Course Title: NRSG 655 FNP Advanced Clinical I

Credits: 4 (4 clinical lab - 180 hours)

Semester Offered: Spring

Prerequisites: NRSG 601, NRSG 602, NRSG 603, NRSG 607, NRSG 651

Degree: DNP - Family Nurse Practitioner option

AACN Core Competencies for Advanced-Level Nursing Education: 1.1, 1.2, 1.3, 2.1, 2.2, 2.3, 2.4, 4.2, 6.1, 6.4

MRJCON DNP Program Learning Outcome: 1, 2, 4, 6

 

Course Description:

This is the inital family nurse practitioner clinical course where students begin to apply knowledge, skills, and abilities acquired in the required prerequisite FNP courses in the clinical setting. Students provide culturally competent, holistic care to families and patients throughout their lifespan.

Catalog Description:

This is the first of four FNP clinical courses. Students begin to apply knowledge, skills, and abilities acquired in the required prerequisite FNP courses in the clinical setting. Students provide culturally competent, holistic care to families and patients throughout the lifespan.

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

  1. Demonstrate effective professional communication and clinical documentation with patients, families, care team, and faculty with respect for diversity, equity, and inclusion of team-based interactions.
  2. Utilize appropriate key assessment skills in clinical practice that include differentiation of normal age changes from acute and chronic medical disease processes including mood disorders, substance abuse, and cultural health.
  3. Demonstrate beginning clinical judgement skills in the development of a comprehensive evidence-based plan paying close attention to cultural, sprirtual, and sexual preferences.
  4. Demonstrates accountability in all professional interactions.
  5. Collaborate with preceptor to manage simple, problem-focused, and wellness encounters.

Exemplars of Course Learning Outcomes:

  1. Students will conduct a complete patient visit during a structured telehealth simulation, demonstrating effective communication, assessment, clinical judgment, and accountability. Performance will be evaluated using the course rubiric and may be remediated as needed. (CLO 1-5)
  2. Students will complete a midterm and final self-evaluation of a modified standardized APRN competency tool. Faculty will complete parallel evaluations. (CLO 1-5)
  3. SOAP notes: Students will complete 6 SOAP notes accurately documenting patient encounters. (CLO 1-5)
  4. Students will deliver a clinical presentation of a problem focused visit and actively participate in group discussions. (CLO 1-4)

AACN Competencies [AACN Essentials, 2021]

This course introduces:

1.3e Synthesize current and emerging evidence that influences practice. 

1.3d Integrate foundational and advanced specialty knowledge into clinical reasoning.

1.2h Employ ethical decision making to assess, intervene, and evaluate nursing care.

This course develops:

1.1f Demonstrate the application of nursing science to practice.

2.2g Demonstrate advanced communication skills and techniques using a variety of modalities with diverse audiences.

2.3h That one's practice is informed by a comprehensive assessment approach to the functional area of advanced nursing practive.

2.4f Employ context driven, advanced reasoning to the diagnostic and decision-making process.

2.4g Integrate advanced scientific knowledge to guide decision making.

6.1i Role model respect for diversity, equity, and inclusion in team-based communication.

This course advances:

2.1d Promote caring relationships to effect positive outcomes.

4.2k Evaluate outcomes and impact of new practices based on the evidence.

6.4e Practice self-assessment to mitigate conscious and implicit biases toward other team members.

6.4i Promote an environment that advances interprofessional learning.

Curricular Threads addressed in this course:

    • Clinical Judgment
    • Communication
    • Compassionate Care
    • Diversity, Equity, and Inclusion
    • Ethics
    • Evidence-Based Practice
    • Health Policy
    • Social Determinants of Health

 

Recommended Content:

Writing a SOAP note, Coding/Billing, Documenting a plan of care, Wellness and episodic care management across the lifespan, clinical presentation, care presentation.

Recommended Clinical Experiences/ Sites:

Primary care including internal medicine, women's health, pediatrics and urgent care (no specialty or inpatient care).

 

Approved by GAAC: 12/1/23; 1/9/26

Approved by Faculty: 12/13/23; 2/9/26