Advanced Practice Nursing

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1 Wegmans School of Nursing Master of Science in: Advanced Practice Nursing Program Overview The mission of the program at St. John Fisher College is to provide a stimulating milieu of academic and clinical excellence that challenges the professional nurse to acquire the theoretic and clinical scholarship needed to assume expanded nursing roles in interdisciplinary healthcare settings upon graduation. At this time, the WSON is offering two programs: Family Nurse Practitioner, which qualifies the graduate to seek certification and employment as a Family Nurse Practitioner (FNP). Clinical Nurse Specialist, which qualifies the graduate to seek certification as a Clinical Nurse Specialist in a chosen clinical specialty (CNS). (Adult/Gerontology) Either of these programs prepares the student to continue on to doctoral study, if that is a career goal. Program Highlights 1. Scholarships are available for full- and part-time study. 2. A state-of-the-art Wegmans School of Nursing building. This 40,000 square-foot facility features high-tech classrooms, simulation labs, and computer facilities dedicated to the School of Nursing. 3. All three Nursing programs offer classes in the evening to accommodate working professionals. 4. Clinical placements for School of Nursing students include two Magnet Hospitals, primary care settings, and area associate degree and baccalaureate programs. 5. Two Post-Master s Certificates are currently available. Clinical Learning Experiences The graduate student completes all clinical courses as precepted practicum experiences. The FNP program has a total of 600 clinical hours. The CNS program has a total of 500 clinical hours. It is the policy of the Graduate Nursing program that the student s clinical learning experiences are separate and apart from his/her position of employment. Precepted clinical experiences are in a wide variety of healthcare agencies. In each clinical course, students must be rated as competent by the clinical preceptor and faculty site visitor in order to successfully complete the course. Note: 50% of the clinical hours for Family Nurse Practitioner students must be in primary care settings.

2 Admission Requirements Applicants who present satisfactory evidence of their ability to perform at the graduate level are admitted to the Graduate Nursing Program at St. John Fisher College. The Enrollment Management Committee of the Graduate Nursing program and the director of the graduate program judge the qualifications of the applicants. Two letters of recommendation from individuals who are qualified at the master's level or higher. Please ask that individual s signature includes their highest academic degree. Official transcript(s) showing completion of a baccalaureate degree in nursing from a nationally accredited program with an overall GPA of 3.0 or higher.* Successful completion of undergraduate courses in statistics, nursing research, and undergraduate health assessment (physical examination) with grades of B or higher documented on an official transcript.* Evidence of current licensure as a registered professional nurse in New York (copy of the registration certificate from the State of New York). Submission of a completed Health History and Immunization form to the College s Wellness Center. Health information must be current and valid for the academic year in which the student intends to enter St. John Fisher College. Students must document and maintain current CPR certification, and submit the score achieved on the hospital RN Medication Administration Competency exam. Completion of the Graduate Record Examination (GRE) is optional; taking the GRE may strengthen a graduate application. *Admissions criteria includes priority enrollment for those with a GPA of 3.3 or better, with a minimum undergraduate GPA of 3.0. Students with an undergraduate GPA of 3.0 or better can apply, but due to large numbers of applicants, are less likely to qualify for admission. Post-Master s Certificate Students (additional requirement): Evidence (official transcript) of completion of a master s degree in nursing from a nationally accredited program. Program Requirements Progression Policy Students matriculating into the graduate nursing program must achieve a grade of B (84-86) or higher in GNUR 543, GNUR 570, GNUR 571, GNUR 566, GNUR 567, GNUR 576, and GNUR 577 in order to progress to the next course. If a student does not achieve a grade of B on the first attempt, the student may re-take the course once. If the student does not achieve a grade of B on the next attempt, the student will not be allowed to progress. MS Advanced Practice Nursing: Clinical Nurse Specialist (CNS) (Adult/Gerontology) This track prepares the graduate to provide specialized care to the adultgerontology population. Clinical nurse specialists provide expert care for specified populations and consult, collaborate, and provide evidencebased clinical care. Students are eligible to sit for a national certification exam. Five hundred (500) clinical hours with selected CNS preceptors provide the basis for beginning clinical nurse specialist practice. Note: The following curriculum has been revised, and students accepted into the WSON master s program will have the opportunity to transition to the new curriculum, if desired. If students want to continue with the curriculum noted below, these courses will be offered for three to four semesters in order to allow students to complete the current curriculum, if desired. CNS Specialty Courses MS Advanced Practice Nursing Clinical Nurse Specialist (CNS) Choose One Course # Course Name Credits Clinical GNUR501 Scientific Inquiry I 4 0 GNUR502 Scientific Inquiry II 4 0 GNUR512 Health Care, Economics & Policy 4 0 GNUR543 Advanced Pathophysiology 3 0 GNUR518 Advanced Practice Care of Families 3 0 GNUR696 Master s Capstone I 3 0 GNUR697 Master s Capstone II 1 0 GNUR698 Capstone Continuation (if needed) 1 0 GNUR694/ 695 Comprehensive Exam I and II 4 0 GNUR570 Pharmacology 3 0 GNUR571 Diagnostic Reasoning in Adv. Practice Nursing 3 0 GNUR529 Adv. Practice Nursing Roles & Leadership 2 0 GNUR688 Synthesis Practicum for CNS GNUR566 Advanced Concepts in Care of Older Adults 3 0 GNUR684 Advanced Practice in Care of Older Adults GNUR567 Advanced Concepts in Care of Adults 3 0 GNUR685 Advanced Practice in Care of Adults - CNS Total Credit and Clinical

3 MS Advanced Practice Nursing: Family Nurse Practitioner (FNP) This track prepares the graduate to provide primary care for pediatric, adult, and elderly populations. Students are qualified for certification as a family nurse practitioner in NYS and eligible to sit for a national certification examination. Six hundred (600) clinical hours with selected APRN preceptors provide the basis for beginning nurse practitioner practice. Clinical placement with MD/DO or PA preceptors will occur as needed; however, NP, CNM preceptors will be prioritized. Post-Master s Family Nurse Practitioner Certificate Program Nurses who hold a master s degree in nursing and wish to become FNPs may obtain the Family Nurse Practitioner Certificate. The post-master s program requires the student to complete course work in the Family Nurse Practitioner program. Students who have already completed an NP program may be eligible for course waivers at the discretion of the program director. Upon completion of the certificate program, the nurse will be eligible for certification as an FNP in New York State and national, professional FNP certification. MS Advanced Practice Nursing Family Nurse Practitioner (FNP) Course # Course Name Credits Clinical GNUR501 Scientific Inquiry I 4 0 Post-Master s Certificate Family Nurse Practitioner (FNP) Course # Course Name Credits Clinical GNUR529 Advanced Practice Nursing Roles and Leadership 2 0 Choose One GNUR502 Scientific Inquiry II 4 0 GNUR512 Health Care, Economics & Policy 4 0 GNUR543 Advanced Pathophysiology 3 0 GNUR518 Advanced Practice Care of Families 3 0 GNUR696 Master s Capstone I 3 0 GNUR697 Master s Capstone II 1 0 GNUR698 Capstone Continuation (if needed) 1 0 GNUR543 Advanced Pathophysiology 3 0 GNUR570 Pharmacology 3 0 GNUR571 Diagnostic Reasoning in Advanced Practice Nursing 3 0 GNUR518 Advanced Practice Care of Families 3 0 GNUR567 Advanced Concepts in Care of Adults 3 0 GNUR680 Advanced Practice in Care of Adults FNP Family Nurse Practitioner Courses GNUR694/ 695 Comprehensive Exam I and II 4 0 GNUR570 Pharmacology 3 0 GNUR571 Diagnostic Reasoning in Advanced Practice Nursing 3 0 GNUR576 Advanced Concepts in Care of Women 3 0 GNUR681 Advanced Practice in Care of Women GNUR567 Advanced Concepts in Care of Adults 3 0 GNUR680 Advanced Practice Care of Adults FNP GNUR577 Advanced Concepts in Care of Children 3 0 GNUR682 Advanced Practice in Care of Children GNUR566 Advanced Concepts in Care of Older Adults 3 0 FNP Specialty Courses GNUR576 Advanced Concepts Care of Women 3 0 GNUR681 Advanced Practice Care of Women FNP GNUR577 Advanced Concepts Care of Children 3 0 GNUR682 Advanced Practice Care of Children FNP GNUR566 Advanced Concepts in Care of Older Adults 3 0 GNUR683 Advanced Practice Care of Older Adults FNP Total Credit and Clinical GNUR683 Advanced Practice in Care of Older Adults GNUR529 Advanced Practice Nursing Roles & Leadership 2 0 Total Credit and Clinical

4 Post-Master s Clinical Nurse Specialist (Adult/Gerontology) Certificate Program Nurses who hold a master s degree in nursing or a health-related field and wish to become a Clinical Nurse Speciality (CNS) may obtain the Clinical Nurse Specialist certificate. This post-master s certificate program requires the student to complete course work in the CNS Program. Students who have completed course work in another non-nursing master s program may be eligible for course waivers at the discretion of the Program Director. Upon completion of the certificate program, the nurse will be eligible for national and professional CNS certification. CNS Specialty Courses Post-Master s Certificate Clinical Nurse Specialist (CNS) Course # Course Name Credits Clinical GNUR543 Advanced Pathophysiology 3** 0 GNUR570 Pharmacology 3** 0 GNUR571 GNUR529 Diagnostic Reasoning in Advanced Practice Nursing Assessment Advanced Practice Nursing Roles and Leadership 3** ** Currency of knowledge base will be a factor in whether or not credit will be given for the Advanced Practice core courses. Total Credit and Clinical 11 0 GNUR567 Advanced Concepts in the Care of Adults 3 0 GNUR685 Advanced Practice in the Care of Adults for CNS GNUR566 Advanced Concepts in the Care of Older Adults 3 0 GNUR684 Advanced Practice in the Care of Older Adults for CNS Total Credit and Clinical All Post-Master s CNS Certificate students need to take the final CNS clinical course: GNUR688 Synthesis CNS Practicum Course Descriptions Courses marked with an asterisk (*) require a clinical application prior to registration. GNUR 501 Scientific Inquiry I (4) This course examines how philosophy provides a framework within which science and theories develop. Theory formulation and theories which influence the development of nursing knowledge are explored. Students will participate in an in-depth examination of the research process and the critical role of research in evidence-based practice. Steps of the quantitative research process using descriptive statistics and qualitative research methods are explored. Students must achieve a grade of B+ or better in this course in order to progress to the capstone option. GNUR 502 Scientific Inquiry II (4) This course builds on the quantitative/qualitative research question identified in Scientific Inquiry I and explores epidemiologic and research methodologies in designing research proposals. Students will analyze data and examine relationships using inferential statistics. A goal of the course is to enable students to utilize knowledge gained through research to explore clinical phenomena, analyze clinical interventions, clinical outcomes, and evaluate programs to improve nursing practice. In keeping with this goal, students will develop the identified research question into a grant proposal for external funding. Students must achieve a grade of B+ or better in this course in order to progress to the capstone option. Prerequisite: GNUR 501. GNUR 512 Health Care, Economics, and Policy (4) This course provides students with an understanding of health care policy, organization and finance in the U.S. in the larger context of a dynamic global environment. Students learn and apply basic principles of finance and economics that impact health care delivery from the point of care to health care systems. Policy and regulatory processes are studied to analyze their impact on practice and health care delivery. Students analyze the organization and delivery of health care to function effectively and assume a leadership role to effectively advocate for change within organizations and through health policy reform. GNUR 518 Advanced Practice Care of Families (3) This course focuses on theoretical and evidence-based perspectives that guide family nursing. Students apply principles and processes to assess and intervene in order to promote optimal family functioning. Students analyze family-focused health concerns which may require teaching families who are experiencing developmental changes, coaching families

5 to change internal dynamics, connecting families to needed resources and support, or helping families cope with illness or loss. Fostering family health promotion in conjunction with the Healthy People 2010 National Health Goals guides student/family interaction in this course. GNUR 529 Advanced Practice Nursing Roles and Leadership (2) This course focuses on the socialization of the FNP and CNS student into advanced practice. Nursing history, competencies, and roles of advanced nursing practice with an emphasis on role acquisition are investigated. The course focuses on role development in advanced practice, marketing oneself as an APN, and regulatory and economic policies that affect advanced nursing practice in today s healthcare system. Development of skills in leadership, advocacy, and facilitating change is emphasized. GNUR 543 Advanced Pathophysiology (3) This course focuses on disruptions of cell, organ, and system physiology involved in acute and chronic illness. The course covers selected disorders of the following systems: hematologic, respiratory, fluid and electrolyte, endocrine, reproductive, musculoskeletal, cardiovascular, neurological, urinary, renal, and digestive. Emphasis is placed on risk factors and contributing causes leading to the disease state and the transitions that occur in the human organism during illness. Students must achieve a grade of B or better in this course in order to progress to the next clinical sequence course. GNUR 566 Advanced Concepts in the Care of Older Adults (3) This course focuses on the biological and behavioral phenomena of concern in care of older adults. Health promotion, health maintenance, and health restoration across the continuum of care are considered. Discussion will include current evidence-based practice addressing common health problems of older adults. The content can be applied and utilized by the family nurse practitioner, clinical nurse specialist, and nurse educator student. Students must achieve a grade of B or better in this course in order to progress to the next clinical sequence course. GNUR 567 Advanced Concepts in the Care of Adults (3) This course focuses on the biological and behavioral phenomena of concern in care of adults. The clinical presentation, diagnostic reasoning, management and evaluation of common health needs and problems of adults are considered. Discussion will include current evidence-based practice addressing common health problems of adults. The content can be applied and utilized by the family nurse practitioner, clinical nurse specialist, and nursing educator student. Students must achieve a grade of B or better in this course in order to progress to the next clinical sequence course. GNUR 570 Pharmacology (3) This course builds upon basic knowledge in pharmacology and provides essential content for nurses in advanced practice roles. Topics include physiochemical properties of drugs; mechanisms of drug action; pharmacokinetics (drug absorption, distribution, and mechanism of action, metabolism, and excretion); drug interactions; prescription implications; and ethical, legal, and financial considerations of pharmacotherapies across the lifespan including special populations such as pediatric and geriatric clients. Federal and state laws as well as guidelines for writing prescriptions are included, preparing the advanced practice nurse for prescribing medications and counseling clients about drug therapy. Students must achieve a grade of B or better in this course in order to progress to the next clinical sequence course. GNUR 571 Diagnostic Reasoning in Advanced Practice Nursing (3) This course addresses the development of advanced health assessment skills and the diagnostic reasoning process to gather and analyze data from patients accross the lifespan. Interventions focus on prevention, health promotion and protection, screening, and risk reduction. In order to develop advanced health assessment skills, lab practice in addition to scheduled class time is required. Skill development in the labs will occur through simulation, comprehensive and focused health assessments, and the use of the diagnostic reasoning process. Students must achieve a grade of B or better in this course in order to progress to the next clinical sequence course. GNUR 576 Advanced Concepts in the Care of Women (3) This course focuses on the biological and behavioral phenomena of concern in the care of women. The clinical presentation, diagnostic reasoning, management and evaluation of women s common health needs and problems are considered. Discussion will include current evidence-based practice addressing common health problems of women across the lifespan. The content can be applied and utilized by the family nurse practitioner, clinical nurse specialist, and nurse educator student. Students must achieve a grade of B or better in this course in order to progress to the next clinical sequence course.

6 GNUR 577 Advanced Concepts in the Care of Children (3) This course focuses on the biological and behavioral phenomena of concern in the care of children and adolescents. The clinical presentation, diagnostic reasoning, management and evaluation of common health needs and problems of children and adolescents are considered. Discussion will include current evidence-based practice addressing common health problems of children and adolescents. The content can be applied and utilized by the family nurse practitioner, clinical nurse specialist, and nurse educator student. Students must achieve a grade of B or better in this course in order to progress to the next clinical sequence course. GNUR 680* Advanced Practice in the Care of Adults for FNP (1) collaborate with preceptors to provide primary care for adults and their families. Students apply the principles of health assessment, diagnosis and treatment of common episodic and chronic health issues of adults in a clinical practice site. Patient education, advocacy, and evidence-based practice are incorporated in a holistic approach to providing comprehensive care. Students will meet periodically throughout the semester in a seminar designed to support achievement of learning outcomes. Corequisite: GNUR 567. GNUR 681* Advanced Practice in the Care of Women for FNP (1) collaborate with preceptors to provide primary care for women. Students apply the principles of health assessment, diagnosis and treatment of common episodic and chronic health issues of women in a clinical practice site. Patient education, advocacy, and evidence-based practice are incorporated in a holistic approach to providing comprehensive care. Students will meet periodically throughout the semester in a seminar designed to support achievement of learning outcomes. Corequisite: GNUR 576. GNUR 682* Advanced Practice in the Care of Children for FNP (1) collaborate with preceptors to provide primary care for children and their families. Students apply the principles of health assessment, diagnosis and treatment of common episodic and chronic health issues of children and adolescents in a clinical practice site. Patient education, advocacy, and evidence-based practice are incorporated in a holistic approach to providing comprehensive care. Students will meet periodically throughout the semester in a seminar designed to support achievement of learning outcomes. Corequisite: GNUR 577. GNUR 683* Advanced Practice in the Care of Older Adults for FNP (1) collaborate with preceptors to provide care for older adults and their families. Students apply the principles of health assessment, diagnosis and treatment of common episodic and chronic health issues of adults in a clinical practice site. Patient education, advocacy, and evidence-based practice are incorporated in a holistic approach to providing comprehensive care. Students will meet periodically throughout the semester in a seminar designed to support achievement of learning outcomes. Corequisite: GNUR 566. GNUR 684* Advanced Practice in the Care of Older Adults for CNS (1) In this 175-hour clinical experience, clinical nurse specialist students collaborate with preceptors to provide care for older adults and their families. This clinical practicum will allow the student to apply the principles of older adult health assessment and management at an advanced practice level including consulting with nursing and other health care professionals, research in the area of older adult health, education of patients and staff, and clinical management of patients. Students will meet periodically throughout the semester in a seminar designed to support achievement of learning outcomes. Corequisite: GNUR 566. GNUR 685* Advanced Practice in the Care of Adults for CNS (1) In this 175-hour clinical experience, clinical nurse specialist students collaborate with preceptors to provide care for adults and their families. This clinical practicum will allow the student to apply the principles of adult health assessment and management at an advanced practice level including consulting with nursing and other health care professionals, research in the area of adult health, education of clients and staff, and clinical management of adults. Students will meet periodically throughout the semester in a seminar designed to support achievement of learning outcomes. Corequisite: GNUR 567. GNUR 688* Synthesis Practicum for CNS (1) This synthesis course focuses on the clinical integration of multiple spheres of influence by the student in the clinical nurse specialist role. These spheres include patient/client, nursing practice, and organizational systems and provide a foundation for specialty competencies and CNS practice. Clinical and system outcomes are analyzed in the context of expert practice. The practicum consists of 150 hours of precepted practice in acute and ambulatory specialty practice settings. Periodic seminars enhance knowledge and integration of professional role as clinical expert. Prerequisites: GNUR 543, 570, 571; plus either 566/684, 567/685; or GNUR 576/686, 577/687.

7 GNUR 694 Comprehensive Exam I (2) This 2-credit course prepares the student to complete the first level of the comprehensive exam, which reflects the content included in the following core courses: 501, 502, 512, 518. The associated seminars will review expectations for completion of the written comprehensive case study. Prerequisites: GNUR 501, 502, 512, 518. Graded S/U. GNUR 695 Comprehensive Exam II (2) This 2-credit course prepares the student to complete the second level of the comprehensive exam, which reflects the content included in the specialty content courses. The associated seminars will review expectations for this multiple choice exam reflective of the content found on a national certification exam. Prerequisites: 529 (for CNS and FNP students), 543, 570, and 571 and specialty courses for practice role. Graded S/U. GNUR 696 Master s Capstone I (3) This course allows the student to demonstrate synthesis of the GNUR core courses and apply this knowledge to a clinical question in their specialty program focus. Students in the capstone course will work independently on their synthesis project, while progressing through the steps of problem identification, literature review, IRB proposal, project implementation and evaluation. The associated faculty-led seminars will facilitate student sharing of both process and content issues as students complete their individual capstone projects. The results of the capstone will be documented and published according to syllabus guidelines. Graded S/U. Permission of Program Director is required to register. Prerequisites: GNUR 501, 502. Graded S/U. Contact Information For more information regarding application and admission to the Advanced Practice Nursing programs, please contact the Office of Graduate Admissions at (585) or For specific information regarding the Master of Science in Advanced Practice Nursing, please contact the director of the graduate program, Dr. Cynthia Ricci McCloskey, Director, at (585) or Office of Graduate Admissions 3690 East Avenue Rochester, NY P: (585) F: (585) GNUR 697 Master s Capstone II (1) Based on the work done in GNUR 696, the student completes the Capstone guided by the advisor. If the work is not completed at the end of the semester in which the course is taken, the student will receive a grade of IP and MUST register for GNUR 698. Graded S/U. Permission of Program Director is required to register. Prerequisite: GNUR 696. Graded S/U. GNUR 698 Capstone Continuation (1) Students who do not complete the course requirements for their capstone by the end of GNUR 697 will be required to register for the 1 credit capstone continuation course to facilitate continued faculty assistance in the completion of the capstone.

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