Capstone Synthesis Practicum Journal Assignment Papers.

Capstone Synthesis Practicum Journal Assignment Papers. Capstone Synthesis Practicum Journal Assignment Papers. Permalink: https://nursingpaperessays.com/ capstone-synthes…ssignment-papers / ? This week marks the conclusion of your involvement in the practicum. Take a few minutes to consider the practicum professional development objectives you established in Week 1, as well as the goal and objectives you identified for your Practicum Project. What have you learned about yourself as a scholar-practitioner as you engaged in your practicum activities? How have your experiences in the practicum enhanced your specialty skills and expertise? Capstone Synthesis Practicum Journal Assignment Papers. Journal Entry 3 This week, you complete and submit your second journal entry. Your journal draws from evidence, concepts, and/or theories you have examined in this program, especially those related to your specialization. What have you observed during your Practicum Experience that you would like to analyze through your journal writing? To prepare: Reflect on your Practicum Experiences in Weeks 8-11. Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization. Capstone Synthesis Practicum Journal Assignment Papers. Analyze a problem, issue, or situation that you have observed during your Practicum Experience. Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature. Capstone Synthesis Practicum Journal Assignment Papers. Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently. Capstone Synthesis Practicum Journal Assignment Papers. To complete the Practicum and Journal Entry: In your saved version of the NURS 6600 Practicum Journal document, do the following: Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page). Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature. Capstone Synthesis Practicum Journal Assignment Papers. Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence. Given the various evidence-based approaches that can be used in handling a problem, situation, or issue, formulate a plan for approaching the matter differently. Capstone Synthesis Practicum Journal Assignment Papers. Include references immediately following the content. Use APA style for your journal entry and references. NURS 6600 Capstone Synthesis Practicum – Walden University Students in this course apply the MSN curriculum experience by translating knowledge into practice by designing, developing, and implementing a project in a professional healthcare setting. By using the culmination of learning, students gain the opportunity effect positive social change within the healthcare delivery environment in the roles of change agent and nurse. The result of the practicum experience provides students with an experience through which they develop their passion as a practitioner while enhancing the nurse role as an advocate for social change within the context of a scholarly presence NURS 6600 Capstone Synthesis Practicum – Walden University NURS 6600 Capstone Synthesis Practicum – Walden University Required Course Readings The links are for required readings found in the Walden databases ONLY. For all other readings, see your course resources. Enter your myWalden user name and password at the prompt to access NURS 6600 Capstone Synthesis Practicum – Walden University. Capstone Synthesis Practicum Journal Assignment Papers. In Week 1, you developed your practicum professional development objectives. How have your experiences thus far in the practicum contributed to your growth as nurse leader-manager or nurse informaticist? What difficulties, if any, have you experienced, and how might this affect the achievement of your objectives? In this Discussion, you assess your progress toward fulfilling your practicum professional development objectives and consider how you could enhance or alter your activities to achieve your aims. Capstone Synthesis Practicum Journal Assignment Papers. To prepare: Reflect on the practicum professional development objectives you developed and outlined in your Practicum Professional Experience Plan in Week 1. Keeping in mind the practicum activities you have engaged in thus far, consider the following questions: How have these activities helped to promote your professional development? Are you satisfied with your progress toward meeting your objectives? If not, what will you do to ensure you achieve them before the end of your Practicum Experience? As a reminder, you must complete all of your practicum hours on or before Day 5 of Week 11. Capstone Synthesis Practicum Journal Assignment Papers. What challenges or unexpected opportunities have arisen at your practicum site? How has this affected your professional development? Think about the experiences you may have in the forthcoming weeks. Do you foresee any particular challenges on the horizon? If so, what is your plan for addressing those challenges? Think about the time you have spent with your Preceptor. How has this time enhanced or changed your understanding of the role and functions of the nurse leader-manager or nurse informaticist? Post an assessment of your progress toward achieving your practicum professional development objectives, including how your involvement in specific practicum activities has contributed to your development. Explain what you will do to ensure you achieve your objectives by the end of your practicum. Summarize challenges or unexpected opportunities that have arisen, as well as any challenges that you anticipate may arise. Explain how you will address those challenges. Finally, summarize what you have learned about the role and functions related to your specialization through time spent with your Preceptor. Capstone Synthesis Practicum Journal Assignment Papers. Read a selection of your colleagues’ responses. Respond to at least two of your colleagues on two different days, using one or more of the following approaches: Ask a probing question, substantiated with additional background information, evidence, or research. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Validate an idea with your own experience and additional research. Required Readings Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Cipriano, P. F., & Murphy, J. (2011). The future of nursing and health IT: The quality elixir. Nursing Economic$, 29(5), 286–289. Note: Retrieved from the Walden Library databases. “Technology tools will continue to revolutionize how we plan, deliver, document, review, evaluate, and derive the evidence about care” (p. 289). This article examines how nurses can use information technology to transform nursing and redesign the health care system. It focuses on the use of technology to promote quality and notes that technology can also be used to address challenges in education, research, leadership, and policy. Capstone Synthesis Practicum Journal Assignment Papers. McKimm, J., & Swanwick, T. (2009). Setting learning objectives. British Journal of Hospital Medicine, 70(7), 406–409. Note: Retrieved from the Walden Library databases. This article clarifies the terminology associated with learning objectives and explains how learning objectives relate to professional development and the transformation from novice to expert. It also introduces common pitfalls when setting learning objectives and provides suggestions for avoiding them. Capstone Synthesis Practicum Journal Assignment Papers. Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153. Note: Retrieved from the Walden Library databases. The author examines the nursing informatics workforce, explaining that professionals in this well-established specialty area can play an integral role in transforming health care. Sørensen, E. E., Delmar, C., & Pedersen, B. D. (2011). Leading nurses in dire straits: Head nurses’ navigation between nursing and leadership roles. Journal of Nursing Management, 19(4), 421–430. Note: Retrieved from the Walden Library databases. “Successful nursing leaders navigate between nursing and leadership roles while nourishing a double identity” (p. 421). In this article, the authors examine how individuals in key professional roles negotiate between and apply nursing and leadership skills. Capstone Synthesis Practicum Journal Assignment Papers. Warm, D., & Thomas, B. (2011). A review of the effectiveness of the clinical informaticist role. Nursing Standard, 25(44), 35–38. Note: Retrieved from the Walden Library databases. The authors investigate the application of specialized knowledge and expertise to facilitate the appropriate use of emerging technologies in clinical settings. They argue for informaticists’ involvement in strategic development and delivery of information management and technology initiatives to promote patient-centered outcomes. Capstone Synthesis Practicum Journal Assignment Papers. Wilkinson, J. E., Nutley, S. M., & Davies, H. T. O. (2011). An exploration of the roles of nurse managers in evidence-based practice implementation. Worldviews on Evidence-Based Nursing, 8(4), 236–246. Note: Retrieved from the Walden Library databases. In this article, the authors examine the role nurse managers should play in leading and facilitating evidence-based practice. Armstrong, P. (2013). Bloom’s taxonomy. Retrieved from http://cft.vanderbilt.edu/teaching-guides/pedagogical/blooms-taxonomy/ Vanderbilt University provides this overview of Bloom’s taxonomy. This site also presents the original and updated versions of the taxonomy along with verb suggestions for each level. Clark, D. (2013). Bloom’s taxonomy of learning domains. Retrieved from http://www.nwlink.com/~donclark/hrd/bloom.html This article addresses three domains of learning: cognitive, affective, and psychomotor. University of Central Florida, Office of Experiential Learning (n.d.). Writing SMART learning objectives, Retrieved from http://explearning.ucf.edu/registered-students/tips-for-success/writing-smart-learning-objectives/195 This blog post focuses on the distinction between learning outcomes and objectives. Consider this information as you develop your practicum professional development objectives this week. Capstone Synthesis Practicum Journal Assignment Papers. The University of North Carolina at Charlotte, Center for Teaching & Learning. (2013). Writing objectives using Bloom’s taxonomy. Retrieved from http://teaching.uncc.edu/articles-books/best-practice-articles/goals-objectives/writing-objectives-using-blooms-taxonomy This resource outlines elements of Bloom’s Taxonomy. Document: Practicum Professional Experience Plan (Word Document) Use this form to develop your Practicum Professional Experience Plan as outlined this week. Document: Practicum Professional Experience Plan (Word Document) Use this form to develop your Practicum Professional Experience Plan as outlined this week. Walden University is accredited by The Higher Learning Commission, www.hlcommission.org.. Capstone Synthesis Practicum Journal Assignment Papers. Walden University practices a policy of nondiscrimination in admission to, access to, and employment in its programs and activities. Walden does not discriminate on the basis of race, color, sex, age, religion or creed, marital status, disability, national or ethnic origin, socioeconomic status, sexual orientation, or other legally protected status. Walden is committed to providing barrier-free access to its educational services and makes appropriate and reasonable accommodations when necessary. Students requesting accommodations per the Americans with Disabilities Act (ADA) must contact the Office of Disability Services at [email protected] This publication represents current curricula, educational plans, offerings, requirements, tuition, and fees. These may be modified or discontinued from time to time in the university’s sole discretion to carry out the university’s purposes and objectives. Neither the provisions of this document nor the acceptance of students through registration and enrollment in the university constitutes a contract or an offer of a contract. Find information on costs, occupation types, completion rates, and median loan debt for this program at http://programdata.laureate.net/walden/master-of-science-in-nursing.html. Walden University is a registered trademark of Walden University, LLC. © 2017 Walden University, LLC http://www.hlcommission.org/ mailto:[email protected] http://programdata.laureate.net/walden/master-of-science-in-nursing.html MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page iv Contents Section 1. Introduction ………………………………………………………………………………………………………………… 1 Purpose of This Manual ……………………………………………………………………………………………………………. 1 Walden University ……………………………………………………………………………………………………………………. 1 Vision ………………………………………………………………………………………………………………………………….. 1 Mission ……………………………………………………………………………………………………………………………….. 1 Social Change ………………………………………………………………………………………………………………………. 2 School of Nursing …………………………………………………………………………………………………………………….. 2 Vision ………………………………………………………………………………………………………………………………….. 2 Mission ……………………………………………………………………………………………………………………………….. 2 Goals ………………………………………………………………………………………………………………………………….. 2 MSN Program Outcomes ………………………………………………………………………………………………………….. 2 Nurse Practitioner Licensure ……………………………………………………………………………………………………… 3 Note on Certification …………………………………………………………………………………………………………….. 3 Note on Licensure, Authorization, Endorsement, or Other State Credentials Necessary to Practice as a Nurse Practitioner ……………………………………………………………………………………………………………… 4 Field Experience Terms …………………………………………………………………………………………………………….. 4 Practicum ……………………………………………………………………………………………………………………………. 4 Practicum Site ……………………………………………………………………………………………………………………… 5 Primary Care………………………………………………………………………………………………………………………… 5 Acute Care …………………………………………………………………………………………………………………………… 6 Supervision ………………………………………………………………………………………………………………………….. 6 Field Experience Roles ……………………………………………………………………………………………………………… 6 Preceptors …………………………………………………………………………………………………………………………… 6 Students ……………………………………………………………………………………………………………………………… 6 Practicum Course Faculty Members ……………………………………………………………………………………….. 8 MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page v Clinical Instructors ………………………………………………………………………………………………………………… 8 Specialization Coordinators …………………………………………………………………………………………………… 9 Program Director …………………………………………………………………………………………………………………. 9 Field Education Coordinators …………………………………………………………………………………………………. 9 Working Together ………………………………………………………………………………………………………………… 9 Field Experience Regulatory Requirements ……………………………………………………………………………….. 10 State Requirements ……………………………………………………………………………………………………………. 10 State Board Requirements …………………………………………………………………………………………………… 11 Non-U.S.-Based Student Requirements …………………………………………………………………………………. 11 Licensure Review………………………………………………………………………………………………………………… 11 Section 2. NP Practicum Program ………………………………………………………………………………………………… 13 Specializations Overview…………………………………………………………………………………………………………. 13 Required Activities …………………………………………………………………………………………………………………. 14 Individualized Learning Objectives ……………………………………………………………………………………….. 16 Conference Call ………………………………………………………………………………………………………………….. 16 Journal and Time Log ………………………………………………………………………………………………………….. 17 Performance Evaluation ………………………………………………………………………………………………………. 19 Formal Preceptor and Student Feedback ………………………………………………………………………………. 19 Course-Specific Guidance………………………………………………………………………………………………………… 19 Section 3. Getting Started …………………………………………………………………………………………………………… 26 Finding Practicum Sites and Preceptors …………………………………………………………………………………….. 26 Tips for Practicum Site and Preceptor Search…………………………………………………………………………. 26 Choosing a Site …………………………………………………………………………………………………………………… 27 Choosing a Preceptor ………………………………………………………………………………………………………….. 27 Change of Preceptor …………………………………………………………………………………………………………… 29 Affiliation Agreements With Practicum Sites ………………………………………………………………………….. 30 MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page vi Completing and Submitting the Practicum Application ……………………………………………………………….. 31 Policy on Electronic Signatures …………………………………………………………………………………………….. 31 Verification Documents ………………………………………………………………………………………………………. 32 Obtaining the Required Information …………………………………………………………………………………….. 33 Application Deadlines …………………………………………………………………………………………………………. 35 Field Site Onboarding Requirements ………………………………………………………………………………………… 37 Practicum Approval and Start ………………………………………………………………………………………………….. 38 Application Approval …………………………………………………………………………………………………………… 38 Practicum Course Registration ……………………………………………………………………………………………… 38 Application Steps ……………………………………………………………………………………………………………….. 39 Section 4. Practicum Policies ………………………………………………………………………………………………………. 41 Student Conduct and Responsibilities ………………………………………………………………………………………. 41 Academic Standing …………………………………………………………………………………………………………………. 41 Student Professional Competence Policy ………………………………………………………………………………….. 42 Problem Behaviors ……………………………………………………………………………………………………………… 42 Inappropriate and/or Unprofessional Conduct ………………………………………………………………………. 42 Critical Behaviors ……………………………………………………………………………………………………………….. 43 Nondiscrimination and Sexual Harassment Policies ……………………………………………………………………. 43 Nondiscrimination ………………………………………………………………………………………………………………. 43 Sexual Harassment ……………………………………………………………………………………………………………… 44 Problem Resolution and Process ……………………………………………………………………………………………… 45 Section 5. Frequently Asked Questions ………………………………………………………………………………………… 48 Section 6. Contact Information ……………………………………………………………………………………………………. 51 School of Nursing …………………………………………………………………………………………………………………… 51 Other Important Resources …………………………………………………………………………………………………….. 52 Field Education Resource Links …………………………………………………………………………………………….. 52 MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page vii Academic Advising Team …………………………………………………………………………………………………….. 52 Office of Disability Services ………………………………………………………………………………………………….. 52 Section 7. Programs of Study ………………………………………………………………………………………………………. 53 MSN Core Courses …………………………………………………………………………………………………………………. 53 MSN NP Specialty Track Courses ……………………………………………………………………………………………… 53 Course Descriptions ……………………………………………………………………………………………………………….. 56 Section 1. Introduction Purpose of This Manual Welcome to the field experience component of Walden University’s Master of Science in Nursing (MSN) program. This manual describes the structure and timing of the classroom-based and on-site practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties. For more information about the nursing programs, students should refer to the School of Nursing Handbook. This manual is intended to provide MSN-NP students with information they need related to practicum policies and procedures as well as to serve as a reference for practicum preceptors and other practicum personnel. This manual refers to the Walden University Catalog and the Walden University Student Handbook for specific information on university policies and courses. Capstone Synthesis Practicum Journal Assignment Papers. These resources can be accessed at catalog.WaldenU.edu. Note: Walden University reserves the right to make program changes as needed to help ensure the highest quality program. Walden University The MSN program at Walden University is designed to promote Walden University’s vision, mission, and ongoing commitment to social change. These guiding principles serve as a framework for the program curriculum and outcomes and are included here as a reference. Vision Walden University envisions a distinctively different 21st-century learning community where knowledge is judged worthy to the degree that it can be applied by its graduates to the immediate solutions of critical societal challenges, thereby advancing the greater global good. Mission Walden University provides a diverse community of career professionals with the opportunity to transform themselves as scholar-practitioners so that they can effect positive social change. http://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments http://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments http://catalog.waldenu.edu/ http://catalog.waldenu.edu/ http://catalog.waldenu.edu/ MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page 2 Social Change Walden University defines positive social change as a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies. Positive social change results in the improvement of human and social conditions. School of Nursing Vision The School of Nursing envisions recognition as a preeminent 21st-century school of nursing in which the contributions of nursing, health, and related sciences will transform the provision of nursing services along the continuum of care and across the human lifespan to meet the needs of individuals and local and global communities. Mission The School of Nursing provides academically rigorous and culturally and contextually relevant educational programs, based on the scholar-practitioner model, for a diverse array of nursing professionals seeking enhancement of critical-thinking skills, abilities to select and implement evidence- based practices, and core and specialty nursing knowledge in order to transform society. Goals The goals of the School of Nursing at Walden are to: 1. Empower nursing professionals through academic advancement that enhances personal growth, professional development, and academic achievement. 2. Create an educational environment where learners are able to build on their existing transformational and professional nursing knowledge, skills, and integrative abilities. 3. Educate nursing professionals with consideration for the complex needs of the diverse learner while upholding professional nursing standards. 4. Encourage learners to integrate biopsychosocial, nursing and health theories, research, and evidence-based practice that exemplify professional nursing standards. 5. Prepare professional nursing leaders who are empowered to promote social change for individuals, groups, and organizations locally, nationally, and globally. MSN Program Outcomes At the end of the MSN program, students will be able to: MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page 3 1. Synthesize organizational/systems leadership for cost-effective specialist nursing practice that contributes to high-quality healthcare delivery, advancement of the nursing profession, and social change. 2. Critique evidence-based literature drawing from diverse theoretical perspectives and pertinent research to guide decision making that demonstrates best practices for specialist nursing practice in a global society. 3. Integratively assess, diagnose, plan, implement, and evaluate cost-effective healthcare strategies that reduce health disparities by patient/population advocacy for access to specialist nursing care. 4. Demonstrate the ability to effectively communicate using audience-specific oral, written, and information technology for professional delivery of specialist nursing care. 5. Evaluate health needs of diverse populations for necessary teaching/coaching functions based on specialist nursing knowledge to restore/promote health and prevent illness/injury. 6. Exhibit ongoing commitment to professional development and value of nursing theories/ethical principles (altruism, autonomy, human dignity, integrity, social justice) in accordance with ethically responsible, legally accountable, specialist nursing practice. Capstone Synthesis Practicum Journal Assignment Papers. 7. Implement specialist nursing roles to promote quality improvement of patient-centered care in accordance with professional practice standards that transform health outcomes for diverse populations. Nurse Practitioner Licensure Note on Certification The MSN-NP specializations are designed to prepare graduates to qualify to sit for national NP certification exams, which are required for practice as an NP in most states. Because no university program can guarantee that graduates will be permitted to practice as an NP upon graduation, Walden encourages students to consult with the appropriate Board of Nursing or state agency to determine specific certification exam requirements. Walden enrollment advisors can provide information relating to national certification exams; however, it remains the individual’s responsibility to understand, evaluate, and comply with all requirements relating to national certification exams for the state in which he or she intends to practice as requirements vary widely. Walden makes no representations or guarantee that completion of Walden coursework or programs will permit an individual to obtain national certification. For more information about NP certification exams, students should visit the American Academy of Nurse Practitioners at www.aanpcertification.org, the American Nurses Credentialing Center at www.nursecredentialing.org, and the American Association of Critical Care Nurses at www.aacn.org. file:///C:/Users/spotler/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/ZK3VPQH1/www.aanpcertification.org file:///C:/Users/spotler/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/ZK3VPQH1/www.nursecredentialing.org file:///C:/Users/spotler/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/ZK3VPQH1/www.aacn.org MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page 4 Note on Licensure, Authorization, Endorsement, or Other State Credentials Necessary to Practice as a Nurse Practitioner The MSN-NP specializations are designed to prepare graduates with an active registered nurse (RN) license to practice as NPs. However, each state Board of Nursing has its own academic and certification requirements and issues its own credential for an RN to be permitted to practice as a NP in that state. Because no university program can guarantee that graduates will be permitted to practice as NPs upon graduation, Walden encourages students to consult with the appropriate Board of Nursing or state agency to determine specific requirements in the state in which they wish to practice. Walden enrollment advisors can provide guidance relating to the state-by-state requirements for practice as a NP; however, it remains the individual’s responsibility to understand, evaluate, and comply with all requirements relating to the practice as a NP in the state in which he or she intends to practice as requirements vary widely. Walden makes no representations or guarantee that completion of Walden coursework or programs will permit an individual to obtain state licensure, authorization, endorsement, or other state credential. For more information about the requirements to practice as a NP, students should contact the appropriate Board of Nursing or state agency. After graduation, all certification, credentialing, and licensure forms and requests must be sent to Nursing Licensure at [email protected] Field Experience Terms For the purposes of this manual, the following terms are defined in this way: Practicum A practicum is a distinctly defined supervised on-site experience in which students develop applied skills and integrate professional knowledge in the provision of advanced practice nursing care. All NP students must complete four practicum courses, with a minimum of 576 hours of supervised clinical experience (144 hours in each course). The didactic (classroom) and clinical components of the courses are integrated. The courses vary by specialization: ? Students in the Adult Gerontology Acute Care Nurse Practitioner (AGACNP) specialization must complete NURS 6531, 6540, 6550, and 6560. ? Students in the Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) specialization must complete NURS 6531, 6540, 6551, and 6565. ? Students in the Family Nurse Practitioner (FNP) specialization must complete NURS 6531, 6541, 6551, and 6565. ? Students in the Psychiatric-Mental Health Nurse Practitioner (PMHNP) specialization must complete NURS 6640, 6650, 6660, and 6670. mailto:[email protected] MSN Practicum Manual: Nurse Practitioner Specializations (April 2017) Page 5 Practicum Site A practicum site is a health agency or other appropriate setting at which students have supervised, applied practice experiences that are consistent with their education and training. Officials at practicum sites enter into an affiliation agreement with Walden, stating they will provide appropriate support and supervision for students during the practicum experience. Virtual sites are not allowed for practicum courses. In general, students must spend the majority of their clinical experience time in general primary care settings seeing a good overall mix of age groups over the lifespan (FNP) or with adolescents and adults (AGACNP, AGPCNP) with a broad range of health promotion, disease prevention, and acute and chronic health problem assessment and management needs. Appropriate practicum sites for the AGPCNP/FNP specializations can include physician’s offices (family practice, pediatric practice, women’s health, or internal medicine); clinics that provide primary care, such as health departments; and hospital-based primary care clinics. AGACNP students may use some of these sites in NURS 6531 and 6540 and acute care facilities for NURS 6550 and 6560. Psychiatric-mental health nurse practitioners will have practicum experiences in a wide range of setting with children, adolescents, adults, and older adults. NURS 6640 and NURS 6650 focus on psychotherapy practice where NURS 6660 and NURS 6670 are integrative experiences (psychopharmacology coupled with psychotherapy). Primary Care A primary care practice serves as the patient’s first point of entry into the healthcare system and as the continuing focal point for all needed healthcare services. Primary care practices provide patients with ready access to their own personal physician. These practices provide health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis, and treatment of acute and chronic illnesses in a variety of healthcare settings. These practices are organized to meet the needs of patients with undifferentiated problems, with the vast majority of patient concerns and needs being cared for in the primary care practice itself. Primary care practices are generally located in the community of the patients, thereby facilitating access to healthcare while maintaining a wide variety of specialty and institutional consultative and referral relationships for specific care needs. The structure of the primary care practice may include a

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