Course Title: NRSG 668 PMHNP Advanced Clinical IV

Credits: 6 (clinical lab)

Semester Offered: Spring

Prerequisites: NRSG 663, NRSG 667

Degree: DNP

AACN Core Competencies for Advanced-Level Nursing Education: 1.3e, 2.4g, 2.5h, 2.6g, 2.7d, 2.9h, 3.5i

MRJCON DNP Program Learning Outcome: 1, 2, 3, 5, 6, 9, 10

Course Description:

This final clinical course refines the students' role as an advanced practice registered nurse demonstrating leadership, specialized knowledge, and expanded responsibility and accountability in the advanced psychiatric care and management of individuals and families across the lifespan. Designing and implementing processes to evaluate outcomes of practice, practice patterns, and systems of health care within a practice setting is stressed. Methods of consultation, collaboration, and the dynamics of complex relationships with other health care professionals are explored. The development of consultative and leadership skills to facilitate change in psychiatric healthcare and healthcare delivery systems is emphasized. The application of relevant evidence-based findings to develop practice guidelines and improve practice, and the practice environment is emphasized. Additional focus is placed on the management of vulnerable populations including individuals across the lifespan with developmental and intellectual disabilities, severe mental illness, and chronic medical conditions in complex health and situational transitions.

Catalog Description:

This final clinical course focuses on the complex health and situational transitions and the leadership role of the advanced practive psychiatric nurse. Systems thinking, consultation, collaboration, and evaluation are stressed. Focus placed on the management of vulnerable populations.

Course Learning Outcomes: Upon completing this course, the student will be able to:

  1. Conduct comprehensive and systematic assessments which employs consistent advanced clinical judgement skills in the development of a comprehensive evidence-based plan incorporating medication management and therapeutic interventions appropriate to the patients.
  2. Maintain therapeutic interactions with various health care professionals-
  3. Integrate ethics, practice standards, regularity standards, evidence-based practice, systems thinking, and clinical judgement into one's APRN practice.
  4. Identify legal and ethical considerations when working with mental health patients during emergencies.

Exemplars of Course Learning Outcomes:

  1. Satisfactory ratings on Clinical preceptor evaluations (CLO 1,2,3, and 4)
  2. Create case formulation initial and follow up documents at the advanced NP student level. (CLO 1,3)
  3. Develop a personal model of practice. (CLO 3)
  4. Discuss case studies with a depth and understanding at the advanced PMHNP student level. (CLO 1,3,4)

AACN Competencies [AACN Essentials, 2021]:

This course introduces:

2.5h Lead and collaborate with an interprofessional team to develop a comprehensive plan of care.

2.7d Analyze data to identify gaps and inequities in care and monitor trends in outcomes.

This course develops:

2.9h Guide the coordination of care across health systems.

3.5i Demonstrate leadership skills to promote advocacy efforts that include principles of social justice, diversity, equity, and inclusion.

This course advances:

1.3e Becoming competent in critical analysis of the current and emerging evidence that influences practice.

2.6g Promote delivery of care that supports practice at the full scope of education.

2.4g Integrate advanced scientific knowledge to guide decision making.

3.3e Advocate for interventions that maximize cost effective, accessible, and equitable resources.

Curricular Threads addressed in this course:

    • Equity and Inclusion
    • Diversity
    • Cultural Sensitivity
    • Social Determinants of Health Communication
    • Ethics
    • Clinical Judgement
    • Mental Health

Recommended Content:

Referrals to other providers or disciplines, ICD-10 codes, CPT codes, ordering labs, imaging, and other testing. IEP and 504 plans through schools.

Recommended Clinical Experiences/Sites:

Inpatient mental health facilities, outpatient facilities managing complex patients. 270 clinical hours primarily in APRN medication management. May have up to 45 hours of psychotherapy.

 

Approved by GAAC: 12/1/23

Approved by Faculty: 12/14/23