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Preparing the Combined Role of Community Health Specialist and Nurse Practitioner

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To combine primary care nurse practitioner skills with traditional community ... Role Preparation as Primary Care Nurse Practitioner ... – PowerPoint PPT presentation

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Title: Preparing the Combined Role of Community Health Specialist and Nurse Practitioner


1
Preparing the Combined Role of Community Health
Specialist and Nurse Practitioner
  • Gale A. Spencer, Ph.D., R.N. Decker School of
    Nursing
  • HRSA D09HP07365

2
Binghamton University
  • Is one of the four university centers in the
    State University of New York System
  • The University enrolls approximately 10,000
    undergraduate students and 3,000 graduate
    students
  • It is composed of 5 Professional Schools and a
    School of Arts and Sciences

3
Need for Program Development
  • Community Need
  • Graduates Need for Additional Skills
  • Incoming Students Needs

4
Community Needs
  • Local, Regional, and State
  • Clients served by Home Health Care Agencies
  • Public Health Clinics
  • Occupational Health
  • School Health
  • Rural and Medically Underserved Populations

5
Graduates Need for Additional Skills
  • To develop and utilize nurse practitioner
    assessment skills
  • To combine primary care nurse practitioner skills
    with traditional community health specialist
    skills through assessment of and intervention
    with aggregates

6
Incoming Student Needs
  • To develop the role of the Community Health
    Primary Care Nurse Practitioner through the
    integration of a Community Health Clinical
    Specialization with role preparation as a Primary
    Care Nurse Practitioner
  • This role prepares the graduate of the program to
    address both individual and aggregate health needs

7
Rationale for Program Development
  • Practice needs
  • Knowledge needs
  • Changes within agencies
  • ANA Community Health Clinical Specialization
  • AACN Elements of Graduate Education

8
The Curriculum
  • The Community Health Nursing Masters Program is
    48 credit hours in length
  • It is composed of
  • Core ( 8 courses, 20 credits)
  • Clinical Specialization (4 courses, 13 credit
    hours)
  • Role Preparation (3 courses, 12 credit hours)
  • Electives (1 course, 3 credit hours)

9
Core
  • Advanced Health Assessment
  • Advanced Physiology
  • Advanced Pharmacology
  • Scientific Inquiry I, II, III
  • Nursing and Health Care Delivery Systems
  • Proseminar

10
Clinical Specialization
  • Essentials of Epidemiology and Biostatistics
  • Community Health I (focuses on the Family as
    Client)
  • Community Health II (focuses on Community
    Assessment and Planning)
  • Community Health III (focuses on Community Based
    Implementation and Evaluation)

11
Role Preparation as Primary Care Nurse
Practitioner
  • Primary Care Nurse Practitioner I (primary care
    of children and womens health includes school
    based clinics, pediatrics, and womens ob and gyn
    care)
  • Primary Care Nurse Practitioner II (primary care
    of adults including occupational health and care
    of the elderly)
  • Primary Care Nurse Practitioner III ( primary
    care of all age groups, prescription writing,
    collaboration contracts etc.)

12
The Primary Care Nurse Practitioner Sequence
  • Prepares community health masters students to
  • deliver primary care in rural and medically
    underserved areas
  • assess, and diagnose the needs of aggregates in
    order to plan, implement and evaluate appropriate
    programs to meet identified needs

13
Primary Care Nurse Practitioner I
  • The focus of the course is on methods of health
    promotion, assessment, and treatment of common
    health problems of
  • infants and toddlers
  • school age children
  • adolescents
  • prenatal client
  • womens health
  • The course enacts clinical practice in
  • well child clinics
  • school based clinics
  • Ob Gyn offices
  • Family Practice sites
  • immunization clinics

14
Primary Care Nurse Practitioner II
  • The focus of the course is on methods of health
    promotion, assessment, and treatment of acute and
    chronic health care problems as seen in
  • young adults
  • middle aged adults
  • elderly
  • The course also focuses on health care problems
    seen in the following aggregates
  • homeless populations
  • occupational health clinics
  • senior screening clinics
  • home care clients
  • Family and primary care practice sites

15
Primary Care Nurse Practitioner III
  • The focus of the course is on the consultant,
    administrator, and researcher components of the
    primary care role
  • The clinical portion of the course focuses on
    the enactment of the CHPCNP role in a clinical
    setting
  • Based on the analysis of aggregate needs,
    students
  • develop clinical practice models
  • address marketing strategies
  • investigate employment opportunities
  • develop collaborative relationships
  • discuss legal constraints on the identified
    practice

16
Results of Program Development
  • The CHPCNP Program is the first program of its
    kind registered in New York State. It is
    approved as both a masters and post-masters
    certificate program.
  • The ANA certification unit (the national
    certifying body) approved the CHPCNP program,
    thus allowing graduates of the program to sit for
    the national certification exam
  • as Community/ Family Nurse Practitioners
  • as Community Health Specialists

17
Conclusions
  • As a result of the development of the Community
    Health Primary Care Nurse Practitioner Role
    within the Community Health Nursing Masters
    Program
  • The needs of the community have been met
  • Graduates of the Community Health Program have
    been able to return to obtain additional skills
    needed

18
Conclusions
  • The Community Health Masters Program has grown,
    as students who want to study community health
    are able to obtain advanced practice skills in
    primary care
  • This program is developed and supported through
    HRSA Grant HRSA D09HP07365
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