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Johns Hopkins University - School of Nursing
 
News Release

Adult-Geriatric Primary Care Nurse Practitioner

Adult-Geriatric Primary Care Nurse Practitioner

"There are more opportunities than you can possibly ever take advantage of."

Anthony T. Pho, MSN/MPH '11, BS '08, RN

When Anthony Pho was working 12- to 16-hour days managing engineers at Microsoft in California, his best friend was hospitalized. After watching a nurse care for his friend, "I just didn't see myself being fulfilled in high-tech anymore," says Pho. Soon after, he packed his bags, headed to Baltimore, and completed his accelerated baccalaureate degree at Johns Hopkins University School of Nursing. More

 

Program
Overview

Program Overview

Completed Application Deadlines

December 1 for fall entry

Supporting the Adult Patient

At the Johns Hopkins University School of Nursing, nurses will find a rich academic and clinical environment that facilitates the diagnosis and management of acute and chronic primary health problems in adult patients. As a student in the Adult-Geriatric Primary Care Nurse Practitioner program, you will build your abilities in physical and psychosocial assessment, clinical decision-making, and health promotion and disease prevention, while taking advantage of resources found only at the Hopkins medical institutions.

World renowned faculty develop a curriculum and sequence of clinical experiences at diverse outpatient and community sites to ensure that each student receives a well-rounded education in comprehensive, coordinated first-contact, and longitudinal adult patient care, as well as advanced preparation for licensure exams.

Those who earn a master's degree for the nurse practitioner in adult-geriatric primary care:

  • Assist adult patients in maintaining and promoting their health
  • Advocate for underserved adult individuals and groups
  • Work in a variety of settings, including community health clinics, health maintenance organizations, specialty clinics, correctional facilities, and private medical practices
  • Can specialize in such areas as HIV/AIDS; pulmonary care; cardio-vascular, occupational, and environmental health; or integrated complementary healthcare
  • Are prepared to take the American Nurses Credentialing Center or National Certification Board of Adult Nurse Practitioners/Nurses certification examinations as an Adult Nurse Practitioner in Primary Care

Program
Requirements

Program Requirements

Students may apply for full- or part-time study.

The school seeks individuals who will bring to the student body the qualities of scholarship, motivation, and commitment. The Admissions Committee is interested in each applicant as an individual and will consider both academic potential and personal qualities. Therefore, school records, test scores, recommendations, and essays about goals and interests are important.

Recommendations about a student's character, intellectual curiosity, seriousness of purpose, and range of extracurricular activities are considered.

Selection factors include:

  • Bachelor of Science degree in nursing
  • Scholastic Grade Point Average of at least 3.0 on a 4.0 scale from an accredited college or university
  • Graduate Record Exam (GRE) scores within the past five years (for MSN/MPH and MSN/MBA applicants only)
  • Demonstrated commitment to nursing practice and scholarly pursuit
  • Community service and professional commitment
  • Interview with faculty member*
  • Written expression of goals
  • Letters of recommendation
  • Applicants must submit evidence of current nursing licensure. Students must have or obtain Maryland Registered Nurse licensure for matriculation

*Interview with a faculty member may or may not be requested.

Additionally, applicants for the Adult-Gerontology Acute Care Nurse Practitioner program

  • Will be exceptional students who are carefully chosen based on a number of factors including previous experiences.  Direct care acute care experiences will be required;
    OR 
  • Will be required to attend part time during their first year in the program while working as a staff nurse in a critical care unit full time (more than 36 hours per week), and will not begin NP clinical courses until their second year.

Transfer of Credit

Transfer of credit is granted on an individual basis. The decision is based on equivalent content (for required courses), credit allotment and satisfactory completion of courses. You may petition for permission to substitute a course from another college or university by submitting a request to the Office of Admissions and Student Services along with the complete course syllabus.

Up to 6 credits of graduate course work taken at Johns Hopkins University or elsewhere may be accepted for transfer. Course work must have been completed within the last five years. Course work at the undergraduate level will not be considered for advanced standing credit.

Admissions
Procedures

Admissions Procedures

Start Early

Students are strongly encouraged to complete the application process early. Candidates for admission will be notified of a decision in writing after all the application documents are received and the Admissions Committee's review.

Note: The admissions committee for the Public Health Nursing, Nurse-Midwifery Track consists of representatives from both Johns Hopkins University and Shenandoah University.

Follow all instructions carefully to avoid delays in the processing of application materials. To expedite the application process, students may submit all supporting documentation, including official transcripts and recommendations, in sealed envelopes in one package (test scores excluded). Application supporting documentation may also arrive separately. Before a final admission decision can be made, all supporting documentation must be received.

Submit

  • Completed and signed application form
  • Signed statement acknowledging the School's Ethics Policy
  • $75 non-refundable application fee
    (Make check or money order payable to "Johns Hopkins University")
  • Goal statement
  • Three recommendations:
    • At least one recommendation from an academic source (current or previous professor)
    • Remaining two recommendations may be from either an academic or professional source (employment/volunteer supervisor)
    • Recommendations should be enclosed in sealed envelopes with the recommender's signature across the envelope flap
  • Official transcripts from all colleges and universities attended (including Johns Hopkins University)
  • Current résumé
  • Official GRE scores, if applying to the MSN/MPH or MSN/MBA programs, sent to the School of Nursing (School code: 5767)
  • Verification of current RN license, all RN's must obtain a Maryland RN license and present verification by the time of matriculation

Note: Due to changing clinical site regulations, students are required to undergo a criminal background check prior to matriculation. The School will provide information about this process to accepted students.

Applicants Who Have Studied Abroad

International applicants and applicants who have completed courses outside of the United States must submit:

More information for international applicants 
Office of International Student, Faculty, and Staff Services

Full
Curriculum

Full Curriculum

Core Courses (12 credits)

NR.110.500 Philosophical, Theoretical, and Ethical Basis for Nursing
This course will explore the conceptual, theoretical, and ethical bases of nursing. Selected conceptual models and frameworks of nursing and ethics will be analyzed with emphasis on implications for nursing practice. This course is designed to provide students with frameworks, concepts, and personal and professional exercises for approaching nursing practice issues and to enhance the student's understanding of theoretical, conceptual and ethical issues in nursing and in health care and to respond to them specifically.
NR.110.507 Statistical Literacy and Reasoning in Nursing Research
This course develops statistical literacy and statistical reasoning knowledge and skills, enabling students to critically read and evaluate healthcare and nursing literature. The emphasis is on understanding the relevance and use of statistics in nursing research. Published nursing research articles in peer reviewed nursing and healthcare journals will be used to motivate each topic covered in class.
NR.110.503 Applications of Research to Practice
This course prepares students for clinical, management, or education leadership roles in health care through translation of the best available evidence into practice within organizations and application of research for nursing practice. Students will develop skills and knowledge needed to review and synthesize the strength of evidence available, and recommend practice changes if indicated. Topics covered include: a review of the research process (including theoretical framework, design, and analysis, research design hierarchy), research critique, rating and synthesizing the strength of evidence, decision making for practice, research and research translation opportunities (outcomes, evaluation research, quality improvement, cost-effectiveness analysis), risk adjustment, measurement, research ethics and organizational change. Prerequisite: NR 110.501
NR.110.504 Context of Healthcare for Advanced Practice Nursing
This three credit course examines the scope and status of professional roles and responsibilities of nurses prepared for advanced clinical and managerial placements in diverse health care settings. Course content and activities will focus on understanding forces driving contemporary health care and enhancing skills in outcomes evaluation, as well as efficient and effective function in a continuous change health care environment.
 

Advanced Core Courses (9 credits)

NR.110.502 Physiological/Pathophysiological Basis for Advanced Nursing Practice I
This course focuses on the interrelationship between normal physiology and pathophysiology across the lifespan. It is designed to expand the student's understanding of the pathophysiology underlying dysfunction in selected diseases that advanced practice nurses may commonly encounter in their patient populations. Using an integrative approach, representative alternations in physiologic function common throughout the lifespan are addressed. Completion of this course will enable the student to analyze and address physiologic challenges of practice. In addition, it will provide foundational knowledge for use in research involving issues that impact clinical practice. Weekly lecture/discussions are organized based on systems and cover topics from the cellular level up to major organ systems. Prerequisites: Undergraduate anatomy, physiology, and pathophysiology.
NR.110.508 Clinical Pharmacology
This course focuses on the clinical uses and mechanisms of action of drug groups used in altered states of physiological function. Pharmacological mechanisms, drug interactions, side effects and contraindications will be presented as bases for clinical judgment and management of patients.
NR.110.536 Health Assessment and Measurement: Adult/Geriatric Variations
This course provides an intensive and comprehensive introduction to the skills of history taking and advanced physical assessment for the adult/geriatric patient. The online modules are designed to help students apply their knowledge of physical assessment of adult/geriatric clients to the primary care or acute care setting. Emphasis is placed on the differentiation between normal and abnormal findings, recognition of common health problems, beginning development of a differential diagnosis and the process of critically thinking through problems related to adult/geriatric health. Corequisite: NR.110.549
NR.110.549 Advanced Health Assessment and Measurement
This course provides an introduction to the skills of advanced history taking and physical assessment. Lectures are designed to help the students apply their knowledge of physical assessment to both primary and acute care settings. Emphasis is placed on differentiation between normal and abnormal findings, recognition of common health problems, and the process of critically thinking through problems. Pre/corequisites: NR 110.502, 110.508, 110.536 and/or 110.537
 

Specialty Courses (19 credits)

NR.110.546 Health Promotion & Disease Prevention
This course introduces the student to current issues, theories and research in health promotion and disease prevention related to individuals, families, aggregates and communities. The role of the advanced practice nurse in risk assessment, counseling, education and screening will be emphasized. Students, taking the course for 2 credits, will have the opportunity to apply course content to the development and implementation of an individual or community-based educational project designed to promote health and prevent disease. The first hour of each class will focus on the theoretical issues of health promotion and disease prevention. Practicum students in the second hour will examine the clinical issues relevant to health promotion throughout the lifespan. A case study approach will be emphasized.
NR.110.551 Advanced Practice in Primary Care I: Adult/Gero
This course provides clinical experience in adult and geriatric health care settings (ages 16 to 100). It emphasizes the integration of theory, anticipatory guidance, health promotion and disease prevention, and clinical decision making throughout the entire spectrum of the adult lifespan. Students will perform comprehensive and episodic clinical assessments, including appropriate diagnostic testing and therapeutic interventions. Management of both stable, chronic illness and treatment of acute, episodic health problems will be accomplished with the direction of clinical preceptors. Students will work with faculty, nurse practitioners, and physician preceptors in a variety of primary care clinical practicum sites including college health services, health maintenance organizations, community based clinics, long-term care, assisted living, continuing care retirement communities, occupational health settings, and private practices. Clinical placements are arranged by faculty with individual preceptors. Preceptors and students arrange mutually convenient clinical hours. A minimum of 196 clinical hours are required this semester. Periodic clinical seminars will review diagnostic and treatment regimens in a case study format. Information presented will focus on the collection of subjective and objective data, pertinent laboratory findings, diagnostic tests, differential diagnoses and a plan for therapeutic intervention. Cases will focus on underserved, vulnerable and elder patient populations. Prerequisites: NR.110.502, 110.508, 110.549, 110.536, 110.547 Corequisites: 110.557, 110.589
NR.110.553 Advanced Practice in Primary Care II: Adults
This course prepares students to diagnose, treat and follow up common illnesses in adolescents/adults. It integrates biomedical, psychological, social and nursing aspects of care. Emphasis is on: 1) defining a model of advanced nursing practice in various clinical settings and 2) longitudinal experience in the primary care management of selected clients, including underserved populations, in collaboration with other health care professionals. Clinical seminars will emphasize critical diagnostic and management information. Prerequisite: NR 110.551
NR.110.547 Diagnosis, Symptom and Illness Management I - Adult
This course provides didactic content to prepare the Advanced Practice Nurse to provide primary and/or acute care to adults, including older persons, experiencing health problems in one or more body systems. Nurse practitioner students focus on health care for all populations, with particular emphasis on underserved and those from other cultures. Students also emphasize health promotion and disease prevention, screening of adult and older populations, and providing culturally competent care. Didactic content addresses comprehensive diagnosis and management of common health problems, including appropriate diagnostic procedures, laboratory tests, and follow-up care for patients with both acute and chronic conditions. Professional, ethical, and legal issues are also addressed. Pre/corequisites: NR.110.502, 110.508 (Primary Care NPs), 110.549, 110.536/537, 110.572 (ACNP only)
NR.110.557 Diagnosis, Symptom and Illness Management II - Adults
This course expands on knowledge obtained in Diagnosis, Symptom, Illness I and continues to provide a foundation for the student to think criticallyabout symptoms, differential diagnoses, diagnostic evaluation, and the management of common episodic and chronic health conditions throughout the adult lifespan including young adults, adults and older adults. The course emphasizes evidence based practice, health promotion and disease prevention as well as illness care that is based on age, gender, culture, ethnicity, and psycho-social issues. The unique perspective the nurse practitioner brings to the patient encounter, as well as interprofessional collaboration with colleagues, and knowledge of specialty referral are important elements of the course. Prerequisites: NR.110.502, 110.508, 110.536, 110.547, and 110.549 Corequisites: NR.110.551 and 110.589
NR.110.565 Advanced Practice Nursing: Clinical Topics and Professional Issues - Adult NP
This course integrates the biomedical, psychological, and social elements of nurse practitioner practice. Under the supervision of faculty and an experienced preceptor, students will provide in-depth, advanced practice nursing care to patients with complex health problems. Patients will include those from underserved populations and there is an emphasis on integrating current nursing and biomedical research evidence into the clinical decision-making process. Professional issues relevant to nurse practitioners will be explored. Prerequisite: NR.110.553
NR.110.589 Human and Family Development through the Lifespan
This course provides an overview of major concepts, theories, and research related to human development across the lifespan from the prenatal period to death. Simultaneously, major theories and research related to family development across the lifespan are also examined. Significant factors that influence individual and family development functioning are also studied. A variety of assessment tools for assessing development and functioning of individuals and families as well as strategies for intervening with individuals and family are examined. The role of the APN in assessment, implementing intervention, and evaluating outcomes aimed at promoting optimal human development and family functioning are critically examined and discussed.
 

*110.549, 110.551, 110.553, and 110.565 have a clinical component.

Sample Courses
of Study

Sample Courses of Study

Full-time

Fall I (11 credits)

NR.110.508 Clinical Pharmacology
This course focuses on the clinical uses and mechanisms of action of drug groups used in altered states of physiological function. Pharmacological mechanisms, drug interactions, side effects and contraindications will be presented as bases for clinical judgment and management of patients.
NR.110.502 Physiological/Pathophysiological Basis for Advanced Nursing Practice I
This course focuses on the interrelationship between normal physiology and pathophysiology across the lifespan. It is designed to expand the student's understanding of the pathophysiology underlying dysfunction in selected diseases that advanced practice nurses may commonly encounter in their patient populations. Using an integrative approach, representative alternations in physiologic function common throughout the lifespan are addressed. Completion of this course will enable the student to analyze and address physiologic challenges of practice. In addition, it will provide foundational knowledge for use in research involving issues that impact clinical practice. Weekly lecture/discussions are organized based on systems and cover topics from the cellular level up to major organ systems. Prerequisites: Undergraduate anatomy, physiology, and pathophysiology.
NR.110.549 Advanced Health Assessment and Measurement
This course provides an introduction to the skills of advanced history taking and physical assessment. Lectures are designed to help the students apply their knowledge of physical assessment to both primary and acute care settings. Emphasis is placed on differentiation between normal and abnormal findings, recognition of common health problems, and the process of critically thinking through problems. Pre/corequisites: NR 110.502, 110.508, 110.536 and/or 110.537
NR.110.536 Health Assessment and Measurement: Adult/Geriatric Variations
This course provides an intensive and comprehensive introduction to the skills of history taking and advanced physical assessment for the adult/geriatric patient. Lecture and clinical experiences are designed to help the student apply their knowledge of physical assessment of adult/geriatric clients to the primary care or acute care setting. Emphasis is placed on the differentiation between normal and abnormal findings, recognition of common health problems, development of a differential diagnosis and the process of critically thinking through problems related to adult/geriatric health. Pre/corequisites: NR 100.502, 100.508, 110.549, and 100.589 or 100.555
NR.110.547 Diagnosis, Symptom and Illness Management I - Adult
This course provides didactic content to prepare the Advanced Practice Nurse to provide primary and/or acute care to adults, including older persons, experiencing health problems in one or more body systems. Nurse practitioner students focus on health care for all populations, with particular emphasis on underserved and those from other cultures. Students also emphasize health promotion and disease prevention, screening of adult and older populations, and providing culturally competent care. Didactic content addresses comprehensive diagnosis and management of common health problems, including appropriate diagnostic procedures, laboratory tests, and follow-up care for patients with both acute and chronic conditions. Professional, ethical, and legal issues are also addressed. Pre/corequisites: NR.110.502, 110.508 (Primary Care NPs), 110.549, 110.536/537, 110.572 (ACNP only)

Spring I (13 credits)

NR.100.546 Health Promotion & Disease Prevention
This course introduces the student to current issues, theories and research in health promotion and disease prevention related to individuals, families, aggregates and communities. The role of the advanced practice nurse in risk assessment, counseling, education and screening will be emphasized. Students, taking the course for 2 credits, will have the opportunity to apply course content to the development and implrementation of an individual or community-based educational project designed to promote health and prevent disease. The first hour of each class will focus on the theoretical issues of health promotion and disease prevention. Practicum students in the second hour will examine the clinical issues relevant to health promotion throughout the lifespan. A case study approach will be emphasized.
NR.110.557 Diagnosis, Symptom and Illness Management II - Adults
This course expands on knowledge obtained in Diagnosis, Symptom, Illness I and continues to provide a foundation for the student to think criticallyabout symptoms, differential diagnoses, diagnostic evaluation, and the management of common episodic and chronic health conditions throughout the adult lifespan including young adults, adults and older adults. The course emphasizes evidence based practice, health promotion and disease prevention as well as illness care that is based on age, gender, culture, ethnicity, and psycho-social issues. The unique perspective the nurse practitioner brings to the patient encounter, as well as interprofessional collaboration with colleagues, and knowledge of specialty referral are important elements of the course. Prerequisites: NR.110.502, 110.508, 110.536, 110.547, and 110.549 Corequisites: NR.110.551 and 110.589
NR.110.551 Advanced Practice in Primary Care I: Adult/Gero
This course provides clinical experience in adult and geriatric health care settings (ages 16 to 100). It emphasizes the integration of theory, anticipatory guidance, health promotion and disease prevention, and clinical decision making throughout the entire spectrum of the adult lifespan. Students will perform comprehensive and episodic clinical assessments, including appropriate diagnostic testing and therapeutic interventions. Management of both stable, chronic illness and treatment of acute, episodic health problems will be accomplished with the direction of clinical preceptors. Students will work with faculty, nurse practitioners, and physician preceptors in a variety of primary care clinical practicum sites including college health services, health maintenance organizations, community based clinics, long-term care, assisted living, continuing care retirement communities, occupational health settings, and private practices. Clinical placements are arranged by faculty with individual preceptors. Preceptors and students arrange mutually convenient clinical hours. A minimum of 196 clinical hours are required this semester. Periodic clinical seminars will review diagnostic and treatment regimens in a case study format. Information presented will focus on the collection of subjective and objective data, pertinent laboratory findings, diagnostic tests, differential diagnoses and a plan for therapeutic intervention. Cases will focus on underserved, vulnerable and elder patient populations. Prerequisites: NR.110.502, 110.508, 110.549, 110.536, 110.547 Corequisites: 110.557, 110.589
NR.110.501 Intermediate Biostatistics
This course provides students with a conceptual and practical approach to statistical methods in health care research. It focuses on statistical thinking and the appropriate use of statistical methods,including descriptive statistics, hypothesis testing, correlation, simple linear and multiple regressions, logistic regression, odds-ratios, t-tests, ANOVA, ANCOVA, sampling methods, research design, and nonparametric tests. Understanding will be emphasized with computer applications and examples drawn from the nursing research literature and clinical and administrative databases. Prerequisite: Undergraduate statistics
NR.110.589 Human and Family Development through the Lifespan
This course provides an overview of major concepts, theories, and research related to human development across the lifespan from the prenatal period to death. Simultaneously, major theories and research related to family development across the lifespan are also examined. Significant factors that influence individual and family development functioning are also studied. A variety of assessment tools for assessing development and functioning of individuals and families as well as strategies for intervening with individuals and family are examined. The role of the APN in assessment, implementing intervention, and evaluating outcomes aimed at promoting optimal human development and family functioning are critically examined and discussed.

Summer I (6 credits)

NR.100.553 Advanced Practice in Primary Care II: Adults
This course prepares students to diagnose, treat and follow up common illnesses in adolescents/adults. It integrates biomedical, psychological, social and nursing aspects of care. Emphasis is on: 1) defining a model of advanced nursing practice in various clinical settings and 2) longitudinal experience in the acute care management of selected clients, including underserved populations, in collaboration with other health care professionals. Clinical seminars will emphasize critical diagnostic and management information and will include acute care clinical case study analysis. Prerequisites: NR 100.551 and 557
NR.100.503 Research Design & Methodology
This course prepares students to understand the conduct and use of nursing research. Topics covered include searching the literature, critiquing research, and elements of research proposals and reports, including theoretical framework, design and analysis. Use of the computer laboratory provides students with an experience in data entry and analysis. Major emphasis of this course is the development of a research proposal in the student's area of interest and the application of research for nursing practice. Prerequisite: NR 100.505 OR 100.513 Pre/corequisite: NR 100.500

Fall II (10 credits)

NR.110.500 Philosophical, Theoretical, and Ethical Basis for Nursing
This course will explore the conceptual, theoretical, and ethical bases of nursing. Selected conceptual models and frameworks of nursing and ethics will be analyzed with emphasis on implications for nursing practice. This course is designed to provide students with frameworks, concepts, and personal and professional exercises for approaching nursing practice issues and to enhance the student's understanding of theoretical, conceptual and ethical issues in nursing and in health care and to respond to them specifically.
NR.110.565 Advanced Practice Nursing: Clinical Topics and Professional Issues - Adult NP
This course integrates the biomedical, psychological, and social elements of nurse practitioner practice. Under the supervision of faculty and an experienced preceptor, students will provide in-depth, advanced practice nursing care to patients with complex health problems. Patients will include those from underserved populations and there is an emphasis on integrating current nursing and biomedical research evidence into the clinical decision-making process. Professional issues relevant to nurse practitioners will be explored. Prerequisite: NR.110.553
NR.110.504 Context of Healthcare for Advanced Practice Nursing
This three credit course examines the scope and status of professional roles and responsibilities of nurses prepared for advanced clinical and managerial placements in diverse health care settings. Course content and activities will focus on understanding forces driving contemporary health care and enhancing skills in outcomes evaluation, as well as efficient and effective function in a continuous change health care environment.

Part-time

Fall I (9 credits)

NR.110.500 Philosophical, Theoretical, and Ethical Basis for Nursing
This course will explore the conceptual, theoretical, and ethical bases of nursing. Selected conceptual models and frameworks of nursing and ethics will be analyzed with emphasis on implications for nursing practice. This course is designed to provide students with frameworks, concepts, and personal and professional exercises for approaching nursing practice issues and to enhance the student's understanding of theoretical, conceptual and ethical issues in nursing and in health care and to respond to them specifically.
NR.110.502 Physiological/Pathophysiological Basis for Advanced Nursing Practice I
This course focuses on the interrelationship between normal physiology and pathophysiology across the lifespan. It is designed to expand the student's understanding of the pathophysiology underlying dysfunction in selected diseases that advanced practice nurses may commonly encounter in their patient populations. Using an integrative approach, representative alternations in physiologic function common throughout the lifespan are addressed. Completion of this course will enable the student to analyze and address physiologic challenges of practice. In addition, it will provide foundational knowledge for use in research involving issues that impact clinical practice. Weekly lecture/discussions are organized based on systems and cover topics from the cellular level up to major organ systems. Prerequisites: Undergraduate anatomy, physiology, and pathophysiology.
NR.110.508 Clinical Pharmacology
This course focuses on the clinical uses and mechanisms of action of drug groups used in altered states of physiological function. Pharmacological mechanisms, drug interactions, side effects and contraindications will be presented as bases for clinical judgment and management of patients.

Spring I (7 credits)

NR.110.546 Health Promotion & Disease Prevention
This course introduces the student to current issues, theories and research in health promotion and disease prevention related to individuals, families, aggregates and communities. The role of the advanced practice nurse in risk assessment, counseling, education and screening will be emphasized. Students, taking the course for 2 credits, will have the opportunity to apply course content to the development and implementation of an individual or community-based educational project designed to promote health and prevent disease. The first hour of each class will focus on the theoretical issues of health promotion and disease prevention. Practicum students in the second hour will examine the clinical issues relevant to health promotion throughout the lifespan. A case study approach will be emphasized.
NR.110.589 Human and Family Development through the Lifespan
This course provides an overview of major concepts, theories, and research related to human development across the lifespan from the prenatal period to death. Simultaneously, major theories and research related to family development across the lifespan are also examined. Significant factors that influence individual and family development functioning are also studied. A variety of assessment tools for assessing development and functioning of individuals and families as well as strategies for intervening with individuals and family are examined. The role of the APN in assessment, implementing intervention, and evaluating outcomes aimed at promoting optimal human development and family functioning are critically examined and discussed.
NR.110.501 Intermediate Biostatistics
This course provides students with a conceptual and practical approach to statistical methods in health care research. It focuses on statistical thinking and the appropriate use of statistical methods,including descriptive statistics, hypothesis testing, correlation, simple linear and multiple regressions, logistic regression, odds-ratios, t-tests, ANOVA, ANCOVA, sampling methods, research design, and nonparametric tests. Understanding will be emphasized with computer applications and examples drawn from the nursing research literature and clinical and administrative databases. Prerequisite: Undergraduate statistics

Summer I (6 credits)

NR.110.503 Applications of Research to Practice
This course prepares students for clinical, management, or education leadership roles in health care through translation of the best available evidence into practice within organizations and application of research for nursing practice. Students will develop skills and knowledge needed to review and synthesize the strength of evidence available, and recommend practice changes if indicated. Topics covered include: a review of the research process (including theoretical framework, design, and analysis, research design hierarchy), research critique, rating and synthesizing the strength of evidence, decision making for practice, research and research translation opportunities (outcomes, evaluation research, quality improvement, cost-effectiveness analysis), risk adjustment, measurement, research ethics and organizational change. Prerequisite: NR 110.501
NR.110.504 Context of Healthcare for Advanced Practice Nursing
This three credit course examines the scope and status of professional roles and responsibilities of nurses prepared for advanced clinical and managerial placements in diverse health care settings. Course content and activities will focus on understanding forces driving contemporary health care and enhancing skills in outcomes evaluation, as well as efficient and effective function in a continuous change health care environment.

Fall II (5 credits)

NR.110.549 Advanced Health Assessment and Measurement
This course provides an introduction to the skills of advanced history taking and physical assessment. Lectures are designed to help the students apply their knowledge of physical assessment to both primary and acute care settings. Emphasis is placed on differentiation between normal and abnormal findings, recognition of common health problems, and the process of critically thinking through problems. Pre/corequisites: NR 110.502, 110.508, 110.536 and/or 110.537
NR.110.536 Health Assessment and Measurement: Adult/Geriatric Variations
This course provides an intensive and comprehensive introduction to the skills of history taking and advanced physical assessment for the adult/geriatric patient. Lecture and clinical experiences are designed to help the student apply their knowledge of physical assessment of adult/geriatric clients to the primary care or acute care setting. Emphasis is placed on the differentiation between normal and abnormal findings, recognition of common health problems, development of a differential diagnosis and the process of critically thinking through problems related to adult/geriatric health. Pre/corequisites: NR 100.502, 100.508, 110.549, and 100.589 or 100.555
NR.110.547 Diagnosis, Symptom and Illness Management I - Adult
This course provides didactic content to prepare the Advanced Practice Nurse to provide primary and/or acute care to adults, including older persons, experiencing health problems in one or more body systems. Nurse practitioner students focus on health care for all populations, with particular emphasis on underserved and those from other cultures. Students also emphasize health promotion and disease prevention, screening of adult and older populations, and providing culturally competent care. Didactic content addresses comprehensive diagnosis and management of common health problems, including appropriate diagnostic procedures, laboratory tests, and follow-up care for patients with both acute and chronic conditions. Professional, ethical, and legal issues are also addressed. Pre/corequisites: NR.110.502, 110.508 (Primary Care NPs), 110.549, 110.536/537, 110.572 (ACNP only)

Spring II (6 credits)

NR.110.557 Diagnosis, Symptom and Illness Management II - Adults
This course expands on knowledge obtained in Diagnosis, Symptom, Illness I and continues to provide a foundation for the student to think criticallyabout symptoms, differential diagnoses, diagnostic evaluation, and the management of common episodic and chronic health conditions throughout the adult lifespan including young adults, adults and older adults. The course emphasizes evidence based practice, health promotion and disease prevention as well as illness care that is based on age, gender, culture, ethnicity, and psycho-social issues. The unique perspective the nurse practitioner brings to the patient encounter, as well as interprofessional collaboration with colleagues, and knowledge of specialty referral are important elements of the course. Prerequisites: NR.110.502, 110.508, 110.536, 110.547, and 110.549 Corequisites: NR.110.551 and 110.589
NR.110.551 Advanced Practice in Primary Care I: Adult/Gero
This course provides clinical experience in adult and geriatric health care settings (ages 16 to 100). It emphasizes the integration of theory, anticipatory guidance, health promotion and disease prevention, and clinical decision making throughout the entire spectrum of the adult lifespan. Students will perform comprehensive and episodic clinical assessments, including appropriate diagnostic testing and therapeutic interventions. Management of both stable, chronic illness and treatment of acute, episodic health problems will be accomplished with the direction of clinical preceptors. Students will work with faculty, nurse practitioners, and physician preceptors in a variety of primary care clinical practicum sites including college health services, health maintenance organizations, community based clinics, long-term care, assisted living, continuing care retirement communities, occupational health settings, and private practices. Clinical placements are arranged by faculty with individual preceptors. Preceptors and students arrange mutually convenient clinical hours. A minimum of 196 clinical hours are required this semester. Periodic clinical seminars will review diagnostic and treatment regimens in a case study format. Information presented will focus on the collection of subjective and objective data, pertinent laboratory findings, diagnostic tests, differential diagnoses and a plan for therapeutic intervention. Cases will focus on underserved, vulnerable and elder patient populations. Prerequisites: NR.110.502, 110.508, 110.549, 110.536, 110.547 Corequisites: 110.557, 110.589

Summer II (3 credits)

NR.110.553 Advanced Practice in Primary Care II: Adults
This course prepares students to diagnose, treat and follow up common illnesses in adolescents/adults. It integrates biomedical, psychological, social and nursing aspects of care. Emphasis is on: 1) defining a model of advanced nursing practice in various clinical settings and 2) longitudinal experience in the primary care management of selected clients, including underserved populations, in collaboration with other health care professionals. Clinical seminars will emphasize critical diagnostic and management information. Prerequisite: NR 110.551

Fall III (4 credits)

NR.110.565 Advanced Practice Nursing: Clinical Topics and Professional Issues - Adult NP
This course integrates the biomedical, psychological, and social elements of nurse practitioner practice. Under the supervision of faculty and an experienced preceptor, students will provide in-depth, advanced practice nursing care to patients with complex health problems. Patients will include those from underserved populations and there is an emphasis on integrating current nursing and biomedical research evidence into the clinical decision-making process. Professional issues relevant to nurse practitioners will be explored. Prerequisite: NR.110.553

Tuition
 

Tuition

Tuition and Other Costs

Billed Expenses (September 2013 - May 2014)
Tuition: $33,984* (full-time per year)
Per credit cost: $1,416
Matriculation fee: $500 (onetime only fee for first-time enrolled JHU students)
Health Insurance:$2,421**
Health Fee:$450
 

Estimated Other Expenses***

Room and Board:$12,294
Books/Supplies:$1,856
Personal Expenses:up to $1,350
Travel Expenses: up to $3,366

*Full-time: 12 credit hours per semester
**All students must have health coverage.  Purchase of the School’s plan is optional.
***Amounts for other expenses vary based upon student's selection of books, supplies, and living arrangements.

Billed expenses are subject to change without prior notice.       

 

For media inquiries, contact Jon Eichberger at (410)614-4695, je@jhu.edu.

Johns Hopkins University School of Nursing
525 N. Wolfe Street | Baltimore MD 21205 | (410)955-4766
 
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