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Graduate Courses

The graduate programs in nursing offer the following courses. The course name is followed by the prerequisites, in Italic; permission of instructor is indicated by P.I. Credit hours are indicated in the parentheses. Program identification is detailed after the credit hours, in the following manner: CHN, Community Health Nursing; GN, Gerontological Nursing; MSN, Medical-Surgical Nursing; NBHS, Nursing Business & Health Systems; PCN, Parent-Child Nursing; and PMHN, Psychiatric-Mental Health Nursing.

The Nurse Midwifery program and the Nursing Business and Health Systems courses and some others are Web based (web enhanced) but require some on-campus sessions. The description of the course has the words Web based in red. An asterisk is included to mark the courses when only one of the sections is offered as a Web based* course.

The School of Nursing offers some elective courses, which are so indicated before the course description. Elective courses may not be offered in any given academic year. Students in one nursing master's program may choose to take any course from a different master's specialization as an elective to enhance their learning experiences.

Nursing 502
Advanced Physiology and Pathophysiology. (4). Lecture. GN, MSN, PMHN.

This course provides students with the advanced physiological and pathophysiological knowledge needed to assess acute and chronic health problems, to understand the aims of clinical and pharmacological interventions and to support decisions for restoring and maintaining health.

The key concepts of the course include how the body maintains homeostasis in health, how homeostasis is disrupted in disease and how the body’s responses to disruption can be either adaptive or maladaptive.  Disruptions will be presented at the genetic, cellular, organ and multi-organ systems levels as appropriate.  There is emphasis on phenomena such as genetic changes and chronic inflammation that are underlying to variety of disorders.

Nursing 503
Advanced Health Assessment for Advanced Practice Nurses.
Undergraduate Physical Assessment Approval or P.I. (3). Lecture, clinical lab.
This course focuses on the advanced comprehensive assessment of individuals within a developmental life span perspective. The interactions of developmental, biopsychosocial, and socio-cultural contexts resulting in health effects for individuals provide the structure of the course. The course builds on the students' knowledge and skills of basic physical assessment and provides a foundation for the advanced practice nurse to evaluate the health of individuals across the life span. Students are grounded in the theoretical perspectives, empirical documentation, and practice skills necessary for advanced communication (i.e., clinical interviewing, focused history taking), biopsychosocial and physical assessment, critical diagnostic reasoning, and clinical decision-making. Students acquire the requisite advanced knowledge and skills within a case-based, problem focused learning framework that integrates theoretical, empirical, and experience-based practical knowledge.

Nursing 504
APN Role Development. (2). Lecture. GN, MSN, PMHN.

This course focuses on the multiple professional roles of the Advanced Practice Nurse (APN) within the current health care system.  The historical development, scope, practice and responsibilities of the APN will be presented.  Strategies to promote collaboration and leadership in advanced nursing practice, patient advocacy, and professional development will be emphasized.  Other topics will include professional communication, evaluation of health policy and marketing the APN role.

Nursing 505
Bio-Behavior I.
N503 or concurrent; or PI. (3). Lecture, laboratory, clinical.
This course consists of a theory and clinical component which examines the effects and/or sequels of alterations in selected bio-behavioral processes in the adult human suffering from illnesses with critical onsets, multi-system failure and long term, unstable conditions. Nursing assessment, diagnoses and therapies underlying management of behavioral responses to nervous system/psychiatric, regulatory, and cardiovascular disorders will be examined. Current research and theories that link biology and behavior will be emphasized across the adult life span. Students in the clinical component will utilize assessment skills and selected theories to manage complex dysfunction in adults from diverse populations. Students will use a variety of internet resources including a course web site.

Nursing 506
Bio-Behavior II.
N503 or concurrent; or PI. (3). Lecture, laboratory, clinical.
This course consists of a theory and clinical component which examines the effects and/or sequels of alterations in selected bio-behavioral processes in the adult human suffering from illnesses with critical onsets, multi-system failure and long term, unstable conditions. Nursing assessment, diagnoses and therapies underlying management of behavioral responses to nervous system/psychiatric, regulatory, and cardiovascular disorders will be examined. Current research and theories that link biology and behavior will be emphasized across the adult life span. Students in the clinical component will utilize assessment skills and selected theories to manage complex dysfunction in adults from diverse populations. A wide variety of internet resources are used including a course web site.

Nursing 507
Clinical Practicum I.
N503 or concurrent; N505 or N506 or concurrent; P654 or P660 or concurrent for Nurse Practitioner students. (2). Seminar, Laboratory.
The purpose of this clinical practicum course is to provide opportunities for students to apply content from N505 Bio-Behavioral Nursing I or N506 Bio-Behavioral Nursing II, and other core courses. Students will use assessment skills, selected theories, and research to identify complex health problems and interventions for diverse populations. Students will spend eight hours per week at a clinical site with direct supervision from a preceptor who practices here. The weekly seminars (2 hours) provide a forum for students to receive instruction, consultation, and supervision from faculty and to share this learning process with their peers. Seminars build upon an evidence-based practice model, and emphasize diagnostic reasoning, critical thinking, problem solving and decision making. The student's own cases and faculty practice examples are used as the basis of discussion. Students will make use of internet resources for learning and submit their written assignments via a course web site.

Nursing 508
Clinical Practicum II.
N507; N505 or N506; concurrent enrollment in 505 or 506, whichever was not completed. (2). Seminar, Laboratory.
This 2-credit hour clinical practicum course builds on the clinical competencies developed in Clinical Practicum I. It provides opportunities for students to apply content from Bio-Behavioral Nursing I, Bio-Behavioral Nursing II and other core nursing courses in a population appropriate to their selected specialty area. Students will use assessment skills, selected theories and research to identify complex health problems and interventions for diverse populations. Students will spend eight hours per week at a clinical site with direct supervision from a preceptor who practices there. The weekly seminars provide a learning process with their peers. Seminars build upon an evidence-based practice model and emphasize diagnostic reasoning, critical thinking, problem solving and decision-making. The student's own cases and faculty practice examples are used as the basis of discussion. Students make wide use of Internet resources in developing evidence-based intervention and submit their written assignments via a course web site.

Nursing 514
Pathophysiology: Human Responses to Altered Physiological Function.
Normal Physiology Course. (4). Lecture. CHN.
This course investigates the effects and/or sequela of alterations in specific physiological processes in the adult human. The nursing diagnoses associated with human responses to pathophysiological processes underlying selected diseases and disorders are examined. Current research and theories that deal with Pathophysiology, its assessment, diagnosis and implications for nursing therapy are emphasized. Topics covered include: pain, sleep disorders, energy imbalance, altered nutrition, stress and fatigue, altered conscious states (memory dysfunction, perceptual alterations, disorientation), altered mobility, cardiac alterations, altered fluid and pH balance, inflammatory and autoimmune processes, and cellular proliferation and death.

Nursing 516/HBEHED 616
Complementary Therapies & Alternative Healing.
Graduate Standing or P.I.(3-4). Seminar, Lab.
This interdisciplinary course examines the principles, practices, utilization and outcomes of complementary therapies and alternative healing. It will provide an overview of the field, review selected systems of alternative healing and focus on specific healing modalities that are widely used in the general population. Students will learn to use evidence-based criteria to evaluate the risks and benefits of selected healing modalities. The integration of alternative and conventional health practices will be examined. Ethical, legal and professional issues will be explored. Emphasis will be placed on taking an alternative healing history, facilitating patients' decision-making regarding alternative therapies, communication between allopathic and alternative healers in the community, including training and certification issues. A holistic approach to the patient-healer relationship that emphasizes self-care will be maintained.

Nursing 518
Dementia: Family Caregiving.
N530 & N531 or P.I.(2). Lecture, Web based.
This is a two credit hour graduate course which focuses on family caregiving in dementia. It is designed as the Course 3 in the dementia specialist training sequence, and available to other students with background in the diagnosis and treatment of dementia as an elective course. Demographics of caregiving, characteristics of caregivers, and the caregiving context will be explored from current literature. Various conceptual frameworks for understanding family care of people with dementia will be examined. Intervention research for family caregivers across various transitions that occur during disease progression will be critiqued and applications to practice settings discussed. Family decision making processes and common ethical dilemmas in dementia caregiving will be explored. Community services for caregivers and public policy that affects caregiving families will be examined.

Nursing 520
Clinical Nurse Specialist Role Practicum.
503, 505, 506, 507, 508, P659, P660 (3). Seminar, Lab.
The purpose of the course is to prepare a clinical nurse specialist who functions autonomously and in collaboration with health care providers as a practitioner, educator, consultant, researcher and manager. Emphasis is placed on strategies relevant to the implementation of 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. The focus is on new and emerging roles and functions of the Clinical Nurse Specialist.

Nursing 521
Bio-behavior, Aging, and Mental Illness.
(3-4). Seminar, Web based.
This WWW-based course examines the impact of selected alterations in bio-behavioral processes characteristic of human aging on the expression of mental illness in aging adults. The complexity of the inter-relationship between aging processes, existing chronic physical and/or mental illness, and the emergence of new mental illness in late life will be analyzed. Dimensions of environment as both a precipitating factor in the development of mental illness and as a therapeutic resource will be evaluated. Issues of gender, race, culture, and ethnicity that impact both the expression of mental illness, and access and responses to appropriate treatment for aging adults will be examined. Current bio-behavioral research relating to mental illness in aging adults will be emphasized. Students will be introduced to the assessment of mental status and function in elders with complex physical and mental comorbidities across the aging trajectory using exemplar cases and seminar discussions.

Nursing 522
Frailty in Aging.
(3). Lecture, Web based.
This course elaborates the concept of frailty in old age. Complexities of multiple co-morbidities together with age-related changes in function and cognition are examined. Quality of life, end-of-life decision-making, and palliative care are included. Needs of families and caregivers and strategies for meeting these needs are addressed. The course also covers ethical, social, cultural, and financial issues involved in accessing and providing care to frail elders and their families. Resources available for meeting the needs of frail elders and their caregivers are examined. The use of technology for information access and communication is stressed.

Nursing 525
Issues in Aging & Mental Illness.
(3). Seminar, Web based.
This web-based course examines the impact of specific social, cultural, politico-legal, and economic factors on access to, quality of, and policy regarding mental health care for older Americans. Established and emerging social roles of the elderly, and elder heterogeneity, will be investigated in regard to their impact on the status of mentally ill elders as a marginalized group. Students will analyze policy initiatives in the care of mentally ill elders and critically evaluate current research literature focused on access to care and quality of care. Students will be introduced to appropriate research practices and issues in researching elders with mental illness.

Nursing 526
Managing and Evaluating Care of Frail Elders.
522, 622 and one clinical practicum course from the student's home program; concurrent enrollment in a clinical course that provides access to frail older adults. (3). Seminar.
This clinical seminar course provides opportunities for students to apply concepts of frailty to a population of elders. It is taken concurrently with a clinical course in the student's home program in which students have a minimum of eight hours a week of precepted clinical experience. Faculty in this course will work with the student's home program to ensure that suitable clinical experiences are available. Emphasis will be placed on working with an interdisciplinary care team, applying evidence-based interventions and evaluating clinical outcomes. Evidence-based standards are used to plan and evaluate the care of selected groups of frail elders and their families.

Nursing 530
Dementia: Assessment and Diagnosis.
Graduate Standing or P.I. (2). Lecture, Web based.
This course will provide practicing registered nurses, graduate nursing students and nursing faculty with a working knowledge of dementia assessment and diagnosis. Students will develop knowledge and skills in: recognition of dementia; differentiation of dementia from normal aging, depression, and delirium using the DSM-IV-RT categories; mental status assessment; and the diagnostic evaluation of dementia. Students will become familiar with the risk factors, pathological findings, clinical symptoms, and pharmacologic treatments for the principal causes of dementia, including Alzheimer's disease. Dementia with Lewy Bodies, and vascular dementia. Students will apply diagnostic reasoning to develop comprehensive nursing diagnoses for elders with dementia using case studies and client interviews. The impact of race and ethnicity on the presentation and interpretation of memory problems, access to quality diagnostic and treatment options, and family responses will be emphasized throughout. The course is available in web-based or intensive classroom formats.

Nursing 531
Dementia: Individualized Care.
Graduate Standing or P.I. (2). Lecture, Web based.
This course provides students with advanced nursing strategies and techniques in assessment and intervention for the individualized care of older adults with dementia across multiple settings. Students are expected to utilize research, national guidelines and other clinical resources pertinent in promoting optimum health and well-being, quality of life, and everyday functioning in people with dementia. Topics to be covered include: subjective experiences with dementia; theories to inform intervention approaches; instruments to assess quality of life to functional performance, physical health, and dementia-related behaviors; demographics and definitions of dementia-related behavior and pharmacologic, behavioral, environmental, psych-social and integrative/alternative medicine treatment principles. The course emphasizes the advanced practice nurse's role in addressing the person's needs and treatment options. The course objectives will review state of the art gerontological knowledge and develop the students' awareness of areas that are in need of future investigation.

Nursing 532
The Theoretical Base for Advanced Nursing Practice.
Graduate Standing or P.I. (3). Lecture, Web based*. Core.
This course focuses on critical analyses of theory and its use for advanced nursing practice. The inter-relationship between theory, practice and research is examined along with the nature of nursing's scientific body of knowledge. Various methods for developing scientific knowledge for practice are used to formulate knowledge for advanced practice.

Nursing 535
Strategy for Nursing and Health Care.
Graduate Standing or P.I. (3). Lecture, Web based*. Core
This course is designed to provide students as present and future leaders with a political, economic, and financial understanding of the health care system. In addition, fundamentals of strategy are introduced to facilitate the merging of the policy and financial side with the clinical dimension. Fundamental changes in system structure brought about by the growth of alternate health care delivery models, ethical issues, utility improvement and other aspects of health care reform will also be stressed.

Nursing 536
Utilization of Nursing Research in Advanced Practice.
532, 603 or concurrent; SON web-based Methods & Statistics Modules. (2-3). Lecture, Web based*. Core.
The primary goal of this course is to promote an evidence-based approach to advanced nursing practice. Evidenced-based research findings for nursing practice will be evaluated in terms of racial, ethnic, and socioeconomic relevance. An understanding of the research process, applicable theories, organizational dynamics, and leadership functions are applied to design and process of implementing research in health care settings.

Nursing 537
Health Promotion and Risk Reduction Across the Lifespan.
Graduate Standing or P.I. (1-3) Lecture, Web based*.
In this course, students will examine the theoretical and empirical bases for health promotion and risk reduction assessment and intervention in primary health care. Health objectives for the nation will provide the organizing framework for the consideration of health behaviors. Health promotion and risk reduction will be examined within an ecological perspective, including critical social, political, racial/ethnic, cultural and economic environments. Students will examine issues that impact individual, family, aggregate, and community wellness throughout the life span.

Nursing 542
Physiological Basis of Reproductive Health.
(3). Lecture. PCN.
Principles of genetics, embryology and physiology as they relate to the nursing care of the woman with reproductive health needs. Emphasis is given to the biological determinants of reproductive health across the age continuum especially during pregnancy, labor and delivery, and the postpartum period. Current research findings in each content area are presented in relation to their application to the health care management of the well woman.

Nursing 543
Advanced Pathophysiology Across the Lifespan for Advanced Practice Nurses.
(3). Lecture.
This course, which provides the foundation for clinical decision making processes and diagnostic reasoning in advanced practice nursing, focuses on pathophysiological processes in major organ systems in individuals across the lifespan. Alterations in cellular communication, genetic mechanisms, cell growth regulation, immunity, inflammation, and environmental influences are considered.

Nursing 545
Pharmacology and Pharmacotherapeutic Management of Common Minor and Acute Illnesses.
N541, and PI. (3). Lecture.
This course focuses on pharmacology and the pharmacotherapy of common minor and acute illness of infants, children, and adolescents. The design, implementation, and monitoring of pharmacotherapeutic management plans provide the structure of the content. The course builds on students' knowledge of normal developmental physiology and serves as the basis for the advance practice nurses' direct pharmacotherapeutic management of a variety of common minor and acute illnesses.

Nursing 546
Antepartum Care of Essentially Normal Women.
N542, N540, and PI. (2-5). Lecture/Lab, Web based. PCN.
Prepares the nurse-midwifery student to begin to function in the nurse-midwife role. Students manage the antepartum course of essentially healthy women while beginning to assess for deviation from normal, which may result in collaboration or referral. Psychosocial and cultural aspects of pregnancy within the family structure are applied to each topic. Issues of health enhancement, nutrition, exercise and sexuality are stressed.

Nursing 547
Infant, Child & Adolescent Health: Management of Minor Common Illnesses.
N549, Pathophysiology, Human Physiology or P.I. (3-6). PCN.
Examines the scientific basis of common health problems and factors influencing nursing management of these problems. Relevant nursing interventions for common health care problems of children in families are explored, as are the child's and family's responses and adaptation to common health problems.

Nursing 549
Infant, Child & Adolescent Health: Wellness.
Physical Assessment, N503, N541, N544, N545 or P.I. (1-6). Seminar/Clinical. PCN, CHN.
Focuses on issues relevant to the advanced theory based practice of nursing in providing primary health care to infants, children, and adolescents in families, including promoting physical and psychosocial health and development and managing various common child, adolescent, and parental concerns. Class topics will be approached from a development perspective. Attention will be given to cultural factors as they relate to health care needs. Selected theoretical/conceptual perspectives and current research will serve as the basis for formulating nursing intervention strategies. Clinical experiences in primary care settings will afford students opportunities to apply knowledge and skills in child health assessment, managing the preventive and promotion health needs of infants, children, adolescents, and their families.

Nursing 556
Human Resources.
N535 preferred. (3). Lecture, Web based. NBHS.
This course emphasizes contemporary approaches to the development and management of human resources that are complimentary to an organization' vision, strategy, and desired culture. Such approaches are placed in the context of a diverse and multicultural society. Students will examine their role as healthcare managers, executives, entrepreneurs, policy analysts, etc., in the management of people and their performance.

Nursing 558
Organization Analysis and Innovation in Nursing/Health Services.
N535 prior to or concurrent, or P.I. (4). Lecture. NBHS.
The purpose of this course is to both learn the complex dynamics of organizational process, structure, culture and outcomes, as well as, the method of organizational analysis. In addition, large and small organizational responses and resistance to change and innovation, as well as, methods of fostering creativity and positive change are included in this course. For the practicum component of the course, each student analyzes the human resource, financial, structural and cultural components of an actual organization.

Nursing 563
Community Health Nursing and Population Assessment.
N537 or concurrent; or P.I. (1-4). Lecture/Clinical. CHN.
The purpose of this course is to examine the conceptual foundations of nursing as a basis for developing partnerships with diverse populations to promote healthy communities, and to develop skills for analyzing community assets and needs in collaboration with communities. Students will contrast traditional learning and service-learning values, assumptions and paradigms for community health nursing practice; and will develop a philosophy and framework for collaborative practice with diverse communities.

Nursing 564
Theoretical Basis of Advanced Community Health Nursing Practice.
(2). CHN.
This course is designed to provide the student with an understanding of the conceptual foundations of community health nursing as a specialty area of practice. Emphasis is placed on those aspects of community health nursing practice that distinguish it from other nursing specialties. Implications for the student's own practice, the development of the nursing discipline, and health policy are discussed.

Nursing 565
Current and Emerging Issues in Home Health Care.
Graduate Standing or P.I. (2). CHN.
Provides a multidisciplinary group of graduate students with an overview of current and emerging issues in home health care as well as an historical perspective of the field. Organizational structures and services within home health agencies are reviewed. Emphasis is placed on analyzing how legislative, technological, economic, and social forces impact administrative planning and decision-making in home health care. Factors that influence professional and para-professional service delivery, health policy development, marketing strategies, and research development in home health, are also explored.

Nursing 566
Advanced Primary Care Nursing I: Health Promotion and Management of Acute Health Problems of Adults and Well Woman/GYN Care.
Prior or concurrent enrollment in N503 and N537 or P.I. for ANP and FNP student. Prior or concurrent 503 and N542 for NMW Students or P.I. (4-6). Lecture and Clinical, Web based*. CHN.
This course provides students with the knowledge and skills necessary to promote health, prevent illness, and manage the primary care needs of adults, including adolescent through older adults, from a variety of cultural, ethnic, and racial backgrounds while providing the conceptual basis for advanced nursing practice and midwifery. Health promotion/wellness models, and biopsychosocial and cultural theories are integrated throughout the course. Issues of age, gender, race, and sexuality are emphasized as well. Precepted clinical experiences and case presentations provide opportunities for students to apply this material to assessment (history taking, interviewing, physical examination), diagnosis, intervention, and evaluation of clients with health maintenance (including well-women gynecologic) needs and common acute problems. Role development of the nurse-midwife/nurse-practitioner within the community is explored. The nurse practitioner and nurse-midwifery management models of care are used in the provision of care to clients. Practicum credits include precepted clinical experiences and case conferences. Clinical assessment skills are evaluated through notes, evaluations, and precepted clinical experiences.

Nursing 567
Current and Emerging Issues in Advanced Community Health Practice.
Prior to or concurreng with N563 or P.I, (1-3). Seminar, Field experience. CHN.
This course provides students the opportunity to synthesize current and emerging issues in community practice, as well as a historical perspective of the field. Organizational structures, services, and innovative practice models within subspecialty practice will also be analyzed and refined. Emphasis will be placed on analyzing how legislative, technological, economic and social forces impact clinical and administrative planning and decision-making in community practice. Factors, which influence professional and para-professional community-based primary health care service delivery, health policy development, marketing strategies and research in a community health nursing subspecialty area, will also be explored. Field experience provides student opportunities to examine specialty service delivery models, traditional and nontraditional subspecialty practice, and current and emerging trends in community care and home health care.

Nursing 568
Critical Elements in the Study of Families and Health.
Graduate Standing, or P.I. (3). Lecture. CHN.
In this course, students will analyze multiple theoretical perspectives and empirical literature as a basis for understanding diverse families and the complex nature of the interrelationships among family, health, illness and health related behaviors across the life span. These interrelationships will be examined with the context of critical social, cultural/ethnic/racial, political, economic, and technical environments. Current trends regarding family structure and function will be analyzed to build a comprehensive understanding of the changing nature of families. Implications of family theories, nursing conceptual frameworks, and the empirical literature for clinical practice with families will be emphasized. Particular attention will be given to developing a theoretical approach to definition of family and family assessment, interviewing skills, and identification of family interventions that promote the health of the family unit.

Nursing 569
Computer Based Nursing Information Systems.
Graduate Standing. (3). Elective.
History and development of computer technology in relationship to the evolution of computer based information systems in health care. Special focus is on nursing information systems. Topics include computer hardware and software technology, including data base management principles; design of information systems; health care applications of information systems using main frame and mini/microcomputer hardware; and present and future directions for nursing in the development of computerized health information systems.

Nursing 570
Philosophy of Science.
(3-4). Core. Ph.D.
Systematic study of contemporary philosophy of science. Topics for discussion include the aims and methods of philosophy of science; the nature of scientific theories; theory change and confirmation; explanation, causation, laws, and probability; physics and metaphysics; and philosophy of social science. (Required for all students in the doctoral program.)

Nursing 572
Current and Emerging Issues in Occupational Health Practice.
Graduate Standing. (2). OHN.
This seminar focuses on the current and emerging issues in occupational health nursing practice. Factors affecting occupational health services to worker populations will be explored. Students will analyze the history and current and future practice of occupational health nursing.

Nursing 573
Acute Care and Gerontological Advanced Practice Nursing Theory I. N503, N502 (concurrent), Pharmacology 659 (concurrent).  (3). Lecture. GN, MSN.

This course focuses on acute health conditions in adults and older adults with an emphasis on health promotion and disease prevention.  Competencies for both CNS and NP advanced nursing practice are addressed.  Evidence-based, advanced practice nursing interventions (consistent with the CNS and NP roles) will be discussed to assess and manage acutely ill adults and older adults.  Issues of age, culture, race, gender, sexuality, genetics, psychosocial well-being and socioeconomic status will be addressed.  Health promotion, stress and coping and cultural theories are integrated throughout the course.  Primary, secondary, and tertiary levels of health promotion and disease prevention will be evaluated within inpatient/hospital settings and across hospital to clinic settings.  (e.g. ED, ICU, acute care units and specialty clinics.)  Other key concepts include diagnostic reasoning and decision-making skills, healthy lifestyle, patient and family education/counseling, and treatment seeking decisions of acutely ill adults and older adults.  Students will apply evidence based knowledge to develop a holistic management plan of care that addresses the complex health problems of adults and older adults. 

Nursing 574
Psychiatric-Mental Health Advanced Practice Nursing Theory I:  Psychiatric Assessment. N503, N502 (concurrent), Pharmacology 659 (concurrent). (3). Lecture. PMHN.

This course focuses on comprehensive psychiatric assessment of acute and chronic mental illness in people across the lifespan.  Competencies for both CNS and NP advanced nursing practice are addressed.  It builds upon knowledge and skills acquired in prerequisite courses and provides a theoretical framework for advanced assessment and treatment planning.  Theories of psychological development (e.g., attachment, object relations, psychodynamics), stress and coping, health promotion and cultural competence are foundational. Integration of this theoretical foundation with knowledge of brain function, neurochemistry, and genetics provide the structure for development of advanced diagnostic reasoning and clinical decision making skills.  Practice considerations regarding therapeutic communication, mental status examination, screening tests, DSM differential diagnosis, case formulation and treatment planning will be addressed from a case-based problem-focused learning approach.  Students will learn about use of psychotropic medication as part of the psychiatric assessment process.  Additionally, students will examine the important role of family, culture, and community systems in adaptive and maladaptive coping of psychiatric patients and their families.  Evidence-based, advanced practice nursing interventions (consistent with the CNS and NP roles) will be discussed.

Nursing 575
Acute Care and Gerontological Advanced Practice Nursing Theory II. N502, N503, N573. Pharmacology 659, Pharmacology 660 (concurrent).  (3). Lecture. GN, MSN.

This second management course focuses on complex chronic health conditions and their acute exacerbations in adults and older adults, including multiple co-morbidities and functional losses.  The course builds on knowledge and skills from Advanced Practice Nursing Theory I, Clinical Practicum I, Pathophysiology, Pharmacology, and other core courses.  Evidence-based, advanced practice nursing interventions consistent with the CNS and NP roles will be discussed to assess and manage complex chronic health conditions and the impact on self-care management practices, family care giving, surrogate decision-making, quality of life, and end-of-life.  Issues of age, culture, race, gender, sexuality, genetics, psychosocial well-being and socioeconomic status will be addressed.  Other key concepts include patient and family education/counseling, ethical principles/standards, interdisciplinary collaboration, and community resource utilization.  Students will utilize conceptual and theoretical frameworks and evidence-based knowledge to develop an advanced practice management plan of care to address the chronic complex health care needs of adults and older adults.  Emphasis will be placed on maximizing quality of life and minimizing the negative sequelae associated with acute exacerbations of chronic illnesses and managed within tertiary acute care and sub acute care settings.

Nursing 576
Psychiatric-Mental Health Advanced Practice Nursing Theory II: Psychotherapeutic Interventions. N502, N503, N574, Pharmacology 659, Pharmacology 660 (concurrent). (3). Lecture. PMHN.

This second theory course focuses on therapeutic intervention and management of psychiatric illnesses across the lifespan.  It builds on knowledge and skills from advanced biobehavioral theory and diagnostic assessment skills acquired in Psychiatric Assessment Theory I.  Nonpharmacological and pharmacological treatments are examined.  Nonpharmacological therapeutics such as behavioral, milieu, cognitive, family, and psychodynamic therapies are examined for their applicability to specific clinical problems.  Emphasis is placed on individual and group psychotherapy theory and practice issues.  Pharmacological therapeutics content builds on pathophysiology and pharmacology coursework and addresses prescribing issues and use of current research findings in clinical decision making.  The course examines primary, secondary, and tertiary prevention relevant to diverse populations.  Other key concepts such as ethics, safety, documentation, and interdisciplinary collaboration are emphasized.  Students will learn through a variety of formats including seminar participation, experiential learning, and on-line activities.  Evidence-based, advanced practice nursing interventions consistent with the CNS and NP roles will be addressed.

Nursing 577
Acute Care and Gerontological Advanced Practice Nursing Clinical Practicum I. N502, N503, N573, Pharmacology 659, Pharmacology 660 (concurrent). (3). Seminar, clinical. GN, MSN.

This precepted clinical practicum provides students the opportunity to obtain a comprehensive health history, apply advanced physical assessment skills, and utilize advanced physiology/pathophysiology, and pharmacology knowledge to promote health, prevent illness, and manage acutely ill in adults and older adults.  Selected health promotion, stress and coping, cultural theories and evidence-based findings will be applied to manage acute health conditions of adults and older adults from diverse backgrounds (e.g. age, culture, ethnicity, race, sexuality, and socioeconomic status).  Emphasis will be placed on primary, secondary, and tertiary levels of health promotion and disease prevention.  Students will evaluate laboratory and diagnostic data to determine health status and prioritize differential and nursing diagnoses.  Regular seminars provide a forum for students to receive instructions, consultation, and supervision from faculty and to share this learning process with their classmates.  Seminars build upon an evidence-based practice model and emphasize diagnostic reasoning, critical thinking, problem solving, and decision-making.  Case studies examples are used as the basis for discussion.  Students will be placed with clinical preceptors appropriate to their role (e.g. CNS or NP).

Nursing 578
Psychiatric-Mental Health Advanced Practice Nursing Clinical Practicum I. N502, N503, N574, Pharmacology 659, Pharmacology 660 (concurrent). (3). Seminar, clinical. PMHN.

This first precepted clinical practicum provides students the opportunity to obtain a comprehensive psychiatric history, apply advanced psychiatric and physical assessment skills, and utilize advanced physiology/ pathophysiology, psychopathology, and pharmacology knowledge to promote health, prevent illness, and manage acute and chronic conditions in psychiatric patients across the lifespan.  Selected psychological, health promotion, stress and coping, cultural theories and evidence-based findings will be applied to manage the psychiatric conditions of people from diverse backgrounds (e.g. age, culture, ethnicity, race, sexuality, and socioeconomic status).  Students will evaluate laboratory and diagnostic data along with family and community systems data to determine psychiatric status and prioritize differential and nursing diagnoses.  Regular seminars provide a forum for students to receive instructions, consultation, and supervision from faculty and to share this learning process with their classmates.  Seminars build upon an evidence-based practice model and emphasize diagnostic reasoning, critical thinking, problem solving, and decision-making.  Case study examples are used as the basis for discussion.  Students will be placed with clinical preceptors appropriate to their role (e.g. CNS or NP).

Nursing 579
Acute Care and Gerontological Advanced Practice Nursing Clinical Practicum II. N502, N503, N573, N575, N577, Pharmacology 659, Pharmacology 660, N610 (concurrent). (3). Seminar, clinical. GN, MSN.

The second precepted clinical practicum focuses on complex chronic health conditions of adults and older adults chronic health conditions of adults and older adults.  This practicum builds on knowledge and skills obtained from Clinical Practicum I, prerequisite courses and other core courses.  Evidenced based advanced nursing interventions will be applied to manage complex chronic health conditions and acute exacerbations of adults and older adults from diverse backgrounds (e.g. age, culture, ethnicity, race, sexuality, and socioeconomic status).  Emphasis will be placed on strategies that maintain and/or maximize function (physical and cognitive), promote self care management practices and optimize quality of life.  Complimentary and alternative therapies and family caregiver issues will be discussed.  Students will analyze laboratory and diagnostic data to determine the sequelae of chronic health conditions and prioritize differential and nursing diagnoses.  Students will design a personalized patient and family education plan including an effective learning environment and evaluating outcomes.  Seminars provide a forum for students to present and discuss case studies, incorporate evidenced based guidelines, and promote continuity of care and manage chronic health conditions.  Students will be placed with clinical preceptors appropriate to their role (e.g. CNS or NP).

Nursing 580
Psychiatric-Mental Health Advanced Practice Nursing Clinical Practicum II. N502, N503, N574, N576, N578, Pharmacology 659, Pharmacology 660, N610 (concurrent). (3). Seminar, clinical. PMHN.

The second precepted clinical practicum focuses on management of acute and chronic conditions of psychiatric patients across the lifespan.  This practicum builds on knowledge and skills obtained from Clinical Practicum I, prerequisite courses and other core courses.  Evidence based psychopharmacological and nonpharmacological therapeutic interventions will be applied to manage psychiatric conditions of patients from diverse backgrounds (e.g. age, culture, ethnicity, race, sexuality, and socioeconomic status).  Emphasis will be placed on integration of theory and practice of individual, couples, group and family therapies as well as complementary and alternative therapies.  Students will analyze best available research evidence on therapeutic communication strategies that reduce emotional distress, facilitate cognitive and behavioral change, foster personal growth, maintain and/or maximize function (physical and cognitive), promote self care management practices and optimize quality of life.  Students will analyze laboratory and diagnostic data to determine treatment options for acute and chronic psychiatric conditions.  Students will design a personalized patient and family education plan utilizing an effective learning environment and evaluation outcomes.  Seminars provide a forum for students to present and discuss case studies, incorporate evidence based guidelines, and promote collaborative continuity of care in the management of psychiatric patients across the lifespan.  Students will be placed with clinical preceptors appropriate to their role (e.g. CNS or NP).

Nursing 582
Advanced Nurse Practitioner Skills Laboratory.
505, 506 or concurrent (2).
This course for the Acute Care Practitioner student provides advanced physical assessment and planning for the nursing management of acute and complex health problems of patients with life-threatening illness or injury. The student will perfect skills in physical and psychosocial appraisal and integrate knowledge of physical, physiological, and emotional changes that occur as a result of an acute onset health problem. For Gerontological Nurse Practitioner the course provides advanced health assessment, advanced assessment and advanced planning for nursing management of health problems of the older adult population. The student will perfect skills in health appraisal and ensure basic understanding of normal physiological changes that occur as a result of the aging process.

Nursing 583
Elders with Mental Illness: Designing and Managing Care.
521. (1). Seminar, Web based. Elective.
The WWW-based course provides opportunities for students to apply comprehensive mental health assessment and management skills to elders in acute, supported living and community settings. Emphasis will be placed on the comprehensive mental status assessment and management of elders (and their significant others) representative of three typical clinical presentations: 1) an elder with a pre-existing serious and persistent mental illness, for example, chronic schizophrenia or bi-polar disorder, living in the community; 2) a previously physically and mentally healthy elder admitted to acute care with a newly diagnosed mental illness, for example anxious depression; and 3) an elder with complex physical and mental co-morbidities characteristics of aging, for example a pre-diabetic client with cardiovascular disease and an isolated memory impairment who has suffered a recent spousal bereavement and is living in supported care. Students will use a variety of screening tools and existing best practice guidelines to augment MSA findings. Focused exemplar case studies to generate nursing management protocols for simulated clients using critical thinking skills.

Nursing 584
Elders with Mental Illness: Clinical Experience.
521, 583 concurrent. (1). Lab. Elective.
This course is a traditional clinical experience taken concurrently with N583. It provides opportunities for students to obtain clinical experience in the ongoing care of elders diagnosed with mental illness in acute, day program and supported living settings. Emphasis will be placed on the development and critique of therapeutic relationships with mentally ill elders, the care milieu, understanding the client in the context of their current and previous life, the baseline assessment of mental status, and the identification and documentation of alterations in mental status assessment over time.

Nursing 585
Advanced Nurse Practitioner Clinical Practicum.
582, P659, P660 or concurrent. (3).
This clinical nursing course is for preparation related to specialty nurse practitioner roles and advanced nurse certification. The focus is on advanced assessment, diagnosis, planning and evaluation of clients/patients and their families with complex problems. Emphasis is placed on recognizing, differentiation and managing the interrelationships of multiple variables within patient care. The student will select and apply theories from nursing and bio/psycho/social sciences to plan, manage, and evaluate health care services. Building upon this theoretical foundation within the nursing perspective the student will incorporate clinical research data in decision-making. Expertise will also be developed in articulating the nursing perspective in multidisciplinary care team deliberations.

Nursing 603
Data Management, Analysis and Representation for Advanced Practice in Nursing.
A basic course in descriptive and inferential statistics; SON Web-based Methods and Statistics Modules. Computing skills: It is also assumed that before enrolling in N603, students will have acquired essential skills in the use of The University of Michigan computing facilities, including use of e-mail, creating files, word processing and graphics. (2). Lecture. Core.
This course is an in-depth coverage of the strategies involved in data management and data analysis, including statistical procedures and interpretation of data, for nursing research, and relevance to clinical practices. Students will apply knowledge of descriptive, parametric, and non-parametric, univariate, and selected multivariate approaches to data analysis. Emphasis will be on interpretation of statistical results and evaluation of published research and its applicability to clinical practice. Interpretation of statistical results and published research will be evaluated in terms of potential bias and relevancy related to gender, race, ethnic, socioeconomic, and sociodemographic factors. Computers will be used for data analysis. SPSS for windows will be the statistical system used in the course.

Nursing 606
Management for Occupational & Environmental Health & Safety (OEHS) Professionals.
Grad or P.I. (1-2). Seminar.
This course provides students with the opportunity to obtain a broad base of business knowledge and skills and to critically examine the specific functions of OEHS managers in a variety of worksites. Particular focus will be placed on helping students understand and respond to factors in rapidly changing socioeconomic and technological work environments, which affect OEHS services delivery and related organizational and managerial strategies. Application of fundamental management principles and practices of organizational behavior and group dynamics, human resource management, financial management and resource allocation, and services management will be emphasized. Guest speakers from various disciplines will be utilized for most content areas to foster students' learning experience in a broader multidisciplinary context. The group project will enhance the students' ability to apply business planning principles to OEHS management.

Nursing 608
Topics in Advanced Nursing Practice Specialty I.
(2). Seminar.
This seminar focuses on therapeutic interventions based on biopsychosocial theories, evidence-based standards of care, and practice guidelines used by advanced practice nurses with patients requiring acute and chronic care. Students learn the theoretical and empirical bases for selection of appropriate approaches and techniques related to their advanced practice nursing specialty area of acute care, psychiatric-mental health, or gerontological nursing. Discussion emphasizes critical analysis and evaluation of intervention options. The course addresses primary, secondary, and tertiary care relevant to specific, diverse patient populations in out-patient and in-patient settings. Students learn through a variety of formats including seminar participation, experiential learning, and on-line activities.

Nursing 609
Topics in Advanced Nursing Practice Specialty II.
(2). Seminar.
This seminar focuses on therapeutic interventions based on biopsychosocial theories, evidence-based standards of care, and practice guidelines used by advanced practice nurses with patients requiring acute and chronic care. This seminar covers topics different than those presented in N608. Students learn the theoretical and empirical bases for selection of appropriate approaches and techniques related to their advanced practice nursing specialty area of acute care, psychiatric-mental health, or gerontological nursing. Discussion emphasizes critical analysis and evaluation of intervention options. The course addresses primary, secondary, and tertiary care relevant to specific, diverse patient populations in out-patient and in-patient settings. Students learn through a variety of formats including seminar participation, experiential learning, and on-line activities.

Nursing 610
Acute Care, Gerontological and Psychiatric Advanced Practice Nursing Theory III: Managing and Negotiating Health Care Delivery. N502, N503, N573 (acute and gero students only), N574 (psych students only), N575 (acute and gero students only), N576 (psych students only), Pharmacology 659, Pharmacology 660. (3). Lecture. GN, MSN, PMHN.

This capstone course prepares the CNS and NP students to synthesize and apply knowledge to manage and negotiate health care delivery systems that address clinical management challenges.  Organizational structure, function, and resources across the continuum of care will be analyzed.  Other key concepts include interdisciplinary problem solving, business strategies, negotiating legislative change, and health care system financing.  Students will develop a clinical management plan that advocates for micro level policies that will positively impact the delivery of accessible, cost-efficient, quality health care for people of all ages.  Authorized scope of practice, and legal, and ethical considerations that support health care delivery decisions will be incorporated.

Nursing 611
Acute Care, Gerontological and Psychiatric-Mental Health Advanced Practice Nursing Clinical Practicum III.N502, N503, N573 (acute and gero students only), N574 (psych students only), N575 (acute and gero students only), N576 (psych students only), N577 (acute and gero students only), N578 (psych students only), N579 (acute and gero students only), N580 (psych students only), N610, Pharmacology 659, Pharmacology 660, N504 (concurrent). (4). Seminar, clinical. GN, MSN, PMHN.

This capstone clinical practicum course prepares the acute care, gerontological, and psychiatric-mental health students to synthesize and apply concepts and knowledge critical for professional advanced practice nursing.  Students will synthesize knowledge of health care delivery systems, organizational structures, finances, and resources with advanced physical and psychiatric assessments, pathophysiology, psychopathology, and pharmacology knowledge into the management plan of care for their patient population.  Emphasis will be placed on evidence-based strategies that optimize the delivery of accessible, cost efficient, quality health care by acute care, gerontological and psychiatric-mental health advanced practice nurses.  Other key issues include monitoring the quality of care and engaging in practice consistent with the authorized scope of practice.  Students, in collaboration with their preceptors, will be accountable for increasingly independent management of the holistic health care needs of adults, older adults and psychiatric patients across the lifespan.  Students will be placed with clinical preceptors appropriate to their role (e.g. CNS or NP).

Nursing 634
Advanced Nursing Management.
N556, N651, HMP605/N655, N659 (3). Lecture, Web based. NBHS.
The purpose of this advanced management course it to analyze the underlying premises, theories, research, and state of the art models and practices regarding current and future challenges facing the profession of nursing. The content will include an analysis of the role of the nurse manager in today's healthcare environment along with methods of achieving quality patient care, patient satisfaction, staff satisfaction with their jobs and work environment, and the financial success of the organization.

Nursing 636
Patient Safety and Quality Outcomes: Methods and Leadership.
Grad or P.I. (3). Seminar. NBHS.
This web-based course focuses on the identification, implementation, and evaluation of patient safety and quality of care outcomes. The course provides students with a theoretical and methodological foundation for understanding and applying patient safety and quality of care outcomes within the current clinical and health care environment. Safety applications in other high-risk industries will be reviewed and applied to nursing and the healthcare industry. Students will learn how a patient safety and quality measurement system are part of the health care organization strategic goals. Particular emphasis will be given to the identification, implementation, and evaluation of quality indicators for patient safety and other patient outcomes. Patient safety and quality indicators will be evaluated for their sensitivity and specificity to clinical care. The role of clinical leadership and management in error prevention and maintenance of patient safety will be addressed.

Nursing 640
Nursing Care of Childbearing Families.
N540 (1-4). Lecture. PCN, CHN.
Theoretical basis for nursing management of the health needs of childbearing families. Emphasis is on the nursing management of women during antepartal, intrapartal, and postpartal periods. Content in each segment of the childbearing year focuses on developmental tasks, bio-psycho-social responses, and common health problems. In a variety of clinical settings, students function in an advanced nursing role to provide comprehensive health care to childbearing families.

Nursing 641
Advanced Nursing of Critically Ill Infants and Children I.
N538, N541 or taken concurrently. (4). Lecture/Clinical. PCN.
Addresses the scientific and theoretical bases of the nursing care of critically ill hospitalized neonates and children and their families. Knowledge from a variety of sciences, (e.g., nursing, pharmacology, physiology, and social and behavioral sciences), are integrated into an ecological perspective that addresses the neonates' and children's bio-psycho-social responses and needs. Clinical experiences provide Nursing 644 an opportunity to develop advanced nursing skills.

Nursing 644
Advanced Nursing of Critically Ill Infants and Children II.
N538, N541,N641. (4). Seminar/Clinical. PCN.
Focuses on the in-depth clinical management of the biophysical responses to and consequences of critical illness in neonates, children, and their families in a variety of settings. Bio-psycho-social responses and consequences, selected empirical and theoretical perspectives, and ethical and societal issues are the basis for the formulation, provision, and evaluation of advanced nursing process. Attention is focused on the clinical management of neonates, children, and their families within an ecological framework. Clinical experiences in selected institutions and agencies afford students opportunities to develop in-depth clinical knowledge and practice skills. Clinical experiences also afford students opportunities to concentrate on the development of skills necessary for the corollary roles (e.g., consultant, educator, researcher) of the clinical nurse specialist engaged in advanced nursing practice.

Nursing 645
Advanced Practicum in Women's Health.
N540 and N640. (4). Elective. PCN.
Provides an extended opportunity to assess the health needs of women and to manage commonly occurring health conditions. Emphasis is on the practice of the role of OB/GYN nurse practitioner through increasingly independent management of a full case load. Clinical will approximate that of full-time clinical practice with its requirements for quality health care, follow-up contacts, and interdisciplinary working relationships.

Nursing 647
Infant, Child & Adolescent Health: Models of Advanced Practice.
N547, N549, N649, or P.I. (1-4). Seminar/Clinical. PCN.
This course focuses on the multidimensional roles of the Clinical Nurse Specialist (CNS) in providing indirect care to children with chronic illness/disability and their families, in a variety of settings. Students will continue to develop expertise in the direct care of children. The course takes a categorical/noncategorical approach to illness and its management. The course promotes theoretical application during a clinical practicum in a specialty area. This experience provides students opportunities to practice collaboratively, applying advance knowledge, skills, and the nursing process in delivering comprehensive care within the nursing practice framework.

Nursing 648
Management of Acutely & Critically Ill Child.
N647, Pharm 547, Pediatric Advanced Life Support, or taken concurrently. (9). Seminar/Clinical. PCN.
This course will focus on the role of the acute care nurse practitioner in providing, coordinating and overseeing medical and nursing management of acutely and critically ill pediatric patients in the tertiary care setting. Building upon foundational knowledge in nursing, primary health care, Pathophysiology, pharmacotherapy, behavior and development, and clinical experiences in pediatric primary and acute care, students will acquire additional knowledge, approaches to management, and technical skills specific to a medical specialty of choice necessary to assess, manage, monitor, and evaluate pediatric patients' responses to illness and treatment. Clinical experiences will be intensive and precepted closely by pediatric subspecialists and pediatric nurse practitioners for students to gain the necessary expertise to begin to practice independently. Seminars will provide opportunities to present and discuss clinical cases and their management in relationship to role development and transitions to advanced practice. Lecture rounds will supplement seminars and clinical experience.

Nursing 649
Infant, Child & Adolescent Health: Children with Chronic Conditions.
N549, Human Physiology, Pathophysiology; or P.I. (1-4). Lecture/Clinic. PCN, CHN.
This course will focus on the provision of health care to infants, children, and adolescents with selected chronic conditions. Students will incorporate into advanced nursing practice the knowledge and skill of pediatric primary health care, a developmental focus, and theoretical and conceptual perspectives important for management of children with chronic conditions and their families. These perspectives include stress, coping, adjustment to a chronic condition, self-management, inclusion, and cultural variations as they relate to the experiences of children and their families living with and managing a chronic condition. The condition-specific as well as common health promotion needs facing children with chronic conditions will be emphasized as will the health problems associated with care and management of the medical conditions over the long term. Clinical placements will be selected to enhance advanced practice nursing interventions including case management activities, and provide multidisciplinary collaboration in the care of children with chronic conditions.

Nursing 651
Quality and Operations Management.
(4). Lecture, Web based. NBHS.
The purpose of this course is to prepare the nurse leader to apply decision-making and financial management tools to the planning, implementing and evaluating of cost effective quality patient care. Quality management theory and practice will be discussed. Use of quantitative and qualitative tools and techniques will be emphasized in the context of how leaders implement the organizational strategic plan.

Nursing 653
Nursing Systems Internship.
N556, N651, N652 or concurrent; or P.I. (3). Seminar, Web based. NBHS.
The purpose of the internship is to provide an organizational-based practice setting in which the student can apply knowledge and skills learned in the classroom. The internship is an individualized experience that builds on the student's special interests, prior experience and personal strengths and weaknesses. It provides an opportunity to become actively involved in the roles of nurse leader under the preceptorship of an experienced nurse manager in a health care organization. Students are expected to assume responsibility for, or participate in, at least one major project under the direction of the preceptor while fulfilling the requirements for the internship. Weekly seminars are held to facilitate learning through discussion with one's peers.

Nursing 654
Nursing Informatics.
N556, N651, HNP605/N655, N657. (3). Lecture, Web based. NBHS.
The purpose of this course is to provide nurse leaders with a working understanding of the technical, user, and environmental factors that must be considered in building computerized clinical nursing information systems to provide quality information that supports nursing care and resource decisions. The capability currently exists to collect the requisite clinical, administrative, and financial data through automated systems. This course will focus on methods of identifying necessary changes to improve cost, quality, and access to care.

Nursing 655/HSMP605
Managerial Accounting for Health Care Administrators.
Graduate Standing. (4). Lecture, Web based. NBHS.
The purpose of this course is to impart to generalist administrators a knowledge of finance and accounting necessary to manage health care organizations. Topics covered include an introduction to financial accounting, cost accounting, budgeting and control, pricing, capital expenditure analysis, and financing.

Nursing 657
Innovation and Change.
(3). Lecture, Web based. NBHS.
This course prepares nurse leaders to design new health delivery methods by studying and applying the theoretical frameworks, skills and tools necessary to create successful and sustainable change.

Nursing 659/HMP605
Systems Assessment and Strategic Planning.
Any 2 of 3: N556, N651, N655/HMP605. (4). Lecture, Web based. NBHS.
This course is designed to apply systems knowledge and skills to a real life assessment of a healthcare organization. It focuses on integrating systems components and analyzing their interactions. Particular emphasis is given to the development of systems assessment techniques such as interviewing, document analysis and synthesis, and on site observations. Students, working in small groups to conduct their organizational assessment, apply teamwork didactic content presented in other courses in the curriculum. Although one credit of the four for the course is devoted solely to the actual time spent conducting the assessment, it is also an integral part of all other assignments and requirements for the course.

Nursing 662
Nursing Entrepreneurship.
N659 or concurrent. (3). Discussion/Web based. NBHS.
This course presents the entrepreneurial and the service/product development processes as they relate to nursing. The focus is on the development implementation and evaluation of new ventures. Strategies for dealing effectively with uncertainty, risk, and failure and for promoting services and products are explored. Personal lifestyle and characteristics of the entrepreneur are also included.

Nursing 664
Nursing and Health Policy.
N657 and N659. (3). Lecture, Web based. NBHS.
This course focuses on the process of nursing and healthcare public policy development. Four stages of public policy development form the basic structure of this course: agenda setting, policy formation, policy implementation and policy evaluation. Federal, state and local political structures and functions are explored along with the hierarchy of political involvement, interest groups and lobbying, advocacy strategies, ethical issues, media relations and the public policy change process. Example nursing and health care policies are analyzed retrospectively to illustrate the key concepts covered in the application of the concepts presented in the course.

Nursing 666
Advanced Primary Care Nursing of Chronic Illness in Adults & Their Families.
N566, Pharm 621 or concurrent. (1-4). Seminar/Clinical. CHN.
This course develops and broadens students primary care knowledge, skills, and clinical judgment. Content includes primary health care needs of individuals and their families in screening, preventing, and managing common chronic conditions. Content addresses the impact of chronic illness on individual health/disease states, the family and use of resources.

Nursing 667
Behavioral and Lifestyle Management in Primary Care.
N666 or P.I. (3-4). Seminar/Practicum. CHN.
This course is designed to prepare the student to assess and manage behavioral, developmental, and lifestyle issues in primary care. Individual, family and group intervention strategies are emphasized. Common mental health issues and counseling and teaching strategies relevant to primary care are included.

Nursing 672
Teacher Strategies in Nursing.
(3). Lecture. Web based.
This competency based course will provide an introduction to the role and function of the nurse involved in staff development, patient education, and a faculty role. Following the consideration of philosophies and theories of teaching and learning, students, will focus on applying the principles of curriculum and training program development for nursing through an understanding of the characteristics of learners, analysis of needs assessments, development of instructional objectives and design of a course. A variety of both traditional and innovative teaching and evaluation methodologies will be explored as will the process of course construction. An individual practical application assignment in designing and presenting a course module will facilitate development of knowledge and skill.

Nursing 676
Intrapartum, Postpartum, and Newborn Care.
N540, N542, N546, or, P.I. (2-7). Lecture/Clinical, Web based. PCN.
Provides the knowledge needed for the care and management of the uncomplicated mother and baby through intrapartum and the immediate postpartum period. The student is expected to screen for common complications and manage selected emergency situations. Assessment and care for the newborn in transition from an intra-uterine to extra-uterine environment is included. Parent-infant attachment is included, with promotion of childbearing education to families of varying cultural origins.

Nursing 677
Nurse-Midwifery IV-Integration: The Childbearing Cycle.
N676, P.I. (2-4). Clinical. PCN.
Provides the student with a clinical practicum to synthesize the management of women during the childbearing cycle, including management of newborns and women's health care into one entity, and to practice as a professional nurse-midwife. The course builds on earlier learning and presents new opportunities for decision-making, childbirth education, and management of care of families with varying cultures and beliefs. The course prepares the student to practice in a nurse-midwifery service, which subscribes to the Standards for the Practice of Nurse-Midwifery.

Nursing 678
Professional Issues in Nurse-Midwifery.
N676 and P.I. (2). Seminar, Web based. PCN.
The role of the nurse-midwife in contemporary society is explored. The historic, political and economic bases of nurse-midwifery practice are examined. Students become familiar with documents of the American College of Nurse-Midwives, as well as regulations and legislation, which guide, interpret and provide a legal and ethical base for future nurse-midwifery practice.

Nursing 679
High Risk Perinatal Nursing.
N676 and P.I. (2). Seminar, Web based. PCN.
Focuses on pathological (or potentially pathological) factors related to biological, psychological, cultural and social aspects of pregnancy and childbirth. Students acquire skills to recognize, assess and refer (for co-management with or complete management by a physician) those health problems, which fall outside of appropriate/safe nurse-midwifery management.

Nursing 683
Community Health Nursing with Systems.
Prior or concurrent enrollment in N664, or P.I. (3). Seminar. CHN.
This course provides students with the opportunity to critically examine the specific functions of nurse managers in a variety of community health specialties: occupational health, home health, community care, as well as other specialties of students' interest. Particular focus will be on assisting students to understand and respond to factors in the rapidly changing environment which affect community health nursing clinical, organizational, and managerial practices. Principles and practices of human resource management, resource allocation, and services management will be emphasized. Seminars allow students to examine the unique aspects of managerial theory and decision making applicable to their specialty area of focus: community care, home care or occupational health nursing.

Nursing 684
Community Oriented Population Specific Nursing Interventions.
Prior or concurrent enrollment in N664, or P.I. (3). Seminar/Practicum. CHN.
This course provides students an opportunity to critically examine community-oriented population-specific nursing interventions in a variety of community health nursing specialties such as community care, occupational health, and home care. Students, with faculty consultation, can tailor this course to other populations of interest. The students will identify a focus of community practice in which to test the applicability of an intervention in a field setting. Students will utilize both a limited practice experience and seminar experiences to accomplish course objectives.

Nursing 685
Advanced Community-Oriented Nursing Practicum.
N683, N684, or P.I. (4). Practicum. CHN.
This course provides students an opportunity to synthesize and apply in-depth understanding of community health nursing theories and practices in a specialty of student's choice: community care, home health care, occupational health, as well as other specialties of students' interest. Through a practicum experience, students plan, execute, and evaluate specialty community health nursing services and practice leadership skills. Congruent with their selected area of specialization and career goals, students have a clinical experience in a home care, occupational health, community care, or another specialty setting. Within this setting, students enact a leadership role focused on enhancing advanced skills related to clinical, managerial or both types of practice. During the integrated clinical seminar, students analyze patterns for the delivery of specialty community health nursing services, examine factors which influence decision-making in advanced practice, consider the implementation of interdisciplinary practice in their specialty area, and examine their own strengths and areas for future growth as advanced practitioners.

Nursing 686
Interventions with Aggregates and Communities.
N563 or concurrent; or P.I. (1-6). Lecture/Clinical. CHN.
This course provides students with an opportunity to collaboratively design and implement a community intervention that targets a selected objective identified with a community. In collaboration with faculty and primary care providers in the target community, such as geopolitical jurisdictions, worksites, schools or distinct cultural neighborhoods, students will tailor the intervention to be culture and gender sensitive and developmentally appropriate. Students will implement the intervention in the context of their subspecialty (e.g., community care, occupational health, and home health care). Students will complete practicum and use experiential learning and dialectical seminars to accomplish course objective.

Nursing 687
Managing Community Based Systems.
N686 or concurrent or P.I. (1-6). Lecture, clinical. CHN.
In this course, students integrate practice models for community-based primary health care services, delivery and management concepts and principles, and examine how nurse managers address the challenge of shaping the systems in which they function. Emphasis is placed on assisting students in understanding and responding to factors in the rapidly changing environment which affect primary health care clinical services and related organizational and managerial practices. Principles and practices of human resource management, resource allocation, and services management will be emphasized. Leadership roles in community-based systems and factors, which facilitate or hinder role enactment, will also be addressed. Opportunities to examine the unique aspects of managerial theory and decision making and clinical service delivery applicable to a subspecialty area of focus will be provided through didactic and practicum learning experiences.

Nursing 688
Advanced Primary Care Nursing of Adults and Families within Complex Systems.
N547, N666 or PI. (3-4). Lecture/Practicum. CHN.
This capstone course prepares students to synthesize and apply concepts and knowledge for primary care advanced practice nursing with individuals, families and communities. Students refine independent practice skills in preceptorship experiences. Influences of professional issues, community health advocacy, and political and practice environment on advanced primary care practice are analyzed.

Nursing 695
Selected Topics in Nursing.
(1-4). Elective.
This master's-level course consists of selected topics or clinical phenomena in nursing. The topic will be announced one semester in advance.

Nursing 697
Independent Study.
(1-4). Elective.
Independent study is intended to enable master's students to engage in in-depth exploration of a specific topic of their choice. The student develops objectives and a study plan in consultation with a faculty member. The plan includes the nature of the independent study, the objectives, the expected outcome (such as a project, paper, and the like), and the grading procedures. The nature and amount of time and guidance to be provided by the faculty member are also determined. Independent study projects are intended to be pursued independently, under the overall supervision of the faculty member.

Nursing 699
Nursing Scholarly Project.
P.I. (1-8). Core.
All master's degree students are required to engage in a culminating experience which synthesizes relevant domains of knowledge and makes a contribution to generation or application of knowledge to enhance practice, education, theory, or policy. A choice of subject and approach facilities relevance to students' careers goals. A final scholarly product must be generated as a result of the experience. Students may choose among projects that focus on research, practice or health policy. This course is required for all master's students. Although students may need to register for additional credits to complete the project, no more than 2 credit hours may be used for the graduation requirement.

Nursing 724
Genetic Nursing Seminar: Translation of Genetics into Nursing Care Innovations. Epid 515 or equivalent; Epid 516 or equivalent. (3-4). Seminar. Genetics.
The course is designed to provide a guided experience in applying the basic concepts and principles of genetics to clinical nursing phenomena for all enrolled students. Students electing the additional credit will be required to perform a basic scientific exploration of the phenomenon. Using case-based methodology, students will be asked to integrate the concepts and principles of genetics, genetic testing, genetic diseases, and strengths and limitations of genetic therapies to develop a clinical intervention model that will address their phenomenon of interest. Ethical, legal, and clinical practice issues and perspectives, including, but not limited to bias, will be addressed, as well as the evolving role of the genetics nurse specialist.

Nursing 795
Selected Topics in Nursing.
(1-4). Elective. PhD.
This doctoral-level course consists of selected topics in nursing or nursing research. The topic will be announced one semester in advance.

Nursing 797
Independent Study.
(1-3). Elective.
This course is an independent study in the field of nursing research for students in the doctoral program.

Nursing 801
Directed Study in Development of Nursing Science.
Completion of 500 & 600 level courses, Doctoral Student Standing or P.I. (3). Core.
The purpose of this course is to provide opportunities for students to begin to conceptualize a nursing phenomenon in their area of interest. Processes of intellectual activity will be emphasized to enable students to: critically evaluate the linkage between clinical practice and research; raise relevant issues about nursing research; and engage in constructive critique and commentary. Using experiential observations as well as published theoretical and research literature, students will begin to conceptualize and develop a model for a selected nursing phenomenon, apply the model to a real world test, and subsequently, evaluate the validity of the model. Students will work with an assigned faculty preceptor, who, along with course faculty, will provide supervision and expertise.

Nursing 821
Advanced Nursing Theory Development.
N532, N570, N801. (3). Core.
Students synthesize theory development knowledge with strategies for testing theoretical statements. The student critically evaluates, compares, and contrasts the major theory development strategies used in nursing. This knowledge will be used to construct theoretical statements at a specific theory level, as well as design nursing research in which the theoretical statements will be examined. (Required for all students in the doctoral program.)

Nursing 830
Design, Methods & Analysis I.
N821, two graduate statistics courses. (3). Core.
This seminar is the first in a two-course sequence designed to assist students in gaining advanced understanding of research design, methods, and data analysis. It builds on prerequisite courses in nursing theory, philosophy of science, and statistics, and focuses on the acquisition of knowledge and techniques needed for hypothesis development, measurement, and sampling in the investigation of various nursing research questions. Ethical issues surrounding study participation are discussed. Analytic procedures for addressing related measurement issues are examined. Ongoing and published research serve as a focus for critical discussion of various methodologies. Students conduct computer-based analyses using various statistical procedures for assessing reliability and validity, and for estimating power.

Nursing 831
Design, Methods, & Analysis II.
N830. (3). Core.
This seminar is the second of a two-course sequence in research design, methods, and data analysis. The merits and limitations of non-experimental, quasi-experimental, experimental, and randomized clinical trial designs to investigate nursing phenomena are evaluated with particular consideration of threats to validity. Decisions about design appropriateness are justified by identifying links with level of inquiry and principles of measurement mastered in earlier courses. Data analytic techniques for various designs and research questions are examined. An introduction to casual modeling is included. Readings and computer assignments include quantitative and qualitative techniques of data analysis. Relevant ethical issues in the conduct of research are identified and discussed throughout the course. Critical analysis of ongoing and published research reports utilizing principles of design, methods, and analysis serves as a forum for applying knowledge.

Nursing 841
Qualitative Research Methods.
Doctoral Student. (3). Core.
This course provides an overview of selected qualitative research methods and an opportunity to comparatively analyze them. The discussion and analysis of each method includes theoretical paradigm and perspective, research method and technique, language use, and methodological issues. Exposure to the selected interpretive paradigms, methods and techniques heighten students' awareness of the repertoire of strategies available for developing nursing knowledge. Simultaneously, the exposure to context specific interpretive practices facilitates students' understanding of the influence of culture on the creation of knowledge.

Nursing 842
Health Care Decision Making: Theory and Research Methods.
N801 or equivalent for students in disciplines other than Nursing. (3). Seminar
This multidisciplinary course is designed to explore theoretical and empirical approaches to understand complex health care decision making. It focuses on analytic, normative, descriptive and behavioral decision theories with an explication of decision models and the evaluation of the outcomes of health care interventions and treatment decisions.

Nursing 845
Physical Activity and Health in Nursing.
Doctoral Student, Health Promotion Theories. (3). Seminar.
This seminar facilitates students in their advanced level to analyze the factors that influence changes in physical activity behavior and to examine how different types and doses of physical activity affect various health outcomes. Students examine interaction between health behavior determinants and physical activities applying different theoretical models, measurements, and analytical approaches.

Nursing 847
Nursing Systems: Theoretical & Methodological Issues.
801 or concurrent. (3).
This course is designated to engage the students in the synthesis and integration of knowledge regarding the nursing systems phenomenon. The focus is on critical examination of nursing systems conceptual framework and related empirical work in the areas of nursing management/leadership, entrepreneurship, informatics and policy. Nursing systems, as a concept, is examined along with the systems theory as it applies to the structure, process and outcomes of nursing and the health care system. Students will propose nursing systems research using an existing model or one they develop.

Nursing 852
Transforming Women's Health Care: Feminism and Health.
N570, N801 or P.I. (3). PhD.
This course will study the convergence between nursing, public health and feminist theoretical views of gender and social relationships. In particular, it will critically examine those nursing perspectives that have failed to account for the gender bias that negatively effects women's well being. This course will prepare students to investigate women's lives, especially those factors that influence health, by systematically focusing on what has been left out of health theories and developing more scientifically applicable theory.

Nursing 853
Transforming Women's Health Care: Theory and Methods.
N801 or P.I. (3). PhD.
The course will focus on women as both providers and recipients of health care in the United States and will analyze the historical and sociopolitical factors, which affect the health and well being of women. The potential of nursing and other health care disciplines to better women's lives will be considered as we analyze such topics as the feminization of poverty, the medicalization of women's health, and gender bias in health care delivery. Research pertaining to women's health in the United States and existing models of nursing research, education and practice will be critiqued. Nursing theory development will be addressed with particular attention given to the interface with feminist theory, empiricism and critical theory. Issues of measurement, accurate representation, design, data collection and analysis will be discussed.

Nursing 854
Globalization, Culture and Women's Health.
N801 or P.I. (3). PhD.
This graduate seminar will examine global perspectives on women's health, with an emphasis on the interaction of personal with structural (e.g., social, political, economic, cultural) factors. Personal factors include both biological and psychosocial conditions; systemic factors include social, economic and political structures. Particular attention will be devoted to understudied issues and the effects of gender based assumptions and traditions for women at high risk for poor health. During the semester, we will discuss the role of women as recipients, active participants in, and providers of care with a goal of critiquing and developing theories about the state of women's health worldwide. Issues of measurement, accurate representation, design, data collection and analysis will be discussed. Students are expected to exchange knowledge across their own cultures.

Nursing 858
Genetics, Plasticity & Senescence.
(3). N801, 869, or P.I. Seminar. PhD.
This course will explore genetics, plastic changes, and senescence in the nervous system and related bio-behavioral phenomena. The central theme is how the nervous system is assembled & altered in response to genetic/enviromnental interactions, disease and age. Concepts discussed and threaded thoughout each seminar will include genetic suseptability & resistance, synapse and neural network formation, synaptic reorganization, an apoptosis. Selected theoretical models will be analyzed and critiqued. Major research paradigms will be evaluated. Patterns of behavioral, biological and cognitive changes will be examined and specific nursing therapeutic models will be developed.

Nursing 860
Nursing Ethics: Theory and Research.
(3). Elective. PhD.
The course provides an in-depth examination of nursing research and theory in the area of ethical decision-making and practice. Philosophical foundations are presented as background, including selected ethical theories and principles. The course reviews recent research in nursing on ethical practice and selected major determinants. Theoretical and methodological issues are highlighted, future research directions are projected.

Nursing 862
Health Behavior: Theoretical and Methodological Issues.
N801 or concurrent; or P.I. (3). Seminar. PhD.
This course is designed to provide an opportunity for a nursing synthesis and integration of knowledge regarding the phenomenon of health behavior. The focus is on critical examination of theoretical and empirical work in the area of health behavior from a nursing perspective. Health behavior, as a concept, is examined relative to the promotion and maintenance of health in clients, including individuals, groups, families, and populations at domestic and global/international levels. An emphasis will be placed on evaluation of the impact and use of technology in the development, maintenance and measurement, and development of health behaviors and the design of nursing interventions. Students will propose health behavior research using either an existing model or one that they develop.

Nursing 863
The Menstrual Cycle: Current Issues in Women's Health.
N801. (3). PhD.
The purpose of this course is to examine the theories and methodologies used to guide nursing research in women's health with particular emphasis on psychological, biologic and sociocultural influences of female gender. The course includes an analysis of the state of the nursing science in this area, its evolutionary history and future directions. Inherent in this exploration is an evaluation of the theoretical perspectives used by nurse scientists to study women's health. Using menstrual cycle research as a model, the course is designed to encourage critical analysis of design and measurement techniques and data analysis procedures. Ethical issues of relevance to the conduct of women's health research are also addressed. In addition, students have the opportunity to examine theory-based nursing interventions from other subspecialties for their application to the study of the women's health client.

Nursing 864
Family Systems and Health: Theoretical and Methodological Issues.
N801 & N862; or P.I. (3). Seminar. PhD.
This course is designed to provide an opportunity for syntheses and integration of knowledge related to family systems and health/illness in nursing. The seminar focuses on in-depth, critical analysis of theoretical perspectives used in nursing for studying the family, including formulations from other disciplines. Extant empirically based knowledge related to families and health/illness is reviewed and evaluated in terms of conceptual, practice and research issues in nursing. Socio-cultural, technological, political, genetic and environmental factors that affect health behavior and health outcomes in family are examined. Emphasis is placed on the evaluation of the empirical use for the development of nursing interventions and implications for health policy at national and global/international levels. Students will propose research related to families and health.

Nursing 865
Behavioral Analysis in Health and Illness: Nursing Perspectives.
N801. (3). PhD.
This seminar is designed to examine specific issues in-depth that are encompassed under the broad title of behavioral interventions. This is first and foremost an integration of empirical knowledge stemming from interdisciplinary research efforts. A second essential element of this domain of inquiry is recognition of the reciprocal interaction among human biology, psychology, and sociology. Students who choose this seminar are interested in gaining an understanding of behavioral interventions as a forum in which many disciplines jointly explore health and illness issues of mutual concern. In addition, this seminar emphasizes those reciprocal relationships between personality, coping styles, social/ethnic membership and their influence on morbidity and mortality. The influence wellness or poor health has on how one copes, perceives the world, lives in the community, functions in the work place and manages one's self also is explored. The seminars are focused and limited so as to cover in depth those areas in which the students are interested and in which faculty from both nursing and other disciplines are experts, as opposed to covering a broad range of topics superficially.

Nursing 866
Health Promotion Intervention Research: Adults.
N801 & N862; or P.I. (3). Seminar. PhD.
Students analyze and synthesize research on health promotion interventions directed to various adult population groups. The focus is on critical examination of the theoretical bases, designs, methods, data analyses, conclusions and significance of multidisciplinary research measuring the outcomes of health promotion interventions. Special attention is given to the multiple contexts for intervention, such as families, educational settings, work sites, communities and primary care settings and to he use of technology in designing and implementing interventions. Students synthesize the research relating to specific health promotion goals, hypothesize the applicability of findings to nursing practice and propose future research logical to their analyses and significant to the field and to health policy at national and international levels.

Nursing 867
Health Promotion Intervention Research: Children & Adolescents.
N801 & N862; or P.I. (3). Seminar. PhD.
Students analyze and synthesize research on health promotion interventions for children and adolescents. The focus is on critical examination of the theoretical bases, designs, methods, data analyses, conclusions and significance of multidisciplinary intervention research directed at achieving positive health promotion outcomes for youths in differing age groups and of diverse racial/ethnic heritage. Special attention is given to the multiple contexts for intervention such as families, schools, communities and primary care settings and to the use of technology in designing and implementing interventions. Students synthesize the research related to national and international health promotion goals, hypothesize the applicability of findings to nursing practice and health policy and propose future directions in intervention research significant to advancing knowledge in the fields of child and adolescent health and health behavior.

Nursing 868
Parenting as a Multigenerational Phenomenon: Theory and Research.
N801. (3). PhD.
The purpose of this course is to enable doctoral students to develop a conceptual model which encompasses the major parameters and processes of parenting across the life span and recognizes both the influence on and potential outcomes of effective parenting on persons of all ages. Parental role changes are explored. Interrelationships between parenting, environment, health, and family demographics are explored, along with sociocultural factors and technological advances that influence parenting. Students are expected to develop conceptualizations regarding parenting roles which will provide direction for nursing research relevant to health promotion of persons in parenting or grandparenting roles and/or in multigenerational families.

Nursing 869
Human Responses and Altered Biological Function.
N801. (3). PhD.
This course is basic to a series of advanced nursing science courses offered for Ph.D. students in nursing. The foci of these courses are the biological phenomena that constitute, maintain and reflect the health and well being of individuals and the human responses associated with alterations in biological life processes. The phenomena to be explored in this course are neurobehavioral processes basic to a) energy balance of homeostatic mechanisms; b) neuroendocrine processes, and c) rhythmic or cyclical bio-behavioral phenomena. Students will examine basic physiological processes and understand the biological and behavioral consequences of alterations in these processes. General content to be examined in this course includes functional neuroanatomy, neurotransmission, neurohormonal regulation of behavior, and plasticity. Specific bio-behavioral phenomenon to be explored will include, but not be limited to, alterations in memory and cognition, sleep patterns and reproductive rhythms, and appetite.

Nursing 870
Human Responses and Altered Biological Function: Altered Memory.
N801. (3). PhD.
This course is one of a series of advanced nursing science courses offered for Ph.D. students in nursing. The foci of these courses are the biological phenomena that constitute, maintain and reflect the health and well being of individuals. The specific biological phenomenon to be explored in this course is the bio-behavioral phenomenon of altered memory. Selected theoretical models of memory and impaired memory are analyzed and critiqued. Major research paradigms are evaluated. Patterns of behavioral and cognitive changes which accompany memory loss are examined, and specific nursing therapeutic models are developed.

Nursing 871
Human Responses and Altered Biological Function: Altered Energy Regulation and Cardiovascular Risk.
N801. (3). PhD.
This course is one of a series of advanced nursing science courses offered for Ph.D. students in nursing. The foci of these courses are the biological phenomena that constitute, maintain and reflect the health and well being of individuals and the human responses associated with alterations in biological life processes. The specific phenomena to be explored in the course are bio-behavioral phenomena, which constitute the genetic, dietary and exercise factors associated with increased cardiovascular risk. Students examine and evaluate: a) the survey evidence that is basic to population policies directed toward reduction of cardiovascular disease risk, and b) the basic bio-behavioral and nursing research necessary to the development of intervention models aimed specifically at reducing an individual's cardiovascular risk. Specifically, the biological basis of hyperlipidemia, hypertension, obesity, and the cardiovascular disease association are examined.

Nursing 872
Cognitive Impairment in the Elderly: Models Measures, and Methods.
N801. (3). PhD.
This course focuses on the phenomenon of cognitive impairment in the elderly. The course is designed to explicate and evaluate nursing knowledge concerning physiological, psychological, social, and environmental bases associated with behavioral patterns in the cognitively impaired elderly. Theoretical models of cognitive impairment, measurement and methodological issues in studying cognitive impairment, and empirical support for various nursing interventions are examined. The view of cognitive impairment and any/all interventions as related to spiritual/cultural values are also considered.

Nursing 873
Affect and Cognition.
N869 or P.I. (3). Seminar. PhD.
In this course, the relationship between affect and cognition will be examined from a biobehavioral perspective. Students will examine the biological basis of affective systems. In addition, students will explore the interaction between biological and environmental processes that influence the development, maintenance, and modulation of affect. Cognition will be examined for its role in affect regulation. The interactions among environmental and sociocultural factors will be examined on affect regulation and cognition. Information technology is incorporated through Coursetools and other activities such as literature searches. Students are exposed to cutting edge technology being used, such as brain imaging. Examples of topics include fear, pleasure, depression, grief, and aggression. Students will be expected to critique current research on affect, including methods used for studying the phenomenon. Research findings will be examined in relation to the biopsychosocial implications of affect and its implication for nursing research and practice. Students will have the opportunity to explore a specific area of interest related to affect and cognition and to analyze and synthesize research relevant to their topic.

Nursing 874
Enhancing and Restoring Cognition Through Environment: Research Methods.
N801, N869. (3). Seminar. PhD.
The purpose of this course is to provide doctoral students with the opportunity to critically analyze how research methodologies are applied in the design and testing of models that link environment, cognition and behavior. Human diversity is specifically addressed in discussion of research paradigms and methodologies of person-environment interaction. The student will critically evaluate and compare and contrast major theories and related research methodologies used to test aspects of the environment-cognition-behavior framework in health and illness. The overall aim of the seminar is to generate ideas and hypotheses about the design and testing of a variety of therapeutic strategies.

Nursing 875
Outcomes Research: Methods and Measurement.
Masters level research methods course and statistics course or equivalent; N801; P.I. (3). PhD.
The purpose of this seminar is to examine models, nursing phenomena, methods and measures that deal with evaluation of the end results of the provision of nursing and health care services to patients and families. Evaluation of provider interventions, clinical outcomes, and patients' assessment of care are examined.

Nursing 876
Organizational and Inter-Organizational Phenomena in Nursing Care Systems: A Macro-Level Focus.
N801 or P.I. (3). PhD.
This seminar examines major theoretical perspectives at the organizational or inter-organizational level and their relevance for knowledge development and testing in the domain of nursing systems. Several traditional organizational theories are examined as well as newer, developing theories. A special focus on the contemporary changes in the health care delivery system provides insights for consideration of research questions and issues pertinent to the delivery of nursing care at the organizational level and beyond.

Nursing 877
Organizational Phenomena in Nursing Care Delivery Systems: A Micro-Level Focus.
N801 or P.I. (3). PhD.
The primary focus in this seminar will be on social and interpersonal subsystems within the context of organizations and their relationship to nurses, nursing and patient care delivery systems. This seminar is designed to integrate selected intraorganizational phenomena with concepts essential to nursing practice. The purpose is to evaluate phenomena from the behavioral, social, and management sciences in a manner that will contribute to the development of theory and models, which synthesize organizational and nursing practice concepts.

Nursing 878
Resource Allocation in Nursing Care Delivery Systems.
N801 or P.I. (3). PhD.
This seminar will provide a critical examination of the conceptual definitions, theory, and empirical research on resource allocation, utilization, and evaluation in nursing care delivery systems. Concepts and models of central interest include efficiency, effectiveness, cost, quality, and productivity. The primary focus will be on the empirical literature and methodological issues related to research design and measurement. The purpose of the seminar is to provide participants the opportunity to evaluate the theory and research available and propose a research agenda relative to the allocation of resources for delivery of nursing care to patient populations.

Nursing 879
Nursing and Health Policy Development.
N801 or P.I. (3). PhD.
This seminar is designed to integrate theory and empirical research about national and state public sector policy that affects nursing. The goal is to understand nursing roles both as participants in policy processes and as professionals affected by policy changes. Emphasis is given to policy strategies that affect quality in and access to health care services in a cost-constrained environment. State and national policy issues are addressed.

Nursing 883
Topics in Bio-Behavior Nursing.
P.I. (3). PhD.
This doctoral level course is intended to enable students to identify and pursue special areas of theory and research in the bio-behavior concentration. It may be conducted as independent study with individual students or in small groups. Thus, the particular themes addressed will vary somewhat as a function of student interest in phenomena related to the particular concentration.

Nursing 884
Topics in Health Promotion and Risk Reduction Nursing.
P.I. (3). PhD.
This doctoral level course is intended to enable students to identify and pursue special areas of theory and research in the HPRR concentration that is of interest to them. It is taught by HPRR faculty. It may be conducted as independent study with individual students or in small groups. Thus, the particular themes addressed will vary somewhat as a function of student interest in phenomena related to the particular concentration.

Nursing 885
Topics in Nursing Systems.
P.I. (3). PhD.
This doctoral level course is intended to enable students to identify and pursue special areas of theory and research in the nursing systems concentration that is of interest to them. It is taught by the systems faculty. It may be conducted as independent study with individual students or in small groups. Thus, the particular themes addressed will vary somewhat as function of student interest in phenomena related to the concentration.

Nursing 886
Topics in Women's Health.
P.I. (3). PhD.
This doctoral level course is intended to enable student to identify and pursue special areas of theory and research in the women's health concentration that is of interest to them. It is taught by the women's health faculty. It may be conducted as independent study with individual students or in small groups. Thus, the particular themes addressed will vary somewhat as a function of student interest in phenomena related to the concentration

Nursing 887
Special Topics in Nursing.
Elective (3). PhD.
This doctoral-level seminar is offered from time to time to deal with special topics not otherwise covered in the required curriculum. It may be offered by School of Nursing faculty or by visiting faculty. The topic of the course will be announced one semester in advance.

Nursing 990
Dissertation-Precandidacy.

Elected for dissertation or preliminary examination work by doctoral students not yet admitted to status as a candidate.

Nursing 995
Dissertation-Candidacy.

Dissertation work by students admitted to doctoral candidate status. Full-time enrollment is required for the term in which a candidate takes a final examination on her/his dissertation.

School of Nursing Undergraduate courses.

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