# Presentation: 383705

## Slide 1

## Vanderbilt University School of Nursing

- Established in 1909 as a diploma program
- 1926 - 5 year program leading to BSN
- 1933 charter member of Association for Collegiate Schools of Nursing which later became NLN
- 1955 VUSN first school in Tennessee and one of six schools in the South offering MSN

## Vanderbilt University School of Nursing (cont’d.)

- 1970 PRIMEX Program (forerunner to FNP program) established
- 1986 “Bridge” Program began leading to MSN (16 students)
- 1993 First PhD in Nursing Science class began

## Advanced Practice Clinical Operations

- Vine Hill Clinic + Housing Project Clinics
- School Based Clinics
- Midwifery /Birth Center Practices
- VUMC Outpatient & Inpatient Practices
- Collaborative Practices- Nashville Community
- 90+ faculty

## Research

- Nursing Workforce Studies
- Nursing Intervention Research:
- Quality of Life
- Quality of Care
- Cancer Center
- Nursing Clinical Trials Project
- Pediatric Palliative Care

## Emergency Preparedness Programs

- International Nursing Coalition for Mass Casualty Education
- National Center for Emergency Preparedness

## Joint Program Opportunities

- Meharry Vanderbilt Alliance
- Meharry/Vanderbilt Geriatric Education Center
- Meharry Center for Rural Interdisciplinary Training
- Meharry/Vanderbilt Substance Abuse Project

## International Projects

- Cultural Competence for Multicultural Healthcare Workforce
- Bournemouth University, UK
- Uppsala University, Sweden
- Pohjois-Savo Polytechnic, Finland
- VUSN & VUSOM Medical Missions Project: Peru

## Master of Science in Nursing with Multiple Entry Options

## Multiple Entry Options

- College graduate in any field
- Completion of junior year at one of the affiliated     senior year in absentia schools
- Completion of 78 semester hours of college credit
- Completion of ASN or Diploma in nursing with 78 semester hours
- Completion of BSN
- Completion of MSN

## Program of Studies

- Non-nurse with 78 semester hours or baccalaureate degree in another field
- Year 1: Fall, spring, summer
- Year 2: Fall, spring, summer
- 6 semester (full-time study)
- ASN or Diploma RN with 78 semester hours
- 5 semesters (full-time study)
- Year 1: Fall, spring
- Year 2: Fall, spring, summer

## Program of Studies (cont’d.)

- BSN
- 3 semesters (full-time study)
- Fall, spring, summer
- MSN (Post Master’s)
- 3 semesters (part-time study)
- Portfolio analysis
- Note: NMW , PNP Acute Care and WHNP/ANP takes one additional semester, NMW/FNP takes two  additional semesters.

## Master’s of Science in Nursing (MSN) degree prepares

*Advanced Practice Nurses (APN)*

## What is an APN?

- Umbrella term
- RN with advanced education and clinical practice skills
- 6 principle types of APNs

## Types of APNs

- Nurse Practitioners
- Clinical Nurse Specialist
- Nurse-Midwife
- Nurse Anesthetists
- Clinical Nurse Managers or Health Systems Managers
- Nurse Informaticist

## Number of RNs Who are Master’s Prepared in Nursing

**Licensed RNs**

**APNs**

- 232,704

- 2,558,874

**9%**

## Clinical Advanced Practice Nurses

## Changing Healthcare Industry

- Challenge:
- Provide safe & effective healthcare while  controlling cost
- Continues to be a need for all levels of care
- primary
- secondary/community
- tertiary
- quaternary
- Increased use of nurse practitioners, nurse-midwives, nurse anesthetists, clinical nurse specialists, case managers

## Providers for the 21st Century

- Advanced Practice Nurses
- Accessible
- Cost-effective
- High quality care

## Slide 20

## Slide 21

## APN Roles Offered at VUSN

- Nurse Practitioner (NP)
- Certified Nurse Midwife (CNM)
- Clinical and Health Systems Manager
- Clinical Nurse Specialist (option)
- Nurse Informaticist

## Management Programs Offered

- Health Systems Management
- Emergency Response Management
- Clinical Research Management
- Transplant Management (under development)
- Clinical Management (RN’s only)
- Adult Acute Care
- Pediatrics
- Women’s Health
- Geriatrics
- (Clinical Nurse Specialist Option-additional semester)
**Courses offered in concentrated workshop format**

## MSN/MBA Dual Degree 

- 7 semesters for ASN or Diploma nurses
- 5 semesters for BSN nurses
- Requires separate application to Owen School of Management
- Must take GMAT

## Health Systems Management

- Health Maintenance Organizations
- Community-based Clinics
- Ambulatory Care Centers
- Acute Care Institutions
- Clinical Research Corporations

## Clinical Management

- Hospital Patient Care Units
- Ambulatory and Outpatient Units
- Patient Care Centers
- Long Term Care
- Women’s Services

## Nursing Informatics

- Clinical Informatics
- Educational Informatics

## Nursing Informatics

- Clinical Systems Project Managers
- Clinical Information System Vendors
- Web Page Designers for Consumer Health
- Health Care Education Systems
- Schools of Nursing

## NP Specialty Areas

- Adult
- Adult/Geriatric
- Acute Care
- Family
- Neonatal
- Pediatric
- Psychiatric-Mental health
- Women’s Health
- Women’s Health/ANP

## Adult Nurse Practitioner

- Adult Primary Care
- Offered in concentrated workshop format designed for the working professional
- Focus areas
***Cardiovascular disease prevention & primary care management***
***Palliative Care***
***Forensics***
***Older  Adult/Geriatric Nurse Practitioner***
*	**	***Dual certification ANP & GNP*

## Acute Care Adult NP

- Complex illness care across settings
- Choose a specialty population, i.e.,  trauma , pulmonary, nephrology, oncology, HIV-AIDS,  rehabilitation,
- Across practice settings (specialty clinics & hospitals)
- Role may include secondary, tertiary or quaternary care

## Family NP (FNP)

- Primary care
- Wellness/health promotion, disease management all age groups
- Numerous practice settings
- NMW/FNP option

## Neonatal NP

- Newborns in all 3 levels of care
- Level III - Intensive Care
- Level II - Intermediate Care “growing”nursery
- Level I - normal newborn
- Critical care            Illness care            long term management
- Parent/family education
- Offered in concentrated workshop format
**RN’s only**

## Pediatric Nurse Practitioner 

- Choose focus area:
- Primary Care
- Acute Care (additional semester)
- School Based Clinics
- Pediatric Practices
- Hospital Based Practice
- Offered in concentrated workshop format

## Psychiatric-Mental Health NP

- Can focus on one of 4 populations
- Adult
- Child & adolescent
- Geriatric
- Severely & persistently mentally ill
- Individual, family and group therapy
- Emerging creative opportunities incollaboration with primary & specialtycare practices.
- Offered in concentrated workshop format

## Women’s Health NP

- Well Woman’s GYN
- Primary & Secondary Care
- Reproductive health & illness
- OB/GYN clinics, Planned Parenthood, STD clinics, health departments
- WHNP/ANP Combined Program (4 sem.)

## Nurse-Midwifery

- Well Woman’s GYN
- Low risk OB
- Additional semester required
- Birthing centers, hospitals
- Primary & Secondary Care
- NMW/FNP Option -

## Career Options for Doctorally- Prepared Nurses

**Research**
- Design, implement, disseminate research studies
**Clinical practice**
- Provide direct care
- Generate outcomes data to improve health status of individuals, families, & aggregates
**Administration**
- Direct institutions or departments of nursing/research
**Faculty**
- Teach in a variety of institutions preparing nurses and other health care providers
**Policy**
- Provide leadership for influencing political environment related to nursing and health care delivery

## Doctoral Education in Nursing

- For more information about the PhD program go to the VUSN website or contact
**Dr. Melanie Lutenbacher, Doctoral Program Director**
- http://www.mc.vanderbilt.edu/nursing/interested/index.html

## Focus Areas /Certificate Programs

- Clinical Research Management
- Emergency Response Management
- Forensic Nursing for students admitted to NP specialties beginning Fall 2004
- Palliative Care
- Presentations during the third session today

## Salary Range Year 2002 Graduates

- Full Time Nurse Practitioners
- $50,000 and above			64%
- $45,000 - $50,000			23%
- $40,000 - $45,000			12%
- Did not indicate			  1%

## Slide 42

## Registered Nurses with a BSN:

- 				**2000****	****	****2010****	****	****2020**
- Nurses Available		596,000	656,000	635,000
- Nurses Needed		854,000        1,385,000        1,754,000

*RNs with a Master’s or a Doctorate*

- 				**2000****	****	****2010****	****	****2020**
- Nurses Available		175,000	250,000	 315,000
- Nurses Needed	      	377,000      	532,000      	 822,000

- Courtesy of the Bureau of Health Professions,
- U.S. Department of Health & Human Services

## Advanced Practice Nursing

- A career for the 21st century
- Career opportunities increasing
- Blends art & science of nursing