Master of Science in Nursing, Family (Individual Across the Lifespan) Nurse Practitioner

Chair: Rita Trofino, DNP, RN

Program Director: Renee Gilhousen, PhD, CRNP

Accreditation Statement:

The program meets licensure requirements in the Commonwealth of Pennsylvania and is approved by the Pennsylvania State Board of Nursing, which can be contacted at:  P.O. Box 2649, Harrisburg, PA, 17105; (717) 783-7142

https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Nursing/Pages/Board-Approved-Nursing-Education-Programs.aspx

Following successful completion of the master’s program, students may be eligible to sit for the family nurse practitioner national certification examination from the American Nurses Credentialing Center (ANCC) and the American Academy of Nurse Practitioners Certification Board (AANPCB).  

Students may be eligible for certification as a Certified Registered Nurse Practitioner (CRNP) in Pennsylvania through the Pennsylvania State Board of Nursing or in any state in which the program is available for enrollment. We are working hard to expand the number of states in which each program is authorized. Refer to the University’s State Authorization web page for additional information and program availability.

Since this program leads to a professional license or certification, authorization may or may not be required of the University from the state professional licensing board prior to the student beginning a clinical or field experience in a state other than Pennsylvania. Check with your program clinical coordinator with questions about state professional licensure board requirements prior to enrollment. Any changes in state of residence after enrollment could affect eligibility to complete the program.

The Pennsylvania State Board of Nursing requires that the Pharmacy course must be taken within 5 years of intended completion of the MSN Family (Individual Across the Lifespan) Nurse Practitioner program for the applicant for CRNP licensure to be eligible for prescriptive licensure. Students living outside of Pennsylvania should investigate the requirements of the State Boards of Nursing in their respective home state.

Please note that most states require nurses to be nationally certified and to have completed an accredited graduate nursing program in order to obtain licensure as an advanced practice registered nurse. Each national certification provider and state Board of Nursing will have eligibility requirements in addition to these educational requirements, such as passing a criminal background check. Students are responsible for determining whether they are eligible for State

Board of Nursing approval and certification as an advanced practice registered nurse in their state. Students can obtain additional information from their state’s Board of Nursing, the American Nurses Credentialing Center (ANCC), and the American Academy of Nurse Practitioners Certification Board (AANPCB). The National Council of State Boards of Nursing website (https://www.ncsbn.org/contact-bon.htm) provides contact information for each state Board of Nursing.

For more information regarding authorization and licensure, visit the University’s State Authorization web page (https://www.francis.edu/State-Authorization/).

The Master of Science in Nursing program at Saint Francis University is accredited by the Commission on Collegiate Nursing Education (http://www.ccneaccreditation.org)

Program Description:

The Master of Science in Nursing (MSN)- Family (Individual Across the Lifespan) Nurse Practitioner (FNP) track was developed in accordance with the National Task Force on Quality Nurse Practitioner Education (2016), the APRN Consensus Model (2008), the American Association of Colleges of Nursing Essentials of Masters’ Education in Nursing (2011); the  Commission on Collegiate Nursing Education (2013), and according to the Pennsylvania State Board* of Nursing Rules and Regulations for Nurse Practitioner Licensure and Practice (Pennsylvania Code 21.369).

*Out of state students will need to visit their state’s Board of Nursing for Rules and Regulations for Nurse Practitioner Licensure and Practice.

The MSN-FNP track is designed to prepare students in the advanced practice role of the family nurse practitioner caring for families and individuals across the lifespan in a primary care setting. Graduates of the MSN-FNP program who complete program requirements are qualified to sit for the American Nurses Credentialing Center (ANCC) or the American Association of Nurse Practitioners Certification Board (AANPCB) Family Nurse Practitioner certification examination in order to apply for licensure as a Certified Family Nurse Practitioner. Links to the two organizations that offer national certification for FNPs and the Certification Requirements Link- can be found at:  http://www.nursecredentialing.org/certification.aspx  and http://www.aanpcert.org/.  Courses vary in length from 7 to 15 weeks and will be offered in an online format. FNP 603, FNP 605, FNP 606, FNP 607, and FNP 608 require students to complete clinical hours.

Clinical clock hours are counted from the time the student enters the approved clinical site until the student leaves the approved clinical site. One clinical credit = 5 clock hours. In a 2-credit theory/2 credit clinical course, 2 clinical credits x 15 weeks of a clinical course x 5 clock hours = 150 clock hours of required clinical hours to complete the course. Travel time to the clinical site does not count as clinical hours. Time spent on campus in the lab or in class in a clinical course does not count as clinical hours. Only clinical hours approved by the course faculty can be counted as clinical hours. Clinical hours are to begin 2 weeks into the clinical course and end 1 week prior to the end of the course. Clinical hours are to be spread over the semester and not concentrated into one solid block of time. Clinical hours cannot be completed during University breaks or when the course is not in session. The course faculty must be notified of any changes in the approved clinical hours. Students must track clinical hours as part of the clinical course requirements. Tracking of clinical hours and patient encounters are held to the same standards as the SFU Integrity/Academic Honesty Policy.

Residency Requirements*

The Department of Nursing faculty members are committed to quality and excellence in all Nursing programs. While the coursework is offered online, in order to maintain quality in our programs, residency requirements are essential to student success.

There are four residency requirements (a total of 11 days) for the students admitted to the MSN-FNP track. Attendance is mandatory for all four residencies in order to meet the program requirements for graduation. Students admitted to the MSN-FNP track are required to attend (in addition to the required two-day orientation upon admission to the MSN-FNP track), two three-day on campus residencies that are practice simulation labs. The first campus lab requirement will be three consecutive days during the advanced physical assessment course (FNP 603 Physical Assessment and Differential Diagnosis) prior to the required clinical experience with an assigned preceptor. The second three-day campus lab requirement will be three consecutive days during the next to the last clinical management course (FNP 607).  The dates of these required residencies will be posted 6 months to a year in advance. These dates will fall approximately mid-semester in the first clinical course (FNP 603) and the next one approximately mid-semester the next to the last clinical management course (FNP 607). The last required residency will be a review course during the last clinical management course (FNP 608). The date of this course will depend on when the review course is offered in this semester.

*Costs of travel and lodging related to residency requirements and clinical requirements to complete the program are in addition to the fees and the responsibility of the student.

Student Learning Outcomes:

Graduates of the MSN program will be prepared to:

1. Exercise a selected advanced nursing practice role to ensure the delivery of high quality direct patient care and/or to foster an organizational climate in health care and nursing educational settings that serve to promote high quality patient care.
2. Exercise leadership in interdisciplinary collaboration to develop and/or refine organizational structures and processes through which high quality, evidence-based and cost-effective care, and the improvement of patient outcomes are assured.
3. Participate in political processes at a variety of levels to influence health care policy that benefits patients, the profession, and the interdisciplinary community of health care providers.
4. Make critical, constructive, and effective use of scientific evidence in the implementation, evaluation, and revision of health care services to better serve the health needs of individuals in the context of their families and communities.
5. Exercise leadership to cultivate a highly ethical, culturally competent, and caring health care culture through the promotion of self-awareness, effective communication, effective group dynamics, values-based realism, courage, and principled action.
6. Employ administrative and clinical information technology to access and leverage knowledge effectively, ethically, and legally in the interest of safe, effective, patient care in a variety of settings.

Admission Requirements:

• Current RN license in U.S. state/territory or local where student will complete clinical requirements. Licensure in the Commonwealth of Pennsylvania is required for clinical coursework completed in Pennsylvania
• Official transcripts verifying the conferral of a baccalaureate (bachelor’s) degree in nursing from an ACEN, CCNE, or CNEA accredited program
• BSN GPA of 3.0 or higher on a 4.0 scale
• Evidence of qualification and capacity for graduate study as reflected in the following:
  • Application essay that includes career goals
  • Two professional references (These letters should be completed by two people who can attest to your aptitude for graduate work and leadership in the profession)
  • Experience/employment history/professional activity (e.g. community, organizational, and volunteer service, and creative professional accomplishments)
• Minimum of one year of full-time work experience as a registered nurse is required prior to registration in clinical or specialty courses
• Interview with program faculty (in person, online, or by phone)
• Ability to attend the required program residencies
• Students must meet the Technical Standards for Admission
• Proficiency in English
  • All applicants whose first language is not English must take the Test of English as a Foreign Language (TOEFL, http://www.toefl.org)  
  • The minimum overall TOEFL score is 84 (Internet-based test); 24 is the minimum score in the speaking section, and 24 is the writing section minimum score 

Applicants must meet the following prerequisites:  

• Completion of an introductory college-level course in statistics (200 level preferred)
• Completion of an undergraduate physical assessment course or equivalent
• Demonstrated computer literacy (including the ability to send and download attachments) or completed courses in word processing, spreadsheet, database management, and presentation graphics

Advanced Standing

A maximum of six (6) graduate-level credits from a regionally accredited university and approved program may be transferred toward completion of the requirements for the Master of Science in Nursing (MSN) degree. Transfer credit will only be accepted for courses in which a grade of “B” (GPA = 3.0 on 4.0 scale) or its equivalent has been received. These credits cannot have been applied to a previous degree. Courses taken over five years prior to admission will not be accepted. Official transcripts certifying graduate-level courses completed at another institution prior to admission to Saint Francis University are to be submitted at the time of application and will be evaluated for transfer of credits.

Procedure for Requesting Transfer Credits

Contact MSN Family (Individual Across the Lifespan) Nurse Practitioner Program Director for transfer credit evaluation.

Department of Nursing Minimal Functional Requirements:

http://www.aacnnursing.org/Portals/42/AcademicNursing/Tool%20Kits/Technical-Standards-Students-Disabilities.pdf?ver=2017-05-17-154114-300

The Saint Francis University Department of Nursing requires students to meet nonacademic technical standards critical to your success in your MSN Program track. These standards are designed not to be exclusionary, but to establish performance expectations that will enable you to provide safe patient practice with or without accommodations.

The standards are program requirements, not individual functional ability requirements.

• Observation: You must be able to make careful observations in all learning settings. Observation is necessary to perform competent health assessments and interventions, and necessitates functional use of vision, hearing, tactile and somatic senses.
• Communication: You must have the ability to use multiple communication techniques (verbal, written, nonverbal, group processes, and information technology) to make it possible for you to communicate effectively with clients, teachers, and all members of the health care team. You must be able to speak, read, and write in English. You must be able to report to members of the health care team, express appropriate information to others, communicate with sensitivity, and teach, explain, direct, and counsel clients.
• Intellectual, Conceptual, Integrative and Quantitative Abilities: You must have the ability to measure, calculate, reason, analyze, and synthesize data in a reasonable amount of time. These intellectual abilities are essential for problem solving, a critical skill demanded of health care practitioners. You must be able to comprehend three-dimensional relationships and understand the spatial relationships of structures.
• Motor Skills: You must possess the fine and gross motor function essential for performing patient assessment and therapeutic interventions. Implementing many therapeutic interventions requires coordination of both gross and fine muscular movements, stamina, equilibrium, and functional use of touch and vision.
• Behavioral and Social Attributes: You must possess the emotional health required for full use of your intellectual abilities, demonstration of good judgment, prompt and safe completion of all responsibilities, and development of mature and effective relationships with patients. You must be able to work cooperatively with others, adapt to rapidly changing environments, think clearly, and tolerate physically and mentally taxing workloads under stressful situations. In addition, you must demonstrate moral reasoning and ethical behaviors.

In addition to the technical standards stated above, you must be able to successfully complete all required components of the curriculum.

Progression and/or Retention Criteria:

• Grades in Prerequisite Courses: A graduate student needs to achieve a passing grade in a pre-requisite course in order to progress to the next course.  Passing is considered a grade of “B” or higher.
• Grades in Required Courses: To progress toward the graduate degree in Nursing, students must successfully pass the clinical portion of all clinical/practicum courses.  In addition, students must earn a minimum grade of “B” in all courses required in the program. Grades of B- or below are not acceptable.
• If a student receives a grade below a “B” in any course in the approved program of studies, this course must be repeated the next time it is offered.
  • All clinical/practicum experiences with the preceptor will be graded on a pass/fail basis by course faculty.  A student must pass the clinical/practicum component of the clinical course in order to pass the course regardless of the theory grade earned in the course.
  • A course may be repeated only once.
  • If any graduate student receives two grades below a “B” in the same course or in more than one course, he or she will be dismissed from the program.
• Progression/Graduation requirements: A graduate student must earn a cumulative course grade of a “B” or higher and in all courses to successfully complete the program.
  • If a student receives a cumulative course grade lower than a “B”, the student will receive an academic warning. A student may be placed on academic warning/probation only once during the program of study.
  • Graduate students with “F” grades on their SFU graduate transcripts will not be eligible for graduation, regardless of whether the failed course is part of the program degree requirements. In order to graduate, the student must retake the course or an equivalent course
  • Progression criteria specific for FNP students
    • Students are required to pass the Clinical Qualifying Exam prior to starting the clinical management course (FNP 605)
    • Students are required to pass the Comprehensive FNP Program Exam (Post- Predictor Exam) administered during the last clinical management course of the program  (FNP 608) in order to pass the last clinical management course.

*Letter grades discussed in this policy are delineated in the Grading Policy below.

Qualifying Examinations for Students Enrolled in the Family (Individual Across the Lifespan Track MSN Program

The Clinical Qualifying Exam

(Given during approximately the 12th week of FNP 603, Advanced Physical Assessment and Differential Diagnosis)

In order to determine the ability of students, enrolled in the Family (Individual Across the Lifespan) Nurse Practitioner MSN Program, to synthesize the knowledge gained through the first three clinical core courses, Advanced Pathophysiology (FNP 601), Pharmacology for the Family (Individual Across the Life Span) Nurse Practitioner Prescriber (FNP 602), and Physical Assessment and Differential Diagnosis (FNP 603), and the potential success in the clinical management courses that follow as well as national certification, students are required to pass a clinical qualifying examination. This examination is offered during the last weeks of the physical assessment course (FNP 603) and before starting the first clinical management course that follows (FNP 605 Reproductive Health and Illness in Men and Women). The date for this online examination will be listed in the Physical Assessment and Differential Diagnosis course (FNP 603) schedule at the beginning of the semester. All students enrolled in FNP 603 are required to take this qualifying exam. The cost of this exam is paid by the University as part of the clinical fee. The passing score is determined by national data and the testing organization in conjunction with the University faculty. Students who achieve the passing score are considered to have synthesized the knowledge gained through completion of the first three FNP specialty courses (FNP 601, FNP 602, and FNP 603) and are likely to meet the requirements to progress through the clinical management courses that follow. The qualifying exam is a national examination prepared through Advanced Practice Education Associates (APEA) and used in many FNP programs nationally for many years.

Students who are not able to meet the passing score will receive individualized remediation to assist them in increasing their knowledge and understanding in the identified content areas. The cost of the remediation materials will be the responsibility of the student as well as the cost of the second and third exam attempt.  (Suggestions for remediation include specific learning tools that have been used nationally by nurse practitioner students from APEA, such as Q-Bank for physical assessment and Pharm-in-a Flash.) To be able to repeat the clinical qualifying examination, students must produce evidence of engagement in a remediation process. The second attempt at the examination will be within 3 weeks of the first exam attempt. If the student is not successful on the second attempt, the student will be permitted a third attempt after further remediation and evidence of remediation. This third exam will be within 3 weeks of the second attempt.

If the student does not pass the exam at the third attempt, the student is not permitted to progress to the clinical management course (FNP 605). To remain in the FNP Program, the student will be required to take a one to three credit Independent Study course (MSN 687) with required remediation in the next semester.  The type of remediation will be based on the identified learning needs of the student. This can take many forms depending on the needs of the student. In the following term a fourth attempt of the qualifying exam can be scheduled. If the student is not able to achieve a passing score after four attempts on the clinical qualifying exam, the student will be dismissed from the FNP program.

The Comprehensive MSN-FNP Program Exam (Given in two parts, before the required review course and after the review course, during the last spring semester of the clinical management course [FNP 608 Health and Illness in the Family and the Individual Across the Lifespan] in which the student is enrolled).

1. The Pre-Predictor Exam

This examination is administered to determine the ability of students enrolled in the MSN Family (Individual Across the Lifespan) track who are about to graduate to synthesize the knowledge gained through the Family (Individual Across the Lifespan) track, and the student’s potential to successfully pass the national FNP Certification Examination to practice as an FNP.  The qualifying exam is a national examination prepared through Advanced Practice Education Associates and used in many FNP programs nationally for many years. The cost of this examination is paid by the University as part of the student’s clinical fee. This examination is given during the last clinical management course in the MSN-FNP track (FNP 608). This examination will be listed in the course schedule of the last clinical management course (FNP 608) and given approximately 3 - 4 weeks into the course and prior to the required review course offered in the spring. The exam will be administered online. The results of this exam will be used to guide the student in knowing how to focus study for the review course material. 

2. Review Course

As part of the preparation for FNP students to take the national certification board examination to be licensed to practice as a Certified Family Nurse Practitioner after graduation, SFU FNP students are required to complete the review course in the last clinical management course (FNP 608) prior to graduation.

3. The Post-Predictor Exam

The Post-Predictor Exam is administered at the end of the last semester in preparation for the certification exam. The passing score is determined by national data and the testing organization in conjunction with the University faculty.  This exam is given 3 weeks after the completion of the FNP review course. The student has two more attempts to pass. If fails after the second attempt of the post-predictor exam, student receives an “Incomplete” grade in FNP 608 and is required to register for an Independent Study (MSN 687) with an FNP faculty member. The student has a third attempt after this Independent Study. If not successful, student receives a failure for the course (FNP 608) and must repeat FNP 608 and the comprehensive FNP program exam the next time FNP 608 and the comprehensive exam are offered.  The student is responsible for any cost not covered by the clinical fees associated for repeating FNP 608 and testing associated with this course*Letter grades discussed in this policy are delineated in the Grading Policy below.

Clinical Remediation

Students who are evaluated as preforming unsatisfactory during clinical experiences will have an informal conference scheduled by the clinical preceptor with the student to provide the student with constructive feedback on how to improve clinical practice. If the student performance does not improve after this conference, the clinical preceptor will notify the FNP faculty member who together with the preceptor will construct a plan for remediation. This plan will be completed by the middle of the semester in order for the student to have time to improve the performance in clinical. The FNP faculty will notify the FNP Director and will issue the student an “academic warning “to acknowledge the clinical preceptors concern along with the written clinical remediation plan to be placed in the student’s record.  If the goals of the academic warning are not met by the student by the end of the clinical rotation, the clinical performance will be rated as unsatisfactory on the final clinical evaluation and the student will receive a failing clinical grade for the course.

If the student cannot perform at a safe level of practice and/or in a professional manner in clinical practice, the FNP faculty member and the FNP Director will be notified and the student will receive a failing clinical grade and the student will not be able to continue in the course.

Grading

Grading Scale: Grades will be assigned according to the SFU plus-minus grading system as outlined below:

92-100% = A                78-79% = C+

90-91% = A-                72-77% = C

88-89% = B+                70-71% = C-

82-87% = B                  60-69% = D

80-81% = B-                 59% and below = F

* Students must receive an 82% (B) or better in all courses to pass the course.  Students must pass the clinical component of the course in order to pass the course regardless of the theory grade.

Incomplete grades: Incomplete grades are only granted for extenuating circumstances such as serious illness or the death of a family member. University policy governs the conferral of an “I” grade and timeline for completion of remaining coursework.

Graduation Requirements:

A candidate for graduation must satisfy the following requirements:

• Complete all requirements for an approved program of study
• Complete the minimum number of credits as specified in this publication
• Achieve a cumulative grade point average of 3.0 or better
• Submit a completed Application for Degree form at least one semester prior to graduation date
• Satisfy financial obligations to the University

Other Information:

Tuition

• 48 credits of course work @ $625/credit (subject to change)
• One time graduation fee
• Estimated fees for clinical coursework supplementary resources are approximately $300 per semester while in FNP specialty courses ($300 x 7 semesters =$2100).  These fees are subject to change based on vendor rates over time.
• Students will also be required to purchase course text books.

These estimated costs do not include any costs associated with travel/lodging to and from residency days and clinical experiences, required clinical clearances and background checks.  Students are responsible for these costs.