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Graduate Student Handbook

Adult Health Clinical Nurse Specialist

Wright State University - Miami ValleyDocter and patient
College of Nursing and Health
3640 Colonel Glenn Hwy
Dayton, Ohio 45435-0001
Phone: (937) 775-3577
Fax: (937) 775-4571

Gail Moddeman,PhD,RN,CS
Program Director - gail.moddeman@wright.edu


Program Description

CNS: Clinical nurse specialists (CNS) are advanced practice nurses who hold a master's degree in nursing. CNS serve as attending nurse -- that clinical expert who provides care, guides others, serves as an expert resource, brings research to the bedside, and makes changes in the system to better patient care. The focus is nursing - nursing practice, nursing research, nursing innovation - nursing's ways of knowing and nursing's ways of doing. Leadership in clinical practice.

 

Adult Health CNS: Adult Health CNS focus on providing care to adults experiencing physiologic problems and related social and behavioral concerns. Expert knowledge and advanced practice concepts are applied to the care of individuals, families, and groups.


NEW FALL 2010 Optional Specialization in Flight and Disaster Nursing:

In collaboration with the Wright State's Boonshoft School of Medicine and the U.S. Air Force, the Flight & Disaster Nursing subspecialty builds on the core Adult CNS program to prepare students to manage critical care patients and services in unstructured environments.

 

Admission Requirements for CNS Program

  • Bachelor's degree in nursing from an institution accredited by a nationally recognized nursing organization

  • Minimum of two years full-time experience as a registered nurse

  • Admission to Wright State University School of Graduate Studies

  • Cumulative undergraduate GPA of 3.0 on a 4.0 scale

  • Completion of a of goals statement(submit on the School of Graduate Studies application.)

  • Current unencumbered Ohio RN license

To apply to our program, submit the following to the School of Graduate Studies:

  • School of Graduate Studies application (download application from www.wright.edu/sogs);
  • $25 fee to the School of Graduate Studies
  • Transcripts from ALL colleges attended (must be sent to the School of Graduate Studies)
  • A copy of your Ohio RN License (out-of-state students must apply for an Ohio license)

Please note: You do not need to submit any recommendation letters to Graduate Studies.  They only ask you to list the addresses of your references on their application.

Once you have sent all your application materials to the School of Graduate Studies, we will receive a copy of your file from Graduate Studies.  If you meet all the criteria listed above for the program, we will then approve your acceptance to the School of Graduate Studies.  You will then receive notification of the decision.  If you are accepted, you will then need to make an appointment with your Program Director to determine your plan of study.


Curriculum

**Note: All students must have statistics course within 5 years of taking NUR 707.  Recommended: EDL 751

 

Core Courses:

  • NUR 707 Research (4 credit hours)

  • NUR 708 Theory (4 credit hours)

  • NUR 750 Health Policy (3 credit hours)

  • NUR 751 Health and Well-Being (2 credit hours)

  • NUR 755 Informatics (2 credit hours)

  • NUR 756 Leadership (3 credit hours)

  • NUR 761 Advanced Pathophysiology (3 credit hours)

  • NUR 762 Advanced Assessment (3 credit hours)

  • NUR 763 Epidemiology (2 credit hours)

  • NUR 764 Advanced Pharmacology (4.5 credit hours)

  • NUR 799 Thesis (3 credit hours) OR
    NUR 788 Nursing Research Application and Utilization (3 credit hours) OR
    NUR 798 Supervised Experience in Nursing Research (3 credit hours)

Clinical Courses:

  • NUR 724 Adult Health I (6)

  • NUR 725 Adult Health II (6)

  • NUR 723 Adult Health III (6)


The Program

The program is based in theory and research, and includes clinical practice, education, consultation, and systems thinking. Students may enroll either full-time or part-time. Students are required to complete the program within five (5) years. Many students are part time. Most courses are scheduled in the evening. A limited selection of courses are available in the summer.

Adult Health CNS program includes 52.5 credits, with 500 clinical hours. The curriculum develops core adult health CNS advanced practice nursing competencies while building expert knowledge and skill in a student selected specialty area. Students may decide the focus of clinical courses, such as oncology, neurology, cardiology, orthopedics, gerontology or others. Faculty advisors help students design clinical experiences.


Students are eligible to take advanced practice certification exams upon completion of the program.


CNS Patient Care Focus

two female nurses at work Students in the Adult Health CNS Program learn how to:

  • Assess symptoms, functional problems, and risk behaviors

  • Differentiate between disease and non-disease based illness

  • Implement pharmacologic and other interventions

  • Coordinate care transitions among health care settings and providers

  • Collaborate with other professionals to organize and integrate interventions

  • Design and implement programs of care for specific populations

  • Create innovative educational programs for patients, families, and groups

  • Identify researchable clinical problems

CNS System Influence Focus

Students in the Adult Health CNS Program learn how to:

  • Identify care problems associated with existing nursing practice

  • Design and implement programs to meet competency needs of nursing personnel

  • Use creative problem solving to discover new alternatives to system problems

  • Work within systems to improve nursing practice

  • Develop innovative, cost-effective patient programs of care

  • Create and advise system-level policies

  • Use aggregate data for evaluation and decision making


Flight and Disaster Nursing Specialization

Flight & Disaster Nursing subspecialty builds on the core Adult CNS program to prepare students to manage critical care patients and services in unstructured environments. Graduates will utilize an evidence base for advanced nursing practice in aeromedical services. The students' clinical experiences will be in settings such as Care Flight, Aeromedical units at military bases and community based disaster education programs such as the Calamityville Tactical Lab at the National Center for Medical Readiness.The planned outcomes of the program are certification as an Adult Health CNS as well as nursing expertise in medical readiness. The need for a flight nursing masters is consistent with fixed-wing aeromedical evacuation and rotary-wing aeromedical evacuation.

Students take all courses specific to the current Adult Health CNS concentration with the addition of three didactic courses as part of the specialization.  Adult CNS courses – NUR 724, 725 and 723 include core content related to management of the adult with acute and chronic illness and the role of the CNS.  These courses include a clinical component.  Students in the Flight & Disaster specialization will use part of the clinical time focusing on both flight and disaster experiences.


Course Descriptions:

  • Disaster I  (concurrent NUR724) – This course has a crisis and emergent care focus –  Application of advanced practice nursing concepts of clinical practice when caring for individuals and families with acute and chronic health problems, whom are exposed to disasters.  Emphasis is placed on health and safety of the individuals and family. 
  • Advanced Flight Nursing (concurrent with NUR725) Application of advanced practice nursing concepts in care for healthy individuals and those with acute and chronic health problems during air transport. Emphasis is placed on symptom management and stabilization of the individual prior to and while being transported to a desired location.
    Clinical with preceptor in a flight nursing setting (fixed-wing and rotary-wing).
  • Disaster II  (concurrent with NUR723) Application of advanced practice nursing concepts to responses for individuals and communities exposed to disasters.  Emphasis is placed on early interventions and meeting health and safety needs of individuals and communities. Expand knowledge base of disaster planning and preparedness. 
  • Student’s NUR 723 Practicum would include an experience with preceptor in a flight nursing setting (fixed or rotary) which includes implementation of an evidenced based practice project.

Requirements

For military nurses: 

  • Must have had at least one flying assignment (minimum 2 years) as an active duty, guard or reserve flight nurse. 

For civilian nurses:

  • Must have some flight nursing experience (minimum 2 years)

For all applicants:

  • Must meet all CONH graduate program requirements.
  • Pass a Class III Flying physical or equivalent.
  • Flight nursing certification is highly desired but not required.

ALL  Applicants should:

  • Complete all requirements for the CNS program. 
  • Complete the School of Graduate  Studies application
  • Complete the Flight & Disaster Specialization Form and mail with letters of reference, resume, essay, documentation of flight nurse experience and if possible, documentation of certification as flight nurse to Graduate Office for the College of Nursing Health (160 University Hall).

A personal interview will be required for those applicants in the final selection pool after review of submitted documents is completed.  Leadership potential, motivation, ability to express ideas and opinions, conception of advanced nursing practice, diverse work and life experiences with people of different cultures are factors considered in the essays and interviews.  Compatibility between expressed career goals and program goals is weighted heavily.



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