Family Nurse Practitioner II – NURS 743

CG • Section 8WK • 07/01/2018 to 12/31/2199 • Modified 07/28/2020

Course Description

This practicum course builds on the skills obtained in Family Nurse Practitioner I. The student will continue to develop the role of nurse practitioner in the primary care setting focusing on assessment and management of chronic and more complex acute care health problems across the lifespan. The student should manage episodic and follow up visits for chronic health and complex acute care issues. The student should demonstrate evidence based practice behaviors and adhere to standards of care to order and interpret diagnostic tests, prescribe therapeutics and develop a plan of care to manage disease states or conditions under the guidance of the preceptor. The student should provide physical, psychosocial, and spiritual care to the individuals and families through the integration of ethnicity, culture and community.

Prerequisites

NURS 700 and NURS 711 and NURS 712 and NURS 713 and NURS 715 and NURS 721 and NURS 732 and NURS 740 and NURS 733 (may be taken concurrently) and NURS 737 (may be taken concurrently)

Rationale

The FNP practicum courses provide the context and framework through which, upon completion of the post-BSN to DNP/FNP program, the nursing student will be prepared to enter the professional role of the Family Nurse Practitioner. This course helps to meet the required minimum of 1,000 post-BSN clinical hours, that include a minimum of 500 population-focused direct patient care hours in order to be eligible to sit for at least one nationally recognized certification (ANCC, 2006; NTF, 2016), and the Liberty University School of Nursing, minimum of 616 Family Nurse Practitioner practicum hours.

Measurable Learning Outcomes

  1. Integrate the Christian world view in the delivery of primary care to individuals and families (AACN Essentials VIII; NONPF:  Independent Practice 1–4; Ethics 1–3; LU PLO 1, 7). 
  2. Apply nursing, biological, psycho-social, genetics, and population health knowledge in the assessment and management of individuals and families, including health promotion and disease prevention and chronic disease and complex acute health issues across the life span in the primary care setting, with a focus on women’s health (AACN Essentials I, III, VII, VIII; NONPF:  Scientific Foundation Competencies 1–4; Health Delivery System Competencies 3–5, 7; Ethics Competencies 1–3; Independent Practice Competencies 1–4; LU PLO 1, 3, 5, 6).
  3. Formulate evidence-based pharmacological and nonpharmacological therapeutic treatment plans including health promotion and disease prevention, care of chronic health and complex acute health issues of individuals and families, with a focus on women’s health (AACN Essentials I, III, VII, VIII; NONPF:  Scientific Foundation Competencies 1–4; Health Delivery System Competencies 3–5, 7; Ethics Competencies 1–3; Independent Practice Competencies 1–4; LU PLO 1, 3, 5, 6). 
  4. Consider cultural and socioeconomic factors that affect individuals and families seeking care, including health promotion and disease prevention, chronic disease and complex acute health issues in the primary care setting, with a focus on women’s health (AACN Essentials I, V, VII, VIII; NONPF:  Scientific Foundation Competencies 1–4; Health Delivery System Competencies 3–5, 7; Ethics Competencies 1–3; Independent Practice Competencies 1–2,4; LU PLO 1, 6, 7). 
  5. Collaborate with health professionals and community key resources in health promotion and disease prevention, management of chronic care and complex acute health issues of individuals and families across the lifespan, with a focus on women’s health (AACN Essentials VI, VII, VIII; NONPF: Leadership Competency 2; Practice Inquiry Competency 4; Health Delivery System Competencies 1–3, 5–6; Independent Practice Competencies 1–4; LU PLO 2, 5, 6, 7).
  6. Analyze issues and trends related to the professional role of the nurse practitioner in the primary care setting (AACN Essential II, V, VI, VIII; NONPF: Leadership 7, Policy 1–7; Ethics 1–3; Independent Practice 2, 4, 6; LU PLO 1, 5, 7).
  7. Analyze evidence to support clinical decision making and evaluate the effectiveness of clinical decisions in the primary care of individuals and families who present for health promotion/disease prevention, chronic disease and complex acute health issues, with a focus on women’s health (AACN Essentials I, III, VII, VIII; NONPF:  Scientific Foundation 1–4; Quality Competencies 1–3, 5; Practice Inquiry Competencies 2–4, 6; Health Delivery System Competencies 1, 3, 5, 6; Ethics Competencies 2–3; Independent Practice Competencies 1–4; LU PLO 1, 3, 5, 6).

Course Assignment

Textbook readings and lecture presentations

Course Requirements Checklist

After reading the Course Syllabus and Student Expectations, the student will complete the related checklist found in Module/Week 1.

Discussion boards are collaborative learning experiences. Therefore, the student is required to provide a thread in response to the provided prompt for each forum. There are 2 discussion board cases that afford the student the opportunity to analyze and apply ethically sound solutions to issues in FNP professional practice.

During Module/Week 1, students will attend a Practicum Intensive. Practicum Intensive is a faculty-guided immersion experience that aims to assist the student's acquisition of clinical and professional skills to support practicum learning objectives.    

Practicum Hours. During NURS 743 FNP Practicum I, the student is required to complete 112 hours providing direct patient care under the supervision of the practicum preceptor. NURS 743 FNP Practicum adheres to the practicum guidelines and requirements set forth in the current Liberty University Doctor of Nursing Practice Student Handbook. 

Practicum Schedule Attestation: The student is required to enter their practicum schedule into the Typhon Student Scheduling System. The student must maintain an up-to-date schedule.

Practicum Tracking Record and Verification. The student is required to maintain a preceptor-verified, log documenting practicum hours for each Practicum Course that will become a part of the student’s permanent academic record (DNP Practicum Tracking Record).

Note: Failure to maintain signed Practicum Tracking Record verifying practicum hours will result in an Incomplete for the Practicum Course and the student will not be permitted to progress to the subsequent Practicum Course. The signed Practicum Tracking Record is submitted to the Blackboard Assignment Submission Link.

The Practicum Objectives Assignments (Part I, II, and III) afford the student the opportunity to develop measurable practicum learning objectives that are consistent with the practicum focus, evaluate progress toward meeting practicum objectives, and identify opportunities for clinical improvement and subsequently develop a plan to improve clinical skills.

The student will prepare a Practicum Reflection Presentation according to the assignment rubric to present during the scheduled WebEx Practicum Forum. The Practicum Reflection Presentations must be submitted to the assignment submission links.  

Practicum Reflection Presentation 1: The Practicum Reflection Presentation must be submitted to the assignment submission link prior to WebEx Practicum Forum 1. 

Practicum Reflection Presentation 2: The Practicum Reflection Presentation must be submitted to assignment submission link prior to WebEx Practicum Forum 2. 

Submission of a practicum log for each patient encounter into the Typhon system is a mandatory requirement of the practicum course. Each student is responsible for maintaining his or her own practicum logs. All patient encounters, whether seen independently, in collaboration with preceptor, or as observation, require an entry into Typhon. Every entry will include demographic information for each patient, level of student participation, and level of care. The student is required to select 3 patient encounters on each practicum day to write an abbreviated SOAP note. The remaining patient encounters will be entered as clinical summaries. Practicum Faculty will review practicum logs on a weekly basis and offer feedback. The student is expected to respond to feedback and make corrections as recommended.

Faculty will review practicum logs at the midterm and at the end of the semester looking for completeness and revision of logs and award points for completed logs. 

SOAP notes must be entered within one week of the clinical experience or practicum suspension may result.  Late submissions may not be accepted and Practicum days without associated Typhon logs will not count toward the Practicum hours required for the course. 

The SOAP note assignment provides the student with the opportunity to documenting an established patient encounter of 1 female patient presenting for a women's health visit from their practicum experience to complete this assignment.

Students will complete 1 Case Analysis Exercise. This assignments affords the student the opportunity to analyze a patient encounter from their practicum experience. The student will select 1 female patient presenting for a women's health visit from their practicum experience to complete this assignment.

The portfolio will serve to demonstrate the FNP student’s ongoing professional development. The Portfolio provides the FNP student an avenue to present their knowledge, expertise and experience when seeking employment or professional opportunities, providing evidence for regulatory bodies and for identification of areas for personal or professional growth. Portfolios may present information through text, video, electronic files, hyperlinks, images and other online resources. Each student will develop a professional portfolio as part of the professional development. For the Post-BSN to FNP/DNP student, the first part of portfolio development will take place this course.

The Student Performance Evaluation will be completed by the student's preceptor. NURS 743 FNP Practicum student performance evaluation adheres to the student performance and evaluation requirements set forth in the current Liberty University Doctor of Nursing Practice Student Handbook.