in order to receive a passing grade
for the course. A rating of less than satisfactory in any of the categories will constitute an unsatisfactory grade (u).                                  Date:             Date:
                                                                                                                                                          Initial:          Initial:

Program Objectives:                                                                                              Areas of Evaluation:                                   S      U       S   U
      Utilize theories from nursing sciences and arts to                        1.   Theoretical Base
           develop a comprehensive and holistic approach                              Applies knowledge of selected acute problems and exacerbations of chronic
                                                                                        health conditions
           to nursing care.                                                           Applies knowledge of legal/ethical issues in acute care
      Critique and apply research findings to provide                                 Research to support clinical reasoning and management plan
           quality health care, initiate change and improve
           nursing practice.                                                    2.   Research
      Utilize theories and principles of health care policy, organization and         Evaluates implications of research to client situations
           finance to manage fiscal, human and physical resources.                    Provides scientific research rationale for interventions
                                                                                      Uses research findings to guide management plan
Course Objectives                                                                     Articulates research findings as a basis for change
1. Apply the concepts of wellness and health promotion
   in the advanced nursing management of adults with
   chronic health problems in acute and out-patient
   settings.
2. Critique and integrate current research findings
   related to management of adult chronic health
   problems.
4. Critically and accurately develop differential
   diagnoses based on a health assessment.
                                                                                3.   Health Policy
                                                                                      Advocates for needed client services
                                                                                      Identifies applicable framework for practice
                                                                                      Assesses risk factors for populations


                                                                                4.   Clinical Reasoning
                                                                                      Differentiates episodic from chronic health problems
                                                                                      Prioritizes interventions among treatment options
                                                                                      Clarifies decisions as independent or collaborative
                                                                                      Generates timeline for patients’ responses
                                                                                      Conducts risk-benefit analyses of treatment options
* Assumptions---Clinical reasoning includes critical thinking.


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Program Objective:                                                                                             Areas of Evaluation:                                      S   U     S    U
    Critically and accurately assess, plan, intervene, and evaluate health    1.   Client Assessment-History
         experiences (including wellness and illness) of individuals,               Identifies chief complaint/problem or issue related to selected acute and chronic
         families, and communities.                                                     health conditions
                                                                                    Medical/psychiatric
Course Objectives:                                                                  Dietary
1. Apply the concepts of wellness and health promotion in the advanced              Family
    nursing management of adults with chronic health problems in acute              Cultural and social
    and out-patient settings.                                                       Uses appropriate data sources
2. Critique and integrate current research findings related to management
    of adult chronic health problems.                                         2.   Client Assessment-Physical
3. Critically and accurately assess an adult client presenting with chronic         Utilizes correct assessment techniques
    health problems.                                                                Differentiates between normal and abnormal findings
4. Critically and accurately develop differential diagnoses based on a              Incorporates laboratory data in client management
    health assessment.
5. Implement management plans for adults with chronic health problems
                                                                              3.   Analysis
    after consultation with the preceptor.
6. Evaluate the effectiveness of prevention, health promotion and
                                                                                    Identifies problem/forming differential diagnosis
    management plans in selected chronic health problems of adults.                 Formulates problem list
9. Demonstrate professional verbal and written communication skills.                Develops goals for treatment outcomes

                                                                              4. Treatment/Management Plan
                                                                                   Orders and/or interprets laboratory data
                                                                                   Incorporates findings in client management
                                                                                   Establishes plan of care related to client’s identified problems
                                                                                   Establishes priorities in client’s care and management
                                                                                   Initiates and reinforces preventive health teaching
                                                                                   Develops plan with client and family
                                                                                   Prescribes, initiates and monitors therapeutic regime

                                                                              5. Documentation
                                                                                  Uses standards of practice agency
                                                                                  Includes pertinent information
                                                                                  Uses accurate and non-judgmental terminology
                                                                                  Is concise and organized
                                                                                             Admission orders
                                                                                             Progress notes
                                                                                             Discharge planning
                                                                                             Discharge summaries
                                                                                             Pre-op, post-op patient management

                                                                              6. Evaluation/Revision
                                                                                  Evaluates effectiveness of previous treatment
                                                                                  Prioritizes plan based on changing client needs
                                                                                  Determines need and time for follow up
                                                                                  Revises plan as appropriate
                                                                                  Evaluates outcomes of specific goals


                                                                                                                                                                                 Page 2 of 4

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Program Objectives:                                                                                              Areas of Evaluation:                              S   U   S   U
5. Apply knowledge of cultural diversity and global perspectives in           1.   Comprehensive Care
    delivering health care.                                                         Applies accountability concepts in regard to cost effectiveness and patient
6. Utilize legal and ethical principles to guide decision making in an                outcomes
    advanced nursing practice role.                                                 Practices within legal guidelines in decision making
                                                                                    Practices within ethical guidelines
Course Objective:
1. Apply the concepts of wellness and health promotion in the advanced        2.   Practice Standards
    nursing management of adults with chronic health problems in acute
                                                                                    Compares quality indicators with patient outcomes
    and out-patient settings.
                                                                                    Evaluates cost of treatment/management plan including resources
2. Critique and integrate current research findings related to management
    of adult chronic health problems.
                                                                                    Examines feasibility of patient compliance
8. Incorporate knowledge of cultural diversity and global perspectives              Apply knowledge of third party payees to optimize treatment plan
    when delivering advanced practice nursing care.
                                                                              3.   Management of Fiscal Resources
                                                                                    Assess benefit and cost of treatment options


                                                                              4.   Health Promotion
                                                                                      Incorporate health care teaching within a patient encounter
                                                                                      Assess risk factors for client readmission
                                                                                      Uses preventative measures
                                                                              5.   Cultural Diversity
                                                                                    Sensitive to client perspective related to health care
                                                                                    Accommodates client beliefs in care
                                                                                    Compare complementary therapies with goals of therapeutic treatment plan

7.    Utilize communication and interpersonal skills to facilitate            1.   Collaboration with Interdisciplinary Team
      collaborative relationships with clients and the health care team.            Uses interpersonal skills to collaborate with an interdisciplinary team
8.    Develop an ethical framework to guide one's advanced nursing role and         Evaluates achievement of health care goals with health care team
      foster one's leadership and continued growth within the nursing               Coordinates plan based upon client outcomes
      profession.                                                                   Consults with and refers to health team members
                                                                                    Coordinates case management
Course Objective:
5. Implement management plans for adults with chronic health problems
    after consultation with the preceptor.                                    2.   Communication
7. Utilize legal and ethical principles to guide decision-making in the             Uses technology and informatics
    advanced nursing practice role.                                                 Modifies communication for diverse populations
9. Demonstrate professional verbal and written communication skills.                Writes/Dictates notes that are concise, organized and articulate




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Program Objectives:                                                                Areas of Evaluation:                                                                        S   U   S   U
                                                                                   3.    Advanced Nursing Role
                                                                                          Uses time effectively
                                                                                          Models self-directed learning
                                                                                          Validates practice with clients and health care team
                                                                                          Recognized own limitations in acute and sub-acute care
                                                                                          Evaluate effectiveness of advanced nursing practice in acute and sub-acute
                                                                                            settings

                                                                                   4.    Leadership
                                                                                          Articulates clinical and professional issues
                                                                                          Participates in professional nursing and advanced practice nursing organizations




Midterm Comments:                                                          Date



Signatures:
       Preceptor
       Faculty
       Student
                                                                                                                    Dates of observed clinical
Final Comments:
                                                                           Date                                     practice


Signatures:                                                                Final Grade
       Preceptor
       Faculty
       Student

Approved:          Academic Affairs 05/99           Revised date   12/00    PP                                                                                   Page 4 of 4



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                                                                                                  Policy C-03
                                                                                            UNIVERSITY OF FLORIDA
                                                                                             COLLEGE OF NURSING

                                                                                             MSN PROGRAM
                                                                           CLINICAL SITE/PRECEPTOR ASSESSMENT BY FACULTY
                                                                                                Form A
                                                                                                                                                                                         Page 1 of 1

                                                                                                                                                      Date:
Name and Address of Site:                                                                                       Contact Person
                                                                                                                Name:
                                                                                                                Title:
Faculty Member                                                                                                  Phone # W.:
                                                                                                                E-mail:

                Type of Site                                 Characteristics of Clients            Clinical Experiences Available                Clinical Experiences Are Adequate for   Course Number
                                                                                                                                                           Course Objectives

Rural or Urban            Public or Private           Gender       Ages      Underserved    Preventive      Episodic     Chronic    Acute                  Yes             No


   Name of                 No. of               Practice                National             Years of                  Previously               State         Highest     Highest        Able to Provide
 Preceptor(s)            Students               Specialty             Certification:        Practice in                Precepted             Licensure:       Academic    Nursing          Appropriate
    at site              Precepted                                  Specify: Certifying    Specialty Area              Students             Specify: # &      Degree      Degree            Learning
                                                                          body,                                          (Y/N)               exp. date                                    Experiences
                                                                       exp. date                                                                                                         Yes          No




Form adapted from Criteria for Evaluation of NP Programs, National Task Force on Quality NP Education, 2002

Faculty Member - Return to: Coordinator of Clinical                            Resources
                            College of Nursing, HPNP 1203A
                            P. O. Box 100197
                            Gainesville, FL 32610-0197
                            Fax: (352) 273-6407




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                                                                              MSN PROGRAM
                                                                           CLINICAL EXPERIENCE
                                                                                    Form F
                                                                                                                                                                     Page 1 of 1
          Student: _____________________________
          Track: ______________________________
          Campus: ____________________________

         Course              Semester Credits Hours of Supervised                   Beginning and              Name/Title Faculty                          Location of Practice
                                                   Practice                          Ending Date              Advisor and/or Clinical
                                                                                                                    Preceptor




Form adapted from Criteria for Evaluation of NP Programs, National Task Force on Quality NP Education, 2002




                                                                                                      S:\NURSING\EVERYONE\CON-Policies\C-Curriculum\C-03 MSN Program Clinical Site.doc

				
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