School of Health Sciences
MSN Course Description
Master Degree of Sciences in Nursing with Specialty in Family Nurse Practitioner (MSN FNP)
NURS 500 Theoretical Foundations of Advanced Practice Nursing (3 credits).
Discussion and analysis of a wide range of theories from nursing and other sciences. Scientific knowledge of care is presented as the central concept and essence of nursing. Emphasis is given to clinical care and research focused on a comprehensive and holistic approach. The practice of nursing is viewed as directly related to the development and revision of nursing theory where advanced practice nurses can make important contributions.
NURS 501 Public Health Policy, Ethics and Systems (3 credits).
The nature of the U.S. health care delivery system including Puerto Rico, is explored. The social, economic, cultural and political forces that impact the delivery of primary health care are discussed with emphasis on how they influence nursing. Discussion and analysis of professional aspects of advanced practice nursing including how to implement the role. Public policies and legislation are discussed at local, national and global levels. The student examines health care policy development and analyzes the effects of policy on the health status of Puerto Rican communities. This course provides an opportunity for the student to design innovative strategies that may influence the direction of public policy to improve the health care locally and advance the profession of nursing in Puerto Rico. Discussion and analysis of factors influencing human essential moral status and the ethics of the health care systems. Different dilemmas are selected and analyzed to justify the most appropriate decisions and actions to solve them in an ethical manner.
NURS 502 Nursing Science and the Research Process (3 credits).
Discussion of professional nursing practice that is based on evidence to achieve optimal outcomes. Pragmatic considerations of scientific inquiry in the use and conduct of research in practice. The scientific method is presented as it relates to nursing research. Experimental and non-experimental methods of conducting clinical research are examined, with ethical implications. Emphasis is given to the writing of a research proposal as the plan for a scientific project. Successful grantsmanships presented as an art that requires sound planning of the project development of a well written proposal, and selection of an appropriate funding source.
NURS 503 Nursing Research Project: From Proposal to Publication (3 credits).
The research proposal for this study must have been approved in the previous course (NURS 502). The implementation phase of a clinical nursing research project focused on evidenced-based. This phase is presented as requiring a set of thoughtful, careful, organized and sequential activities to conduct a research project which improves the quality of care. Ethical conduct of research with human subjects, animal subjects and research staff is discussed. In this course the student demonstrates the implementation of a study that has received institutional approval and contribute to the advancement of nursing practice. Emphasis is given on preparation of a scientific paper about the research and submission for publication as an essential step of the research process in order to contribute to the development of a foundation for practice, to provide visionary leadership, and to achieve personal satisfaction.
Pre-requisites: NURS 502
NURS 505 Health Promotion and Disease Prevention: Transcultural Considerations (2 credits).
Discussion of health priorities according to Healthy People 2020. Analysis of human caring as an essential dimension of advanced practice nursing work, especially dealing with life crisis, health maintenance problems, and change in health practices. Discussion of demands made by changing life-styles and disease patterns, new and complex technologies, shifting demographics, global economies, dramatic health system changes and sociobiological and environmental threats to health and safety. Development of culturally competent holistic plans of care that address the health promotion and disease prevention needs of client populations.
HESC 500 Statistics Applied to Clinical Research (3 credits)
In this course students have the opportunity to study and apply statistical methods useful in quantitative and qualitative analysis of clinical research. Review of descriptive and inferential statistics with simple univariate procedures. Statistical analyses of multivariable and complex hypotheses testing procedures are also discussed. The material is presented to facilitate students’ application of the concepts learned in research courses and focused on research utilization.
Advanced Precatice Nursing Core Courses
NURS 504 Advanced History Taking and Physical Assessment (3 credits).
Discussion, performance and interpretation of the theoretical knowledge and development of psychomotor skills for advanced health assessments and techniques with clients of all ages and cultural backgrounds. Develop a client database and a differential diagnosis of common client complaints encountered in primary health care practice settings. Demonstrate the ability to obtain and record a comprehensive adult, elderly, adolescent and well-client database (health history and physical exam).
NURS 506 Advanced Pathophysiology (3 credits),
This course analyzes the complex interrelationships and interdependence of pathophysiological concepts that produce alterations in the human functioning across the life span. This serves as a primary component of the foundation for clinical assessment, decision making and management for advanced nursing practice. Interpretation of the natural history and clinical manifestations for specific illness in terms of their etiology and pathogenesis. Description of the relationship between pathologic changes in body defense and the illness experience. Students examine the features of pathophysiologic processes involved in the body’s reactions to injury and infection, the immune response, circulatory disturbances and abnormalities of cellular growth. Description of the relationship between pathophysiologic process and alterations in body fluids. Pathophysiologic process involved in altered endocrine, exocrine and neuromuscular function are also examined.
NURS 507 Advanced Pharmacology (3 credits).
Analysis of the essential pharmacotherapeutics for advanced nursing practice. Study of the actions and effects of drugs on human systems across the life-span. Analysis of the scope of legal professional nursing responsibilities related to pharmacology in an expanded role. Description and identification of the actions, effects, uses and potential interaction of the major categories of drugs. Discussion of the pharmacologic process of absorption, distribution, metabolism, excretion and the factors that influence the pharmacokinetics of drugs. Analysis of the physiologic effects of the drugs in the individual across the life-span and the factors, which influence the patient response to therapeutic agents, adverse drug reactions and appropriate interventions. Description of the controversies related to grugs biodispondibility and bioequivalence.
NURS 509 Pharmacology for FNP’s (3 credits).
This course involves practical exposure to the general principles of providing and monitoring drug therapy for FNP’s. Students are able to identify specific diseases, review the drugs used to treat each disease, selected treatments, discuss special patient considerations and learn how to adjust therapy. Finally, students learn how to provide a primary, second and third line therapy when the first line fails. Prescription, monitoring and evaluation of pharmacologic agents utilized to treat common disease states are discussed. Selected teaching methods needed by individuals and families to properly adhere to prescribed pharmacology therapy are discussed. Identification of roles and responsibilities of the FNP in prescribing pharmacologic agents, monitoring and evaluating patient responses. Discussion of the collaborative role of the FNP and the physician when consulting in providing, monitoring and evaluating pharmacologic agents.
Pre-requisites: NURS 507
NURS 510 Primary Care I (4 credits).
This course is the first of a three part series focusing on established primary care evidence based guidelines. Provides advanced practice knowledge of standard protocols through discussion in conference sessions and clinical experience. Emphasizes wellness, illness prevention, treatment of chronic and acute diseases throughout the life span. Builds upon the advanced practice core courses of advanced pathophysiology, advanced pharmacology, advanced history taking, and physical assessment. Integrates theories of collaborative practice, cultural competencies, ethical and legal issues. Covers: Health Maintenance Issues, Skin Disorders, and Infection diseases, general symptoms, behavioral problems, mental health and HEENT. The clinical portion of the course will consist of 19 hours per week for the duration of this 8 week course making a total of 150 hours.
NURS 511 Primary Care II (4 credits).
This course is the second of a three part series focusing on established primary care evidence based guidelines. Provides advanced practice knowledge of standard protocols through discussion in conference sessions and clinical experience. Emphasizes wellness, illness prevention, treatment of chronic and acute diseases throughout the life span. Builds upon the advanced practice core courses of advanced pathophysiology, advanced pharmacology, advanced history taking, and physical assessment. Covers: Pulmonary and Cardiovascular Disorders, Gastrointestinal Diseases, Metabolic and Endocrine Disorders. The clinical portion of the course will consist of 19 hours per week for the duration of this 8 week course making a total of 150 hours.
Pre-requisites: NURS 510
NURS 512 Primary Care III (4 credits).
This is the third course of a three part series focusing on established primary care patient care evidence based guidelines. Provides advanced practice knowledge of standard protocols through discussion in conference sessions and clinical experience. Emphasizes wellness, illness prevention, treatment of chronic and acute diseases throughout the life span. Builds upon the advanced practice core courses of advanced pathophysiology, advanced pharmacology, advanced history taking, and physical assessment. Covers: Genitourinary Disorders, Prenatal Care, Postpartum and Family Planning, Womens Health Issues, Pediatric Development and Common Health Issues, Sexually Transmitted Diseases, Hematologic Disorders, Musculoskeletal Disorders and Ambulatory Emergencies. The clinical portion of the course will consist of 19 hours per week for the duration of this 8 week course making a total of 150 hours.
Pre-requisites: NURS 511
NURS 513 Residency (4 credits).
Culminating clinical experience consisting of 240 hours of clinical practice in an ambulatory setting providing comprehensive primary care services to underserved communities. Students will be paired with qualified and credentialed nurse practitioners or physicians who will be oriented and trained and certified to serve as preceptors. Provides a depth of practice during 8-hour clinical days. Students develop and refine FNP competencies through clinical hours/experience. Weekly seminar conferences provide a forum for clinical case study discussions, case presentations and preparation for the mock FNP certification test, which is required to be taking and passed in order to approve the course.
Pre-requisites: NURS 513