January 28, 2008

TO:Mark Schneiderhan, Chair

Senate Committee on Educational Policy

FROM:Midge Grosch

Director, Programs and Academic Assessment

I am forwarding for review and action by the Senate Committee on Educational Policy the attached Revision of Family Nurse Practitioner Concentration within the Master of Science in Nursing and Doctor of Nursing Practice (DNP) Programs.

The proposal was approved by the faculty in the College of Nursing on November 16, 2007 and was approved by the Graduate College Executive Committee on February 1, 2008.

Attachment

Cc:P. Lewis

T. Bartholomew

Title: / Revision of Family Nurse Practitioner Concentration within the Master of Science in Nursing and Doctor of Nursing Practice (DNP) Programs
Sponsor: / College of Nursing and the Department of Public Health, Mental Health and Administrative Nursing
Description: / 1. Delete the following courses from the degree requirements for the Family Nurse Practitioner Concentration within the MS and the BSN-DNP:
  1. NUPH 500, Health Maintenance and Promotion in Primary Care Nursing (4sh)
  2. NUPH 509, Population-Focused Assessment (3sh)
  3. NUPH 511, Planning and Evaluation for Advanced Nursing Practice (3sh)
  4. NUPH 524, Primary Care Nursing of Acute and Chronic Disorders I (4sh)
  5. NUPH 525, Primary Care Nursing of Acute and Chronic Disorders II (6sh)
  6. NUPH 528, Advanced Clinical Practice in Primary Care Nursing (5sh)
2. Delete the 3sh elective in the BSN-DNP Family Nurse Practitioner Concentration.
3. Add the following courses to the degree requirements for the Family Nurse Practitioner Concentration within the MS and the BSN-DNP:
  1. NUPH 539, Health Management in Primary Care I (3sh)
  2. NUPH 540, Clinical Practice in Primary Care I (3sh)
  3. NUPH 541, Clinical Practice in Primary Care II (2sh)
  4. NUPH 547, Population-Focused Interventions in Primary Care (2sh)
  5. NUPH 548, Practicum in Population-Focused Interventions in Primary Care (1sh)
  6. NUPH 542, Health Management in Primary Care II (3sh)
  7. NUPH 543, Advanced Clinical Practice in Primary Care I (4sh)
  8. NUPH 544, Health Management in Primary Care III (3sh)
  9. NUPH 545, Advanced Clinical Practice in Primary Care II (4sh)
4. Add NUPH566, Family-Focused Health Management in Primary Care (3sh) to the BSN-DNPFamily Nurse Practitioner Concentration. The course will be cross listed with NUSC 566 to encourage students from other DNP options to register.
  1. FNP Concentration students in the MS program may take either NUSC 525 (Intermediate Statistics) or BSTT 400 (Biostatistics) to fulfill degree requirements. The School of Public Health recently changed the credit hours for BSTT 400 from 3 to 4 hours; this change is now reflected in the proposed degree requirements.
The total hours required for the Family Nurse Practitioner Concentration within the MS will increase from (51-53sh) to (51-54 sh); and credit hours for the Family Nurse Practitioner Concentration within the Doctor of Nursing Practice (DNP) (90sh) will remain the same.
Justification: / Although nurse practitioner education has evolved considerably over the past 25 years with the advent of national guidelines for outcomes competencies and the outcomes competencies envisioned for the new nursing practice doctorate (DNP), the Family Nurse Practitioner (FNP) program at the College of Nursing, University of Illinois has not comprehensively revised its course sequence during this time. Course didactic content has been kept up to date, practicum hours have been added, and online modalities are now used extensively; however, the course objectives were written in the 1980’s, didactic semester hours have remained at 6 across the courses, and the courses continue to combine didactic and practicum experiences even though other nurse practitioner programs in the college now have separate courses for didactic and practicum experiences.
Student and faculty evaluations of the FNP courses indicate that an increase in didactic content is long overdue given the scope and breadth of competencies now expected of FNP graduates. Comparisons with other nationally ranked and Illinois FNP programs reveal that the University of Illinois FNP program has the lowest number of didactic hours; is the only program requiring 2 semesters of community assessment, planning, and evaluation; and lacks a family health course as part of its required content even through 57% of current competencies as set forth by the National Organization of Nurse Practitioner Faculties include either a family focus or an individual-and-family focus.
The proposed curriculum change will expand didactic hours in the FNP program, separate didactic and practicum components of the program, and add a substantive family health didactic course. Details of the changes are as follows: The 4 current FNP courses will be separated into 3 didactic and 4 practicum courses spanning the same time frame in student program plans. A new, 1-semester population-focused course (NUPH 547) will replace the 2 semesters of community assessment, planning and evaluation previously required, and the 3 semester hours of credit from the second community course will be distributed to the 3 didactic courses in the FNP program. For master’s students in the FNP concentration, FNP didactic hours will increase from 6 to 9 and community course hours will decrease from 6 to 3, so that no overall change in credit hours or program plans for the MS degree will be required.
Furthermore, a new didactic course, NUPH566,Family Focused Health Management in Primary Care (3sh) will be added. This course will be required for students in the BS-DNP FNPConcentration and will be taken in lieu of the previously required 3sh graduate elective. This course, which was previously unavailable, will position the DNP FNP graduate to meet the expanding scope of DNP practice with families.
Catalog Statement: / See below
Minority Impact Statement: / None
Budgetary and Staff Implications: / None
Library Resource Implications: / None
Space Limitations: / None
Approval Dates: / Advanced Practice Curriculum Subcommittee: October 4, 2007
Curriculum Committee:October 31, 2007
Faculty Executive Committee: November 6, 2007
General Faculty: November 16, 2007
Contact Person: / Dr. Patricia Lewis
Associate Dean for Clinical Nursing Practice Studies
Proposed Effective Date: / Fall 2008
Current Catalog Statement – Degree Requirements for the MS / Proposed Catalog Statement – Degree Requirements for the MS
  • Public Health Nursing: Family Nurse Practitioner, 51–53;
/
  • Public Health Nursing: Family Nurse Practitioner, 51–54;

  • Public Health Nursing: Family Nurse Practitioner—NUSC 525 or BSTT 400; NUSC 531, 532 and 535; NUPH 500, 509, 511, 524, 525, and 528; EPID 400.
/
  • Public Health Nursing: Family Nurse Practitioner—NUSC 525 or BSTT 400; NUSC 531, 532 and 535; NUPH 539, 540, 541, 542, 543, 544, 545, 547, and 548; EPID 400.

Note: No change in the catalog listing for the BSN-DNP program is necessary.

Revised Course:

BSTT 400Biostatistics I
4 hours. Descriptive statistics, basic probability concepts, one- and two-sample statistical inference, analysis of variance, and simple linear regression. Introduction to statistical data analysis software. Enrollment restricted to public health students and healthcare administration students; other graduate, professional and advanced undergraduate students admitted by consent as space permits. To obtain consent, see the SPH registrar.

Courses no longer required:

NUPH 500Health Maintenance and Promotion in Primary Care Nursing
4 hours. Prepares nurse practitioners to provide health maintenance and promotion to families and individuals in primary care settings. Prerequisite(s): Credit or concurrent registration in NUSC 532 or consent of instructor.

NUPH 509Population-Focused Assessment
3 hours. Explores population-focused assessment in community and integrated healthcare systems emphasizing the application of assessment models used in health service delivery and market analysis. Prerequisite(s): Credit or concurrent registration in EPID 400 and credit or concurrent registration in NUSC 525 and credit or concurrent registration in NUSC 526.

NUPH 511Planning and Evaluation for Advanced Nursing Practice
3 hours. Explores strategic and program planning applications. Focuses on evaluation as a measurement of quality, performance, and impact of health services. Emphasizes interdisciplinary perspective and addresses integrated quality improvement systems. Prerequisite(s): NUPH 509 and NUSC 525 and NUSC 526. Requires concurrent registration in NUSC 527.

NUPH 524Primary Care Nursing of Acute and Chronic Disorders I
4 hours. Prepares nurse practitioners to assess, diagnose and manage stable chronic and acute episodic illnesses encountered in primary care settings. Prerequisite(s): NUPH 500.

NUPH 525Primary Care Nursing of Acute and Chronic Disorders II
6 hours. Second of a two course sequence to prepare nurse practitioners to assess, diagnose, and mangage stable chronic and chronic episodic illnesses encountered in primary care settings. Prerequisite(s): NUPH 524.

NUPH 528Advanced Clinical Practice in Primary Care Nursing
1 TO 5 hours. Health care issues, advanced clinical skills and supervised practicum experiences specific to students' selected practice area or population groups in rural, urban or international settings. Satisfactory/Unsatisfactory grading only. Prerequisite(s): NUPH 525.

Course Title / NUPH 539, Health Management in Primary Care I
Course Credit Hrs / 3
Course Description (25 words or less) / First of a three-course sequence in evidence-based health promotion, health maintenance, and health restoration using a lifespan developmental framework. Emphasizes wellness care.
Course Prerequisite / NUSC 532
Course Objectives / 1. Assess health status of patients to identify health promotion and health maintenance needs.
2. Integrate health assessment with screening and testing data to identify health risks and diagnose selected common minor acute and stable chronic illnesses.
3. Formulate an evidence-based plan to promote and maintain health, reduce health risks, and manage selected common minor acute and stable chronic illnesses.
4. Evaluate outcomes of patient care management to promote and maintain health, reduce health risks, and manage selected common minor acute and stable chronic illnesses.
5. Integrate consideration of family, occupational, community, and cultural factors in promoting and maintaining health.
Course Topic List (Topic areas cannot be more than 5 hrs. each) /
  1. Introduction to primary care across the lifespan (2)
  2. Care of the pregnant patient and family (3)
  3. Care of the postpartum patient and family (2)
  4. Family planning (2)
  5. Promoting wellness across the lifespan (examples of specific topics below):
  6. Care of the well child 0-18 mo. (3)
  7. Care of the well child 19-60 mo. (3)
  8. Care of the school aged and adolescent patient (3)
  9. Care of the young and middle-aged adult (3)
  10. Care of the older adult (3)
  11. Evidence-based practice, Part 1: diagnostic reasoning (3)
  12. Common symptoms in primary care, Part 1 (examples of specific topics listed below)
  13. Red eye, earache, sore throat (2)
  14. Nasal symptoms, sinus congestion, cough (2)
  15. Dysuria; vaginal/penile discharge and itching (3)
  16. Common health risks and chronic illnesses in primary care, Part 1 (examples of specific topics listed below)
  17. Therapeutic lifestyle change (3)
  18. Pre-hypertension and hypertension (3)
  19. Pre-diabetes and diabetes (3)
  20. Lipid disorders (2)

Resource Materials / Both online and print resources will be used (examples of specific resources listed below):
Access Medicine Library. New York: McGraw-Hill.
AmericanAcademy of Pediatrics. Bright futures: Guidelines for health supervision of infants, children, and adolescents.
DiCenso, A., Guyatt, G., & Ciliska, D. (2005). Evidence-based nursing: A guide to clinical practice.St. Louis: Mosby.
Dains, J., Baumann, L., & Scheibel, P. (2003). Advanced health assessment & clinical diagnosis in primary care (2nd Ed.). St. Louis: Mosby.
Dunphy, L. (2006). Primary care: The art and science of advanced practice nursing.Philadelphia: F. A. Davis.
Fitzpatrick’s color atlas & synopsis of clinical dermatology (5th ed). New York: McGraw-Hill, Access Medicine Library.
Resource on motivating behavioral change.
Hatcher, R., Cwiak, C., Zieman, M. (2005). Guide to Managing Contraception 2005-2007. USA: Bridging the Gap Communications.
Pagana, K. & Pagana, T. (2006). Mosby’s manual of diagnostic and laboratory tests (3rd ed.). St. Louis: Mosby.
Purnell, L. D., & Palulanka, B. J. (2003). Transcultural health care: A culturally competent approach (2nd ed.). Philadelphia: F.A. Davis.
Evaluation Criteria for Student Performance / Written quizzes and examination(s); term paper; online and in-class participation.
Course Title / NUPH 540, Clinical Practice in Primary Care I
Course Credit Hrs / 3
Course Description
(25 words or less) / Practicum emphasizing evidence-based clinical practice, including data-gathering, differential diagnosis, health promotion, disease prevention, and management of common health problems across the lifespan.
Course Prerequisites / NUSC 532; Credit or concurrent registration in NUPH 539.
Course Objectives /
  1. Conducts appropriate wellness and episodic history and physical exams, including necessary screening/diagnostic tests.
  2. Determines beginning differential diagnosis and problem list, including health promotion & disease prevention needs.
  3. Develops an initial management plan, including health promotion & disease prevention strategies.
  4. Incorporates research evidence and family, community and cultural considerations into the patient encounter.
  5. Promotes quality of care through the evaluation of patient clinical outcomes.
  6. Begins developing collegial professional role as a nurse practitioner with the patient and health care team members.

Course Topic List
(Topic areas can not be more than 5hrs each) / The overall focus of this practicum is to acquire beginning competencies in assessing, promoting, maintaining, and managing health in primary care, with an emphasis on care of the well child, well woman, and normal pregnancy. Students register for 3 sh and complete 135 clock hours at a 1:3 ratio under the guided supervision of faculty and clinical preceptors. Course includes clinical conferencing with faculty and primary care procedures education.
Resource Materials / Duderstadt, K. (2006). Pediatric physical examination: An illustrated handbook. St. Louis: Mosby; Ebell, M., et al. (2007-). InfoRetriever for Pocket PC; Edmunds, M., & Mayhew, M. (2003). Procedures for primary care practitioners (2nd ed.). St. Louis: Mosby; Epocrates Essentials Reference; Seidel, H., et al. (2006). Mosby’s physical examination handbook.St. Louis: Mosby; U.S. Preventive Services Task Force Electronic Preventive Services Selector; other PDA resources.
Evaluation Criteria for Student Performance / Faculty/preceptor clinical evaluation, electronic clinical log, clinical conferencing participation, clinical quizzes, standardized/simulated patients, self-reflection
Course Title / NUPH 541, Clinical Practice in Primary Care II
Course Credit Hrs / 2
Course Description
(25 words or less) / Practicum emphasizing evidence-based clinical practice, including data-gathering, differential diagnosis, health promotion, disease prevention, and management of common health problems across the lifespan.
Course Prerequisites / NUPH 539, NUPH 540
Course Objectives /
  1. Conducts appropriate wellness and episodic history and physical exams, including necessary screening/diagnostic tests.
  2. Determines differential diagnosis and problem list, including health promotion & disease prevention needs.
  3. Develops a management plan, including health promotion & disease prevention strategies.
  4. Incorporates research evidence and family, community and cultural considerations into the patient encounter.
  5. Promotes quality of care through the evaluation of patient clinical outcomes.
  6. Develops collegial professional role as a nurse practitioner with the patient and health care team members.

Course Topic List
(Topic areas can not be more than 5hrs each) / The overall focus of this practicum is to develop competencies in assessing, promoting, maintaining, and managing health in primary care, continuing with wellness care and adding experience with minor acute and stable chronic illnesses. Students register for 2 sh and complete 90 clock hours at a 1:3 ratio under the guided supervision of faculty and clinical preceptors. Course includes clinical conferencing with faculty and primary care procedures education.
Resource Materials / Duderstadt, K. (2006). Pediatric physical examination: An illustrated handbook. St. Louis: Mosby; Ebell, M., et al. (2007-). InfoRetriever for Pocket PC; Edmunds, M., & Mayhew, M. (2003). Procedures for primary care practitioners (2nd ed.). St. Louis: Mosby; Epocrates Essentials Reference; Seidel, H., et al. (2006). Mosby’s physical examination handbook.St. Louis: Mosby; U.S. Preventive Services Task Force Electronic Preventive Services Selector; other PDA resources.
Evaluation Criteria for Student Performance / Faculty/preceptor clinical evaluation, electronic clinical log, clinical conferencing participation, clinical quizzes, standardized/simulated patients, self-reflection
Course Title / NUPH 542, Health Management in Primary Care II
Course Credit Hrs / 3
Course Description (25 words or less) / Second in a three-course sequence in evidence-based health promotion, health maintenance, and health restoration using a lifespan developmental framework. Emphasizes common acute and chronic health problems.
Course Prerequisites / NUPH 539
Course Objectives / 1. Assess health status of patients and prioritize health promotion, health maintenance, and health restoration needs.
2. Integrate health assessment with screening and testing data to identify health risks and diagnose common acute and chronic illnesses.
3. Formulate an evidence-based plan to promote and maintain health, reduce health risks, and manage common acute and chronic illnesses.
4. Evaluate outcomes of patient care management to promote and maintain health, reduce health risks, and manage common acute and chronic illnesses.
5. Integrate consideration of family, occupational, community, and cultural factors in promoting, maintaining, and restoring health.
Course Topic List (Topic areas cannot be more than 5 hrs. each) /
  1. Promoting health across the lifespan: family and occupational considerations (3)
  2. Evidence-based practice, Part 2: interventions and harm (3)
  3. Common symptoms in primary care, Part 2 (examples of specific topics listed below)
  4. Back, limb, and joint pain; pediatric m/s (6)
  5. Rashes and skin lesions (6)
  6. Dyspnea (2)
  7. Cough, fever, respiratory infections (2)
  8. Wheezing and stridor (2)
  9. Chest pain, edema; murmurs; congenital disorders (6)
  10. Abdominal pain, diarrhea, constipation, rectal pain, itching, bleeding (4)
  11. Jaundice and abnormal liver enzymes(2)
  12. Substance abuse (3)
  13. Common health risks and chronic illnesses in primary care, Part 2 (examples of specific topics listed below)
  14. Metabolic syndrome (2)
  15. Diabetes, Part 2 (2)
  16. Hypertension, Part 2 (2)

Resource Materials / NUPH 539 resources, plus
Stern, D.C., Cifu, A. S., & Altkorn, D. (2006). Symptom to diagnosis: An evidence-based guide. New York: McGraw-Hill/ AccessMedBooks.com; UpToDate subscription (online)
Evaluation Criteria for Student Performance / Written quizzes and examination(s); term paper; online and in-class participation.
Course Title / NUPH 543, Advanced Clinical Practice in Primary Care I
Course Credit Hrs / 4
Course Description
(25 words or less) / Practicum emphasizing evidence-based clinical evaluation, differential diagnosis, health promotion, disease prevention, and management of common to complex health problems across the lifespan.