Harris School of Nursing


Harris School of Nursing offers a Masters of Science in Nursing that prepares Adult (Medical-Surgical) Clinical Nurse Specialists. The program prepares nurses who have earned either an associates degree in nursing or a baccalaureate degree in nursing for the advanced practice role. The master's program requires completion of 40 hours of coursework comprised of 31.5 semester hours of didactic and 8.5 semester hours (510 clinical hours) of clinical practicum.

Admission

Admission to the graduate program is open to qualified candidates who have a baccalaureate degree in nursing from an accredited college or school of nursing and candidates who have an associate degree in nursing from an accredited college of nursing and have successfully completed the accelerated ADN to master's program course work. Admission is competitive and an individualized approach is used to identify applicants with demonstrated academic achievement and potential, who have strong motivation to succeed in academic study and professional practice, and the potential to function as a leader in advanced practice and health care delivery. The applicant's grade point average, performance on standardized exams, writing and speaking skills, and prior professional experience are used to assess these qualities. A profile of each applicant is developed based on an admission portfolio consisting of:

-- Evidence of current licensure in the state of Texas or the state where clinical course work will occur.
-- Evidence of current Healthcare Provider CPR, liability insurance, health clearance.
-- Official transcripts from all colleges or universities attended with a preferred cumulative grade point average of 3.0 (on a 4 point scale) from the applicant's basic nursing program.
-- For baccalaureate graduates, an acceptable score on the verbal, quantitative, and analytical sections of the Graduate Record Examination (GRE) or the Miller Analogy Test (MAT).
-- For non-baccalaureate graduates, an acceptable score on the GRE or the MAT are required as above for progression to the graduate level course sequence.
-- A preferred work history that includes two years of full-time experience or its equivalent as a registered nurse in medical-surgical or other areas where adults receive care.
-- For applicants for whom English is a second language, demonstrated English language proficiency is measured by an acceptable score on the Test of Spoken English as a Foreign Language (TOEFL) and the institutional version of the Test of Spoken English (TSE).
-- An assignment demonstrating written communication skills and computer proficiency. -- Three letters of reference, of which two are from health care professionals and the third one preferably from an instructor in the basic nursing program.

Graduate Curriculum Requirements

The curriculum is composed of 31.5 semester hours of didactic coursework and 8.5 semester hours of clinical practicum. An additional 4-semester-hour elective course in diagnostic reasoning will be offered to meet requirements for prescriptive authority, which Clinical Nurse Specialist may obtain in some states.

Required Coursework

NURS 50003 - Advanced Pathophysiology
NURS 50013- Advanced Health Assessment
NURS 50053 - Advanced Pharmacotherapeutics
NURS 60013 - Health Care Policy, Law, and Ethics
NURS 60022 - Advanced Practice Roles
NURS 60030 - Research Project
NURS 60043 - Advanced Nursing Research and Theory
NURS 60413 - CNS Concepts I
NURS 60443 - Financial Concepts in Health Care
NURS 60482 - CNS Practicum I
NURS 60513 - CNS Concepts II
NURS 60583 - CNS Practicum II
NURS 60613 - CNS Concepts III
NURS 60684 - CNS Practicum III

Elective Coursework

NURS 60714 - Diagnostic Reasoning

 

The ADN to MSN Program

The Master's of Science in nursing program offers the opportunity for associate degree registered nurses (ADN) to achieve master's level preparation in nursing through an innovative curriculum plan. The ADN candidate is admitted to the accelerated program and required to complete a number of prerequisites before consideration for admission to the graduate program. The prerequisites include:

Liberal arts and humanities and college requirements 38 hours of lower division courses that are required may be taken at TCU or transferred:

English . . . . . . . . . . . ..............................................6 hours
Anatomy and Physiology. . . . .................................8
Microbiology 3 hours Psychology...........................3
Growth and Development....................................... 3
Speech 3 hours Statistics .........................................3
Fine Arts/Humanities ..............................................3
Foreign Language ...................................................6

Twenty-four hours of upper division courses will be taken at TCU of which 12 hours are nursing:

NTDT 30123 Nutrition throughout the life cycle. ................3 hours
Upper division writing intensive course ................................3
Upper division literature course............................................ 3
Upper division social science course .....................................3

Undergraduate nursing curriculum requirements: (12 credit hours)

NURS 30112 Nursing Research and Theory
NURS 30043 Survey of Professional Nursing
NURS 40813 Concepts of Community Health Nursing
NURS 48882 Practicum: Community Health Nursing NURS
40912 Concepts of Nursing Management and Leadership

Upon completion of all prerequisites with a TCU cumulative grade point average of 3.0, an acceptable score on the Graduate Record Examination(on verbal, quantitative, and analytical sections) or the Miller Analogy Test, the ADN student will be allowed to enroll in graduate level coursework. Students who fail to meet these conditions will not be allowed to continue on in graduate study in nursing, but may consider completion of the baccalaureate degree requirements.

Course Descriptions

NURS 50003 Advanced Pathophysiology. Prerequisite(s): Admission to the Graduate Program or permission of the instructor. This course provides an understanding of advanced knowledge base of pathophysiologic processes underlying human illness. Content includes systems approach to pathophysiologic processes associated with altered health states in adults.

NURS 50013 Advanced Health Assessment. Prerequisite(s): Admission to the Graduate Program or permission of the instructor. This course provides an advanced level of skill in the assessment of adult's. Content includes comprehensive advanced assessment of adults. Diagnostic and inferential skills are developed. During the clinical portion students will complete three detailed assessments of each individual system, culminating in one comprehensive systems assessment at course completion.

NURS 50053 Advanced Pharmacotherapeutics. Prerequisite(s): Admission to the Graduate Program or permission of the instructor. This course emphasizes the pharmacological principles fundamental to the selection of pharmacologic agents in altered health states. Content includes the pharmacodynamic, pharmacokinetic and pharmacotherapeutic properties of drug categories and specific agents, clinical responses to the use of pharmacologic agents, efficacy and cost-effectiveness issues, client education, adherence, and legal requirements of prescriptive authority.

NURS 60013 Health Care Policy, Law, and Ethics. Prerequisite(s): Admission to the Graduate Program or permission of the instructor if in a graduate program in another department. This course integrates concepts of health care policy, law, and ethics as a foundation for high quality cost-effective care and for participation in the design and implementation of care in health care delivery systems. Content includes knowledge of how health policy is formulated, how to effect this process, and how it impacts clinical practice and health care delivery. Philosophical/ethical/legal dimensions of health care policy, organization, and economics are analyzed.

NURS 60022 Advanced Practice Roles. Prerequisite(s): Admission to the Graduate Program. This course provides a foundation for the transition to the role of the nurse in advanced practice. Content includes roles within advanced practice, theories of change, concepts of negotiation, collaboration, interdependence, advocacy and autonomy, and titling, certification and licensure issues. The clinical nurse specialist role will be extensively examined.

NURS 60030 Research Project. Prerequisite(s): NURS 60043. Research process is used to address a phenomenon of concern in health care. Emphasis is placed on the design and implementation of a study conducted within a specified area of advanced practice and strategies for disseminating results.

NURS 60043 Advanced Nursing Research and Theory. Prerequisite(s): Admission to the Graduate Program. This course emphasizes the evaluation, utilization, and integration of a wide variety of theories and research methodologies as a foundation for advanced nursing practice. Content includes application of theoretical frameworks to research designs to improve practice and patient outcomes. Evidenced-based interventions are analyzed followed by identification of outcome studies needed to improve practice.

NURS 60413 CNS Concepts I. Prerequisite(s): NURS 50003, NURS 50013, NURS 50053, NURS 60043. This course emphasizes the patient/client domain of CNS practice. The health maintenance, health promotion, and illness prevention needs of adults, individually and collectively, are examined through the introduction and implementation of the outcomes management role. Content includes management of commonly encountered symptoms, functional problems, and risk behaviors commonly encountered in adults. The CNS subroles of expert practitioner, educator, researcher, change agent, and consultant are examined within the patient /client sphere of influence.

NURS 60443 Financial Concepts in Health Care. Prerequisite(s): NURS 60013. This course provides an overview of the financial concepts necessary to functioning as a case manager. Content includes financial accounting, planning and control, resource management, and management information systems.

NURS 60482 CNS Practicum I. Concurrent: NURS 60413. This course consists of supervised practicum experience in the application of health maintenance, health promotion, and illness prevention needs of adults, as individuals and collectively. Particular emphasis is placed on the management of symptoms, functional problems, and risk behaviors commonly encountered in practice. The CNS subroles of expert practitioner, educator, researcher, change agent, and consultant are explored.

NURS 60513 CNS Concepts II. Prerequisite(s): NURS 60413 and NURS 60482. This course explores the nursing personnel domain of CNS practice. Content is organized according to competencies related to identifying and defining problems and opportunities in nursing practice, identifying and articulating factors contributing to resource management needs and outcomes, developing innovative solutions, and evaluating the effect of solution strategies. The CNS subroles of expert practitioner, educator, researcher, change agent, and consultant are examined within the nursing personnel sphere of influence.

NURS 60583 CNS Practicum II. Concurrent: NURS 60513. This course consists of supervised practicum experience in the nursing personnel domain of CNS practice. Particular emphasis is placed on identifying and defining problems and opportunities in nursing practice, identifying and articulating factors contributing to resource management needs and outcomes, developing innovative solutions, and evaluating the effect of solution strategies. The CNS subroles of expert practitioner, educator, researcher, change agent, and consultant are explored.

NURS 60613 CNS Concepts III. Prerequisite(s): NURS 60413 and NURS 60482; NURS 60513 and NURS 60583. This course explores the organizational/network domain of CNS practice. Content is organized according to competencies related to identifying and defining problems and opportunities in nursing practice, identifying and articulating resource management needs and factors contributing to outcomes, developing innovative solutions, and evaluating the effect of solution strategies. The CNS subroles of expert practitioner, educator, researcher, change agent, and consultant are examined within the organizational/network sphere of influence.

NURS 60684 CNS Practicum III. Concurrent: NURS 60613. This course consists of a supervised practicum experience in the organizational/network domain of CNS practice and a Capstone Experience integrating all of the CNS Spheres of Influence. During the first 3/4 of the semester, the organizational/network domain is explored. Particular emphasis is placed on identifying and defining problems and opportunities within organizations/networks, identifying and articulating factors contributing to resource management needs and outcomes within organizations/networks, developing innovative solutions within organizations/networks, and evaluating the effect of solution strategies within organizations/networks. The CNS subroles of expert practitioner, educator, researcher, change agent, and consultant are explored. During the last 1/4 of the semester students have a Capstone Experience integrating all of the CNS Spheres of Influence and subroles.

NURS 60714 Diagnostic Reasoning. Prerequisite(s): NURS 50003, NURS 50013, and NURS 50053. This course emphasizes the diagnosis and management of the common acute and chronic disruptions of health experienced by adults. Students will assimilate knowledge from advanced assessment, advanced pathophysiology, and advanced pharmacotherapeutics to develop diagnoses and treatment plans within their scope of practice. This course completes the nationally recognized requirements that allow the student to obtain prescriptive authority.