Adult-gerontology acute care NP and adult-gerontology CNS programs

Clinical Assistant Professor Ray Blush teaching a labSpecialty appeal

  • Acute care advanced practice 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.
  • The number of practice settings where acute care advanced practice nurses work is expanding. Settings include intensive care units, trauma units, specialty practices, cardiopulmonary/neurology/surgery/oncology fields, emergency departments, long-term care facilities, home health care, among others.
  • Salaries for acute care advanced practice nurses are highly competitive and rank among the highest for advanced practice nurses.
  • Being an acute care advanced practice nurse is both challenging and rewarding. Acute care advanced practice 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. 

Education and practice

The adult-gerontology acute care nurse practitioner and adult-gerontology clinical nurse specialist programs focus on the care of patients, from young adults to older adults, with complex health problems including acute/critical and chronic illness. Coursework and clinical preparation includes a strong foundation in

  • pathophysiology
  • pharmacology
  • evidence-based management of complex patient problems
  • leadership within the health care system.

Foundational preparation is broad, with increasing opportunities to specialize toward the end of the program. All practicum are arranged by U-M faculty and offer learning environments rich for developing expertise in acute care nursing and for refining clinical leadership skills.

In the nurse practitioner program of study, emphasis is placed on

  • advanced assessment
  • diagnostic reasoning and decision making
  • therapeutic interventions
  • consultation and referral skills.

In the clinical nurse specialist program of study, emphasis is placed on 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 so graduates to function autonomously and in collaboration with health care providers as a practitioner, educator, consultant, researcher and manager.

Requirements

See application requirements.

Curriculum

Listed below are the required courses for the adult-gerontology acute care nurse practitioner and the adult-gerontology clinical nurse specialist programs. NP students will be placed in clinical settings appropriate to the NP role while 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 adult-gerontology acute care NP program and the adult-gerontology CNS program are offered as a fall term (September) start only, in a 2 year or a 3 year program plan. Fifty-one total credits and 504 clinical hours are required. 
 

Sample plan of study 

Core courses

  • NURS 528: Models, Theories and Methods to Promote Optimal Health Outcomes
  • NURS 527: Promoting Optimal Models and Systems for Healthcare Delivery
  • NURS 529: Scientific and Analytic Approaches for Advanced Practice

Specialty courses

  • NURS 502: Advanced Physiology and Pathophysiology Across the Lifespan
  • NURS 503: Advanced Health Assessment for Advanced Practice Nurses
  • NURS 523: Role Transition to APRN
  • NURS 553: Advanced Practice Specialty Procedures and Skills
  • NURS 573: Adult-Gerontology Acute Care Nurse Practitioner and Clinical Nurse Specialist Nursing Theory I
  • NURS 575: Adult-Gerontology Acute Care Nurse Practitioner and Clinical Nurse Specialist Nursing Theory II
  • NURS 577: Adult-Gerontology Acute Care Advanced Practice Nursing Clinical Practicum I
  • NURS 579: Adult-Gerontology Acute Care Advanced Practice Nursing Clinical Practicum II
  • NURS 611: Adult-Gerontology Acute Care Advanced Practice Nursing Clinical Practicum III

Required cognates

  • PHR 620: Pharmacotherapeutics I
  • PHR 621: Pharmacotherapeutics II
  • HS 505: Team Based Clinical Decision Making

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