2630 University Halll. March 18, TO: Richard Van. I am

Transcription

1 Office of Programs and Academic Assessment (MC 103) 2630 University Halll 601 South Morgan Street Chicago, Illinois March 23, 2011 TO: FROM: Richard Van Acker, Chair Senate Committee on Educational Policy Kim Neumann, Assistant Director for Academic Programs I am submitting for review and action by the Senate Committee on Educational Policy the attached Proposal to Establish the Neonatal Nurse Practitioner Concentration within the Doctor of Nursing Practice (DNP) Program. The proposal was approved by the faculty in the College of Nursing on February 18, 2011 and by the Graduate College Executive Committee on March 18, /10/ /2011 1

2 Title: Establishment of the Neonatal Nurse Practitioner concentration within the Doctor of Nursing Practice (DNP) Sponsor: College of Nursing Description: The College of Nursing is proposing to establish a Neonatal Nurse Practitioner (NNP) concentration with the Doctor of Nursing Practice (DNP). Neonatal Nurse Practitioners (NNPs) practice in the acute care setting (hospitals) and manage care for healthy newborns as well as ill infants, pre-term infants and very low birth weight infants with severe, life-threatening complications. NNPs work in consultation with neonatologists, pediatricians and pediatric specialists but are licensed to manage care independently. Many community and rural hospitals do not have level 3 intensive care units for infants like urban medical centers. With NNPs oversight to manage complications in the nursery, many hospitals would be able to manage the care of acutely ill newborns without transfer to large medical centers, enabling the family to stay together in a familiar place during long term stays. Graduates of the UIC Neonatal Nurse Practitioner program will be well prepared to manage the biological, psychosocial, cultural, legal, ethical, economic and political issues related to the nation s top cause of morbidity and mortality in newborns. The proposed program also incorporates principles of patient-family centered care (PFCC), which makes it unique among NNP programs. The patient family centered care approach invites family members to become full partners in decision-making related to the infant and designs an emotional and environmental climate that is supportive and comforting for the families while their infant is ill. Additionally, patient-family centered care continues after the infant is discharged and is used to co-ordinate follow-up health needs. The curriculum will exist of courses currently offered by the College of Nursing and four new courses (three didactic courses and one practicum course) that focus on the NNP specialty content. A multidisciplinary course will also be developed and offered to introduce the patient-family centered care model to concentration students, as well as other Advanced Practice nurses, medical students, and residents. The total hours required for the Neonatal Nurse Practitioner concentration within the Doctor will be 93sh. Justification: Neonatal Nurse Practitioners have worked since the 1970 s to meet the health needs of the rapidly growing group of high-risk infants. A number of studies indicate that NNPs provide safe and cost-effective, outcome oriented neonatal intensive care, and the role has been supported by the American Academy of Pediatrics. At the end of September 2009, the number of NNPs certified by the National Certification Corporation (NCC) was only Yet, with the expansion of the DNP since 2004, at least 5 of the 40 current NNP programs will be closed by 2015 due to a lack of resources for both the specialty and the DNP. Nationally, more than 150 open NNP 2

3 positions are available, representing the highest vacancy rates and the worst shortage experienced in the last twenty years. The demand for NNPs has vastly outstripped the supply of NNPs being trained. Thus, there is an urgent need to expand academic training programs for this sub-specialty. In the immediate Chicago metropolitan area, potential employers have reported the urgent need for a minimum of 20 NNPs, as many academic medical centers recently discovered that up to 15 Fellowship positions will remain unfilled in the next year. Only three DNP programs exist in Illinois, none of which focuses on PFCC or advance practice neonatal nursing. Additionally, there are no NNP programs in Wisconsin or Indiana, thus the region is in need of NNP educational programs. UIC, offering the only DNP-NNP program in Illinois, will be uniquely positioned to prepare urban and rural providers to fully develop partnerships in care for infants and their families. Catalog Statement: Current Doctor of Nursing Practice BSN to DNP Curriculum: Specialty-Specific and Role Competency Courses (38 54 hours). Proposed Additions/Changes Same. Neonatal Nurse Practitioner NURS 531, 532, 533 and 535. NUSP 549, 558, 560, 561, 562, and 563; NUPR 574. See the following page for a list of all courses required for students in the new concentration. Minority Impact Statement: No negative impact anticipated. Budgetary and Staff Implications: Funds to start this concentration will be available through internal reallocation. Once the program is implemented, the costs of the program will be supported by tuition revenue. Library Resource Implications: No impact anticipated; current library resources are sufficient. 3

4 Space Implications: Unit (e.g. department) approval date: No impact anticipated. The College has adequate clinical preceptors and sites to accommodate this new concentration. Advanced Practice Curriculum Subcommittee: January 19, 2011 Curriculum Committee: January 25, 2011 General Faculty: February 18, 2011 College (educational policy committee, faculty) approval dates: Contact Person: Proposed Effective Date: Dr. Patricia Lewis Associate Dean for Clinical Nursing Practice Studies Fall,

5 Doctor of Nursing Practice (DNP) Neonatal Nurse Practitioner Concentration Degree Requirements Core Practice Competency Courses: 32 SH NURS 525 Intermediate Statistics 3 NURS 526 Nursing Inquiry I 2 NURS 527 Nursing Inquiry II 2 NURS 528 Health, Environment and Systems 2 NURS 529 Issues of Advanced Practice in Nursing 1 EPID 400 or Principles of Epidemiology 3 EPID 403 Introduction to Epidemiology: Principles and Methods BHIS 510 Health Care Information Systems 4 NURS 550 Evidence-based Practice 3 NURS 551 Promoting Health: Translating Science to Practice 3 NURS 552 Advanced Nursing Leadership Concepts 3 NURS 553 Strategic and Financial Planning for Clinical Programs 3 NURS 554 Translating Evidence to Clinical Practice 3 Direct Care Specialty-Specific and Role Competency Courses: 41 SH NURS 531 Pharmacotherapeutics in Advanced Practice in Nursing 3 NURS 532 Comprehensive Health Assessment for Advanced Practice 2 NURS 533 Applied Pharmacotherapeutics in Advanced Practice in Nursing 1 NURS 535 Biological Basis of Disease 4 NUSP 549 Biological Basis for Women's Health and Perinatal Nursing II 2 NUSP 558 Advanced Parent-Infant Nursing 3 NUSP 560 Advanced Neonatal Management I: The High Risk Neonate 3 NUSP 561 Advanced Neonatal Management II: The Acutely Ill Infant 3 NUSP 562 Advanced Neonatal Management III: The Gravely Ill Infant 3 NUPR 574 Advanced Neonatal Nurse Clinical Practicum 15 NUSP 563 Essentials of Patient and Family Centered Care 2 DNP Synthesis Project and DNP Practicum: 20 SH NURS 560 Synthesis Project Development 4 NURS 561 Synthesis Project Implementation 4 NURS 562 Synthesis Project Evaluation and Dissemination 4 NUPR 584 DNP Practicum I 4 NUPR 585 DNP Practicum II 4 TOTAL: 93 SH 5

6 New Course Descriptions: NUSP 560 Advanced Neonatal Management I: The High Risk Neonate. 3 hours. Focuses on unique nursing care and neurodevelopmental needs and vulnerabilities of high-risk infants emphasizing patient and family centered care interventions that enhance development and outcomes. Prerequisites: NURS 532 and NURS 535 and NUSP 549. NUSP 561 Advanced Neonatal Management II: The Acutely Ill Infant. 3 hours. Focuses on the assessment, stabilization, and theoretical management of acutely ill infants for common problems associated with prematurity emphasizing a patient and family centered care approach. Prerequisites: NURS 533 and NUSP 560. NUSP 562 Advanced Neonatal Management III: The Gravely Ill Infant. 3 hours. Focuses on complex disturbances, alterations, and multi-organ interactions of the cardiopulmonary, neuromuscular, neurosurgical, renal, gastrointestinal systems emphasizing a patient and family centered care approach. Prerequisites: NUSP 561. NUSP 563 Essentials of Patient and Family Centered Care. 2 hours. Analysis of theoretical and research components of socio-culturally appropriate patient and family centered care and its impact on patients, families, and health delivery. NUPR 574 Advanced Neonatal Nurse Clinical Practicum. 1 to 6 hours. May be repeated for credit. Assessment, stabilization, and management of infants with common problems or complex disturbances, alterations, and multi-organ dysfunction and their unique neurodevelopmental needs and vulnerabilities emphasizing patient and family centered care. Prerequisites: NURS 532 and NURS