Graduate Catalog 2018-2019

Adult-Gerontological Health Nursing (DNP)

The Department of Nursing offers programs leading to the Doctor of Nursing Practice, Adult-Gerontological Health Nursing. The Doctor of Nursing Practice (DNP) degree programs have two options: Clinical Nurse Specialist (CNS) and Nurse Practitioner (NP). Students in the two degree programs take many of the same courses but focus their course assignments, competency development and clinical hours on the role of choice - as clinical nurse specialists to work with the adult and gerontological populations within the spheres of direct care, nursing personnel, and organizations/networks or as primary care nurse practitioners to work with the adult and gerontological populations in primary care settings. Advanced practice nurses, CNSs and NPs, work with adult-gerontological patient populations to promote health, prevent disease, and manage the care of individuals, their families, and communities.

The DNP programs are designed to meet health care workforce needs and to provide opportunities for the preparation of advanced practice nurses at the doctoral level to provide the highest level of nursing practice in the clinical setting. The curriculum emphasizes the use of research findings in advanced clinical care, strategies for health education of the public, advocacy for vulnerable and culturally diverse populations, analysis of outcomes of care, mitigating environmental and genetic influences on health, advanced treatment modalities, health care informatics use, and identification of evidence gaps with formulation of systems level interventions. The DNP prepares practitioners of nursing to provide innovative care at the highest level, by translating credible research findings into clinical practice in diverse healthcare settings such as hospitals, homes, and community settings.

The program requirements are consistent with the Core Practice Doctorate Clinical Nurse Specialist Competencies and Clinical Nurse Specialist (CNS) competencies published by the National Association of Clinical Nurse Specialists, the Practice Doctorate Nurse Practitioner Entry-Level Competencies published by the National Panel for NP Practice Doctorate Competencies, the Nurse Practitioner (NP) competencies published by the National Organization of Nurse Practitioner Faculties, and the Adult-Gerontological Primary Care Nurse Practitioner Competencies and Adult-Gerontological Clinical Nurse Specialist Competencies published by the American Association of Colleges of Nursing. Nurses who successfully complete the programs are prepared to meet the needs of culturally diverse individuals, families, and communities and will have a competitive edge in the changing, complex environment of health care.

Restructuring of healthcare organizations and initiatives surrounding healthcare reform have created new roles for advanced practice nurses, especially those with doctoral-level preparation. Graduates of the DNP programs are eligible for certification as specialists in adult-gerontological health nursing through the American Nurses Credentialing Center (ANCC) and other certifications offered by ANCC and nursing specialty organizations and are also eligible for licensing as Adult-Gerontological Clinical Nurse Specialists and/or Primary Care Nurse Practitioners through New York State Office of the Professions State Education Department.

Doctorate of Nursing Practice Admission Requirements

Applicants should have a bachelor’s degree with a major in Nursing from an accredited school or a bachelor’s degree in another field, three years of appropriate full time clinical experience in Nursing (one year upon admission and two additional years prior to entering clinical practica) as determined by the doctoral nursing faculty, and completion of required nursing, science, and mathematics courses. A TOEFL score of 550 or higher is required for all students for whom English is a second language.

Applications will be evaluated on an individual basis when all official transcripts and supporting documents have been received. Application deadlines are as follows: December 1st for fall 2015 admission. Interviews to be set up in early spring 2015. Applicants will be notified by mail in June regarding their acceptance. Enrollment with matriculated status is contingent upon satisfaction of admission criteria.

Matriculated Status

Admission requirements for fully matriculated doctoral status:

  1. Official baccalaureate transcript(s) documenting a cumulative grade point average of 3.25 on a 4.0 point scale in the nursing courses.
  2. Competitive scores on the Graduate Record Examination (GRE) taken within the previous five years. For additional information or to register for the exam, please visit the GRE website. Our institutional code for the GRE is 2778.
  3. Evidence of successful completion of baccalaureate undergraduate courses (or comparable learning experiences approved by the Doctoral Admissions Committee) in nursing research, statistics, and health assessment/physical examination; community health nursing, leadership and management in nursing, general chemistry, and pharmacotherapeutics.
  4. Two recommendation letters supporting the applicant’s potential for completing graduate studies; one must be from a current nursing supervisor or recent professor who can speak to clinical performance.
  5. Personal Statement: Instructions: All doctoral degree applicants must answer questions numbered 1 through 4. Your personal statement should be 500 words, 2 to 4 pages in length total, double spaced with one inch margins, in 12 point font.
    1. We want to know more about you – your life and goals, your challenges and strengths, and the clinical path that you have chosen that has lead you to this point in your career. Imagine that you are writing your autobiography and you are describing your greatest nursing career achievement.
    2. Share specific experiences from your nursing career where your leadership efforts and caring intentions fostered the success of patients from diverse cultural backgrounds.
    3. Describe why you want to advanced your career by becoming one of the following advanced practice nurses: clinical nurse specialist, nurse practitioner, or clinical nurse specialist/nurse practitioner. Include a discussion of whether your interests lie in the wellness to acute care continuum or in the primary care realm.
    4. Please describe an area of practice change that where you have an interest. Include supportive material as needed and references as applicable.
    5. Current RN license to practice in New York State
    6. Curriculum vitae (CV) demonstrating appropriate clinical experience as evidenced by at least 1 year of full-time practice as a Registered Professional Nurse.

Non-Matriculated Status

Applicants with exceptional qualifications, but who do not meet all the admission requirements, may be granted admission with non-matriculated graduate status at the discretion of the Doctoral Nursing Admissions Committee.

Advanced Standing Status

Advance standing status applicants should have:

  • a master’s degree with a major in nursing from an accredited school,
  • current certification and/or licensure as an advanced practice nurse in New York State,
  • a minimum of three years appropriate full-time clinical experience as a Registered Professional Nurse as determined by the doctoral nursing faculty,
  • and completion of required undergraduate and graduate nursing, science, and mathematics coursework including graduate coursework in advanced pathophysiology, advanced pharmacology, and advanced physical health assessment,
  • all related admission requirements as outlined under Doctor of Nursing Practice - Nursing Admission Requirements will need to be satisfied.

Applicants will be evaluated on an individual basis when all official transcripts and supporting documents have been received. Application deadlines are as follows: December 1st for fall admission. Applicants will be notified by mail regarding their acceptance. Enrollment with matriculated status is contingent upon satisfaction of admission criteria.

Requirements for Progression and Retention

Students must have a minimum grade point average (GPA) of 3.0 (B) to be retained in the Nursing MS program consistent with other graduate programs.

Progression: Students must achieve a grade of B in all graduate courses in order to progress. Students must provide verification of three years full-time appropriate clinical experience as a registered nurse in order to progress to the clinical courses.

Grades: A minimum grade of B is required to successfully complete all graduate courses. For grades lower than a B, the course must be repeated within one year; courses cannot be repeated more than once. The maximum number of courses that can be repeated throughout the curriculum is two (2).

Withdrawals: No more than two (2) withdrawals are permitted throughout the curriculum. After the second withdrawal, a letter requesting permission to register is required. Permission may be granted based upon previous academic performance, circumstances, and adequacy of the individual’s plan for success.

Academic Probation: Students whose GPA falls below 3.0 are on academic probation, please see policy in Graduate Catalog. Improvement of the GPA may require additional coursework. Students on academic probation are not permitted to progress to the clinical courses.

Dismissal: If the student receives a grade of F in the core (BIO 670, Advanced Pathophysiology; BIO/NRS 682, Advanced Pharmacology; and/or NRS 702, Advanced Health Assessment and Diagnostic Reasoning) or role specialization courses (i.e. NRS 720, NRS 721, NRS 722, NRS 723, NRS 725, NRS 726, NRS 727, and/ or NRS 728), the student will be dismissed from the program.

Advisement

Each student admitted to the program will be provided academic guidance and career support. The program coordinator will monitor and evaluate each student’s progress and recommend appropriate counseling and/or academic support services. The faculty members assigned to coordinate clinical role practica will collaborate with agency preceptors to guide students’ progress in clinical settings.

Clinical Nursing Doctorate Degree Requirements

Doctor of Nursing Practice - Clinical Nurse Specialist (CNS) Option: 75 credits

The program requires 75 credits with 1000 supervised hours toward development of clinical competencies for the adult-gerontological population with a specialty practice focus and implementation of an integrative practice project in the clinical setting. Students may attend on a full-time or part-time basis. Completion of the program requires a minimum of four years of full-time study; part-time study may take six years or more. Requirements include a nursing science, research and leadership core of 18 credits, an advanced practice core of nine credits, specialty (CNS role) courses of 12 credits, doctoral core of 18 credits, six credits of elective courses, and the integrative practice project of 12 credits.

Doctor of Nursing Practice - Primary Care Nurse Practitioner (NP) Option: 75 credits

The program requires 75 credits with 1000 supervised hours toward development of clinical competencies for primary care of the adult-gerontological population and implementation of an integrative practice project in the clinical setting. Students may attend on a full-time or part-time basis. Completion of the program requires a minimum of four years of full-time study; part-time study may take six years or more. Requirements include a nursing science, research and leadership core of 18 credits, an advanced practice core of nine credits, specialty (NP role) courses of 12 credits, doctoral core of 18 credits, six credits of elective courses, and the integrative practice project of 12 credits.

Graduate Core (18 credits)

NRS 700Transcultural Concepts and Issues in Health Care

3

NRS 701Theoretical Foundations for Advanced Practice Nursing

3

NRS 705Health Organizations, Policy, Financing, and Ethics

3

NRS 706/MTH 706Applied Statistical Thinking and Methods in Health Research

3

NRS 711Health Care Program Development

3

NRS 730Nursing Research for Advanced Practice Nurses

3

Advanced Practice Core (9 credits)

BIO 670Pathophysiological Concepts in Health and Illness

3

NRS 682Advanced Pharmacology

3

NRS 702Advanced Health Assessment & Diagnostic Reasoning

3

Specialty (CNS Role) (12 credits)

NRS 720Advanced Practice Nursing with Adults in Community Settings

3

NRS 721Role Practicum: Adults in Community Settings

3

NRS 722Advanced Practice Nursing with Adults in Acute Care Settings

3

NRS 723Role Practicum: Adults in Acute Care Settings

3

AND

A minimum of 500 hours of supervised practice.

Specialty (NP Role) (12 credits)

NRS 725Primary Health Care Adult-Gerontology

3

NRS 726Primary Health Care Adult-Gerontology II

3

NRS 727Role Practicum: Primary Health Care I

3

NRS 728Role Practicum: Primary Health Care II

3

AND

A minimum of 500 hours of supervised practice.

DNP Core (18 credits)

ESC 760Epidemiology

3

OR

BIO 771Principles of Epidemiology

3

 

NRS 755Applications of Leadership Models in Professional Practice

3

NRS 756Technological Integrations

3

NRS 757Professional Nursing Bioethics

3

NRS 759Clinical Finance & Management

3

NRS 761Advanced Therapeutics

3

DNP Capstone (12 credits)

NRS 762Integrative Practice Proposal (Capstone I)

6

NRS 763Integrative Practice Application (Capstone II)

6

Electives (6 credits)

NRS 703Teaching and Learning for Cultural Competence Development

3

NRS 704Cultural Competence in Healthcare: Project Development

3

NRS 712Nurse as Educator

3

NRS 724Case Management for Advanced Practice Nursing

3

NRS 750Curriculum in Nursing

3

NRS 754Evaluation in Nursing Education

3

NRS 758Teaching and Learning in Nursing Education

3

The CNS role (NRS 720 and NRS 722) or the NP role (NRS 725 and NRS 726) courses may be taken as electives with permission of the program coordinator.