Psychiatric Mental Health Nurse Practitioner Practicum I Adult/Gero – NURS 754

CG • Section • 11/10/2019 to 04/18/2020 • Modified 07/28/2020

Course Description

This practicum course provides extensive experience to prepare the student for the professional role of a psychiatric mental health nurse practitioner. Students will provide interviewing, screening, diagnostic testing, episodic, acute and chronic care to adult and geriatric clients. The student should demonstrate evidence based practice behaviors and adhere to standards of care to order and interpret screening/diagnostic tests, prescribe therapeutics, and develop health prevention/promotion and health maintenance plans. Students should be able to assess adults and geriatric clients and develop a plan of care in consultation with the preceptor. The student should provide holistic care through the integration of ethnicity, culture and community.

Prerequisites

NURS 751 and NURS 752 and NURS 753

Rationale

The Psychiatric Mental Health Nurse Practitioner (PMHNP) practicum courses provide the context and framework through which, upon completion of the Post MSN DNP/PMHNP or Post Graduate PMHNP Certificate program, the nursing student will be prepared to enter the professional role of the Psychiatric Mental Health Nurse Practitioner. This course helps to meet the required minimum of 1000 post-BSN clinical hours for DNP students, and helps to meet the minimum of 500 population-focused direct patient care hours in order to be eligible to sit for the Psychiatric Mental Health Nurse Practitioner nationally recognized certification. (ANCC, 2006; NTF, 2017), and the Liberty University School of Nursing, minimum of 504 PMHNP direct-patient care Psychiatric Mental Health Nurse Practitioner practicum hours.

Professional Standards

American Association of Colleges of Nursing.  (2006). The essentials of doctoral education for advanced nursing practice.  Washington, D.C. AACN. 

American Nurses Association. (2015). Guide to the Code of Ethics for Nurses: Interpretation and Application. Silver Spring, MA.

American Nurses Association. (2015). Nursing:  Scope and standards of practice (3rd ed.). Washington, D.C:  ANA.

National Organization of Nurse Practitioner Faculties. (2017). Nurse Practitioner Core Competencies Content. Washington, D.C.:  NONPF

Measurable Learning Outcomes

Upon completion of NURS 754 the PMHNP Advanced Practice Nurse will be prepared to:

  1. Integrate the Christian world view in the delivery of psychiatric mental health care to adults and geriatric individuals (AACN Essentials, 2006: VIII, NONPF, 2017: Independent Practice 1-4; Ethics 1-3; LU PLO 1, 7). 
  2. Apply nursing, pathophysiology, biological, psycho-social, genetics, and population health knowledge in the assessment and management of adult and geriatric individuals including health promotion and disease prevention and chronic disease and complex acute psychiatric mental health issues (AACN Essentials 2006: I, VIII, NONPF, 2017: Scientific Foundation 2, 4; Quality 2; Health Delivery Systems Competencies: 5, 7; LU PLO 1).
  3. Formulate evidence-based pharmacological and non-pharmacological therapeutic treatment plans including health promotion and disease prevention, care of chronic and complex acute psychiatric mental health issues of adults and geriatric individuals (AACN Essentials 2006: I, III, VII, VIII; NONPF 2017: Scientific Foundation Competencies 1-4; Health Delivery System Competencies 3-5, 7; Ethics Competencies 1-3; Independent Practice Competencies 1-3; LU PLO 1, 3, 5, 6).
  4. Evaluate cultural, ethical, legal and socioeconomic factors that affect adults and geriatric individuals seeking care, including health promotion and disease prevention, chronic and complex acute psychiatric mental health issues in various mental health care settings (AACN Essentials 2006: I, V, VII, VIII; NONPF 2017: 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 and complex acute psychiatric mental health issues of adults and geriatric individuals (AACN Essentials 2006: II, VI, VII, VIII; NONPF 2017: 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. Utilize health care technology in clinical practice (AACN Essentials 2006 IV; NONPF 2017: Technology and Information Literacy Competencies 1-3, 5; LU PLO 4).
  7. Evaluate evidence-based therapeutic models of interview techniques to develop a relationship and patient-centered care for adults and geriatric individuals. (AANC Essentials 2016 I, III, VIII; NONPF 2017, Scientific Foundation Competencies 2, 4; Quality Competencies 5; Practice Inquiry Competencies 6; Technology and Information Literacy Competencies 2b; Independent Practice 4, 4a, 4b, 4c, 4d;   LU PLO 1, 6, 7).
  8. Analyze evidence to support clinical decision making and evaluate the effectiveness of clinical decisions in the psychiatric care of adults and geriatric individuals who present for health promotion/disease prevention, chronic and complex acute psychiatric mental health issues (AACN Essentials 2006 I, III, VII, VIII; NONPF 2017: 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

Practicum Objectives

The Practicum Objective Assignments afford the student the opportunity to develop measureable practicum learning objectives that are consistent with the practicum focus.  Please see Practicum Objective Assignment (Part I-III) Grading Rubric in NURS 754 Bb Course.

Practicum Log Checks

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.  Students are required to select three patient encounters on each practicum day to write a full SOAP note. The remaining patient encounters will be entered as clinical summaries. Students are also required to document two comprehensive psychiatric assessment of new patients from practicum encounter in Typhon during the semester. Practicum faculty will review practicum logs on a weekly basis and offer feedback.  Students are expected to respond to feedback and make corrections as recommended.  Faculty will review case logs at the midterm and at the end of the semester looking for completeness and revision of logs and award points for completed logs.  Please see the Typhon Guide and the Practicum/Clinical Log Grading Rubric in NURS 754 Bb CourseSOAP notes must be entered within one week of the clinical experience.

Practicum Hours

During NURS 754 PMHNP Practicum I, students are required to complete 224 hours providing direct patient care under the supervision of the practicum preceptor.  NURS 754 PMHNP Practicum I adheres to the practicum guidelines and requirements set forth in the current Liberty University Doctor of Nursing Practice Student Handbook. 

Practicum Schedule

Students are required to develop a practicum schedule that is agreed upon and approved by

 Practicum preceptor.  A PDF copy of the schedule should be uploaded to the Typhon

 NPST system “External Documents”, “Practicum Schedule” folder. 

Practicum Hour Verification

Students are 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). Failure to maintain signed Practicum Log 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.

Students are required to enter practicum hours into the Typhon Time Log. The Practicum Faculty will monitor the Practicum Time Log throughout the practicum course and practicum hours will be endorsed by Practicum Faculty at the end of each practicum course. Students must document the practicum experience in Typhon within 24 hours of completion, otherwise it will not be able to be recorded or tracked.

Student Performance Evaluation

NURS 754 PMHNP Practicum I adheres to the student performance and evaluation requirements set forth in the current Liberty University Doctor of Nursing Practice Student Handbook.

Case Analysis Exercise

The case analysis exercise (CAE) assignments afford the PMHNP student the opportunity to analyze patient encounters from practicum experience.  Emphasis is placed on the evaluation of the plan of care in regards to evidence-based practices, cultural and socioeconomic factors.  

CAE: Adult/ Geriatric Mental Health:  The student is to select a patient from an encounter in clinical setting for which an adult or geriatric patient presented with a complex chronic mental illness. The student will reproduce a SOAP note from the patient encounter and then complete the CAE following the rubric. Please see Case Analysis Grading Rubric in NURS 754 Bb Course.

Shadow Health Digital Case Scenario (4)

The student will be provided a digital clinical experience that will assess interviewing skills, history taking, assessment, diagnosis, evaluate side effects, health promotion and disease prevention. The student will conduct a focused mental health assessment while working each assigned simulation scenario module. Please see Rubric in NURS 754 Bb Course.

Standardized Patient Experience

The Standardized Patient (SP) experience is a mandatory requirement of this course. The purpose of the SP experience is to evaluate clinical progress through problem based scenarios utilizing Standardized Patients (SPs).  Course points will be awarded for completion of the SP encounter, completion of the SOAP note, and self-evaluation in the b-line system for each mental health encounter. Attendance is required and SP experience can NOT be submitted for practicum hours.  Please see the Standardized Patient Grading Rubric in NURS 754 Bb Course.

Typhon Portfolio Check

The portfolio will serve to demonstrate the PMHNP student’s ongoing professional development.  The Portfolios can be used to provide PMHNP students 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. Please see the Typhon Portfolio Rubric in NURS 754 Bb Course. 

WebEx Class Presentation

Students will prepare a PowerPoint Presentation to lead a short WebEx discussion according to assigned Module/Week requirements.  Each student will be provided 5 minutes to present topic. Students will submit a PowerPoint slide presentation with title slide, 4-5 content slides, reference slide via Bb safe assign prior to WebEx class. An additional 2-3 minutes may be used to answer questions. Further discussion can take place as time permits. Please see WebEx Class Presentation Grading Rubric in NURS 754 Bb Course.

WebEx Class Discussion

The WebEx class discussion provides students with the opportunity to have discussion on the assigned topic for the week/module. Students will also share clinical encounters as it relates to the topic. The WebEx class discussion will allows students to interact, share experience and ask questions relating to practicum experience. Please see WebEx Class Discussion Grading Rubric in NURS 754 Bb Course.