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The care of adult patients with acute and chronic illnesses

Adult-Gerontology Acute Care NP and Adult-Gerontology Acute Care CNS Programs

Program Options

  • Adult-Gerontology Acute Care Nurse Practitioner
  • Adult-Gerontology Acute Care Clinical Nurse Specialist
 

Adult-Gerontology Acute Care Program Focus

Education

The Adult-Gerontology Acute Care Nurse Practitioner and Adult-Gerontology Acute Care Clinical Nurse Specialist programs focus on the care of patients with complex health problems including the care of young adults, adults, and older adults with acute/critical and chronic illness. The U-M education and clinical preparation of Adult-Gerontology Acute Care Nurse Practitioners and Adult-Gerontology Acute Care Clinical Nurse Specialists includes a strong foundation in pathophysiology, pharmacology, evidence-based management of complex patient problems, and leadership within the health care system. The foundational preparation is broad with increasing opportunities to specialize toward the end of the program which enables students to focus on a particular area of interest. All practicum are arranged by U-M faculty and offer rich learning environments for developing expertise in acute care nursing and for refining clinical leadership skills.
 
The main difference between the Adult-Gerontology Acute Care Nurse Practitioner and Adult-Gerontology Acute Care Clinical Nurse Specialist programs is the subject matter each emphasizes. In the Nurse Practitioner program of study, emphasis is placed on advanced assessment, diagnostic reasoning and decision making, therapeutic interventions, and consultation and referral skills. In the Clinical Nurse Specialist program of study, emphasis is placed on strategies to implement the CNS role, including evaluation and quality monitoring of nursing practice for selected patient populations, the establishment of collaborative and collegial relationships with health team members, and promotion of change within the health care delivery system. 

 

Practice

The Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) program trains graduates to practice as advance practice nurses with young adults, adults, and older adults who have acute/critical care needs. More specifically, graduates are prepared to care for patients with complex health problems including those with acute, critical, and chronic health conditions.   Pharmacology, diagnostic reasoning and decision-making, therapeutic interventions, advanced assessment, consultation and referral skills are intrinsic components of their practice.
 
The Adult-Gerontology Acute Care Clinical Nurse Specialist (AGACCNS) is an advanced practice nurse who provides expert nursing care, implements evidence-based interventions and influences the delivery of care within the health care system. The course of study prepares a clinical nurse specialist to function autonomously and in collaboration with health care providers as a practitioner, educator, consultant, researcher and manager.
 
See the application requirements for this program.
 

"The Michigan Difference” in Acute Care

World-Class Faculty Leaders in Education, Research, and Practice

Faculty that teach in our program are excellent instructors, researchers, and practitioners. Living up to the title "leaders and the best," our faculty are actively involved in national organizations, using their expertise to help shape and advance the future of care and education. 

 

Expert Faculty Practitioners in a Wide Variety of Clinical Settings

Our faculty also maintain active practices in a wide variety of clinical settings within the University of Michigan Health System – a premier health care organization. This varied range of faculty practice roles translates to a richer education and a broad range of clinical opportunities for our students.  In addition, our faculty members are experts in evidence-based practice to optimize patient outcomes in all of their practice settings.

 

Diverse Settings and Talented Clinical Preceptors for Students

Not only does the does the University of Michigan School of Nursing have a broad scope of talented clinical preceptors available within the entire University of Michigan Health System, but we also place students with skilled and knowledgeable preceptors at all of the major health systems in southeast Michigan and other locations across the state to meet student needs.

 

Coordinated Clinical Placement Assistance for Students

To help ensure that students receive the clinical experience that best fits the certification requirements for their specialty area, their unique needs, interests, and goals, the University of Michigan Clinical Placement Coordinator and the clinical faculty members play a key role in students' placement process. Students are matched to a location that will engage and develop the student's skills. 
 

Scope

The University of Michigan School of Nursing Adult-Gerontology Acute Care Nurse Practitioner Program meets and surpasses the Acute Care Nurse Practitioner Competencies as outlined by the National Organization of Nurse Practitioner Faculties (NONPF).
 
According to the Acute Care Nurse Practitioner Competencies, the art and science of the profession is characterized by the following hallmarks:
  • Health promotion, protection of disease and treatment with particular focus on assessment and diagnosis of health status and initiating a plan of care and implementing treatment
  • Building the nurse practitioner/patient relationship
  • Teaching/coaching function skills of the nurse practitioner
  • Professional role development
  • Managing health care delivery systems
  • Monitoring the quality of health care promotion
  • Care in regards to cultural competency 
 

Specialty Appeal

Acute care nurses are in demand. With the increasing intensity and shortened length of stay of acutely ill patients in hospitals and the decrease in medical resident hours, a shift in hospital employment trends has increased demand for acute care nurses.  According to the U.S. Bureau of Labor Statistics, national job growth in Advanced Practice Nursing will increase at least 19 percent between now and 2020.
 
Consequently, over the years, as the role of acute care nurses has increased in capacity, the number of practice settings where acute care nurses work is continually expanding. Potential employment opportunities for graduates include intensive care units, trauma units, specialty practices, cardiopulmonary/neurology/surgery/oncology fields, emergency departments, long-term care facilities, home health care, and the list goes on.
 
In addition to being in demand and having a variety of practice settings to choose from, salaries for acute care nurses are highly competitive and rank among the highest for advanced practice nurses.
 
Finally, being an acute care nurse is both challenging and rewarding. Acute care nurses are experts in the care of acutely ill patients with multiple complex problems, and research has shown that they provide quality care, decrease length of stay, and improve patient and family satisfaction. Furthermore, the addition of acute care nurses to the health care team improves communication and overall patient care.  Acute care nurses frequently report satisfaction in their role and in their collaboration with physicians, often citing autonomy, involvement with patients and patients’ care, and collaboration as advantages.
 
For more information about the profession, visit the following websites:

Curriculum

Listed below are the required courses for the Adult-Gerontology Acute Care Nurse Practitioner and the Adult-Gerontology Acute Care Clinical Nurse Specialist programs.  The Adult-Gerontology Acute Care NP students will be placed in clinical settings appropriate to the NP role while the Adult-Gerontology Acute Care CNS students will be placed in clinical setting appropriate to the CNS role.
 
The Adult-Gerontology Acute Care NP and CNS curriculums are offered in an on-campus format; however, a few of the core courses may be web-blended (the University of Michigan School of Nursing does not offer a completely on-line curriculum).  The Adult-Gerontology Acute Care NP program and the Adult-Gerontology Acute Care CNS program are offered as a fall term (September) start only, in a 2 year (primarily full-time enrollment, 9 or more credits each fall, winter and spring-summer term of the curriculum) or a 3 year (primarily part-time enrollment, less than 9 credits each fall, winter and spring-summer term of the curriculum) program plan. 
 
Course Number
Course Name
Course Credits
Term Offered

Core Courses

N528
Models, Theories and Methods to Promote Optimal Health Outcomes
3
Fall
N527
Promoting Optimal Models and Systems for Healthcare Delivery
3
Winter
N529
Scientific and Analytic Approaches for Advanced Practice
3
Winter

  

Specialty Courses

Course Credits
Advanced Physiology and Pathophysiology Across the Lifespan
4
Advanced Health Assessment for Advanced Practice Nurses
3
N534Advanced Practice Registered Nurse Roles and Negotiating Health Care Systems3
Adult-Gerontology Acute Care Nurse Practitioner and Clinical Nurse Specialist Nursing Theory I
4
Adult-Gerontology Acute Care Nurse Practitioner and Clinical Nurse Specialist Nursing Theory II
4
Adult-Gerontology Acute Care Advanced Practice Nursing Clinical Practicum I*
3
Adult-Gerontology Acute Care Advanced Practice Nursing Clinical Practicum II*
3
Adult-Gerontology Acute Care Advanced Practice Nursing Clinical Practicum III*
4

Required Cognates

P659
Pharmacology I
3
P660
Pharmacology II
4
Total Credits = 46
 
Minimum Required Clinical Hours = 504*
*NP and CNS students are placed in clinical settings appropriate to their roles