Psychotherapy With Individuals Essay
Review the media Clinical Interview: Intake,
· Explain why you selected these theories. Support your approach with evidence-based literature.Psychotherapy With Individuals Essay
· Develop at least three goals and at least three objectives for the practicum experience in this course.
· Create a timeline of practicum activities based on your practicum requirements.
Purpose of This Manual
Welcome to the field experience component of Walden University’s Master of Science in
Nursing (MSN) program. This manual describes the structure and timing of the classroom-based
and on-site practicum experiences and the policies students must follow to be successful in the
nurse practitioner (NP) specialties. For more information about the nursing programs, students
should refer to the School of Nursing Handbook.
This manual is intended to provide MSN-NP students with information they need related to
practicum policies and procedures as well as to serve as a reference for practicum preceptors and
other practicum personnel.
This manual refers to the Walden University Catalog and the Walden University Student
Handbook for specific information on university policies and courses. These resources can be
accessed at catalog.WaldenU.edu.Psychotherapy With Individuals Essay
Note: Walden University reserves the right to make program changes as needed to help ensure
the highest quality program.
The MSN program at Walden University is designed to promote Walden University’s vision,
mission, and ongoing commitment to social change. These guiding principles serve as a
framework for the program curriculum and outcomes and are included here as a reference.
Walden University envisions a distinctively different 21st-century learning community where
knowledge is judged worthy to the degree that it can be applied by its graduates to the immediate
solutions of critical societal challenges, thereby advancing the greater global good.
Walden University provides a diverse community of career professionals with the opportunity to
transform themselves as scholar-practitioners so that they can effect positive social change.
Walden University defines positive social change as a deliberate process of creating and
applying ideas, strategies, and actions to promote the worth, dignity, and development of
individuals, communities, organizations, institutions, cultures, and societies. Positive social
change results in the improvement of human and social conditions.Psychotherapy With Individuals Essay
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 2
School of Nursing
The School of Nursing envisions recognition as a preeminent 21st-century school of nursing in
which the contributions of nursing, health, and related sciences will transform the provision of
nursing services along the continuum of care and across the human lifespan to meet the needs of
individuals and local and global communities.
The School of Nursing provides academically rigorous and culturally and contextually relevant
educational programs, based on the scholar-practitioner model, for a diverse array of nursing
professionals seeking enhancement of critical-thinking skills, abilities to select and implement
evidence-based practices, and core and specialty nursing knowledge in order to transform
The goals of the School of Nursing at Walden are to:
1. Empower nursing professionals through academic advancement that enhances personal
growth, professional development, and academic achievement.
2. Create an educational environment where learners are able to build on their existing
transformational and professional nursing knowledge, skills, and integrative abilities.
3. Educate nursing professionals with consideration for the complex needs of the diverse learner
while upholding professional nursing standards.
4. Encourage learners to integrate biopsychosocial, nursing and health theories, research, and
evidence-based practice that exemplify professional nursing standards.
5. Prepare professional nursing leaders who are empowered to promote social change for
individuals, groups, and organizations locally, nationally, and globally.Psychotherapy With Individuals Essay
MSN Program Outcomes
At the end of the MSN program, students will be able to:
1. Synthesize organizational/systems leadership for cost-effective specialist nursing practice
that contributes to high-quality healthcare delivery, advancement of the nursing profession,
and social change.
2. Critique evidence-based literature drawing from diverse theoretical perspectives and
pertinent research to guide decision making that demonstrates best practices for specialist
nursing practice in a global society.
3. Integratively assess, diagnose, plan, implement, and evaluate cost-effective healthcare
strategies that reduce health disparities by patient/population advocacy for access to
specialist nursing care.
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 3
4. Demonstrate the ability to effectively communicate using audience-specific oral, written, and
information technology for professional delivery of specialist nursing care.
5. Evaluate health needs of diverse populations for necessary teaching/coaching functio ns based
on specialist nursing knowledge to restore/promote health and prevent illness/injury.
6. Exhibit ongoing commitment to professional development and value of nursing
theories/ethical principles (altruism, autonomy, human dignity, integrity, social justice) in
accordance with ethically responsible, legally accountable, specialist nursing practice.
7. Implement specialist nursing roles to promote quality improvement of patient-centered care
in accordance with professional practice standards that transform health outcomes for diverse
populations.Psychotherapy With Individuals Essay
Nurse Practitioner Licensure
Note on Certification
The MSN-NP specializations are designed to prepare graduates to qualify to sit for national NP
certification exams, which are required for practice as an NP in most states. Because no university
program can guarantee that graduates will be permitted to practice as an NP upon graduation,
Walden encourages students to consult with the appropriate Board of Nursing or state agency to
determine specific certification exam requirements. Walden enrollment advisors can provide
information relating to national certification exams; however, it remains the individual’s
responsibility to understand, evaluate, and comply with all requirements relating to national
certification exams for the state in which he or she intends to practice as requirements vary widely.
Walden makes no representations or guarantee that completion of Walden coursework or programs
will permit an individual to obtain national certification. For more information about NP certification
exams, students should visit the American Academy of Nurse Practitioners at
www.aanpcertification.org, the American Nurses Credentialing Center at
www.nursecredentialing.org, and the American Association of Critical Care Nurses at
Note on Licensure, Authorization, Endorsement, or Other State
Credentials Necessary to Practice as a Nurse Practitioner
The MSN-NP specializations are designed to prepare graduates with an active registered nurse (RN)
license to practice as NPs. However, each state Board of Nursing has its own academic and
certification requirements and issues its own credential for an RN to be permitted to practice as a NP
in that state. Because no university program can guarantee that graduates will be permitted to
practice as NPs upon graduation, Walden encourages students to consult with the appropriate Board
of Nursing or state agency to determine specific requirements in the state in which they wish to
practice. Walden enrollment advisors can provide guidance relating to the state-by-state requirements
for practice as a NP; however, it remains the individual’s responsibility to understand, evaluate, and
comply with all requirements relating to the practice as a NP in the state in which he or she intends to
practice as requirements vary widely. Walden makes no representations or guarantee that completion
of Walden coursework or programs will permit an individual to obtain state licensure, authorization,
endorsement, or other state credential. For more information about the requirements to practice as a
NP, students should contact the appropriate Board of Nursing or state agency. After graduation, all
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 4
certification, credentialing, and licensure forms and requests must be sent to Nursing Licensure at
email@example.com.Psychotherapy With Individuals Essay
Field Experience Terms
For the purposes of this manual, the following terms are defined in this way:
A practicum is a distinctly defined supervised on-site experience in which students develop
applied skills and integrate professional knowledge in the provision of advanced practice nursing
care. All NP students with catalog years before Spring, 2018 must complete four practicum
courses, with a minimum of 576 hours of supervised clinical experience (144 hours in each
course). Students with catalog years after Spring, 2018 must complete four practicum courses,
with a minimum of 640 hours of supervised clinical experience (160 hours in each course). The
didactic (classroom) and clinical components of the courses are integrated. The courses vary by
Students in the Adult Gerontology Acute Care Nurse Practitioner (AGACNP) specialization
must complete NURS or NUNP 6531, 6540, 6550, and 6560.
Students in the Adult Gerontology Primary Care Nurse Practitioner (AGPCNP)
specialization must complete NURS or NUNP 6531, 6540, 6551, and 6565.
Students in the Family Nurse Practitioner (FNP) specialization must complete NURS or
NUNP 6531, 6541, 6551, and 6565.
Students in the Psychiatric-Mental Health Nurse Practitioner (PMHNP) specialization must
complete NURS or NUNP 6640, 6650, 6660, and 6670.
A practicum site is a health agency or other appropriate setting at which students have
supervised, applied practice experiences that are consistent with their education and training.
Officials at practicum sites enter into an affiliation agreement with Walden, stating they will
provide appropriate support and supervision for students during the practicum experience.
Virtual sites are not allowed for practicum courses.
In general, students must spend the majority of their clinical experience time in general primary
care settings seeing a good overall mix of age groups over the lifespan (FNP) or with adolescents
and adults (AGACNP, AGPCNP) with a broad range of health promotion, disease prevention,
and acute and chronic health problem assessment and management needs. Appropriate practicum
sites for the AGPCNP/FNP specializations can include physician’s offices (family practice,
pediatric practice, women’s health, or internal medicine); clinics that provide primary care, such
as health departments; and hospital-based primary care clinics. AGACNP students may use some
of these sites in NURS or NUNP 6531 and 6540 and acute care facilities for NURS or NUNP
6550 and 6560.Psychotherapy With Individuals Essay
Psychiatric-mental health nurse practitioners will have practicum experiences in a wide range of
setting with children, adolescents, adults, and older adults. NURS or NUNP 6640 and NURS or
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 5
NUNP 6650 focus on psychotherapy practice where NURS or NUNP 6660 and NURS or NUNP
6670 are integrative experiences (psychopharmacology coupled with psychotherapy).
A primary care practice serves as the patient’s first point of entry into the healthcare system and
as the continuing focal point for all needed healthcare services. Primary care practices provide
patients with ready access to their own healthcare providers. These practices provide health
promotion, disease prevention, health maintenance, counseling, patient education, diagnosis, and
treatment of acute and chronic illnesses in a variety of healthcare settings. These practices are
organized to meet the needs of patients with undifferentiated problems, with the vast majority of
patient concerns and needs being cared for in the primary care practice itself. Primary care
practices are generally located in the community of the patients, thereby facilitating access to
healthcare while maintaining a wide variety of specialty and institutional consultative and
referral relationships for specific care needs. The structure of the primary care practice may
include a team of physicians and non-physician health professionals. Appropriate settings for
primary care should be in outpatient primary care settings.
All students in NP specializations require primary care experiences. FNP students must complete
all clinical hours in primary care settings, AGPCNP students may complete clinical hours both in
primary care and specialty care settings, and AGACNP and PMHNP students may complete
clinical hours in primary care, specialty care, and acute care settings.Psychotherapy With Individuals Essay
Acute care refers to a level of specialty care focused on the management of severe injuries,
urgent medical conditions, exacerbation of chronic illnesses, and/or recovery after surgical
procedures. Acute care settings provide patients with secondary healthcare services that address
active healthcare problems. Acute care practices provide access to healthcare teams that span the
gamut of nursing, medical, and surgical specialties. Acute care practitioners perform
assessments, order and interpret diagnostic tests, formulate diagnoses, perform procedures, and
develop and/or implement treatment plans. The quintessential acute care setting is the in-patient
hospital, but acute care is also provided in emergency rooms, urgent care centers, or surgery
centers. Essentially, comprehensive care of patients with acute, critical, and/or exacerbated,
complex, chronic conditions falls under the realm of the acute care provider regardless of the
practice setting. The acute care provider is specialized in addressing the needs of high acuity
patients along the illness-to-wellness spectrum.
Supervision by a preceptor is composed of a tutorial and mentoring form of instruction in which
practicum preceptors monitor students’ activities in the practicum during the provision of
primary care and facilitate learning and skill-development experiences. Preceptors guide students
and provide feedback on their practicum work.
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 6
Field Experience Roles
Preceptors are qualified practitioners within a clinical site who are responsible for guiding
students’ practicum experiences (see Preceptor Requirements in Section 3). Preceptors must be
employed at the field site. Walden expects preceptors to be accessible to students and to provide
guidance and feedback that promotes growth of knowledge, skills, and competencies consistent
with Walden’s educational goals as well as with best nursing practices. Preceptors provide
mentoring and guidance appropriate to students’ roles in their clinical sites, including ongoing
feedback about the students’ progress in meeting clinical goals.
Students at Walden are considered to be adult learners who are capable of seeking educational
opportunities to meet their personal and professional goals. Walden expects students to
collaborate with faculty members and be self-directed to meet educational requirements.Psychotherapy With Individuals Essay
Students work with faculty members, clinical instructors, and preceptors to ensure they obtain a
well-rounded educational experience.
Students are expected to complete adhere to the following:
Develop a learning contract to meet course objectives and outcomes for the practicum.
Adhere to the learning contract as established by the student, clinical instructor, and
Comply with the policies and protocols established by the practicum site.
Seek direct and indirect supervision from the clinical instructor and preceptor.
Be appropriately prepared for each laboratory and clinical experience.
Incorporate theory and research into clinical practice to provide evidence-based care to
Provide safe, competent, and quality care under the supervision of the clinical instructor
Maintain an ethical and professional manner at all times.
Use acquired knowledge and clinical skills for appropriate clinical setting.
Use various educational resources to provide evidence-based care to patients.
Be on time and be prepared for each clinical session.
Develop a clear and concise plan to meet course outcomes.
Be respectful and professional.
Participate in regular conferences with the clinical instructor.
Seek regular feedback from the clinical instructor and preceptor about progress in the
Adhere to Health Insurance Portability and Accountability Act (HIPAA) guidelines at all
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 7
Maintain a clinical journal, time logs, patient logs, and other pertinent clinical records as
required by the clinical instructor and/or preceptor.
Be adaptable and flexible learners.
Evaluate the course, clinical experience, and preceptor.
Develop long-term and short-term goals during the program.
Participate in group and individual conferences.
Complete the required hours needed for the didactic and clinical portions of the courses.
Complete all course assignments satisfactorily.
Contact the clinical instructor and practicum site if unable to attend a clinical experience.
Use critical-thinking skills and sound clinical judgment in providing patient care.
Students With Disabilities
The School of Nursing at Walden will not discriminate on the basis of disability and is
committed to providing all qualified students with disabilities equal access to its programs,
services, and activities in accordance with the Americans with Disabilities Act and section 504
of the Rehabilitation Act of 1973.
In postsecondary education, it is the students’ responsibility to self-identify disability status and
register with the Office of Disability Services prior to requesting accommodations. To register,
students should submit documentation of disability along with Walden’s Accommodation
Request form to firstname.lastname@example.org.
The process and form are available from the Office of Disability Services. Students with
disabilities requesting accommodations to access field experiences, such as a practicum and/or
internship, should register with the Office of Disability Services prior to registering for those
field experiences and clarify their specific accommodation needs. In most cases, field experience
sites have their own systems for ensuring equal access for employees/interns with disabilities.
The Office of Disability Services will help address any gaps in those systems.
Practicum Course Faculty Members
Walden nursing faculty members, who are doctorally prepared, teach the didactic portion of the
courses and communicate with clinical instructors and preceptors regarding the students’
successful mastery of all competencies prior to recording the final course grades. Practicum
course faculty members collaborate with students and clinical instructors and inform
specialization coordinators about any difficulties that arise during the practicum experience.
Didactic faculty members may also serve as clinical faculty.
Clinical instructors are a critical element of the NP student practicum experience. These
instructors monitor and assess appropriate learning experiences to facilitate students’
achievement as it relates to the practicum course objectives. The clinical instructors are NPs
responsible and accountable for assuring that students meet the course objectives at a specific
practicum site and work closely with preceptors.
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 8
Clinical instructors communicate on a regular basis with NP students and their preceptors
regarding student progress and learning needs; they are also available to resolve problems that
may arise. Clinical faculty make practicum site visits (virtually and/or physically) to review
students’ experiences and the appropriateness of the setting. Clinical instructors are responsible
for evaluating the students’ clinical work.
Specific clinical instructor responsibilities include the following activities:
Providing guidance to students in formulating the learning contract.
Conferring with students individually and in groups.
Assigning student grades following review of the learning outcome measures identified in
the course and the learning contract.
Completing final student evaluations in Meditrek.
Forwarding all evaluation forms to the specialization coordinator.
The clinical instructors and their assigned students should touch base very early in the quarter
and arrange date(s) for the site visit(s). Students should turn in their subjective, objective,
assessment, plan (SOAP) notes and their journal entries to their clinical instructors and maintain
their time logs within Meditrek. The clinical instructors are the students’ primary resource
regarding any problems or issues that arise related to the practicum experience.
Specialization coordinators are doctorally-prepared Walden faculty members whose primary role
regarding the MSN practicum is to oversee the experience for a given MSN specialization (i.e.,
AGACNP, AGPCNP, PMHNP, or FNP). The specialization coordinators are an important
resource for students during the program, especially if any problems arise during the practicum.
The program director (PD) is a doctorally-prepared full-time academic administrator who reports
to the dean and supervises the specialization coordinators and faculty. The PD’s primary role is
to maintain the quality and integrity of the degree program and oversee day-to-day program
management. While working with specialization coordinators, the PD supports students
throughout the MSN-NP program, including during the practicum experience.
Field Education Coordinators
Field education coordinators are Walden employees who help students understand the practicum
policies and procedures. They answer questions about the practicum application process, review
materials to ensure that students have completed all required application and documentation
steps, and work collaboratively with the specialization coordinators and the PD throughout the
approval process. Once practicum applications have been approved, the field education
coordinators ensure that students are enrolled in their appropriate practicum course. Field
education coordinators are assigned to students by region and are available to students via e-
MSN Practicum Manual: Nurse Practitioner Specializations (November 2017) Page 9
mail, phone, or appointment. Students can find their field education coordinator online at
Walden’s program directors, director of field placement, specialization coordinators, field
education coordinators, practicum course faculty members, and clinical instructors are
committed to working collaboratively with students and preceptors to support the successful
completion of practicum experiences.Psychotherapy With Individuals Essay
Process for Mentoring and Evaluation of Students
The practicum process is collegial, with the recognition that NP students are adult learners who
are capable of critical self-reflection, open to constructive feedback, and responsible for their
own learning. Expectations for clinical practica performance correlate with the stage of the
students’ learning; i.e., greater clinical practicum expertise is anticipated as students’ progress
through the program.
Once students enroll in a practicum course, they are mentored and evaluated by their preceptor
and a Walden clinical instructor who is assigned to them at the beginning of the quarter.
Preceptors provide the experiences, supervise students, and provide evaluations to the clinical
instructors. Practicum course faculty members grade students’ coursework and, in general, return
students’ written work within Walden guidelines on returning grades. Students are encouraged to
consult with practicum course faculty members by phone or e-mail about their progress
throughout the quarter as stipulated in the course syllabus.
Students meet with their clinical instructor during the first or second clinical practicum seminar
of the quarter. Clinical instructors are experienced NPs who grade students’ written work (SOAP
notes, clinical logs, and reflections); in general, clinical instructors return students’ written work
within Walden guidelines on returning grades. Students are encouraged to consult with clinical
instructors by phone or e-mail about their progress throughout the quarter as stipulated in the
course syllabus. Psychotherapy With Individuals Essay
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