Graduate Student Handbook

Transcription

1 1 Graduate Student Handbook

2 2 General Note It is important for graduate students to be aware of the University s and Graduate School s policies and procedures for graduate programs and to understand the policies relevant to their program contained in the General Catalog. For more information about UNR s Graduate School, visit their website at: The following are the key points from Graduate School materials, plus additional guidelines relevant to the MSN, DNP, and Post-Master s Certificate programs. Most of this information is also included in the General Catalog. It is the student s responsibility to be aware of and meet all requirements. If there are any discrepancies among the University, Graduate School, or OSN policies and procedures, the strictest of the three authorities will be enforced and followed. Table of Contents Page # Mission, Vision... 5 OSN Graduate Degree Programs... 5 DNP Overview... 6 DNP Essentials... 6 DNP Program Student Learning Outcomes... 7 BSN to DNP Curriculum Options, Degree Requirements... 8 BSN to DNP Adult Gerontology Acute Care Nurse Practitioner BSN to DNP Family Nurse Practitioner BSN to DNP Psychiatric Mental Health Nurse Practitioner POST-MASTER S DNP Curriculum Options, Degree Requirements Advance Practice Registered Nurse (APRN) Nurse Executive MSN Program Description MSN Essentials MSN Curriculum Options Nurse Educator Post Master s Certificate Nurse Educator Adult Gerontology Acute Care Nurse Practitioner Post Master s Certificate Adult Gerontology Acute Care Nurse Practitioner Family Nurse Practitioner Post Master s Certificate Family Nurse Practitioner... 20

3 3 Clinical Nurse Leader Post Master s Certificate Clinical Nurse Leader Psychiatric Mental Health Nurse Practitioner Post Master s Certificate Family Nurse Practitioner MSN/MPH Options The Curriculum Important Forms for the Graduate School Health Insurance Graduate Student Association Graduate Assistantships Plans of Study/Advisement Timeline for Degree Completion Courses and Course Load Continuous Enrollment Leave of Absence Reinstatement Grades and Their Consequences Grading Scale Chain of Command Chain of Command Algorithm Grade Appeal Post Master s DNP Residency, BSN to DNP, MSN & Certificate Practica Practice/Clinical Placements Fit for Duty Standards of Conduct Unprofessional Conduct Dress & Uniform Absenteeism Chair and Graduate Committees Program of Study... 33

4 4 DNP Project (NURS 788) DNP Guidelines Suggested Timeline MSN Thesis/Project Requirement Thesis, General Thesis Guidelines Professional Project, Project Guidelines Professional Paper, Paper Guidelines Comprehensive Oral Examination Graduation Process Reference List APPENDICES Appendix A: Preceptor Agreement Example Appendix B: Declaration of Advisor/Major Advisor/Committee Chair Form Appendix C: Program of Study EXAMPLE Appendix D: The Thesis Design Appendix E: Advising Guidelines NURS Appendix F: Graduate Oral Comprehensive Exam Rubric Appendix G: Fit for Duty Policy and Procedures Fit for Duty Safety Analysis Form... 61

5 5 Mission The mission of the Orvis School of Nursing (OSN) at the University of Nevada, Reno is to prepare individuals for both entry level and advanced nursing roles by providing excellent academic programs integrating recognized educational standards. The curriculum emphasizes nursing care of individuals, families & populations throughout the lifespan; among diverse cultures & beliefs; and across all socioeconomic groups in the context of their environments by providing a strong foundation for evidence-based practice, critical thinking, and leadership. As an essential part of its mission as a land grant institution, Orvis School of Nursing provides service to the state of Nevada and to the professional community at large. Vision The vision of the Orvis School of Nursing at the University of Nevada, Reno is to be a leader in quality nursing education, research and service in partnership with our community of interest, locally, statewide and worldwide. OSN Graduate Degree Programs The Orvis School of Nursing (OSN) at the University of Nevada, Reno offers Master s and Doctoral education in nursing. The Doctor of Nursing Practice (DNP) degree offers the following: BSN to DNP with specialty tracks of Adult Gerontology Acute Care Nurse Practitioner, Family Nurse Practitioner, and Psychiatric Mental Health Nurse Practitioner and a Post-Master s DNP for the Advanced Practice Nurse or Nurse Executive. Plans of study are listed under Curriculum Options, pages Once admitted to a DNP track, a student is committed to that track. Should the student wish to change or transfer to a different track than which they were originally admitted, the student is required to contact the Associate Dean for Graduate programs at the Orvis School of Nursing to re-apply for admission to the track to which the student wants, during the next application cycle. The DNP tracks are competitive and there is no guarantee a current student will be automatically accepted to a different track through the re-admission process. In addition the OSN offers a Master of Science in Nursing degree with the following options: Nurse Educator, Adult Gerontology Acute Care Nurse Practitioner, Family Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner and Clinical Nurse Leader. Post-Master s Certificates are also offered for each of the specialty track options. In conjunction with the School of Community Health Sciences, the OSN offers a combined degree in nursing and public health, a Master of Science in Nursing/Master of Public Health (MSN/MPH). Plans of study are listed under Curriculum Options, pages Once admitted to a MSN track, a student is committed to that track. Should the student wish to

6 6 change or transfer to a different track than which they were originally admitted, the student is required to re-apply for admission to the track to which the student wants during the next application cycle. The MSN tracks are very competitive and there is no guarantee a current student will be automatically accepted to a different track through the re-admission process. DNP Overview The DNP differs from the PhD in Nursing or Doctor of Nursing Science degrees, by emphasizing advanced clinical practice, implementation of best practices, and evaluation of practice and care delivery models rather than individually initiated, original research. The Doctor of Nursing Practice degree is designed to be a terminal practice degree for clinically practicing nurse practitioners, certified nurse midwives and nursing leaders in health care organizations. The American Association of Colleges of Nursing (AACN) suggests that the current level of preparation necessary for advanced nursing practice be moved from the master's degree to the doctorate level by the year The Institute of Medicine's 2003 report on Health Professions Education recommended strategies for restructuring all clinical education in the health professions to be consistent with the principles of 21st century health systems. These recommendations stressed that health science students and all working professionals develop and maintain proficiency in 5 core areas: delivering patient-centered care, working as part of interdisciplinary teams, practicing evidence-based medicine, focusing on quality improvement, and using information technology. Graduates of the program receive a Doctor of Nursing Practice. BSN to DNP students are required to attend a two-day on-campus meeting the first year for orientation to the program and one to three days each semester for onsite immersion days. Additional time on campus is required for the defense of the proposed DNP Project and the final defense of the DNP Project. The program is credits, depending on the specialty track chosen and takes eight semesters to complete, including summers for full-time study. The Post-Master s DNP students are required to attend a two-day on-campus meeting the first year for orientation to the program and one day on campus is required for the defense of the proposed DNP Project and the final defense of the DNP Project (this may be conducted through a ZOOM meeting). The program is 30 credits, all coursework is online, and takes five semesters to complete including one summer for full time study and eight semesters for part time including two summers. The UNR OSN DNP program prepares graduates for advanced clinical practice and leadership roles to serve the health care needs of the people of Nevada, the nation, and the professional community. DNP graduates are equipped to assume a wide range of leadership roles in both direct and indirect health care settings. DNP graduates may function as specialists in their advanced practice clinical roles, nursing faculty, or as healthcare executives, program and policy analysts.

7 7 DNP Essentials In accordance with the American Association of Colleges of Nursing the Doctor of Nursing Practice at the Orvis School of Nursing follows the guidelines set forth in the DNP Essentials. The DNP Essentials document outlines and defines the eight foundational Essentials and provides some introductory comments on specialty competencies/content. The specialized content, as defined by specialty organizations, complements the areas of core content defined by the DNP Essentials and constitutes the major component of DNP programs. DNP curricula should include these two components as appropriate to the specific advanced nursing practice specialist being prepared. Additionally, the faculty of each DNP program has the academic freedom to create innovative and integrated curricula to meet the competencies outlined in the Essentials document. (American Association of Colleges of Nursing, 2006, p. 8). The Essentials of Doctoral Education for Advanced Nursing Practice 1. Scientific Underpinnings for Practice. 2. Organizational and Systems Leadership for Quality Improvement and Systems Thinking. 3. Clinical Scholarship and Analytical Methods for Evidence-Based Practice. 4. Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care. 5. Health Care Policy for Advocacy in Health Care. 6. Interprofessional Collaboration for Improving Patient and Population Health Outcomes. 7. Clinical Prevention and Population Health for Improving the Nation s Health. 8. Advanced Nursing Practice (American Association of Colleges of Nursing, 2006). DNP Program Student Learning Outcomes At the conclusion of the University of Nevada DNP program, graduates will: 1. Provide advanced nursing care to improve patient and population health care outcomes in various direct and indirect settings. 2. Assume leadership roles in the analysis, delivery and management of nursing care and health care systems. 3. Provide evidence-based practice through the application of analytical methods, information systems technology, and clinical research. 4. Collaborate with interprofessional teams to meet the healthcare needs of culturally and ethnically diverse individuals and populations. 5. Act as change agent, leader, and advocate in the design, implementation, and evaluation of health care policy as it affects populations and the nursing profession.

8 8 BSN to DNP and Post-Master s DNP Curriculum Options For any questions related to the Graduate curriculum, students may contact the individual track leaders or Dr. Stephanie DeBoor, the Associate Dean for Graduate Programs deboors2@unr.edu BSN to DNP, Adult Gerontology Acute Care Nurse Practitioner (AGACNP) (Approved by UCCC, 5/21/2013) Contact: Dr. Jackie Ferdowsali jferdowsali@unr.edu The Adult Gerontology Acute Care Nurse Practitioner (AGACNP) track of the BSN to DNP program prepares nurses to provide advanced practice in acute care settings through a program of study focused on the care of acutely ill patients and their families. An AGACNP can diagnose and treat medical conditions. In collaboration with the physician and other members of the health care team, AGACNPs provide direct care to patients from hospital admission through discharge. With an increasing inpatient population of acutely and critically, research has shown that nurse practitioners within these settings demonstrated evidence of reducing length of stay, hospital costs, and patient complications (Fry 2011), while improving communication among the heath care team, along with patient and family satisfaction. There are 72 credits and 780 specialty specific practicum hours required for this track and an additional 240 DNP Project and Residency practicum hours. The student may sit for national certification upon graduation. Upon competition of the DNP/AGACNP, the graduate is able to: 1. Synthesize theoretical, scientific, and contemporary clinical knowledge for the assessment and management of both health and illness states. 2. Implements clinical reasoning and builds collaborative intra- and interprofessional relationships to provide optimal care to patients. 3. Provide patient-centered, quality care to the adult and older adult population within the acute and critical care settings through incorporation of health promotion, health protection, disease prevention and treatment. 4. Impart knowledge and individualize therapies through the activities of advocacy, modeling and teaching. 5. Applies evidence based practice designed to improve quality of care and health outcomes, by overseeing and directing the delivery of clinical services with in an integrated system of health care. BSN to DNP AGACNP Plan of Study Courses Credits Fall Year 1 NURS 717 Advanced Pathophysiology 3 NURS 735 Introduction to Knowledge Development and Scientific Inquiry 3 NURS 750 Advanced Health Assessment 3 Spring Year 1

9 9 NURS 716R Advanced Ambulatory Prescribing Pharmacology 3 NURS 732 The Economics of Healthcare Delivery 3 NURS 736 Health Care Policy and Social Justice 3 Summer Yr. 1 NURS 709 Advanced prescribing Pharmacology for the Acute Care Patient 3 NURS 745 Health Information Systems & Technology 3 Fall Year 2 NURS 725 Scientific Underpinnings of the DNP in Advanced Practice 3 Nursing NURS 737 Population/Aggregate Health Care Issues 3 NURS 792 Outcomes Management & Performance Improvement in Nursing 3 Spring Yr. 2 NURS 705 Diagnosis, Symptom & Illness Management 3 NURS 706 Introduction to Management of Acute Care Patients 2 NURS 707 Introduction into Acute Care Practicum 120 practicum hours 2 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are (3) required for the DNP) Summer Yr. 2 NURS 710 Management of Chronic Illnesses within Acute Care 2 NURS 711 Management of Chronic Illness in the Acute Care Patient 3 Practicum 180 practicum hours Fall Year 3 NURS 712 Management of Comorbid Conditions in Acute Care 1 NURS 713 Management of Comorbid Conditions in Acute Care Practicum practicum hours NURS 728 Analysis of Healthcare Organizations 3 NURS 764 Practice Development for the Advanced Practice Registered Nurse 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are (3) required for the DNP) Spring Yr. 3 NURS 714 Advanced Practice Introduction to Critical Care 2 NURS 715 Advanced Practice Introduction to Critical Care Patients 5 NURS 765 NURS 788 Practicum 300 practicum hours DNP Residency ( Variable 1-6 credit course, 4 total credits 4 required for this track ) DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) Total Credits/Units 72 BSN to DNP Family Nurse Practitioner (FNP) (Approved by UCCC, 5/21/2013) Contact: Professor Shaun Hasty shasty@unr.edu

10 10 The Family Nurse Practitioner (FNP) track of the BSN TO DNP AND POST-MASTER S program prepares students to provide primary care across the lifespan to individuals, families, and communities. FNPs practice within private and clinic settings as well as urgent care facilities. FNPs focus on health promotion and maintenance, and function in autonomous and collaborative roles guided by appropriate nurse practice acts. There are 76 credits and 780 specialty specific, practicum hours required for this track and an addition 240 DNP Project and Residency practicum hours. The student may sit for national certification upon graduation. Upon competition of the DNP/FNP, the graduate is able to: 1. Function in autonomous and collaborative roles guided by appropriate nurse practice acts. 2. Provide primary care to individuals, families, and communities. 3. Focus on health promotion and maintenance for clients. 4. Utilize the process and method of scientific inquiry in the study of nursing. 5. Contribute to the development of nursing science. 6. Pursue opportunities for enhancement of advance practice. BSN to DNP FNP Plan of Study Courses Credits Fall Year 1 NURS 717 Advanced Pathophysiology 3 NURS 735 Introduction to Knowledge Development and Scientific Inquiry 3 NURS 737 Population/Aggregate Health Care Issues 3 NURS 750 Advanced Health Assessment 3 Spring Year 1 NURS 716R Advanced Ambulatory Prescribing Pharmacology 3 NURS 736 Health Care Policy and Social Justice 3 NURS 751 Management of Acute Illnesses in the Primary Care Setting 3 NURS 755 Role of the FNP in Managing Acute Illnesses in Primary Care 3 Summer Yr. 1 NURS 708 Nursing Theories and Family Health Patterns 3 NURS 752 Family Health in the Primary Care Setting 2 NURS 756 Role of the FNP in Managing Family Health in Primary Care 2 Fall Year 2 NURS 725 Scientific Underpinnings of the DNP in Advanced Practice 3 Nursing NURS 753 Management of Chronic Illness in the Primary Care Setting 4 NURS 757 Role of the FNP in Managing Chronic Illness in Primary Care 3 Spring Yr. 2 NURS 718 Health Promotion 3 NURS 754 Management of Complex Illness in the Primary Care Setting 2 NURS 758 Role of the FNP in Managing complex Illness in Primary Care 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) (3)

11 11 Summer Yr. 2 NURS 745 Health Information Systems & Technology 3 Fall Year 3 NURS 728 Analysis of Healthcare Organizations 3 NURS 764 Practice Development for the Advanced Practice Registered Nurse 3 NURS 792 Outcomes Management & Performance Improvement in Nursing 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are (3) required for the DNP) Spring Yr. 3 NURS 732 The Economics of Healthcare Delivery 3 NURS 765 DNP Residency ( Variable 1-6 credit course, 4 total credits 4 required for this track ) NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) Total Credits/Units 76 BSN to DNP Psychiatric Mental Health Nurse Practitioner (PMHNP) (Approved by UCCC, 5/21/2013) Contact: Professor Deborah Arnow darnow@unr.edu The Psychiatric Mental Health Nurse Practitioner (PMHNP) track prepares advanced practice nurses to care for individuals and families with behavioral and mental problems. This specialty track within the BSN TO DNP AND POST-MASTER S program prepares graduates to assess, diagnose, intervene (e.g. psychotherapy and pharmacotherapy), and provide follow-up to facilitate ongoing levels of wellness. The PMHNP is prepared to provide psychiatric and mental health care in a variety of treatment settings (e.g. hospitals, jails, home care, and outpatient clinics) and participate with other members of the health care team. With a shortage of mental health professionals and increasing demand for expert mental health care in rural health settings, the PMHNPs scope of practice brings critically relevant skills needed to care for persons experiencing the full range of psychiatric and mental health problems. There are 76 credits and 720 specialty specific, practicum hours required for this track and an addition 240 DNP Project and Residency practicum hours. The student may sit for national certification upon graduation. Upon competition of the DNP/PMHNP, the graduate is able to: 1. Integrate scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings. 2. Provide advanced, ethical, evidence-based nursing services for multi-cultural and ethnic individuals, families, aggregates, and select populations. 3. Apply patient-care and communication technologies to deliver, enhance, integrate, and coordinate care. 4. Collaborate with other professionals and members of the community to provide optimal health care to individuals, families, special populations, and communities with an emphasis on health promotion and disease prevention.

12 12 5. Respect diversity and address complex health care needs of persons, including the unserved and under-served, populations and communities, in the role of nurse leader, educator and/or advanced practice nurse. 6. Participate in the ethical organization, management, and policy negotiations of health care delivery systems to use advocacy strategies to influence health and healthcare. 7. Participate in the application of safe patient care and quality healthcare practices. 8. Participate in the development of nursing as a science, through the use of theory, research, and scientific processes while acquiring a foundation for doctoral study. BSN to DNP PMHNP Plan of Study Courses Credits Fall Year 1 NURS 701 Mental Health Assessment Across the Lifespan 3 NURS 717 Advanced Pathophysiology 3 NURS 735 Introduction to Knowledge Development and Scientific Inquiry 3 NURS 737 Population/Aggregate Health Care Issues 3 Spring Year 1 NURS 703 Advance Mental Health Therapies: Individual 3 NURS 716R Advanced Ambulatory Prescribing Pharmacology 3 NURS 721 Assessment and Diagnosis within Psych Mental Health (PMH) 3 Settings (180 Practicum hours) NURS 727 Mental Health Diagnosis and Management of the Adult 2 Summer Yr. 1 NURS 702 Advanced Pharmacology for Mental Health 3 NURS 704 Advanced Mental health Therapies: Group and Family 3 NURS 722 Interventions & Treatment Planning within PMH Settings 3 Fall Year 2 NURS 723 Advanced Therapeutic Interventions within the Psych Mental 3 Health Settings (180 Practicum hours) NURS 725 Scientific Underpinnings of the DNP in Advanced Practice 3 Nursing NURS 726 Mental Health Diagnosis and Management of Children & 2 Adolescents NURS 750 Advanced Health Assessment 3 Spring Yr. 2 NURS 724 Advanced Management of Patients & Systems with Psych Mental 3 Health Settings (180 Practicum hours) NURS 730 Mental Health Diagnosis and Management of the Geriatric Client 2 NURS 736 Health Care Policy and Social Justice 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) (3)

13 13 Summer Yr. 2 NURS 745 Health Information Systems & Technology 3 Fall Year 3 NURS 728 Analysis of Healthcare Organizations 3 NURS 764 Practice Development for the Advanced Practice Registered Nurse 3 NURS 792 Outcomes Management & Performance Improvement in Nursing 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are (3) required for the DNP) Spring Yr. 3 NURS 732 The Economics of Healthcare Delivery 3 NURS 765 DNP Residency ( Variable 1-6 credit course, 4 total credits 4 required for this track ) NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) Total Credits/Units 76 Post Master s DNP for Advanced Practice and Nurse Executives (Approved by UCCC, 5/21/2013) Contact: Dr. Christine Aramburu Alegria aramburu@unr.edu The post-master s DNP program is offered ONLINE with annual meetings of two to three-days on campus for orientation and culminating project purposes. The program is five semesters long with one summer session. Total credits are 30, with an ongoing change project (capstone) occurring throughout the program. Practicum hours are completed during the Residency course (NURS 765). This residency provides students the opportunity to apply program concepts and develop and implement strategies for practice-level and/or system-wide practice initiatives to improve the quality of care. Post Master s DNP for Advanced Practice Courses Credits Fall Year 1 NURS 725 Scientific Underpinnings of the DNP in Advanced Practice 3 Nursing NURS 728 Analysis of Healthcare Organizations 3 Spring Yr. 1 NURS 732 The Economics of Healthcare Delivery 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are (3) required for the DNP) Summer Yr. 1 NURS 745 Health Information Systems & Technology 3 Fall Year 2 NURS 764 Practice Development for the Advanced Practice Registered Nurse 3

14 14 NURS 792 Outcomes Management & Performance Improvement in Nursing 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are (3) required for the DNP) Spring Yr. 2 NURS 765 DNP Residency (Variable 1-6 credit course, 4 total credits 4 required for this track ) NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) Total Credits/Units 30 Post Master s DNP for the Nurse Executive Courses Credits Fall Year 1 NURS 725 Scientific Underpinnings of the DNP in Advanced Practice 3 Nursing NURS 728 Analysis of Healthcare Organizations 3 Spring Yr. 1 NURS 732 The Economics of Healthcare Delivery 3 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are (3) required for the DNP) Summer Yr. 1 NURS 745 Health Information Systems & Technology 3 Fall Year 2 NURS 763 Management Strategies for Nursing & Healthcare Systems 3 NURS 792 Outcomes Management & Performance Improvement in Nursing 3 NURS 788 Spring Yr. 2 NURS 765 NURS 788 DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) DNP Residency (Variable 1-6 credit course, 4 total credits 4 required for this track ) DNP Project (Variable 1-6 credit course, 6 total credits are required for the DNP) Total Credits/Units 30 Master of Science in Nursing (MSN) Program Description Graduate education at the MSN level prepares registered nurses for advanced practice, educator, and leadership positions in health care. MSN level study develops clinical competence and increased sophistication in exploring and identifying a theoretical framework for nursing practice. MSN education also serves as an introduction to scholarly activity for those who wish to pursue a doctoral degree in nursing. Research focuses on the search of nursing knowledge, analysis and evaluation of nursing theory, and the study of strategies for nursing application. MSN education also provides students with the opportunity to realize their creative potential and (3)

15 15 collaborate with other health care professionals in maintaining effective nursing and health care. Graduate Program Terminal Objectives are based on the revised AACN Essentials Master of Science in Nursing (MSN) AACN Essentials In accordance with the American Association of Colleges of Nursing (2011) the Master of Science in Nursing at the Orvis School of Nursing follows the guidelines set forth in the Essentials of Master s Education in Nursing. The Essentials of Master s Education in Nursing reflects the profession s continuing call for imagination, transformative thinking, and evolutionary change in graduate education. The extraordinary explosion of knowledge, expanding technologies, increasing diversity, and global health challenges produce a dynamic environment for nursing and amplify nursing s critical contributions to health care. Master s education prepares nurses for flexible leadership and critical action within complex, changing systems, including health, educational, and organizational systems. Master s education equips nurses with valuable knowledge and skills to lead change, promote health, and elevate care in various roles and settings. Synergy with these Essentials, current and future healthcare reform legislation, and the action-oriented recommendations of the Initiative on the Future of Nursing (IOM, 2010) highlights the value and transforming potential of the nursing profession. These Essentials are core for all master s programs in nursing and provide the necessary curricular elements and framework, regardless of focus, major, or intended practice setting. These Essentials delineate the outcomes expected of all graduates of master s nursing programs. These Essentials are not prescriptive directives on the design of programs. Consistent with the Baccalaureate and Doctorate of Nursing Practice Essentials, this document does not address preparation for specific roles, which may change and emerge over time. These Essentials also provide guidance for master s programs during a time when preparation for specialty advanced nursing practice is transitioning to the doctoral level. Master s education remains a critical component of the nursing education trajectory to prepare nurses who can address the gaps resulting from growing healthcare needs. Nurses who obtain the competencies outlined in these Essentials have significant value for current and emerging roles in healthcare delivery and design through advanced nursing knowledge and higher level leadership skills for improving health outcomes. For some nurses, master s education equips them with a fulfilling lifetime expression of their mastery area. For others, this core is a graduate foundation for doctoral education. Each preparation is valued (American Association of Colleges of Nursing, 2011, p.3). AACN (2011) states that Master s education must prepare the graduate to: Lead change to improve quality outcomes, Advance a culture of excellence through lifelong learning, Build and lead collaborative interprofessional care teams, Navigate and integrate care services across the healthcare system, Design innovative nursing practices, and Translate evidence into practice (pp. 3-4). The Essentials of Master s Education in Nursing 1. Background for Practice from Science and Humanities 2. Organizational and Systems Leadership 3. Quality Improvement and Safety 4. Translating and Integrating Scholarship into Practice

16 16 5. Informatics and healthcare Technologies 6. Health policy and Advocacy 7. Interprofessional Collaboration for Improving patient and population health Outcomes 8. Clinical Prevention and Population health for Improving Health 9. Master s Level Nursing Practice MSN Program Student Learning Outcomes The following are the revised (2012) terminal objectives for the MSN program of study. 1. Integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings. 2. Provide advanced, ethical, evidence-based nursing services for multi-cultural and ethnic individuals, families, aggregates, and select populations. 3. Apply patient-care and communication technologies to deliver, enhance, integrate, and coordinate care. 4. Collaborate with other professionals and members of the community to provide optimal coordinated health care to individuals, families, special populations, and communities with an emphasis on health promotion and disease prevention. 5. Respect diversity to address complex health care needs of persons, including the unserved and under-served, populations and communities, in the role of nurse leader, educator, and/or advanced practice nurse. 6. Participate in the organization, management, and policy negotiations of health care delivery systems to use ethical principles and advocacy strategies to influence health and healthcare. 7. Participate in the application of safe patient care and quality health care practices. 8. Participate in the development of nursing as a science, through the use of theory, research, and scientific processes, while acquiring a foundation for doctoral study. (Accepted by OSN Faculty and UCCC Approved 2/6/12) MSN Curriculum Options For any questions related to the Graduate curriculum, students may contact the individual track leaders or Dr. Stephanie DeBoor, the Associate Dean for Graduate Programs deboors2@unr.edu Nurse Educator (updated 10/31/13) Contact: Dr. Susan Ervin sme@unr.edu The Nurse Educator Track of the MSN program integrates scientific findings, nursing and learning theories, informatics, and technology into the development and evaluation of curricula and educational programs in diverse educational settings. Graduates provide ethical, evidence-based nursing education services for multi-cultural and ethnically diverse, students, staff, families, select populations, and communities. There are 420 required practicum hours for this specialty track. The student may sit for national certification upon graduation. Master of Science in Nursing (MSN) Educator Track Courses Credits

17 17 NURS 716 Advanced Ambulatory Prescribing Pharmacology (1-3) NURS 717 Advanced Pathophysiology 3 NURS 735 Introduction to Knowledge Development and Scientific 3 Inquiry NURS 736 Health Care Policy and Social Justice 3 NURS 737 Population/Aggregate Health Care Issues 3 NURS 750 Advanced Health Assessment 3 NURS 759 Planning Strategies for Care of Specialized Populations 2 NURS 760 Advanced Nursing Care of Specialized Populations Practicum hours of practicum NURS 780 Curriculum Development and Evaluation in Nursing 3 NURS 781 Instructional Design & Evaluation in Nursing Education 3 NURS 782 The Role of the Nurse Educator 2 NURS 783 Nursing Education Role Practicum 180 hours practicum 3 NURS 797 Thesis (Plan A) Or 6 NURS 798 Professional Project/or Paper (Plan B) and 3 NURS 795 Comprehensive Examination 1 Total Credits/Units Post Master's Nurse Educator Certificate Note: This program is open to nurses who have already earned a master's degree in nursing. NURS 759* Planning Strategies for Care of Specialized Populations 2 NURS 760* Advanced Nursing Care of Specialized Populations Practicum 4 NURS 780 Curriculum Development and Evaluation in Nursing 3 NURS 781 Instructional Design & Evaluation in Nursing Education 3 NURS 782 The Role of the Nurse Educator 2 NURS 783 Nursing Education Role Practicum 3 Total Credits/Units *May be required pending review of transcripts and prior practicum experiences. Adult Gerontology Acute Care Nurse Practitioner (AGACNP) (Approved by UCCC, 5/21/2013) Contact: Dr. Jackie Ferdowsali jferdowsali@unr.edu The Adult Gerontology Acute Care Nurse Practitioner (AGACNP) track of the MSN program prepares nurses to provide advanced practice in acute care settings through a program of study focused on the care of acutely ill patients and their families. An AGACNP can diagnose and treat medical conditions. In collaboration with the physician and other members of the health care team, AGACNPs provide direct care to patients from hospital admission through discharge. There are 780 required practicum hours for this specialty track. The student may sit for national certification upon graduation.

18 18 Adult Gerontology Acute Care Nurse Practitioner Courses Credits NURS 705 Diagnosis, Symptom & Illness Management 3 NURS 706 Introduction to Management of Acute Care Patients 2 NURS 707 Introduction into Acute Care Practicum 120 practicum hours 2 NURS 709 Advanced prescribing Pharmacology for the Acute Care Patient 3 NURS 710 Management of Chronic Illnesses within Acute Care 2 NURS 711 Management of Chronic Illness in the Acute Care Patient Practicum practicum hours NURS 712 Management of Comorbid Conditions in Acute Care 1 NURS 713 Management of Comorbid Conditions in Acute Care Practicum practicum hours NURS 714 Advanced Practice Introduction to Critical Care 2 NURS 715 Advanced Practice Introduction to Critical Care Patients Practicum practicum hours NURS 716 Advanced Ambulatory Prescribing Pharmacology 3 NURS 717 Advanced Pathophysiology 3 NURS 735 Introduction to Knowledge Development and Scientific Inquiry 3 NURS 736 Health Care Policy and Social Justice 3 NURS 737 Population/Aggregate Health Care Issues 3 NURS 750 Advanced Health Assessment 3 NURS 797 Thesis (Plan A) OR 6 NURS 798 Professional Project/or Paper (Plan B) and 3 NURS 795 Comprehensive Examination 1 Total Credits/Units Post Master's Adult Gerontology Acute Care Nurse Practitioner Certificate Note: This program is open to nurses with a master's degree in nursing and requires 780 practicum hours. The student may sit for national certification upon graduation. Courses Credits NURS 705 Diagnosis, Symptom & Illness Management 3 NURS 706 Introduction to Management of Acute Care Patients 2 NURS 707 Introduction into Acute Care Practicum 2 NURS 709 Advanced prescribing Pharmacology for the Acute Care Patient 3 NURS 710 Management of Chronic Illnesses within Acute Care 2 NURS 711 Management of Chronic Illness in the Acute Care Patient 3 Practicum NURS 712 Management of Comorbid Conditions in Acute Care 1 NURS 713 Management of Comorbid Conditions in Acute Care Practicum 3

19 19 NURS 714 Advanced Practice Introduction to Critical Care 2 NURS 715 Advanced Practice Introduction to Critical Care Patients Practicum 5 NURS 716* Advanced Ambulatory Prescribing Pharmacology 3 NURS 717* Advanced Pathophysiology 3 NURS 750 * Advanced Health Assessment 3 Total Credits/Units *Providing review of transcripts represents completion of required core coursework. Family Nurse Practitioner (FNP) Contact: Professor Shaun Hasty shasty@unr.edu The Family Nurse Practitioner (FNP) track of the MSN program prepares students to provide primary care across the lifespan to individuals, families, and communities. FNPs practice within private and clinic settings as well as urgent care facilities. FNPs focus on health promotion and maintenance, and function in autonomous and collaborative roles guided by appropriate nurse practice acts. There are 780 required practicum hours for this specialty track. The student may sit for national certification upon graduation. Family Nurse Practitioner Courses Credits NURS 708 Nursing Theories and Family Health Patterns 3 NURS 716 Advanced Ambulatory Prescribing Pharmacology 3 NURS 717 Advanced Pathophysiology 3 NURS 718 Advanced Health Promotion 3 NURS 735 Introduction to Knowledge Development and Scientific Inquiry 3 NURS 736 Health Care Policy and Social Justice 3 NURS 737 Population/Aggregate Health Care Issues 3 NURS 750 Advanced Health Assessment 3 NURS 755 Role of the FNP in Managing Acute Illnesses in Primary Care 3 NURS 751 Management of Acute Illnesses in the Primary Care 240 practicum hours 4 NURS 756 Role of the FNP in Managing Family Health in Primary Care 2 NURS 752 Family Health in the Primary Care Setting 60 practicum hours 1 NURS 757 Role of the FNP Managing Chronic Illness in Primary Care 3 NURS 753 Management of Chronic Illness in the Primary Care Setting practicum hours NURS 758 Role of the FNP in Managing Complex Illness in Primary Care 3 NURS 754 Management of Complex Illness in the Primary Care Setting practicum hours NURS 797 Thesis (Plan A) OR 6 NURS 798 Professional Project/or Paper (Plan B) and 3 NURS 795 Comprehensive Examination 1

20 20 Total Credits/Units Post Master's Family Nurse Practitioner Certificate Note: This program is open to nurses with a master's degree in nursing and requires 780 practicum hours. The student may sit for national certification upon graduation. Courses Credits NURS 708 Nursing Theories and Family Health Patterns 3 NURS 716* Advanced Ambulatory Prescribing Pharmacology 3 NURS 717* Advanced Pathophysiology 3 NURS 718 Health Promotion 3 NURS 750* Advanced Health Assessment 3 NURS 755 Role of the FNP in Managing Acute Illnesses in Primary Care 3 NURS 751 Management of Acute Illnesses in the Primary Care 4 NURS 756 Role of the FNP in Managing Family Health in Primary Care 2 NURS 752 Family Health in the Primary Care Setting 1 NURS 757 Role of the FNP Managing Chronic Illness in Primary Care 3 NURS 753 Management of Chronic Illness in the Primary Care Setting 4 NURS 758 Role of the FNP in Managing Complex Illness in Primary Care 3 NURS 754 Management of Complex Illness in the Primary Care Setting 4 Total Credits/Units *Providing review of transcripts represents completion of required core coursework. Clinical Nurse Leader (CNL) Contact Dr. Bernadette Longo longo@unr.edu The MSN program at the University of Nevada, Reno is designed to prepare graduates in the emerging role of the Clinical Nurse Leader (CNL). In response to healthcare and consumer needs, the American Association of Colleges of Nursing proposed the advanced practice role of the CNL in order to prepare effective leaders for health care delivery systems to work within all settings. A beginning CNL graduate would encompass the roles of clinician, outcomes manager, client advocate, educator, information manager, systems analyst, risk anticipator, team manager, member of a profession, and life-long learner (AACN, 2007). After successful completion of the Orvis School of Nursing MSN degree requirements (including a total of 420 clinical hours; a minimum of 300 hours in a supervised CNL role immersion practicum with an academic/practice partner), the CNL track graduate would meet the educational requirement to sit for the AACN CNL Certification Examination. Master of Science in Nursing (MSN) Clinical Nurse Leader Track Courses Credits NURS 716 Advanced Ambulatory Prescribing Pharmacology (1-3) NURS 717 Advanced Pathophysiology 3 NURS 735 Introduction to Knowledge Development and Scientific 3

21 21 Inquiry NURS 736 Health Care Policy and Social Justice 3 NURS 737 Population/Aggregate Health Care Issues 3 NURS 750 Advanced Health Assessment 3 NURS 746 Evidence-Based Practice and Management of Clinical 3 Outcomes NURS 744 Leadership Development and Care Management 1 NURS 747 Care Management in a Health Care Micro-System Practicum 2 NURS 748/ Health Informatics 3 PUBH753 or NURS 745 Healthcare Information Systems & Technology NURS 759 Planning Strategies for Care of Specialized Populations 2 NURS 760 Advanced Nursing Care of Specialized Populations 4 Practicum 240 practicum hours NURS 797 Thesis (Plan A) OR 6 NURS 798 Professional Project/or Paper (Plan B) AND 3 NURS 795 Comprehensive Examination 1 Total Credits/Units Post Master's Clinical Nurse Leader Certificate Note: This program is open to nurses with a master's degree in nursing. The student may sit for national certification upon graduation. Courses Credits NURS 746 Evidence-Based Practice and Management of Clinical 3 Outcomes NURS 744 Leadership Development and Care Management 1 NURS 747 Care Management in a Health Care Micro-System Practicum 2 NURS 748/ Health Informatics 3 PUBH753 NURS 759* Planning Strategies for Care of Specialized Populations 2 NURS 760* Advanced Nursing Care of Specialized Populations Practicum 4 Total Credits/Units 15 *May be required pending review of transcripts and prior practicum experiences. Psychiatric Mental Health Nurse Practitioner (PMHNP) Contact: Professor Deborah Arnow darnow@unr.edu The Psychiatric Mental Health Nurse Practitioner (PMHNP) track prepares advanced practice nurses to care for individuals and families with behavioral and mental problems. This specialty track within the MSN program prepares graduates to assess, diagnose, intervene (e.g. psychotherapy and pharmacotherapy), and provide follow-up to facilitate ongoing levels of wellness. The PMHNP is prepared to provide psychiatric and mental health care in a variety of

22 22 treatment settings (e.g. hospitals, jails, home care, and outpatient clinics) and participate with other members of the health care team. With a shortage of mental health professionals and increasing demand for expert mental health care in rural health settings, the PMHNPs scope of practice brings critically relevant skills needed to care for persons experiencing the full range of psychiatric and mental health problems. There are 720 required practicum hours for this specialty. The student may sit for national certification upon graduation. Psychiatric Mental Health Nurse Practitioner Courses Credits NURS 701 Mental Health Assessment Across the Lifespan 3 NURS 702 Advanced Pharmacology for Mental Health 3 NURS 703 Advanced Mental Health Therapies: Individual 3 NURS 704 Advanced Mental Health Therapies: Group and Family 3 NURS 716 Advanced Ambulatory Prescribing Pharmacology 3 NURS 717 Advanced Pathophysiology 3 NURS 721 Assessment and Diagnosis within PMH Settings 180 practicum hours 3 NURS 722 NURS 723 NURS 724 Interventions & Treatment Planning within PMH Settings 180 practicum hours Advanced Therapeutic Interventions within PMH Settings 180 practicum hours Advanced Management of Patient & Systems within PMH Settings 180 practicum hours NURS 726 MH Diagnosis & Management of Children & Adolescents 2 NURS 727 Mental Health Diagnosis and Management of the Adult 2 NURS 730 Mental Health Diagnosis & Management of the Geriatric Client 2 NURS 735 Introduction to Knowledge Development and Scientific Inquiry 3 NURS 736 Health Care Policy and Social Justice 3 NURS 737 Population/Aggregate Health Care Issues 3 NURS 750 Advanced Health Assessment 3 NURS 797 Thesis (Plan A) OR 6 NURS 798 Professional Project/or Paper (Plan B) AND 3 NURS 795 Comprehensive Examination 1 Total Credits/Units Psychiatric Mental Health Nurse Practitioner Post-Master s Certificate Program Note: This program is open to nurses with a master's degree in nursing. There are 720 required practicum hours for this specialty. The student may sit for national certification upon graduation. Courses Credits NURS 701 Mental Health Assessment Across the Lifespan 3 NURS 702 Advanced Pharmacology for Mental Health 3

23 23 NURS 703 Advanced Mental Health Therapies: Individual 3 NURS 704 Advanced Mental Health Therapies: Group and Family 3 NURS 716* Advanced Ambulatory Pharmacy 3 NURS 717* Advanced Pathophysiology 3 NURS 721 Assessment and Diagnosis within PMH Settings 3 NURS 722 Interventions & Treatment Planning within PMH Settings 3 NURS 723 Advanced Therapeutic Interventions within PMH Settings 3 NURS 724 Advanced Management of Patient & Systems within PMH 3 Settings NURS 726 MH Diagnosis & Management of Children & Adolescents 2 NURS 727 Mental Health Diagnosis and Management of the Adult 2 NURS 730 Mental Health Diagnosis & Management of the Geriatric 2 Client NURS 750* Advanced Health Assessment 3 Total Credits/Units *Providing review of transcripts represents completion of required core coursework. Master of Science in Nursing/Master of Public Health (MSN/MPH) Dual Degree Contacts: Dr. Stephanie DeBoor (nursing) deboors2@unr.edu or Dr. Wei Yang (community health sciences) weiyang@unr.edu The Orvis School of Nursing and the School of Community Health Sciences offer a dual degree MSN/MPH program. The dual degree program prepares BS/RN nurses to draw upon advanced knowledge and a variety of skills to define, critically assess, diagnose, and collaborate with communities to plan care and resolve public health problems. The program includes academic and clinical practice preparation for nurse practitioners delivering primary health care in public health settings. Both degrees when completed separately are two-year, full-time degrees. Students enroll in courses in Nursing and Public Health each semester to enhance interdisciplinary learning and practice. Students complete the core courses in both the public health and nursing program; however, there is some overlap. Admission requirements to the MPH/MSN program include those set by both programs. Students must apply to both programs separately, then be admitted to each of them before embarking on the dual program. The Curriculum There are multiple options within nursing and public health All students must complete the MSN/MPH core courses, required for all options. To be successful, coordinated advisement between CHS and Nursing is necessary to be certain

24 24 that courses are taken in the proper progression. Important Forms Most forms that will be needed throughout your graduate coursework can be found on the Graduate School webpage at the following address: Graduate Progression Forms Program of Study Requirements Declaration of Advisor Advisor.pdf Change in Program of Study Graduate Credit Transfer Evaluation Request Change of Advisory Committee Leave of Absence Notice of Reinstatement to Graduate Standing Graduation Forms Graduation Application Completed in MyNevada Notice of Completion (Master s) Notice of Completion (Doctoral) Final Review Approval Master s Thesis Filing Guidelines Exit Survey Health Insurance All domestic degree seeking graduate students, who are enrolled in six or more credits (regardless of the course level) in a semester, will be automatically enrolled and billed for the University sponsored health insurance for each term they are eligible (fall & spring/summer). If a student has other comparable coverage and would like to waive out of the student health

25 25 insurance, it is the student s responsibility to complete the University online waiver form prior to the deadline. If approved, a health insurance waiver is good for the current academic year only. A new waiver must be submitted each academic year. All international graduate students are required to carry student health insurance, and the cost will be automatically added to your student account. Any international graduate students with insurance questions must contact the Office of International Students and Scholars (OISS) directly. Graduate Student Association The Graduate Student Association (GSA) represents all graduate students and promotes the welfare and interests of the graduate students at the University of Nevada, Reno. The GSA works closely with appropriate university administrative offices, including the Graduate School and Student Services and reports to the President of the University. The GSA government functions through the Council of Representatives, Executive Council and established committees. Graduate Assistantships All graduate students holding an assistantship (teaching GTA or GRA) are considered Nevada residents for tuition purposes. Non-resident tuition is only waived for the duration of the assistantship. To be eligible for an assistantship, students must be admitted to a degree-granting program and be in good academic standing. The student must have an overall GPA of at least 3.0 and must be continuously enrolled in at least 6 graduate level credits ( ) throughout the duration of the assistantship. State-funded assistantships (GTA/GRA) may be held for a maximum of: three (3) years for master s degree students and five (5) years for doctoral degree students. The following links provide general information and the GA handbook. General information: Graduate Assistantship handbook: Plans of Study/Advisement Upon admission to the DNP or MSN (including Post-Master s certificates) program, students should meet with their Track Leader for advisement. During your meeting your advisor should provide you with a plan of study that will serve as an outline for progression throughout your program of study. This plan will be based on full-time, part-time or post-master s certificate status. Of note, the plan of study and program of study are not the same. The plan of study is a semester by semester overview of the program track. The program of study is a form required by the graduate school (See important forms).

26 26 Once a semester you are required to make an appointment with your Track Leader for advisement and to ensure you are progressing as planned through the program. If for any reason the Track Leader is unavailable you may meet with the Associate Dean for Graduate Programs. Once the student has selected a chair for their Graduate Committee, the chair and track leader will be responsible for co-advising. The chair will provide advisement for thesis/project work and the track leader will provide advisement for program progression. Timeline for Degree Completion All DNP and MSN degree specialty tracks are designed with full and part time plans of study. Many of these options can be completed in five to eight semesters. All work toward a doctoral or master s degree (transfer credits, credits completed at UNR prior to program admission, and all examinations) must be completed within six (6) calendar years immediately preceding the granting of the degree. Requests for extensions must come from the major advisor with concurrence of the OSN Associate Dean for Graduate Programs and be based on an academic or humanitarian rationale for the delay in degree completion. Not to exceed one year. Courses and Course Load A. Only graduate courses (numbered 600 or higher at UNR) are applicable toward the DNP, MSN, and Post-Master s certificate/degree. These include web-based courses, if available. B. Transfer Credits: These are credits transferred from another institution. Credits completed at UNR in another program or as a graduate special do not need to be transferred. Transfer credit is requested on the Graduate Credit Transfer Evaluation Request form available on Graduate School website and must be signed by the student, major advisor, and graduate Dean. Transfer credits applied to the doctorate or master s program must comply with the time limitation on graduate work (6 years). Thus, if a student took a course five years prior to admission, they would have to complete the degree within one year for the course to apply to the degree. Credits from a completed master s degree will be exempt from the 8-year time limitation for those students earning a doctoral degree. Additionally, no more than nine (9) credits completed either prior to admission to a graduate program or transferred from another institution may be applied to the degree. The Graduate Credit Transfer Evaluation Request Form should be used to evaluate transfer credits. C. Graduate credit may not be obtained through Extension courses or Correspondence courses. Continuous Enrollment To maintain good standing all graduate students are required to enroll in a minimum of three (3) graduate credits each fall and spring semester until they graduate. International students may be required to enroll in nine graduate credits each fall and spring semester depending on the requirements of their visa. All students holding assistantships (whether teaching or research

27 27 assistantships) are required to enroll in a minimum of six (6) graduate credits each semester they hold the assistantship. Leave of Absence Students in good standing may request a leave of absence by completing a leave of absence form available on the Graduate School website ( during which time they are not required to maintain continuous registration. Usually, a leave of absence is approved for one or two semesters. The leave of absence request may be extended by the student filing an additional leave of absence form. Students applying for a leave of absence should not have any incomplete grades which could be changed to F and have a detrimental impact on their cumulative GPA. Requests for leave of absences must be received by the Graduate School no later than the last day of enrollment for the semester the leave is to begin. Reinstatement When a student has been absent for one semester or more without an approved leave of absence, he or she may request reinstatement via the Reinstatement form (available on the Graduate School website) Graduate-Standing.pdf This form allows the program the option to recommend the student be re-admitted to their graduate program based on their previous admission OR require the student to re-apply for admission which would require students to submit a new application for admission and pay the application fee. The Notice of Reinstatement to Gradate Standing must be received by the Graduate School no later than the last day of enrollment for the semester the reinstatement is to begin. Grades and Their Consequences (Revised 1/13/2014) A. Good Standing: In the OSN, students must maintain at least a 3.0 GPA. To be counted toward a graduate degree, each graduate course must be completed with a grade of B or better. However, to remain in good standing in the program, students are required to maintain a 3.0 B grade point average in both the core and specialization coursework. B. Probation/Dismissal: If the graduate grade-point total is the student will be placed on probation and must then raise the cumulative graduate GPA to 3.0 by the end of the following semester or the student will be dismissed from graduate standing. If the student s GPA is 2.3 or less the student is dismissed from graduate standing, or if the student s GPA remains below 3.0 of two (2) consecutive semesters, the student is dismissed from graduate standing. C. A student may register for and begin a course only two times. A student who has registered for the same course twice and has withdrawn, or received a grade less than a B, is ineligible for progression in any track of the DNP or MSN program or certificate and will be dismissed from that designated program of study. The student is ineligible for readmission unless approved by the OSN Associate Dean for Graduate Programs.

28 28 D. If a student fails (receives less than a B ) and/or has withdrawn from a combination of two or more courses, they will be dismissed from their program of study. The student is ineligible for readmission unless approved by the OSN Associate Dean for Graduate Programs. E. A student who has failed to progress, been suspended, or dismissed from any of the Nursing Graduate Programs and is seeking reinstatement/readmission, will be required to meet with the Associate Dean for Graduate Programs and the Graduate Panel (consisting of two graduate nursing faculty, a graduate faculty representative outside of nursing, and a graduate nursing student from a different track). The panel s decision is final. Graduate Grading Scale Policy* Purpose: To provide consistency in grading across the graduate curriculum, the following grading scale is to be used by the Orvis School of Nursing faculty for all graduate courses GRADE POINTS/PERCENT A A B B ** B C C C D D D F <60.00 *Approved by the OSN graduate committee February 11, **A final grade below B in any graduate nursing course is considered as not passing. Chain of Command If for any reason an issue arises for a student, whether it is a personal matter, grade concern, faculty conflict, peer to peer conflict, etc. there is a specific chain of command within the OSN to handle these situations. For course issues, such as grade or faculty concerns, etc, the student should first reach out to the faculty of record for that specific course. If the there is no resolution of the students concern the second step would be to contact the specialty track leader. All other concerns and those regarding program progression should be taken directly to the specialty track leader. If the student feels there is still no resolution of their specific issue or concern, they may contact the Associate Dean for Graduate Programs. Finally, if the student feels there has been no resolution of the issue, they may contact the Dean of the OSN (See Algorithm, page 29).

29 29 Chain of Command Algorithm Grade Issue Course-Related Issue Program Progression or Other Issues Faculty of Record for the Course Specialty Track Leader File Grade Appeal Associate Dean for Graduate Studies Dean of the Orvis School of Nursing If issue Grade Appeal Any student who has concerns regarding a grade they have received, may file a grade appeal. Please see the University Grade Appeal Policy & Procedures at There are very specific steps and time frames associated with this policy and procedure, so please read it carefully. Situations of academic dishonesty are not eligible for the grade appeal process.

30 30 Post-Master s DNP Residency Practica, BSN to DNP and MSN Clinical Practica Requirements revised 12/5/2016 Practica/Clinical Placement All Practica/clinical placements for students are a collaborative arrangement. While students may have ideas for where they would like to have clinical experiences, these must be discussed and approved by the track advisors and faculty of record for that specific course prior to meeting with any prospective preceptor. A "Preceptor Agreement" (Appendix A), outlining the agreed upon relationship between each preceptor and student must be completed and provided to the Track Advisor and course faculty for approval prior to the first week of the semester. The OSN need up to date Curriculum Vitae for of clinical preceptors. Some practicum settings require a full contract with the University. Contracts can take up to 6 months, at times longer, to obtain. Students must keep this in mind when considering preceptors and settings. Students must be with a preceptor when in the clinical setting. Students may not be in the clinical setting at any time when the university is not in operation (e.g. spring break, observed holidays). Students in breach of these rules will be dismissed from the program. Clinical evaluations (in person, virtual, on campus Standardized Patient, or phone) will be conducted by the faculty of record. There must be a meeting (virtual, face to face, phone) among the preceptor, student, and faculty of record at the beginning of the practicum, mid-term and final. While feedback is sought from the preceptors the course grade is the direct responsibility of the faculty of record. Fit for Duty All students must be able to meet the minimum requirements of the job description for their specialty within the practicum settings they have been assigned. As part of the admission process, MSN students were required to have a physical examination and provide a note from their MD or practitioner stating fit for duty. If for any reason during the program, your physical status changes, you must provide an updated fit for duty note from your practitioner in order to return to the practicum setting. In the case of a serious injury or illness, you may request a leave of absence. There are practicum sites that may require students to have additional testing (Drug and Background) and immunizations (e.g. Flu vaccine). In the event of a positive Drug test or Background check, students will be advised to do a self-report with the licensing State Board of Nursing. In addition, a report will be filed by the Associate Dean for Graduate Programs with the licensing State Board of Nursing. In addition, students must have current documentation of program requirements (Unencumbered license, Immunizations, BLS, ACLS, TB, Professional Liability, etc.) within their on campus files. It is the student s responsibility to ensure that their documents are kept current. Students will not be allowed in the clinical setting if any document is missing or expired.

31 31 Standards of Conduct In any class/practicum related activity, students must demonstrate behaviors consistent with the ANA Code of Ethics px and the Nursing Scope of Practice. Unprofessional Conduct/Chemical Impairment A student displaying any behaviors in class or practicum setting which are interpreted to be unprofessional (NAC ) or demonstrating signs or symptoms of chemical impairment will be immediately removed from the setting. Those students who are identified as demonstrating unprofessional behavior will be required to meet with the Associate Dean for Graduate Programs. The student may be suspended from the program pending investigation of the complaint. Pending the results of the investigation, the student may be dismissed from the program. In addition, a complaint may be filed with the State Board of Nursing. Those students exhibiting signs of chemical impairment will be required to submit to drug and alcohol testing (at the student s expense), and will be suspended from the program pending investigation of the complaint. Pending the results of the investigation, the student may be dismissed from the program. In addition, a complaint may be filed with the State Board of Nursing. See Fit for Duty Policy: Graduate Students (Appendix G). Dress/Uniform (updated and approved 12/8/2014) For clinical/practicum/residency rotations, students are required to dress in business/professional or navy blue scrubs and a white lab coat with the University of Nevada, Reno OSN embroidered logo. A name badge will be provided and must be worn during all practicum hours. If the name badge is lost, the student will need to purchase a replacement badge. Additionally, students must have their identification (UNR/Wolf Card ID) badge visible. Obtain a UNR/Wolf Card ID at the Wolf Card Office in the Joe Crowley Student Union. Photo identification (driver s license, passport, etc.) is required. ID cards may only be issued to students who have registered for classes. Exceptions to this policy are otherwise defined by the environment in which the student is assigned (i.e. Pediatrics, Psych/Mental Health). Clinical sites may also provide additional identification that is required to be worn by the student during practicum hours. Students may be sent home from clinical sites for failure to comply with required dress/uniform standards. Absenteeism Each DNP, MSN, and Certificate track has very specific clinical hour requirements to ensure eligibility for certification testing within that specialty. Clinical hours are expected to be completed within the semester assigned. Clinical hours may not be banked and rolled over to another semester. Based on those requirements, any missed clinical hours will need to be made up before the end of the semester for that course, otherwise a student may receive an unsatisfactory grade, have to repeat the course, and maybe ineligible to progress within the program..

32 32 If unforeseen circumstances arise, (i.e. hospitalization), the student may request an incomplete for the course and complete the course during the next offered semester (this may delay progression within the program). Chair and Graduate Committee The Declaration of Advisor/Major Advisor/Committee Chair Form This form must be received by the graduate School no later than the end of the second semester for all DNP and MSN students. The form can be found on the graduate school website at (Appendix B) A. Prior to the completion of 12 credits, the student will select a chair. It is the student s responsibility to meet with a potential Chair(s) to discuss development of a Committee. All OSN Graduate Faculty (doctoral prepared) members are eligible to fill this role. When a faculty member has agreed to chair the student s committee, the completed Declaration of Advisor/Major Advisor/Committee Chair form (Appendix B) will be submitted to the Associate Dean for Graduate Programs for signature prior to sending to the Graduate School. B. The committee Chair is the graduate faculty member who will guide the student in developing the DNP Project, MSN thesis or professional project proposal and in implementing the various steps of that proposal. The Chair and student will determine other committee members to complete the committee makeup. The second committee member will be another OSN faculty member approved by the Graduate School and ideally, someone with some understanding of the student s chosen area of concentration. The third faculty member; Graduate Representative, is generally selected from the university-at-large According to the graduate school, the university-at-large member is given the role of representing the graduate school, assuring compliance with graduate school regulations and procedures, and reporting any deviation from prescribed standards to the graduate school. C. The Graduate School rule regarding committees is that they should be formed prior to completion of 12 graduate credits. D. Graduate Committee members must have graduate faculty status or approval of the Dean of the Graduate School. Contact the OSN Associate Dean for Graduate Programs to initiate this request. E. Students working on a project in the community may find it helpful and even vital to include a key person from the workplace on their committee. Preferably, this person should be doctoral educated (Ph.D., Ed.D. Dr.P.H., M.D., etc.), in which case it may be possible to obtain Graduate School approval for their role as an official committee member. If this is not possible, this person can at least serve on the committee ex officio. Contact the OSN Associate Dean for Graduate Programs to initiate this request.

33 33 F. The student s Chair and committee (Committee make-up will vary depending on whether student is in the DNP or MSN program of study) should meet with the student to review, approve, and, sign off on the student s Program of Study, which should be detailed on the Graduate School s Program of Study Form (See Below and see Important Forms section). Program of Study A. Students should discuss their program of study with their Track Leader advisor. The responsibility for approving a student s program of study lays with the student s Chair, other members of his/her Graduate Committee, the track leader, and the Associate Dean for Graduate Programs. This information is recorded by the student on the Graduate School s Program of Study Form, (an example is provided in Appendix C) which, once finalized, must be signed by the Committee Chair, and each member of the Graduate Committee and forwarded to the Associate Dean for Graduate Programs for approval. Once the Program of Study form has been reviewed and approved by the Associate Dean for Graduate Programs, the student will submit the form to the Graduate School. The student should make a copy of the original form for their student file prior to submitting to the Graduate School. B. Elective- or Transfer-course choices should be made in collaboration with the student s Chair and support the student s areas of specialization and her/his research and professional interests. All degree requirements including elective/transfer courses must be included on the Program of Study Form. Important note: The Program of Study Form should be submitted to the Graduate School as soon as possible after the completion of 12 credits in the program. Should a student need help with course decisions prior to selecting a Chair and committee, the Associate Dean for Graduate Programs can assist in approving and recommending courses. If elective-course choices change, an amended Program of Study Form should be completed, necessary signatures obtained, and the form submitted to the Graduate School. DNP Project (NURS 788) INTRODUCTION Both the BSN to DNP and the Post-Master s DNP program requires a change project as the culminating experience for the program. The process for developing the project usually begins in the second semester of full-time study (fifth semester of part-time study) and continues throughout the remaining three semesters. A minimum of six credits of NURS 788 is required to complete the project. Students have three faculty members on their Project committee: two nursing faculty (doctorally prepared) and a third member (doctorally prepared) who serves as a representative of the Graduate School. The following describes the project in more detail. Note: you may alternatively hear the project referred to as the Capstone.

34 34 DNP Project Guidelines The purpose of the DNP project is give the student an opportunity to synthesize the advanced knowledge and skills developed in DNP coursework. One of the ways the student demonstrates the synthesis of advanced practice and leadership skills is through production of a DNP project report. The AACN white paper published in August of 2015 provides clarification regarding the DNP project. TF-Report-8-15.pdf While this document is 23 pages in length, students are highly encourage to read this white paper. What Constitutes a DNP Project? The DNP project gives the student the opportunity to develop, and ultimately, demonstrate a synthesis of senior leadership and advanced practice skills within the context of health care improvement. Thus, the setting, purpose, and objectives of student projects will vary, but every project will include the synthesis of strategic, creative thinking, decision-making, business planning, project management, and communication skills that are hallmarks of a DNP-prepared graduate. Students will explore the impact of the project at both micro and macro-levels of healthcare. Timetable: The student is oriented to the process for developing and completing the project during the initial orientation held on campus in the first fall term of the DNP program. At that time, an overview of the project and an introduction to DNP faculty members eligible to supervise students projects takes place. Faculty members present their research, evidence-based practice, education projects, and/or leadership expertise and interests. This provides students with information about faculty with similar interests as their own and as possible chairs and members of project committees as they progress through the DNP program. Before the end of the first semester of coursework, the student should speak with an advisor about her/his interests and opportunities for the leadership or advanced practice project. The exchange should include a discussion of potential chairs and members of the project committee and their readiness to assume such a role. Although plans may subsequently change after exposure to new ideas through coursework, student discourses, and employment transitions, a continuing dialogue about the potential project with the advisor is essential. By the end of the semester and with the advisor s approval, the student finalizes the selection of a faculty chair for the project. In collaboration with the Chair of the Committee, the additional members who comprise the Project Advisory Committee are selected. Students may seek advisement for selection of a chair from the Associate Dean. Since the DNP Project is a synthesis of the program objectives and relates to advanced practice and nursing leadership, students track the hours spent in the Project courses to document their contribution toward the 1000 hours of supervised clinical practice requirement of the program.

35 35 In the second semester, the student is engaged in project planning. The Project Advisory Committee reviews the proposed plan and toward the end of the semester, the student defends the project proposal. The student will prepare a PowerPoint presentation to highlight the background of the project, stakeholders, pertinent literature, framework, methodology as necessary, and timeline. The Project Committee must approve the project plan prior to implementation. During the proposal defense the student s program of study will be signed (Appendix C). In some instances the student may need to seek IRB approval. In this case the student will work with their Chair to submit a proposal to the IRB. After the project proposal is approved, the student is able to begin work on the project, unless IRB approval is required. During implementation, the student applies knowledge from previous and concurrent coursework to continue activities on the project. The student s Project Committee chair supports the student by acting as a resource and reviewing the student s progress. The student initiates activities on the project throughout the semester under the guidance of the Chair of the Project Committee. Throughout the semester, it is the student s responsibility to stay in contact with the Committee Chair and set periodic meetings for review of the work. The student works with the Project Committee chair throughout to finalize the work of the project and to prepare the final defense of the project to the committee. An Executive Summary which includes by is not limited to Background and Significance, problem statement, stakeholders, review of the literature, methods, framework, results, implications for nursing, conclusions, etc. must be approved by the Committee chair before it is sent to other members of the committee. A PowerPoint presentation is developed that acts as an outline for the defense of the project. Once the work on the DNP project has commenced, satisfactory progress must be made each semester in order to receive a passing grade in NURS 788. You must communicate with your chairperson as to what constitutes satisfactory progress. A minimum of six credits of NURS 788 are required to graduate. Suggested Timeline Preparation for the DNP Project may begin as early as the first semester a student is enrolled in the program. The following timeline covers most key points, but it is crucial to remember that the number of proposals and paper drafts can vary greatly among individuals choices of project for graduation. Activity Date Select Chair of DNP Project Committee Select topic and approach

36 36 Select Committee Members in collaboration with the Chair Semesters registered for Projects Discuss Timeline for project with Chair NURS788 Presenting Drafts to the Committee First draft of project proposal due to Chair First draft of project proposal due back from Chair Second draft of project proposal due to Chair Second draft of project proposal due back from Chair Possible Third draft of project proposal due to Chair Possible Third draft of project proposal due back from Chair Oral project proposal defends to Committee for approval and changes as recommended Preparing the Final Project Defense/Executive Summary First draft of final project due to Chair First draft of final project due back from Chair Second draft of final project due to Chair Second draft of final project due back from Chair Final draft of project due to Chair Chair/student sends final draft to Committee Student defends final Project After successful defense, finished project ready for committee signatures Student must complete graduate school paper requirement for graduation before deadline

37 37 MSN Research/Project Requirement NURS 797 Thesis or NURS 795 Comps and NURS 798 Project Introduction A standard of graduate nursing education is scholarship. The student is expected to develop a topic of thesis/project prior to completion of 12 credits. The scholarship requirement consists of one of the following: (1) thesis, (2) professional project, or (3) professional paper. Prior to the completion of 12 credits, the student is expected to complete the Request for Graduate Advisory Chair and Declaration of Advisor form (Appendix B). These forms begins the process for identifying a Chair (must be a doctoral prepared nursing faculty member) and two other committee members, one within the School of Nursing and one outside the School of Nursing with graduate faculty status or approval from the Graduate School Dean. I. Thesis (Plan A) Definition: The MSN Thesis is nursing oriented in nature and requires independent research processes aimed at discovery and/or development of elements or relationships derived from theory. The MSN thesis, while research based, does not necessarily require the generation of new data. The thesis requires a minimum of 6 credits (NURS 797) and is graded as satisfactory or unsatisfactory (S/U). Objectives: Provides the student with the opportunity to: 1. generate a research question/hypothesis within a theory/conceptual framework 2. analyze the relevant literature, 3. implement the research with an appropriate design, 4. analyze and interpret data, and 5. Make recommendations for replication, revisions, or future investigations. General Thesis Guidelines (Revised and approved 11/24/2011 by OSN Graduate Committee) The following guidelines are provided to assist you in preparation of your thesis. Always refer to your chair for any specific questions and timelines. 1. Choose a Chair for your thesis Committee. It is suggested that at the end of NURS 735, (Introduction to Knowledge Development and Scientific Inquiry) the student should seed a faculty member to serve as chair of their thesis committee. The Declaration of Advisor/Major Advisor/Committee Chair (Appendix B) form must be completed and signed by the requested faculty who will serve as chair of the thesis committee. The completed form must be submitted to the Associate Dean for Graduate Programs. 2. Negotiate with chair to set a meeting time to discuss your topic of interest.

38 38 3. The Chair and student will select additional Committee members. The Committee is composed of three members, two nursing faculty members (one, doctoral prepared, serving as chair) and one discipline outside of nursing members. 4. Thesis Proposal Meeting and completion of Program of Study. The student will meet with his/her chairperson and discuss dates for a Thesis Proposal meeting, keeping in mind the calendars of other committee members for mutual date. Prior to initiation of the research, all details related to the thesis must be discussed, negotiated, and approved by the student s Thesis committee. Program of Study Form (Appendix C) form can be located on the Graduate School website under forms. Obtain chair, committee members, Associate Dean for Graduate Programs, and graduate school signatures. Make sure a copy of this form is placed in your file. 5. Begin writing, following the Thesis/Dissertation guidelines and submission requirements found on the graduate school website under forms. In addition, The Thesis Design (Appendix D) is provided to guide you with your writing. 6. Submit the first three chapters of your thesis to your chair for review. Your chair will decide when it is appropriate to submit your writings to other members of the committee. 7. Negotiate with Chair setting a date and time for proposal meeting. 8. Once you have obtained approval from your Chair and Committee members begin Institutional Review board (IRB) application process. Guidelines for submitting an IRB application can be found on the Research Integrity Office website. If not already completed you will need to complete the Collaborative Institutional Training Initiative (CITI) course prior to applying to the IRB. 9. Once you have received IRB approval you may begin your data collection. 10. Begin writing Chapters 4 and 5 and submit to Chair. Once approved by Chair, you may submit your writings to other members of the committee. 11. Set final defense date. Pay very close attention to timeline requirements and important dates located on the Graduate School website. Students wishing to have the Graduate School post an announcement of the thesis defenses for your program area please submit the request to Kara Cleveland and they will list your defense. The Graduate School will delete the announcement after the event has taken place. 12. The final copy of your thesis will be submitted to the Committee 2-4 weeks prior to your final defense date. The exact timeframe of this submission will be determined by your chair.

39 Thesis Defense. Two (2) hours should be scheduled for this defense. Bring to your defense completed, for signature, The Master s Degree Notice of Completion form. This form can be found on the Graduate School website. 14. Submit your thesis to the Graduate School via option 1 (electronic) or option 2 (paper) in accordance with Thesis/Dissertation guidelines and submission requirements, located on the Graduate School website. 15. Don t forget to register for Graduation! II. Professional Project (Plan B) MSN Project Guidelines (NURS 798) (Revised and approved 02/03/14 by OSN Graduate Committee) OSN Definition of Professional Project: The MSN Professional Project will be appropriately oriented to the graduate student s focus, and may be broad in application. The project does not need to be research based. It should apply to either the student s work or other professional setting or to a selected advanced nursing role, e.g. educator, practitioner, care manager, etc. The Professional Project requires a minimum of 3 credits (NURS 798, that may be divided over multiple semesters) graded A through F. One credit of (NURS 795R) may be taken concurrently per Chair advisement, see section IV. The Project Objectives from the Graduate Handbook: Provides the student with the opportunity to do one of the following: 1. participate in a part of a research study led by a scholar, 2. develop a health promotion project for a community or healthcare agency, 3. create an educational program for a health care problem, 4. perform a community assessment for health development, 5. develop a commendable project as determined by the Graduate Committee General Project Guidelines: The following guidelines are provided to assist you in preparation of your project. Always refer to your Chair for any specific questions and timelines. Disregard any steps related to Oral Comprehensive Examination if not taking concurrently with NURS Choose a Chair for your committee. It is suggested that at the end of NURS 735- Introduction to Knowledge Development and Scientific Inquiry the student should seek a faculty member to serve as chair of their project committee. The Declaration of Advisor/Major Advisor/Committee Chair (Appendix B) form must be completed and signed by the requested faculty who will serve as chair of the committee. The completed form must be submitted to the Associate Dean for Graduate Programs. 2. Negotiate with your Chair a meeting time to discuss your topic of interest and to identify other appropriate Committee members. The Committee is composed of three members; two nursing faculty members (The Chair must have a doctorate and graduate faculty

40 40 standing. Requested justification and permission must be submitted of MSN specialty faculty to serve as readers on the Research/Project committee) and one Graduate Faculty member from a discipline outside of nursing. 3. Working with all Committee members, schedule a date for your proposal defense date and Oral Comprehensive Examination if taking concurrently. Please review separate guidelines (see pages 40-41). 4. Submit a brief summary of your project proposal to all committee members once approved by your Chair and at least two weeks prior to the proposal defense following the NURS 798 Project Rubric as an outline (See Appendix E). Oral Comprehensive Examination will be scheduled for the same date if taking concurrently. This summary should be no longer than three pages and clearly describe your intended project. At a minimum, your summary must include the background, significance, statement of problem, need/rationale for project, purpose, activities included, timeline, costs and resources necessary for completion of the project. This summary is a starting point for your project and you should expect that Committee members will provide substantial feedback, suggestions, and modifications. 5. Upon successful completion of your proposal defense you will complete the Program of Study form. This form can be located on the Graduate School website under forms. Obtain chair, committee members, graduate coordinator, and graduate school signatures. Make sure a copy of this form is placed in your file. If not taking concurrently, discuss with your committee scheduling a date for Oral Comprehensive Examination (NURS 795). This must be completed by your last semester of study. 6. Upon successful defense of your Project Proposal, work with your Chair to initiate the IRB approval (if needed). IRB approval must be completed prior to initiation of any work. 7. Implement your project. 8. Upon completion of your project, begin writing a formal Written Summary of your Project. 9. Schedule a Final Project Defense date with all Committee Members. This meeting should be schedule for 2 hours. The final copy of your written Project Summary must be submitted to the committee at least 2-4 weeks prior to your final defense date. The exact timeframe of this submission will be determined by your Chair, but must comply with Graduate School timelines if completed in the final semester of coursework. Please be aware that Graduate School deadlines for approval of Projects may be substantially earlier than the actual graduation date in any given semester. 10. Bring to your defense the completed the Master s Degree Notice of Completion form. This form can be found on the Graduate School website. Committee members will sign this form upon successful defense of the project.

41 41 III. Professional Paper (Plan B) MSN Professional Paper Guidelines (NURS 798) (Revised and approved 02/03/14 by OSN Graduate Committee) OSN Definition of Professional Paper: The MSN Professional Paper will be will be appropriately oriented to the graduate student s focus, and may be broad in application to nursing; nursing education, care management, leadership, or health oriented in nature and requires preparation of a high-quality manuscript prepared in a format ready for a peer reviewed manuscript submission. The Professional Paper requires a minimum of 3 credits (NURS798) graded satisfactory or unsatisfactory (S/U), and 1 credit (NURS 795R) graded satisfactory or unsatisfactory (S/U), see section IV. Objectives: Provides the student with the opportunity to do one of the following: 1. a critical integrative review of the literature on a specific topic, 2. an evidenced-based nursing protocol, 3. a committee approved manuscript General Professional Paper Guidelines: The following guidelines are provided to assist you in preparation of your professional paper. Always refer to your Chair for any specific questions and timelines. 1. Choose a Chair for your committee. It is suggested that at the end of NURS 735- Introduction to Knowledge Development and Scientific Inquiry the student should seek a faculty member to serve as chair of their professional paper committee. The Declaration of Advisor/Major Advisor/Committee Chair (Appendix B) form must be completed and signed by the requested faculty who will serve as chair of the committee. The completed form must be submitted to the Associate Dean for Graduate Programs. 2. Negotiate with your Chair a meeting time to discuss your topic of interest and to identify other appropriate Committee members. The Committee is composed of three members; two nursing faculty members (at least one of which doctoral prepared serving as chair) and one Graduate Faculty member from a discipline outside of nursing. 3. Working with all Committee members, schedule a date for your Oral Comprehensive Examination. Please review separate guidelines (see pages 40-42). 4. Submit a brief summary of your professional paper proposal to all committee members after it is approved by your Chair and at least two weeks prior to the Oral Comprehensive Examination date. This summary should be no longer than three pages and clearly describe your intended professional paper. At a minimum, your summary must delimit a specific problem or topic for exploration, analysis, to ground the analysis in a relevant body of theory and literature, include the background, significance, statement of problem, and need/rationale for professional paper. This summary is a starting point for your

42 42 professional paper and you should expect that Committee members will provide substantial feedback, suggestions, and modifications following successful completion of your Oral Comprehensive Examination. 5. Oral Comprehensive Examination and completion of Program of Study upon successful completion of your Oral Examination you will complete the Program of Study form. This form can be located on the Graduate School website under forms. Obtain chair, committee members, graduate coordinator, and graduate school signatures. Make sure a copy of this form is placed in your file. 6. Begin writing your formal Professional Paper proposal following the NURS 798 Professional Paper Rubric as an outline (See Appendix F). Submit drafts of your proposal to your Chair for review. Your Chair will determine when your draft is ready for submission to other Committee members. 7. Schedule a formal Proposal Defense with all Committee members. This can be scheduled for the same day as the Oral Comprehensive Examination, but may take place only after successful completion of the Comprehensive Exam. Your Chair will determine what presentation format is suitable for your Proposal Defense. 8. Upon successful defense of your Professional Paper Proposal, begin writing your paper. 9. Submit drafts to your chair. Your chair will determine when appropriate to send a draft to other committee members. 10. Schedule a Final Professional Paper Defense date with all Committee Members. This meeting should be schedule for 2 hours. The final copy of your written Professional Paper must be submitted to the committee at least 2-4 weeks prior to your final defense date. The exact timeframe of this submission will be determined by your Chair, but must comply with Graduate School timelines if completed in the final semester of coursework. Please be aware that Graduate School deadlines for approval of Professional Papers may be substantially earlier than the actual graduation date in any given semester. 11. Bring to your defense the completed the Master s Degree Notice of Completion form. This form can be found on the Graduate School website. Committee members will sign this form upon successful defense of the professional paper. IV. Comprehensive Examination Oral Comprehensive Examination Procedure/Guidelines The Oral Comprehensive Exam is required for those students choosing the Professional Project or Professional Paper option. The purpose of the Oral Comprehensive Exam is to assess the student s ability to articulate graduate level nursing knowledge and their readiness to begin the professional project/professional paper process (Pages 37-40). This exam is graded satisfactory or unsatisfactory (S/U).

43 43 Composition of Committee The Committee is composed of three members, two nursing faculty members (one, doctoral prepared, serving as chair) and one discipline outside of nursing member. It is the responsibility of the chair to provide the student with a copy of the questions and assist the student in preparation for the Oral Comprehensive Examination. Question Selection and Preparation The student will select one question from each section of the Oral Comprehensive Review Questions to present during the comprehensive examination. Preparation should include: a) a general overview of their learning from the three (3) core courses (NURS 735, NURS 736, and NURS 737); b) how each of the core courses applies to their future role as a CNL, Educator, or FNP; and c) how knowledge from each of the core courses applies to their project or professional paper. Scheduling and Procedure of Oral Comprehensive Examination 1. Enrollment in NURS 795, one (1) credit. Students may also enroll in NURS 798 for one (1) or more credits at this time per recommendation of Chair/Advisor. 2. The Oral Comprehensive Examination will be conducted after completion of the three (3) core courses (NURS 735, NURS 736, and NURS 737) or may be conducted during the same semester as the last of the core course is being taken. The student will meet with his/her chairperson and discuss dates for completing the oral exam, keeping in mind the calendars of other committee members for mutual date. If not already done, the student must complete the Declaration of Advisor form. The Program of Study if not already completed will be signed by all members of the committee at the time of the comprehensive exams. Check the Graduate School website, for important due dates. 3. Two (2) hours should be scheduled for the exam. A. The first hour* will consist of the student presentation and a question/answer session. In order to maintain articulation, the student may refer to a note cards, an outline, or power point slides, which must be approved by and submitted to the Chair 2-weeks prior to the scheduled examination date. At the end, the student will be asked to leave the room in order for the committee to discuss the student s responses and complete the grading rubric (Appendix F). The Chair will then ask the student to return to the room and inform the student whether the exam was Satisfactory/Unsatisfactory. Two of the three committee members must vote Satisfactory for the student to pass. A Satisfactory must be achieved for the student to be advanced. Completed rubrics will be placed in the student s file.

44 44 B. The second hour* will serve one of two purposes: Satisfactory If the student has received a Satisfactory on their examination, this time will be utilized for discussion about the proposed project or professional paper. Edits and an agreement about the final project or professional paper will be identified on the grading rubric or the Graduate Student Acknowledgement of Project/Paper Responsibilities form. Unsatisfactory If the student receives an Unsatisfactory, the committee will provide recommendations for further development and preparation. Comments and agreements will be identified on the grading rubric or the Graduate Student Acknowledgement of Project/Paper Responsibilities form. Reexamination must occur the following semester. The committee members will determine if the students will be allowed to begin their Research Project or Professional Paper before successful completion of the Comprehensive Exam. It is the student s responsibility to reschedule the examination. The Oral Comprehensive Examination may be repeated only once. If the student fails a second attempt, they will be dismissed from the program. *Time Approximates. GRADUATION PROCESS A. Students have a total of 6 calendar years to complete all masters or doctoral degree requirements. B. The Application for Graduation must be purchased and completed online in MyNevada. All DNP, MSN and Post-Master s MSN students must complete this application process. This application includes the intended date of graduation, degree, and dissertation or thesis title (if applicable). Graduation deadlines are as follows: March 1 st for May (Spring) Graduation June 1 st for August (Summer) Graduation October 1 st for December (Fall) Graduation LATE APPLICATIONS WILL NOT BE ACCEPTED An applicant who does not complete all degree requirements by the specified deadline for the semester they applied for, must purchase and complete a new online graduation application. Note that only May and December have official graduation ceremonies. C. A Program of Study Form must be completed by the student and approved/signed by all

45 45 members of the student s Graduate Committee upon completion of 12 credits toward the MSN degree. The program of study form is then forwarded to the graduate coordinator for approval and then to the Graduate School for final approval. D. An oral presentation and defense of the student s project or thesis to her/his Graduate Committee and other interested faculty and students must occur prior to the final exam period of the semester in which the student plans to graduate. E. Dates for Submission of Thesis: The final date for submission of the thesis in final form is one week before the close of the semester. No extension of this deadline is permitted. The Graduate Dean makes final approval of theses. The Graduate School will always have a complete list of semester graduation deadlines posted online. See Graduate School website for Thesis Guidelines. Important note: The end of the semester is usually the Monday following the end of the final examination period. F. Following the successful completion of the above, the student Advisory Committee will sign a Notice of Completion and the student will seek the final signature of the OSN Associate Dean for Graduate Programs and submit the original to the Graduate School a necessary component of the final approval of the student s graduation. G. Completion of Graduate Survey.

46 46 References American Association of Colleges of Nursing. (2008). The essentials of doctoral education for advanced nursing practice. Retrieved from American Association of Colleges of Nursing. (2008). The essentials of master s education in nursing. Retrieved from Institute of Medicine. (2003). Health professions education: A bridge to quality. Washington, DC: National Academies Press.

47 47 Appendix A

48 48 Appendix B (Found on Graduate School website under Important Forms)

49 49 Appendix C Program of Study EXAMPLE (Found on Graduate School website under Important Forms)

50 50 Appendix D The Thesis Design I. Chapter 1 - THE STUDY PROBLEM i. Introduction (Background) A succinct overview of key literature to introduce the reader to the focus of the study DO NOT give an elaborate presentation save for Chapter 2 DO NOT justify the study until after the problem statement ii. Statement of the Problem Clear and concise direct statement of the problem in 1 or 2 sentences iii. Purpose of the Study The Scientific Merit Why are you studying this? What do you plan to achieve? Is it worth the effort? iv. Significance of the Study Explain the potential broad impact of this study to advance nursing practice or science Applicability: How helpful will it be and to who? Who can use these findings? v. Scientific and Theoretical Assumptions What are the a priori assumptions about this research? These assumptions should simplify the variables or the method to be considered. These are not generic but are your assumptions as the researcher on what you will study. If it is a questionable assumption, then make it a limitation. Example: subject recall bias vi. Research Questions & Hypotheses Questions for descriptive Hypotheses for experimental/analytical Objectives for outcomes research or project vii. Limitations These are the constraints on the study, who/what is studied and who/what is not Biases: sampling, subject recall, interviewer, misclassification Potential confounders (extraneous variables) Inability to generalize the anticipated findings Keep the study clean and not littered with extraneous variables

51 51 viii. Conceptual and Operational Definitions Operationally define each element in your hypothesis and variables Definitions for the reader ix. Theoretical/Conceptual Framework Define the theoretical or analytical framework. Why is it appropriate? Visual diagram showing relationships for hypothesis or question II. Chapter 2 - REVIEW OF THE LITERATURE Start broad and then narrow to the specific literature for your study Concept mapping (visual of related concepts & effect modifiers) Example: Depression, Depression in adolescents, Depression in Latino Adolescent girls III. Chapter 3 - METHODOLOGY i. Research Questions & Hypotheses (repeat) ii. Research Design Quantitative, qualitative name of design: cross-sectional, pre-post, descriptive, phenomenological ) Explain why the design is most suitable iii. Description of Setting Where? (Hospital, Alaska, homeless shelter, on a ship) Who is the population you will draw the participants from? iv. Sample Size (power calculation) or planned size and how determine saturation in qualitative Who are the subjects, participants, informants? Criteria to be in the study or excluded. The eligible participants were adults aged 20 years or older with a minimum of 7-years residency, thereby allowing assessment of chronic exposure. v. Human Subjects Protection IRB submission Consents The study protocol will be approved by the Institutional Review Board of the University of Nevada-Reno prior to data collection. Written informed consent will be obtained from all participants in person by the PI prior to data collection. vi. Data Collection Who collects it? (Self-administered, interviewer who are they, only the PI?)

52 52 When? Time schedule How? Sampling: Random, convenience, purposeful To obtain a geographically representative sample, participants were systematically selected by every third household on all streets in vii. Research Instruments Describe and why you are using this questionnaire or tool. Existing instrument: reliability and validity previous, how it has been used. New Instrument: how you will test validity and reliability Apparatuses needed viii. Procedure How will you collect these data? Obtain Consent? Take a blood pressure? What comes first, second, third? This is a recipe of your study that someone could follow if they wanted to replicate or conduct a similar study. ix. Data Analysis How will you clean and prepare these data Level of measurement and statistical test(s) State the computer programs will you use to analyze (SPSS Version14) Qualitative analysis. x. Budget & Funding (think early) IV. Chapter 4 - RESULTS i. Description of Sample Demographics of the sample population ii. Findings Not raw data but the analysis results Not interpretation or new hypotheses Just the results objectively. Tables, graphs, and interpretation V. Chapter 5 - DISCUSSION i. Description of the study: one paragraph ii. Summary of Major Findings: one paragraph or so

53 53 iii. Limitations (repeat & discuss) This cross-sectional study had several potential limitations. First,.. iv. Discussion: the fun part to talk about what you found, how it supports/contradicts the theory or current body of evidence. What you think! v. Implications for Nursing Practice How does this change practice? How does this advance our knowledge or understanding? vi. Recommendations for Future Research What are you going to do next or should be done given the opportunity? vii. Conclusions DO NOT restate results think hypothesis or research question. Long-term residency in degassing volcanic areas may adversely influence cardio-respiratory health in adults. Be unbiased The statements that will follow your research, so be clear and humble or bold. Helpful Comments: Write formal, third person tense The word data is plural These data are Write in Future tense for the proposal This study will. The study will provide a better understanding about. The following research questions will be asked: These data will be analyzed. Write in Past tense for the thesis showed, took, obtained, was associated with, data were analyzed with, reported, described,

54 54 Appendix E Orvis School of Nursing, Master of Science in Nursing Program Advising Guidelines NURS 798 Research Project (Approved and Accepted 9/23/13) The project may consist of one of the following: 1. Participation in a part of a research study led by a scholar, 2. Development of a health promotion project for a community or healthcare agency, 3. Creation of an educational program for a health care problem, 4. A community assessment for health development, 5. Development of a commendable project as determined by the Graduate School s Graduate Committee 6. Written Professional paper Advising Guidelines to Consider Item Goal for Student Comments Abstract Background Problem Need/rationale for the project Purpose Review of literature to document need/purpose Summary of the literature Activities to complete project Resources necessary for activities IRB (if appropriate) Timeline Costs, if any PowerPoint Presentation The abstract captures the elements of the proposal, is succinct, well organized, and well written. The background is extensive and provides detailed information on the project. The problem statement is succinct, yet thoroughly describes the project The description of the need or rationale for the project is described in detail, is reasonable, and contributes to the profession. The purpose is well stated, relates to the student s major, and is commendable. The review of the literature is well organized, written, referenced, and relates to the project. The summary of the literature is succinct, applies to the project and its purpose, and is well written and referenced. The proposal includes in detail the activities necessary to carry out the project. The resources necessary for the project are described in detail. The IRB proposal has been completed and is ready for submission. The timeline with benchmarks are listed and is reasonable. A detailed budget with costs and resources to cover the costs is included. The PPT is well organized, interesting, and includes all components of the proposal. The oral presentation reflects an indepth understanding of the project and the processes for completing it.

55 55 Appendix F Orvis School of Nursing MSN Graduate Oral Comprehensive Exam Rubric (revised 917/12) Student: Track/Program: The purpose of the oral comprehensive examination is to evaluate this student s ability to apply advanced clinical and theoretical knowledge in a selected area of specialization (AGACNP, FNP, PMHNP, CNL, or Educator) and to critique research as it relates to that area. The student has previously selected three questions from each course below for the comprehensive examination. NURS 735 R - INTRO TO KNOWLEDGE DEVELOPMENT Satisfactory Unsatisfactory Comments AND SCIENTIFIC INQUIRY Answer showed ability to analyze, synthesize, and evaluate information from a variety of sources Demonstrated the application of knowledge to their future nursing role NURS HEALTH CARE POLICY AND SOCIAL JUSTICE Satisfactory Unsatisfactory Comments Answer showed ability to analyze, synthesize, and evaluate information from a variety of sources Demonstrated the application of knowledge to their future nursing role

56 56 NURS POPULATIONS AND AGGREGATE HEALTH ISSUES Satisfactory Unsatisfactory Comments Answer showed ability to analyze, synthesize, and evaluate information from a variety of sources Demonstrated the application of knowledge to their future nursing role Additional Questions Satisfactory Unsatisfactory Comments Correctly answered Used terminology that conveyed meaning with precision and in accordance with the discipline Overall Evaluation of the Written Comprehensive Examination Satisfactory Pass: Unsatisfactory: Remediation recommended in the following areas: Signature of Evaluation Faculty: Date Committee Role:

57 57 Appendix G University of Nevada Reno Orvis School of Nursing Fit for Duty Policy: Graduate Students Purpose: The Orvis School of Nursing (OSN) is committed to protecting the safety, health and well-being of its students, faculty, staff as well as the patients and employees of our affiliate institutions and clinical agencies. Therefore, the purpose of this policy is to establish clear expectations regarding student psychological and/or physical fitness for duty in the clinical setting and to outline the consequences of unsafe or unethical student behaviors. Every student in the Orvis School of Nursing program is expected to act in a safe and ethical manner consistent with the ANA Code of Ethics for Nurses. px Policy & Procedure: The rights of patients and the public to safe professional practice supersedes students learning and skill acquisition needs. Faculty has an obligation to assess and make professional judgments with respect to each student s fitness for safe practice during clinical hours. Combined with the OSN Graduate Handbook policies, Fit for Duty policies and requirements of our clinical agencies provide the framework and expectations for student participation and behaviors at the individual sites. Each student is responsible to know how to access agency policies and procedures as an additional reference. In circumstances where a Fitness for Duty evaluation may be initiated, the faculty will proceed appropriately according to this policy. If the clinical agency has a different policy of fit for duty the most restrictive policy will supersede but not exclude this policy. In the event that a faculty member makes a professional judgment that a student s psychological and/or physical condition impairs the student s ability to perform safely, the student will be asked to leave the clinical area. The student must immediately comply with this request. Students with a fever over o F, frequent diarrhea, vomiting, cough, visible rash of infectious nature, conjunctivitis, open wound that cannot be adequately covered, or inability to control bodily secretions may not participate in clinical activities of any kind. Students with minor upper respiratory infections may be required to wear a face make while providing patient care. Students must be able to meet the physical requirements of the clinical agency where they are assigned for clinical practice. If a student requires an assistive device for either a temporary or long term medical reason that does not meet the ADA requirements of

58 58 reasonable accommodation related to a qualified disabling condition the device may not be allowed. The ability to maintain patient safety by providing safe patient care cannot be compromised for any reason. Patient care is integral to learning the professional/advance practice role and light duty and/or non-patient care tasks or alternative assignments are not available. Students demonstrating signs or symptoms of chemical impairment will be required to submit to drug and alcohol testing. When requested by faculty, the student must report for testing immediately upon leaving the clinical site. o Signs of chemical impairment for which a student may be required to undergo drug and/or alcohol screening include, but are not limited to: labile mood, disheveled appearance, reddened eyes, dilated or constricted pupils, tremor, decreased coordination, restlessness, difficulty concentrating, confusion, paranoid thinking, impaired perception of reality, slurred or rapid speech, unstable gait, odor of alcohol or other chemical substance, syncope, or needle marks. o A student, who is required to undergo drug and/or alcohol screening pursuant to this policy, must arrange for transportation to an approved testing site. Students being sent for chemical screening may not operate a motorized vehicle to report for required drug and/or alcohol testing. o A student (at their own expense) must undergo drug and/or alcohol testing at South Reno Concentra located at 6410 South Virginia Street. Reno, NV, The student must report to this facility within one hour of leaving the clinical site. If outside of the Reno/Sparks area, the student must report to the nearest Concentra or like lab. o Drug and alcohol testing results must be provided to the Associate Dean for Graduate Programs before the student may return to clinical. Results provided by the student must be signed by a representative of the testing facility, and enclosed in an envelope that is sealed at the testing site in a tamper-evident manner. Positive results are subject to self-reporting to the licensing State Board of Nursing. Additionally, a report will be filed by the Associate Director for Graduate programs to the licensing State Board of Nursing. A student who refuses to submit to drug and/or alcohol screening when requested pursuant to this policy will be suspended and or dismissed pending further investigation. A student who is taking a prescribed schedule II V controlled substance while under the care of a medical provider, must comply with agency policy. A student may not provide direct patient care with a non-prescribed controlled substance or schedule I controlled substance in his or her system, whether or not the student demonstrates signs or symptoms of impairment.

59 59 A faculty member may remove a student from the clinical area because of failure to adhere to the OSN dress code, inadequate preparation, or unsafe or unethical practice NAC o Examples of unsafe or unethical clinical practice include but are not limited to: Negligent patient care Patient abuse, either physical or verbal Excessive sleepiness Unprofessional behaviors o unsafe performance documented by the clinical faculty member Refer to the syllabi and/or rubrics In the event that a student is asked the leave the clinical area because of signs or symptoms of physical, emotional, psychological or chemical impairment, or unprofessional behavior prohibited by this policy, the Orvis School of Nursing Graduate student absence policy (in Graduate Handbook) will apply to any clinical time missed for any reason. If a student is excluded from clinical due to illness, impairment, or injury, faculty may request medical documentation that permits a student to participate in direct patient care. If requested, this documentation must be provided before a student will be permitted to return to the clinical setting. Prior to return to the clinical setting, the student must meet with the clinical faculty, Track leader and the Associate Dean for Graduate Programs. Consequences: Before being permitted to return to the clinical area, the student may be mandated by OSN to obtain a Fit for Duty assessment, which may include but is not limited to physical exam, psychological exam, and/or drug /alcohol testing. If recommended, the student must comply with treatment and further monitoring to continue in the clinical course. If the student refuses this assessment, treatment, and/or further monitoring the student may not be permitted to return to the clinical site, resulting in failure of the course and potential dismissal from the program. If dismissal from the clinical site is due to unethical, unprofessional, or unsafe clinical practice, then a clinical improvement plan will be initiated prior to returning to the clinical setting. If the student has been referred for medical or psychological treatment, the student will be permitted to return to clinical practice if the treatment provider has deemed the student fit for duty. Information will be shared with the treatment provider(s) and OSN designated reporting party, with the student s written consent. If the student is removed from a clinical setting due to documented chemical impairment, the student will be dismissed from the nursing program. Failing to present for a chemical

60 60 impairment evaluation within allotted time period, failure to report for specimen collection, tampering or attempting to tamper with a specimen or the results, will result in dismissal from the program.

61 61 Fit For Duty Safety Analysis Form Student Name: Clinical Site: Clinical Faculty: Date of Observation: Time of Observation: Faculty: Please check all identified behaviors and symptoms: Physical Psychological/social Odor of alcohol { } Student screen for harm to self { } Blood shot eyes { } Falling asleep during clinical hours { } Inattention to personal hygiene/ uniform { } Change in mood and/or speech { } Unsteady gait { } Slurred speech { } Excessive anxiety/ depression { } Physically ill { } Flu-like symptoms { } Excessive crying { } Labile mood { } Fatigue { } Confusion { } Anger { } Disruptive { } Other { } Please specify: Other { } Please specify: Student Initial all that apply: I acknowledge that due to my condition and /or behavior, I may pose a safety risk to my patients and/or myself. My dismissal from clinical will result in the application of the OSN absence policy I acknowledge that I have been directed to report to South Reno Concentra to submit for a Fitness for Duty evaluation that includes a blood and/or urinalysis screening. The expense is my sole responsibility I acknowledge that I have a right to refuse to submit for drug/alcohol testing and that refusal will result in dismissal from the nursing program. I acknowledge that failure to submit to testing of drugs and alcohol within 1 hour of dismissal from clinical will result in removal from the nursing program. If Concentra is closed, I must go to an Urgent Care or Emergency Department or other screening facility. I acknowledge that I may not drive myself to Concentra, or my healthcare provider s office, due to an identified potential safety risk and that it is my own responsibility to provide transportation to and from Concentra or the healthcare facility, whichever is directed. Disposition of student: (To be completed by faculty) Immediate referral to South Reno Concentra 6410 South Virginia St., Reno, NV Phone: Hours: Monday Friday 8am-6pm Saturday 8am-2pm Immediate referral to other screening agency or healthcare provider Other: Student notified and refused to sign form Nursing Student Date Clinical Faculty Date