East Carolina University School of Nursing

Post Master’s Graduate Certificate

Proposal

Spring 2007

Post Master’s Certificate: Adult Nurse Practitioner (ANP)

  1. Educational objectives:
  1. Critique theoretical foundations guiding ANP practice.
  2. Examine issues and trends that impact the practice of an ANP.
  3. Analyze the behaviors consistent with the accountability and responsibility of the ANP.
  4. Perform holistic assessment, diagnoses and treatment of adults with acute and chronic illnesses.
  5. Design, implement and evaluate innovative programs of care to achieve desired patient outcomes.

f. Achieve improved health outcomes for patients, communities, and systems through overseeing and directing the delivery of clinical services within an integrated system of health care.

g. Work collaboratively with a variety of health professionals to promote restoration of health and safe optimal functioning of adolescents and adults.

h. Demonstrate leadership, professional citizenship and fiscal responsibility to assure desired patient outcomes.

  1. Admission standards:
  2. All minimum requirements of the ECUGraduateSchool.
  3. A master’s degree in nursing from the National League for Nursing Accrediting Commission (NLNAC) or Commission on Collegiate Nursing Education (CCNE) accredited program.
  4. Current nonrestricted license to practice as a registered nurse (RN) in North Carolina or a NCSBN compact state
  5. A statement of purpose essay describing the applicant’s interest in post-graduate study, career goals, and the post master’s certification’s relationship to those goals
  6. Three professional references
  7. All requirements to practice in a clinical setting including professional liability insurance, current CPR certification and health requirements including hepatitis B immunizations, rubella (titer or vaccine), chicken pox (titer or vaccine), and TB screening.
  8. The student’s transcript must reflect the completion of 3graduate level core courses: Human Physiology for Advanced PracticeNursing (APN), Health Assessment for Advanced Practice Nursing, and Clinical Pharmacology forAdvanced Practice Nursing. If these courses have not been completed, they will be required for completion of the Post Master's

ANP certificate.

  1. Academic Retention Standards:
  2. Minimum retention requirements of the ECU Graduate School of Nursing
  3. Any student who receives a final grade of C or F on courses totaling in excess of six semester hours will be subject to termination
  4. A B average is required for graduation based on semester hours of A graded work equal to or exceeding semester hours of C or F work. A student failing to maintain a B average will be subject to termination. (ECU Graduate Catalog, p.40).

3. Proposed Course Sequence, Titles, Description:

If student has had required core courses:

PART TIME PLAN

Fall Semester / Spring Semester / Summer semester
NURS 6614 (3)
NURS 6615 (3) / NURS 6612 (2)
NURS 6621 (3)
Fall Semester / Spring Semester
NURS 6618 (4) / NURS 6613 (2)
NURS 6622 (3) / NURS 6623 (4)

OR FULL TIME PLAN

Fall Semester / Spring Semester / Summer semester
NURS 6614 (3)
NURS 6615 (3)
NURS 6618 (4) / NURS 6613 (2)
NURS 6621 (3)
NURS 6622 (3) / NURS 6612 (2)
NURS 6623 (4)

If student has not had required core courses:

PART TIME PLAN

Fall Semester / Spring Semester / Summer semester
NURS 6050 (3) / NURS 6610 (3)
NURS 6611 (3)
Fall Semester / Spring Semester / Summer semester
NURS 6614 (3)
NURS 6615 (3) / NURS 6612 (2)
NURS 6621 (3)
Fall Semester / Spring Semester / Summer semester
NURS 6618 (4) / NURS 6613 (2)
NURS 6622 (3) / NURS 6623 (4)

OR FULL TIME PLAN

Fall Semester / Spring Semester / Summer semester
NURS 6612 (2)
NURS 6050 (3) / NURS 6610 (3)
NURS 6611 (3)
Fall Semester / Spring Semester / Summer semester
NURS 6614 (3)
NURS 6615 (3)
NURS 6618 (4) / NURS 6613 (2)
NURS 6621 (3)
NURS 6622 (3) / NURS 6623 (4)
  • NURS 6612 Advanced Nursing Practice with families in Primary Health Careadvanced practice psycho social/ cultural context for interpretation of family patterns and processes. Emphasizes utilization of family systems theory and techniques within the nurse practitioner’s scope of practice.
  • NURS 6613Advanced Nurse Practitioner Role Development. Emphasizes the leadership role of the nurse practitioner within the context of the health care delivery system, the profession of nursing, and society.
  • NURS 6614Advanced Nursing Practice with Families: Young and Middle Age Adults. Theoretical, scientific, and contemporary knowledge base to provide a framework for assessment and management of primary health care needs of culturally diverse families with young and middle aged adults.
  • NURS 6615: Advanced Practice Nursing with Families: Older Adults. (3) Theoretical, scientific, and contemporary knowledge base to provide a framework for assessment and management of primary health care needs of culturally diverse families with older adults.
  • NURS 6618Advanced Practice Nursing: Primary Care of Adults.(4) Intensive clinical experiences in provision of primary health care to adult clients in culturally diverse families under the direct supervision of on-site clinical preceptors.
  • NURS 6621Advanced Practice Nursing: Care of Adults.(3) Theoretical, scientific, and contemporary knowledge base to provide a framework for assessment and management of health care needs of culturally diverse adults with acute and/or chronic illness.
  • NURS 6622Advanced Practice Nursing: Acute and Chronic Care of Adults. (3)Intensive clinical experiences in providing health care to culturally diverse adult clients with acute and chronic illnesses under the direct supervision of on-site clinical preceptors
  • NURS 6623Specialty Care of Adults.(4) Intensive clinical experiences in providing health care to culturally diverse adult clients with complex illnesses in a selected population under the direct supervision of on-site clinical preceptors.

The courses listed below are courses required in addition to the ANP courses (listed above) if the student has not had these in previous master’s program:

  • NURS 6050: Human Physiology for Advanced Nursing Practice.(3)

In-depth analysis of normal physiological processes across the life span. Allows student to focus on pathophysiological and critical analysis for their area of study, with emphasis placed on the correlation of the concepts with clinical manifestations.

  • NURS 6610Health Assessment for Advanced Nursing Practice.(3)

Advanced assessment, critical thinking, and decision-making skills essential to the evaluation of health status, health risks, illnesses, and functional/dysfunctional health patterns of individuals and family members throughout their life span.

  • NURS 6611Clinical Pharmacology for Advanced Nursing Practice. (3)

Description: In-depth presentation of pharmacologic principles to manage pharmacologic agents safely and effectively. Specialty labs will address specific applications.

The range of required hours for completion is 10-33 credits as illustrated below:

Post Master’s Certificate for ANP Concentration

Plan of Studies

Year/Semester/Courses / Semester
hour / Requirements/
recommendation
First Year
Fall Semester
NURS 6050 Human Physiology for Advanced Nursing Practice
NURS 6612 Advanced Nursing Practice with Families in Primary Health Care / 3
2 / Recommended based on student need
Subtotal / 0-5
Spring Semester
NURS 6610 Health Assessment for Adv Nursing Practice
NURS 6611 Clinical Pharmacology for Adv Nursing Practice / 3
3 / Recommended based on student need
Subtotal / 0-6
Second Year
Fall Semester
NURS 6614 Adv Nursing Practice Adults
NURS 6615 Adv Nursing Practice Older Adults
NURS6618Adv Nursing Practice Primary Care of Adults / 3
3
4 / Recommended based on student need
Subtotal / 10
Spring Semester
NURS 6613 Advanced Nurse Practitioner Role Development / 2 / Recommended based on Student need
NURS 6621 Adv Nursing Practice Care of Adults
NURS 6622Advanced Practice Nursing: Acute and Chronic Care of Adults . / 3
3 / Required
Required
Subtotal / 6-8
Summer Semester
NURS 6623Specialty Care of Adults. / 4 / Required
Subtotal / 4
TOTAL / *10-33

10/06/LLS

* NURS 6050,6610,6611 (9 s.h.) will need to be incorporated into the plan of study if the student has not completed these courses within the past 5 years.

4. Catalog copy:

Seven post-MSN certificate options (clinical nurse specialist,adult nurse practitioner, family nurse practitioner, neonatal nurse practitioner, nurse-anesthesia, nurse-midwife,and nursing education) offer advanced practice education, qualifying those who complete the clinical options to take national certification exams.

Adult Nurse Practitioner: NURS 6612, 6613, 6614, 6615, 6618, 6621, 6622, and 6623. Depending on student’s needs and past education, additional course work from the following may be required: NURS 6050, 6610, and 6611 or equivalent clinical courses.

  1. How will proposed course sequences meet stated educational objectives?
  2. The clinical course sequencing of NURS 6050, 6610 and 6611 (if necessary) allows the student to obtain the clinical knowledge necessary to practice as an Adult Nurse Practitioner. These advanced courses add to this knowledge base for practice at an advanced level and meet minimal standards for APN.
  3. NURS 6614,6615 and 6621 are designed to provide the student with the theoretical and scientific knowledge base necessary for the ANP clinical courses
  4. NURS 6613 Advanced Nurse Practitioner Role Development introduces the student to the roles of clinical expert, educator, researcher, and collaborator. This course emphasizes theories that will guide their practice as an advanced practice nurse. Local, state and national trends in employment, education, and legislation have the potential to impact the ANP practice environment are studied. Students will examine the current issues and trends that may impact their practice and will have an opportunity to see the importance of staying involved in professional organizations.
  5. NURS 6618, 6622, and 6623. Students enrolled in these courses will be involved in clinical practice with experienced ANP's in a healthcare setting. These courses allow the student to learn the role of the ANP and to become more experienced and proficient in assessing, diagnosing and treating adult patients with acute and chronic illness. ANP's are responsible for the accurate assessment, diagnosis, and establishment of a holistic therapeutic regimen that will assist adults with acute and chronic illnesses to restore or maintain optimal health. These courses will allow the student multiple opportunities in 616 hours of clinical practice (which is well above the national minimum requirement of 500 clinical hour) to gain the knowledge and practice skills as an expert in the care of adults in primary, acute, chronic and specialty care settings. The courses progress from the initial clinical practicum where the student functions under direct onsite clinical consultation with an ANP, to the second and third practicawhere the student functions with increasing independence with consultation and collaboration with the preceptor.
  6. NURS 6050, 6610 and 6611 will provide the student with the necessary advanced knowledge to allow the student to assess, diagnoses and treat adults with acute and chronic illnesses. In addition, these clinical courses meet the core competencies for Adult Nurse Practitioners as identified by the National Organization of Nurse Practitioner Faculty (NONPF 2004) and the American Nurses' CredentialingCenter ( 2007).
  7. Statement of need for program, basis for need.

According to the American Nurses Credentialing Center ANCC, the Adult Nurse Practitioner (ANP) is a registered nurse with a graduate degree in nursing who provides a full range of adult health care services at an advanced level. This practice includes independent and interdependent decision making. ANPs are directly accountable for their clinical judgments. Graduate preparation expands the ANP's role to include participation in and use of research, development and implementation of health policy, leadership, education, case management, and consultation. The American Nurses Credentialing Center (ANCC) requires that an applicant for ANP certification have formal education and training in the same role and specialty area of practice in which the nurse is applying for certification. This education and training must be through either a master’s program or a formal post-graduate master’s program in nursing with an ANP focus (ANCC, 2007).

According to demographic trends, there will be greater numbers of people than ever before who are affected by chronic illness conditions in the 21st century. By 2020 there will there will be 12 million people ages 65 and over with some limitations due to a chronic illness, and 39 million US citizens with a chronic condition that causes severe limitations in their ability to function. Thus there is a need for greater numbers of advanced practice nurses with expertise in the comprehensive management of clients with chronic illness both nationally and locally. Preparation of highly skilled adult nurse practitioners who specialize in the care of those with chronic disease will improve the quality ofcare and help decrease the social, economic and physical costs associated with chronic disease.

Nurses whoreceived their MSN in other areas such as CNS, nurse educator and nursing leadership are not qualified to practice as Nurse Practitioners and cannot sit for the national certificationexaminations required to practice as an ANP. In order to meet the state and national requirements nurses must demonstrate that they have completed the ANP courses and clinical requirements either through their original MSN program or through a post master’s certificate program.

Since the FNP and ANP concentrations began at ECU there have been inquiriesabout the availability of a post master’s certification for the ANP. These inquiries have comefrom graduates of MSN programs across the state (including from ECU MSN graduates) who want to practice and be certified as an ANP. In the eastern region of the state alone there is a demand for the ANP with the increasing numbers of adults with chronic illness and the aging of the population and with the addition of the new cardiovascular center at PCMH.Given the national trendsin increased employment of Nurse Practitioners who specialize in the care of adults with acute and chronic illness there will be a continuing need for these advanced practice nurses who have had this preparation in their graduate program or through a post master’s certification.

  1. Faculty associated with post master’s certificate:
  2. Ms. Mary Elesha-Adams, FNP (CV attached)
  3. Mr. James Steele, ANP (CV attached)
  1. Faculty and CV who is coordinator of program.

Linda L. Steele, Ph.D., A.P.R.N., A.N.P. - B.C.

Associate Professor of Nursing

East Carolina University

Education

1985 University of TexasPhD Adult Health Nursing

1978Southern Illinois UniversityPost Masters Certificate, Counseling

1976State University of New York Adult Nurse Practitioner

1975Southern Illinois UniversityMSN Psychiatric Nursing

1971Southern Illinois UniversityBS in Nursing

Academic Experience

2005-PresentAssociate Professor (T)

East Carolina University

Director, FNP ANP Programs

2004-2005Associate Professor (T)

Coordinator NP Programs

University of North Carolina at Charlotte

1998 - 2004 Assistant Professor

Coordinator NP Programs

University of North Carolina at Charlotte

1995 - 1998Clinical Professor

Coordinator Adult and Women's

NP Programs

University of Missouri at St. Louis

1995-1997 Adjunct Associate Professor

Adult/Geriatric NP Programs

Jewish Hospital College of Nursing

St. Louis, MO

1990 - 1995Professor and Chair, Nursing (T)

McKendree College

Lebanon, IL

1987 - 1990Associate Professor

University of Missouri

St. Louis, MO

1984 - 1987Associate Professor and Chair, Nursing

McKendree College

Lebanon, IL

1982 - 1984Associate Professor and

Director of College Health

Maryville University, St. Louis

1975 - 1982Assistant Professor (T)

Southern Illinois University

Edwardsville, IL

1974 - 1975Staff Nurse

St. Elizabeth’s Hospital

Granite City, IL

1971 - 1973Staff Nurse

US Army

Fort Sam Houston, TX

Clinical Practice

2006-Present Nurse Practitioner

Brody School of Medicine, Merce Clinic

2004 –2005Nurse Practitioner Faculty Practice

Metrolina Comprehensive Care Clinic

Charlotte, NC

2003 - 2005Nurse Practitioner

Our Town Free Clinic, Davidson, NC

2002 - PresentNurse Practitioner

Planned Parenthood of NC

2001-2002PRN Nurse

Hospice at Charlotte

1998- 2003Nurse Practitioner

Huntersville Clinic, Huntersville, NC

1995-1998Nurse Practitioner

VA Medical Center, St. Louis, MO
1987-1995Nurse Practitioner
Family Services and VNA, Alton, IL

1982-1987Director of College Health and

Nurse Practitioner

Maryville College, St. Louis, MO

1977-1982Nurse Practitioner

University Health Center

Southern Illinois University

Edwardsville, IL

Publications

Steele, L, Bartlett, B, Moore, A and Gantt, E (2006). A journey through heart failure: Patient and provider perceptions. Healing Ministry 13:1, PP. 19-26. Lead Article

Steele, L. and Steele, J. (2006). Cancer in Meiner and Leukenotte. Eds. Gerontologic Nursing. St. Louis: C.V. Mosby.

Steele, L,Mills, B., and Hardin, S. (2005). The quality of life of hospice patients: The relationship between symptom distress and quality of life. The American Journal of Hospice and Palliative Care. 22: 95-109.

Steele, L. (2004). Advanced nursing practice: The adult nurse practitioner in Hardin, S. and Kaplow, R.(eds). The Synergy Model in Nursing Practice. Boston: Jones and Bartlett. AJN Book of the Year Award

Beagle, D., Ladner, B, Steele, L. and Steele, J. (2004). Rethinking online instruction: From content transmission to cognitive immersion. Reference & User Services Quarterly. Vol. 43 No. 4 (Summer 2004). pp. 63-71. Voted as one of the top 20 of the year by the National Library Association

Hardin, S., Hussey, L. and Steele, L. (2003). Spirituality as Integrality among Chronic Heart Failure Patients: A Pilot Study. Visions. 10 (2); pp.18-24.

Steele, L., Hagopian, G., Mills, B., and Long, M.(2002). Patient and caregiver satisfaction with end of life care: Does high satisfaction equal high quality of care? The American Journal of Hospice and Palliative Care. 19(1): pp. 19-28.

Steele, L. (2001). Utilizing research findings in advanced nursing practice. Online

Journal for Knowledge and Synthesis for Nursing. Sigma Theta Tau, September 10.

Travis, S., Steele, L., and Long, A. (2001). Adult day services in a frontier state. Nursing Economics. 10(2): pp. 62-67.

Steele, L. (2000). An unforgettable case: The art of giving. The Clinical Advisor for

Nurse Practitioners. 8(1): p. 18

Steele, L. (1999). Advanced nursing practice in Meiner (ed). Nursing documentation: legal focus across practice settings. Thousand Oaks, CA: Sage Publications.

Steele, L. (1999). Telephone triage in Meiner (ed). Nursing documentation: legal focus across practice settings. Thousand Oaks, CA: Sage Publications.

Steele, L. (1993). A risk screening profile for bereaved spouses. Death Education. Volume 16, No.4 pp. 116 -131.

Steele, L. (1990). The Death Surround: Factors Influencing the Grief Experience of Survivors of Terminally Ill Cancer Patients. Oncology Nursing Forum. November, pp. 145 -152.

Steele, L. (1984). Introduction to health care. St. Louis College of Health Careers: St. Louis, MO.

Steele, L. (1982). Training manual for hospice volunteers. Hospice of Madison County.

Steele, L. (1977). Attitudes of nursing students toward the mentally retarded. Rehabilitation Forum. Vol.21, No.8, pp. 64 - 76.

Research in Progress

The Quality of Life of Heart Failure Patients Enrolled in a Multidisciplinary Outpatient Clinic HF Clinic PCMH, Greenville, NC