The post-master‛s adult-geriatric clinical nurse specialist online program prepares experienced registered nurse holding an MSN for the advanced roles of clinician, researcher, learner/educator/coach, leader, community advocate, manager of systems, collaborator, and consultant. The CNS addresses health care needs in the three clinical nurse specialist spheres of influence: the patient/client, nurses and nursing practice, and systems and organizations. The dimensions of the CNS role include clinical judgment, clinical inquiry, facilitator of learning, collaboration, systems thinking, advocacy/moral agency, caring practices and response to diversity.
The baccalaureate degree in nursing, master's degree in nursing, and post-graduate APRN certificates at Grand Canyon University are accredited by the Commission on Collegiate Nursing Education (http://www.aacn.nche.edu/accreditation).
|Course #||Course Title||Course Description||Credits|
|NUR-642||Advanced Physiology and Pathophysiology||This Web-enhanced course focuses on the advanced physiology and pathophysiology principles. This course is used to guide the family nurse practitioner (FNP), clinical nurse specialist (CNS), and clinical nurse specialist education (CNS-ED) student in interpreting changes in normal function that result in symptoms indicative of illness. The emphasis is placed on the genetic, molecular, cellular, and organ system levels. Co-requisite: NUR 644.||3|
|NUR-644||Advanced Pharmacology||This Web-enhanced course focuses on the advanced pharmacotherapy principles and practices to enable the family nurse practitioner (FNP), clinical nurse specialist (CNS), and the clinical nurse specialist education (CNS-ED) student to prescribe and monitor the effects of medications and selected herbal therapy. Emphasis is on the pharmacodynamics of clients with common, acute, and chronic health problems in various stages of the lifecycle in diverse populations. Evidence-based research provides the basis for selecting effective, safe, and cost-efficient pharmacologic or integrative regimens. Appropriate client education as to various prescribed pharmacologic agents in incorporated. Legal requirements for prescriptive writing and dispensing authority are covered. Prerequisite: One of the following: 1) NUR 640; or 2) none. Co-requisite: NUR 642.||3|
|NUR-640||Advanced Health Assessment and Diagnostic Reasoning with Skills Lab||This course builds upon the student‛s previous assessment skills, offering more advanced health assessment content to provide the foundation for the advanced practice nursing role. This course also gives emphasis to focused assessments for a chief complaint that include physical, psychosocial, and spiritual health assessment; risk assessment; functional assessment; and physical examination in diverse populations. Students use a systematic method of diagnostic reasoning and clinical decision making to establish a differential diagnosis. An overview of appropriate protocols for performing health screening and for ordering, performing, and interpreting lab, radiographic, and other diagnostic data is included based on best practice consistent with resource allocations. Topics—from effective communication and client teaching/counseling to eliciting clients‛ interpretation of their health status and perceived barriers—are incorporated throughout the course to maintain a nursing focus on patient responses to illness or the threat of illness. Effective documentation and medical recordkeeping are required. Prerequisites: One of the following combinations: 1) Undergraduate Health Assessment course; or 2) NUR 642 and NUR 644.||3|
|NUR-647E||Nursing Education Seminar I||This course examines professional standards as a foundation for curriculum design in nursing education in all settings. It explores the nature of traditional academic education and nontraditional academic education, as well as continuing nursing education. This course also focuses on theories of teaching/learning, traditional and alternative instructional strategies, and nursing education in the classroom and clinical setting. The course incorporates the development of curriculum frameworks and learning activities for adult learners from diverse backgrounds. Strategies to enhance critical thinking are included. Prerequisite: NUR-645E.||4|
|NUR-655||CNS I - Theoretical Foundations||This course focuses on the theories, conceptual models, and research that are the basis of CNS practice. Building on advanced practice nursing theory, students engage in discussion of theoretical and empirical knowledge of illness and wellness—both of disease and nondisease etiologies—from the three spheres of influence, particularly the patient/client sphere. Advanced health assessment, advanced pharmacology, and advanced physiology and pathology principles are integrated along with professional/legal and spirituality concepts. Content includes: Theoretical foundations of CNS practice, Phenomena of nursing concern, integrating health promotion, Design and development of innovative nursing interventions, Clinical inquiry/critical thinking using advanced knowledge, Consultation, teaching, and coaching with focus on the individual/family/groups Measurement, outcome evaluation, including cost-effectiveness and evidence-based research focused on the patient/client sphere. The clinical experience takes place in the student‛s chosen specialty area and integrates the theoretical concepts covered in the didactic portion of the course. Clinical component: 3 clinical credits. Clinical hours: 150.||6|
|NUR-657||CNS II - Influence Change in Health Care Systems||This course focuses on the essential characteristics and competencies of the CNS, exploring the CNS roles of clinical leader, collaborator, change agent, consultant, educator, and researcher. Students discover how, in utilizing these roles, a CNS can influence the quality of care within health care systems. The course builds on the patient/client sphere of influence, focusing on the broader nurse/nursing practice and organizational/systems spheres of influence. Content includes: Influencing change, Systems thinking, Leadership for multidisciplinary collaboration, Consultation, teaching, and coaching focused on groups, Measurement, outcome evaluation including cost-effectiveness, and evidence-based research focused on the group/organization, Technology, products, and devices development/evaluation. The clinical experience takes place in the student‛s chosen specialty area and the above concepts are integrated in that specialty setting. The clinical experience integrates the theoretical concepts covered in the didactic portion of the course. Clinical component: 3 clinical credits. Clinical hours: 150. Prerequisite: NUR 655.||6|
|NUR-663||CNS Clinical Internship||A culminating practicum experience, completed in person with a preceptor, provides students with experiences in the three spheres of influence of CNS practice: patient/client, nurses and nursing practice, and organization/system within their specialty area. This clinical practice affords students opportunity to refine their clinical decision-making skills in differential illness diagnoses and treatments that require nursing interventions; to develop their CNS roles of clinical expert, leader, collaborator, consultant, educator, researcher and change agent; and to explore how their professional attributes, ethical conduct, and professional citizenship are integrated in CNS practice to affect outcomes within the spheres. The course includes the application of the core content specific to CNS practice identified in NUR 655 and NUR 657. Online case study discussions analyzed by evidence-based practice guidelines are utilized. Impact of the student CNS on nursing practice and system-level outcomes are identified. Clinical component: 4 clinical credits. Clinical hours: 200. Prerequisite: NUR 657.||4|
|Required Course Total Credit:||29|
This program is offered in the following formats or locations:
An online education allows you the flexibility to fulfill your educational goals without distracting you from your career. Full-time faculty members support our online students while our dynamic tools allow for engaging and challenging discussions with classmates. Classes start every month.
To meet the demands of today's working adults, this degree is offered through our convenient evening program. Classes meet one evening per week and allow you to interact directly with instructors and peers face-to-face. Locations vary - speak with an enrollment counselor to learn more.
* Please refer to the Academic Catalog for more information. Program subject to change.