Education-curriculumColumbia University's competency and evidence-based Acute Care Nurse Practitioner Program*,**
Section snippets
The ACNP curriculum
The 47-credit masters ACNP program consists of core courses, supporting sciences, and specialty courses (Table 1).Core Courses • Theory and Research in Nursing and Applied Science • Health and Social Policy: Context in Practice and Research • Introduction to Primary Care • 3 of the 4 below “intensives” (1 credit courses) ◦ Nutrition through the Lifespan ◦ Interpersonal Violence and Abuse ◦ Behavorial Health Care in Advanced Practice Nursing ◦ Management in Advanced Practice Supporting
EBP components
ACNP students need to master both building evidence from practice as well as applying evidence to practice. Building evidence from clinical practice includes accumulating individual patient data within a case, assembling cases by an individual practitioner, and analyzing cases between practitioners (ie, across patient populations). Processes of EBP include asking an answerable question; identifying, critically evaluating, and applying relevant research findings; integrating research,
Knowledge and skill acquisition
Both theoretical and practical knowledge are needed to develop clinical expertise.15 Whereas a large part of the theoretical knowledge is gained in the traditional classroom setting, the roles of the clinical preceptor and peer group should be valued in enhancing theoretical, rather than only practical, knowledge. Case presentations are expected to be a peer review-and-discussion exercise. Students are expected to choose a unique patient or treatment and orally present the chief complaint,
Summary
The gold standard of clinical information is evidence-based information. As such, it is important that our NP students understand what EBP is and how to both build evidence from practice and use evidence in practice. In addition, the use of national standards as we have done to assess competencies allows for comparison of outcomes within and among students. This revised curriculum integrates the necessary EBP and competency components to achieve these goals.■
References (17)
Insufficient evidence: the problems of evidence-based nursing
Nurse Educ Today
(1999)- et al.
Evidence-based nursing (CD)
- et al.
Evidence-based medicine: how to teach and practice EBM
(2000) - et al.
Evidence-based practice and the advanced practice nurse: a curriculum for the future
Semin Periop Nurs
(2000) - et al.
Developing national guidelines for nurse practitioner education: an overview of the product and the process
J Nurs Educ
(1992) An educational partnership to develop acute care nurse practitioners
Can J Nurs Adm
(1997)The critical care nurse practitioner curriculum at the University of Pennsylvania: update and revision
AACN Clin Issues
(1997)- et al.
Removing the walls and expanding the boundaries: a curriculum model for acute care nurse practitioners
N&HC: Perspectives on Community
(1996)
Cited by (0)
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NOTE: At the time the article was written, Curran was an assistant professor and director of the Informatics Program at Columbia University School of Nursing, New York. She also was the director of the Acute Care Nurse Practitioner (ACNP) program at the School of Nursing before W. Dan Roberts assumed the position.
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Reprint requests: Christine R. Curran, PhD, RN, CNA, 1585 Neil Ave, Columbus, OH 43210-1289.