The adult health concentrations include acute and primary care. Students also may select a role; current role options are the nurse practitioner or the clinical nurse specialist. The nurse practitioner role focuses on the provision of advanced independent nursing care integrated with delegated medical diagnostic and management activities. The adult primary care nurse practitioner has a practice located in an ambulatory care setting and focuses on health promotion, risk reduction and evidence-based primary care to individual patients. The adult acute care nurse practitioner generally works in an acute care setting, often within a multidisciplinary team focused on the provision of evidence-based care to adults who are acutely ill. The sphere of influence of the nurse practitioner is that of the patient. The clinical nurse specialist focuses on advanced nursing care to a specific population of adults. The clinical nurse specialist is responsible for ensuring excellence in the delivery of nursing care to patients within that population. This includes consultation with individual patients as well as with nurses who provide care to the patient in an acute care setting, and overall systems management to facilitate care. The site of practice is determined by the location of the patient population of interest — it may be in a primary care setting, for example, people undergoing chemotherapy. The sphere of influence of the clinical nurse specialist is threefold: patient, nursing personnel and systems/organizations.
In addition to the core course requirements, the following concentration courses are required.
| credits | ||
| Adult health: acute care nurse practitioner | ||
| NURS 633 Common Health Problems of Women | 2 | |
| NURS 660 Health Promotion and Disease Prevention in Adults | 3 | |
| NURS 661 Common Problems in Adult Primary Care | 4 | |
| NURS 663 Common Problems in Adult Acute Care | 3 | |
| Adult health: primary care nurse practitioner | ||
| NURS 633 Common Health Problems of Women | 2 | |
| NURS 660 Health Promotion and Disease Prevention in Adults | 3 | |
| NURS 661 Common Problems in Adult Primary Care | 4 | |
| NURS 663 Common Problems in Adult Acute Care | 3 | |
| Adult health: clinical nurse specialist | ||
| NURS 660 Health Promotion and Disease Prevention in Adults | 3 | |
| NURS 663 Common Problems in Adult Acute Care | 3 | |
| NURS 687 Management Systems and Health Care Outcomes | 4 | |
| ADLT 603 Instructional Strategies for Adults | 3 | |
| Concentration practicum courses (varies by concentration) |
||
| NURS 675 Adult Immunocompetence Practicum I | 1-3 | |
| NURS 676 Adult Primary Practicum | 2-6 | |
| NURS 677 Advanced Adult Primary Practicum | 2-5 | |
| NURS 678 Adult Acute Practicum | 2-6 | |
| NURS 679 Advanced Adult Acute Practicum | 2-5 | |
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Virginia Commonwealth University
Richmond, Virginia
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Last update: 7/27/2009