Bourland Current DNP Program Competencies Final 05-03-2-14

University of Portland School of Nursing
DNP Program Competencies

Student Name: _______Vanessa L. Bourland________

Sem/Yr of Program Entry: _____May 2010__________ Sem/Yr of Projected Program Completion: _____May 2014___________

***PLEASE NOTE ALL OF THE COURSES LISTED BELOW HAVE SUCCESSFULLY BEEN COMPLETED.

Goal #1: Practice independently in a variety of primary care health environments, translate best evidence into practice, employ a
population focus, incorporate an integrative healthcare perspective, and collaborate with multiple disciplines with the goal of providing
effective, comprehensive healthcare.

Competency #1: Demonstrates use of high level clinical judgment and a systematic approach in designing and delivering evidence-
based care to improve patient outcomes.

Outcome Measure: Activities: Demonstration:
a. Assesses the biological, psychological,
family, social, cultural, and spiritual
aspects of the patient situation within the
context of the patients and practice
systems communities.
Professional Work Experience: As public health nurse,
developed clinic procedures, patient handouts, prepared
quarterly reports, conducted networking, and authored
the project proposal as Project Coordinator of the
Healthy Kids Healthy Families grant supported by the
Utah Department of Health; Served as diabetes expert in
nurse educator role inspiring QI program establishment,
application of the Chronic Care Model, PDSA cycle
testing, statistical analysis of 300+ diabetic patients, and
submitted monthly federal grant reports for the Small
Rural Quality Program.
NRS 598: 311.2 clinical hours with Roxina Fischer
FNP-C at Ogden Clinic Skyline Drive (South Ogden,
Utah) and Philip Hassrick MD at Ogden Clinic
Professional Center North (South Ogden, Utah); 113
non-clinic patient care hours with Hayley Jensen,
Systems Analyst, at Ogden Clinic Administration
(South Ogden, Utah); Case Exemplar x1; Case
Presentation x1; Residency Plan/Report; Online
discussion forums x4 examining chronic illness
including fatigue, MS, dizziness, and lung cancer
screening; Leadership of online forum discussion x1;
SOAP note documentation; Written In-Class
Professional Work Experience: Presentations
Evaluation of Adult Weight Management,
Home Sweet Healthcare Home, Small
Healthcare Provider Quality Improvement
Program, Ruling Diabetes; Papers/Worksheets
Establishing Rural Medical Homes and
Enhancing Care Coordination (plus Gantt
Chart), STI/HIV Screening Procedure, Rapid
HIV Testing Procedure, Baby Your Baby
Intake Procedure, Monthly Reports/Logs
Instructions, PPD Skin Test Read Reminder,
Assessment of Tobacco Practice Guidelines,
Weight Management Protocol, Staff Policy and
Procedure Acknowledgment: Adult Weight
Screening Policy and Procedure, Point-of-
Service Diabetes Education and Self-
Management Empowerment Curriculum,
PDSA Cycle: Medication Reconciliation, Small
Rural Quality Program Monthly Narrative;
Preceptor to Truman State University Health
Education Undergraduate Student; Consulted
on the development of a local diabetes
advertisement.
Examination; Preceptor evaluation; Clinical faculty
evaluation; Self-reflection; Competency review/Exit
interview with faculty; Weekend immersion activities;
DNP FNP Entry Level Competency Completion.
NRS 597: Faculty advisor Katherine Crabtree RN DNSc
FAAN APRN-BC; Online discussion forums;
Conducted primary care microsystem assessment
including information systems, planning for change
using QI framework and evidence-based tool, data
analysis, evaluation of outcomes, and dissemination via
manuscript submission pending editorial review. Project
aligns with NONPF criteria; Self-evaluation; Weekend
immersion activities.
NRS 591: Specialty diet paper; Position paper analyzing
one of the main foods discussed in The Botany of Desire
by Michael Pollan; Weight loss self-evaluation using
fitday.com and completion of worksheet documenting
food intake, energy expenditure, and BMI/BMR
calculations; Viewed Food Inc. DVD to explore the
impact of the food industry on health; Read The China
Study by T. Colin Campbell to examine effects of plant-
based diet in disease prevention. Reviewed evidence-
based articles on using nutrition as therapy including
probiotics, vitamin D supplementation, and functional
nutrition approaches; Weekend immersion activities;
Multiple choice (30 questions) final exam x1.
NRS 589: Online discussion forums x3 examining
program evaluation, PDSA cycle, and other process
tools for clinic microsystem analysis; Quantitative
research article critique; Qualitative research article
critique; Weekend immersion activities consisting of
classroom discussion, statistics review, research design,
project draft revisions, peer review; Oral presentation;
Program evaluation paper; PDSA assignment; Peer
review of classmate program evaluation paper.
NRS 584: Weekend immersion activities; MBSR
reflective practice journal entries x10; MBSR self-
participation x8 weeks; Mind body case paper; Online
discussion forums x5 exploring mindsight, neural
integration, holistic nursing practice application,
aromatherapy, and stress reduction techniques; Read
Full Catastrophe Living by Jon Kabat-Zinn.
NRS 583: Immunity paper; Herbal paper; Weekend
immersion activities; Read What a Plant Knows by
NRS 598: Case Exemplar Making Meaning
of Multiple Sclerosis; Case Presentation -
Dizziness; Residency Plan/Report Using
Information Systems to Create Clinic Policy,
Procedures, and Evaluation; Participated in
online and classroom discussions; Discussion
Forum Topic Leadership Multiple sclerosis;
eClinicalWorks EHR documentation use; APA
format used in writings; Passing score on
written in-class examination; Passing score on
student performance evaluation by preceptor
and faculty; Passing score on Objective
Structured Clinical Examination (OSCE);
Recorded 311.2 clinical hours of complex
patient population and 113 non-clinic hours
(total hours 424.2) in Typhon.
NRS 597: Professional PPT Presentation
Designing An Optimal Care Coordination
Model for Children with Diabetes in Primary
Care; Manuscript Submission - Designing An
Optimal Care Coordination Model for Children
with Diabetes in Primary Care; Selected and
modified evidence-based care coordination
tool, Minnesota Edinburgh Complexity
Assessment Method (MECAM) tool given
author permission for population use among
Medicaid children aged 10 to 12 years with
diabetes; Designed care coordination model
emphasizing integration of EHR and telehealth
communications throughout process; Clinical
faculty evaluation; Self-reflection; Weekend
NRS 591: Diet Paper The Ornish Diet: An
Evaluation of the Spectrum; Position Paper
The Bananas Battle of Biodiversity & Bugs;
Submitted nutrition in weight loss exercise
personal results for review; Participated in
classroom discussions; APA format used in
writings; Completed and passed final exam.
NRS 589: Program Evaluation Paper
Effective Population Identification Using a
Diabetic Check-up Event Label; Oral PPT
Presentation Effective Population
Identification Using a Diabetes Check-up Event
Daniel Chamovitz and The China Study by T. Colin
Campbell; Online discussion forums x8 to explore
herbal therapies for gastrointestinal disorders, mental
illness, mens health, womens health, immune
enhancers, drug interactions, and formulas per
alternative medicine modality like TCM and Ayurveda;
NRS 582: Online discussion forums x5 exploring
various systems of medicine including Homeopathy,
Ayurveda, Oriental Medicine, Chiropractic,
Naturopathy, Functional Medicine, and the role of the
Integrative NP; Reflective practice journal entries x4
assessing self-care and well-being while applying
motivational interviewing techniques; System of
medicine clinical observation of osteopathic
manipulative medicine at A.T. Still University College
of Osteopathic Medicine (Kirksville, Missouri) and
therapeutic massage at Healing Mountain Massage
School (Salt Lake City, Utah); Weekend immersion
activities; Case study application and presentation.
NRS 581: Weekend immersion activities; Online
discussion forums x14 examining integrative healthcare,
perspectives of healing, integral theory of nursing, and
healing presence through meditation; Reflective practice
journal entries x14 on cultivating healing presence;
Theoretical analysis paper on health and healing with
oral presentation; Creation of IH modality informative
worksheet x2; Presentation and handout on treating a
common condition using an evidence-based IH
modality.
NRS 575: Applied advanced knowledge of
pharmacotherapeutics per population through classroom
case study examples, lectures, and guest speakers (Tracy
Klein FNP OSBN Consultant, Nancy Gadd PharmD
BCPS OHSU Pediatric Clinical Pharmacist); Reviewed
DNP role, prescriptive authority, ethical implications,
affordability, and drugs to manage pain, cardiovascular,
endocrine, infectious, autoimmune, respiratory, GI,
mental illness, and reproductive system conditions.
Weekend immersion activities; Pharmacokinetics and
drug dosing paper; Developed infectious disease
treatment guidelines; Oral PPT presentation on drugs
affecting the reproductive system; Midterm multiple
choice exam x1.
Label; PDSA Written Assignment; Quantitative
Critique Quantitative Research Critique of
The Effects of Employer-Provided Massage
Therapy on Job Satisfaction, Workplace Stress,
and Pain and Discomfort; Qualitative Critique
Qualitative Research Critique of Next-of-
Kins Perspectives of End-of-Life Care; APA
format used in writings; Participated in
classroom and online discussions.
NRS 584: Case Paper ADHD Influence on
Type 1 Diabetes Self-Management;
Participated in classroom and online
discussions, MBSR, and reflective practice
journal writing; APA format used in writings.
NRS 583: Participated in online discussions;
Immunity Paper - Enhancing Daily Immunity
Through Host Defenses Stamets7
Supplementation; Herbal Paper - Focus on
Fenugreek: An Herbal Analysis; APA format
used in writings; Completed and passed final
exam.
NRS 582: Case Study An Osteopathic
Approach to Diabetes Care: A Case Study
Application; System of Medicine PPT
Presentation An Osteopathic Approach to
Diabetes Care: A Case Study Application; APA
classroom and online discussions in addition to
the osteopathic medicine immersion and
reflective practice journal writing.
NRS 581: Theory Paper Health & Healing: A
Christian Perspective; IH Modality Worksheets
Common Diet Based Therapies, Osteopathic
Manipulative Medicine; Evidence-Based IH
Presentation/Brochure Handout Osteopathic
Manipulation Treatment for Otitis Media; APA
classroom and online discussions; Completed
reflective practice journal writing and presented
final entry through creative depiction, Bearing
Fruit: The Journey of Healing Presence.
NRS 575: Pharmacokinetic Paper Clinical
Considerations for Drug Dosing and
Pharmacokinetics in Patients Living with
cardiovascular, pulmonary, GI, MOD/shock,
integumentary, fluid-electrolyte imbalance, and renal
pathology; Multiple choice study worksheets x3; Case
presentations/reference sheet x6; Final exam written case
study on pulmonary edema; Weekend immersion
activities.
stress, inflammation/infection, alterations in
cognition/CNS/PNS, anxiety, endocrine, and
reproductive pathology; Case presentations x4 on
genetics, MSK/neuro, and differential diagnoses;
Multiple choice study worksheets x4; Final exam written
case study on PCOS; Weekend immersion activities.
NRS 538: 30 clinical hours with Migrant Head Start
pediatric patients (Dr. Napolitano) and Eldercare home
care patients (Dr. Provost); Oral case presentation x1.
NRS 537: Majority of clinical hours completed with
Tom Breyer PMHNP at White Rabbit Mental Health
Services (Eugene, Oregon) and throughout various
primary care sites in Utah (Tanner Clinic; Ogden
Clinic); SOAP notes x2; Intake note x1; Online
discussion forums x6 examining ethical consequences of
assigning mental health diagnoses; Clinical faculty
evaluation; Self-evaluation; Weekend immersion
activities including in-depth case study analysis.
theories of masculinity influence on mens health, STI
treatment, circumcision, testicular cancer, ED,
HIV/AIDS, body image, and violence; SOAP note x1
based upon case presented in online discussion;
Evidence-based management plan paper and group
presentation; Weekend immersion activities.
NRS 527: 177.8 clinical hours with Jared Morris DO at
Tanner Clinic (Layton, Utah); Online discussion forums
x4 examining chronic illness including hepatitis, IBD,
and fatigue; SOAP notes x2; Case presentation x1;
Supporting presentation x1; Case study x3; Sample
referral letter to specialist; Preceptor evaluation; Clinical
faculty evaluation; Self-evaluation; Weekend immersion
activities.
NRS 525: 104.1 clinical hours with Melanie Oddou
WHNP at South Main Clinic (Salt Lake City, Utah);
Online discussion forums x5 exploring fertility,
Chronic Kidney Disease; Guideline
Trichomoniasis Treatment; PPT Presentation
Testosterone Therapy; Participated in
writings; Completed and passed midterm exam.
NRS 572: Case Presentations/Reference Sheets
A Case Presentation: Cutaneous Systemic
Lupus Erythematosus, Congenital Heart
Disease, Raynauds Phenomenon,
Lymphadenopathy, Appendicitis, Gastritis,
Echocardiogram; Final Exam Case Study
Case Scenario Analysis: Pulmonary Edema;
Completed and passed study worksheets;
Participated in online and classroom
discussions.
NRS 571: Case Presentations Acute Back
Pain, Atopic Dermatitis, Pheochromocytoma,
Family History and Cholesterol Screening;
Final Exam Case Study Case Scenario
Analysis: PCOS; Completed and passed study
worksheets; Participated in online and
classroom discussions.
NRS 538: Performed age-appropriate health
history and physical exams documenting
accordingly. Recommended pertinent labs and
additional screening. Provided preventative
health education that was tailored to cultural
and psychosocial aspects of patients; Oral case
presentation of geriatric Eldercare patient living
with CHF, diastolic murmur with systolic thrill,
and MDD; Passing score on student
performance evaluation by faculty; Recorded
30 clinical seminar hours in Typhon.
NRS 537: SOAP Notes Substance abuse,
ADD; Intake Note Social Anxiety Disorder;
discussions; Passing score on student
performance evaluation by preceptor and
faculty (Tom Breyer PMHNP); Recorded 61
clinical hours in Typhon.
NRS 533: SOAP Note Gonorrhea;
Paper/Group PPT Presentation Stopwatch
Sex: Identifying and Controlling Premature
Ejaculation; APA format used in writings;
healthcare reform, bicornuate/septated uterus,
contraception, and menopause; SOAP notes x2; Case
presentations x3 with one focused on issues affecting
womens healthcare; Final PPT presentation x1;
Preceptor evaluation; Clinical faculty evaluation; Self-
evaluation; Weekend immersion activities.
NRS 523: 125 clinical hours with Kim Webb CPNP at
Douglas Coombs MD Pediatric Office (Bountiful, Utah);
Online discussion forums x9 exploring various strategies
for working with the pediatric population; SOAP notes
x10; Case presentations x2; Health management practice
based group project paper and presentation; Disease
management practice based group project paper and
presentation; Preceptor evaluation; Clinical faculty
activities.
NRS 522: 161 clinical hours with Susie Sittler FNP at
Oquirrh View Community Health Center (Taylorsville,
Utah); Online discussion forums x8 on adult screenings,
cough, URI, DM, HA, acute diarrhea, red eye, knee
pain, abdominal pain, and UTI; Individual case studies
x4; Interactive case study x1; Primary case presentation
x1; Supporting presentations x2 (pathology,
pharmacology/health promotion); SOAP notes x3;
patient- and family-centered healthcare models, family
theories (Wrights Model of Caring), ethical decision-
making, problem-solving, and family interviews;
Family-centered intervention paper and presentation;
Weekend immersion activities including creation of an
ecomap.
NRS 520: Online discussion forms x10 examining
proper documentation, age-specific examination
techniques, and review of body systems; Study
worksheets (multiple choice) x3; Written comprehensive
history x1; Focused H&P x3 as evidenced in SOAP
notes; Skill/Lab Checkoffs x7; Final written
comprehensive history and physical exam x1; Weekend
immersion activities including performing a pelvic exam
with PAP and prostate exam on live models.
discussions.
NRS 527: Case Presentation Chronic Low
Back Pain (supplement); Supporting
Presentation Pathology and Controversy of
Subclinical Hypothyroidism; SOAP Notes
Chronic Back Pain, COPD Exacerbation;
Referral Letter To GI; Case Studies
Diagnosing COPD, Stable
Angina/Hypothyroidism/Secondary Arthritis,
CHF; Participated in online and classroom
discussions; APA format used in writings;
Passing score on student performance
evaluation by preceptor and faculty; Recorded
177.8 clinical hours in Typhon.
NRS 525: SOAP Notes/Case Presentations
Women in the Healthcare System: The Link
Between Health & Insurance Status, Initial
Prenatal Visit, 38-Week Prenatal Visit; Final
PPT Presentation Late Pregnancy Bleeding;
NRS 523: SOAP Notes Pharyngitis, Food
intolerance, Drug allergy, Cellulitis, Chronic
diarrhea, Hand foot mouth disease, Contact
dermatitis, AOM, Streptococcal pharyngitis;
Case Presentations Streptococcal pharyngitis,
Tick bite; Health Management
Paper/Presentation Preventing Childhood
Obesity Through Referral with Outreach;
Disease Management Paper/Presentation STI
in the Adolescent Population; APA format used
in writings; Participated in online and
classroom discussions; Passing score on student
faculty (Lynne Frost DNP CPNP); Recorded
125 clinical hours in Typhon.
NRS 522: SOAP Notes BV, Acute
nasopharyngitis, Impacted cerumen; Interactive
Case Study Mixed rhinosinusitis; Case
Studies Bacterial gastroenteritis, GERD,
T2DM; Primary Case Presentation Lower
Urinary Tract Symptoms; Supporting
Presentations A Case of Plantar Fasciitis:
Pathophysiology & Treatment, A Case of
Rectal Bleeding: Health Promotion; APA
format used in writings; Participated in online
and classroom discussions; Passing score on
and faculty (Marie Napolitano DNP FNP; Lisa
Taylor MSN FNP); Recorded 161 clinical
hours in Typhon.
NRS 521: Family Paper/Presentation A
Primary Care Challenge: Incorporating Family-
Based Interventions Among Adult Patients
Living with Type 2 DM; APA format used in
writings; Participated in online and classroom
discussions.
NRS 520: History Comprehensive Health
History; SOAP Notes CHF, Cervical strain;
Passed skill/lab check-offs; Participated in
online and classroom discussions.
b. Analyzes epidemiological, biostatistical,
environmental, and other appropriate
scientific data related to individual,
group, and population health
advertisement.
choice exam x1.
activities.
NRS 569: Online discussion forums x5 on the PPACA,
influencing policy change, ethical decision-making,
health disparities, and population health concepts;
Population health paper (multiple drafts); CDC
epidemiology self-study online program; Weekend
NRS 568: Online discussion forums x3 on nursing
informatics theories, meaningful use, telemedicine, EHR
implementation, CPOE, patient portals, and
exam.NRS 575: Pharmacokinetic Paper
Clinical Considerations for Drug Dosing and
discussions.
HIPAA/HITECH regulations; Standard nursing
language paper; Population-focused informatics group
written project; Informatics survey; Weekend immersion
activities.
NRS 548: Online discussion forums x3 on dissemination
models for improving population health, organizational
culture, and application of statistical measures for
project evaluation; Research study critique paper;
Dissemination study critique paper; Practice
improvement group written project and presentation;
Weekend immersion activities.
activities.
NRS 569: Population Health Paper Lunch
D.A.T.E.S.: A Dietary Intervention Preserving
the Wellness and Reducing Chronic Illness
Among Rural Missouri Adults; APA format
used in writings; Completed and mastered
epidemiology self-study online program;
discussions.
NRS 568: Standard Nursing Language Paper
Standard Nursing Terminologies: The Omaha
System and International Classification of
Nursing Practice; Population Focused
Informatics Group Project - Migrant
Farmworkers and Diabetes: Exploring
Educational Intervention Data; APA format
used in writings; Completed PATCH
assessment; Participated in online and
NRS 548: Research Critique Paper - Research
Critique of Body Mass Index as a Guide for
Diagnosing Pre-diabetes and Diabetes;
Dissemination Critique Paper Dissemination
Critique of Establishing Diabetes Self-
Management in a Community Health Center
Serving Low-Income Latinos; Practice
Improvement Group Paper/Presentation
Health Coaching for Hypertension: A Patient-
and Family-Centered Care Project at Realizing
Actual Potential (RAP) N Wellness Primary
Care Clinic; RAP NWellness Proposed
Inferential Statistic Measures; APA format
used in writings; Passed comprehensive exam;
discussions.
activities.
ecomap.

discussions.
hours in Typhon.
discussions.
c. Uses differential diagnosing as
appropriate to identify patient health
problems and risks
choice exam x1.
activities.
discussions.
activities.
activities.
ecomap.

hours in Typhon.
discussions.
d. Orders appropriate diagnostic and lab
tests that support or confirm differential
diagnoses
activities.
activities.

hours in Typhon.
e. Uses analytic methods to critically
appraise existing literature and other
evidence to determine best practices
modality.
choice exam x1.
exam.
activities.
discussions.
discussions.
activities.
ecomap.
NRS 500: Modules (consisting of assigned questions)
x4 on descriptive statistics, t-test, ANOVA, chi-square,
correlation, and integrated statistics; Final paper
proposing clinical study; Weekend immersion activities.
hours in Typhon.
discussions.
NRS 500: Clinical Study Paper Scale
Weight: Exploring the Relationship of Patient
Activation and Perceived Health Status in
Overweight Adults; Passed all modules;
Mastered EZAnalyze tool for statistical analysis
with Excel spreadsheet application; APA
and classroom discussions.
f. Uses national guidelines as appropriate in
design of management plans
advertisement.
choice exam x1.
NRS 547: Organizational and systems leadership written
project and oral presentation; Viewed six-sigma DVD
lectures; Weekend immersion activities.
activities.
discussions.
NRS 547: Leadership Paper/Oral Presentation
The Weight of the Matter: Motivation for
Change and Compliance at NMHC to Improve
Weight-Related Patient Outcomes; APA format
used in writings; Participation in classroom
activities.
ecomap.
discussions.
with PAP and prostate exam on live models. faculty (Lynne Frost DNP CPNP); Recorded
hours in Typhon.
discussions.
g. Analyzes data on complimentary
practices for patient situation
exam.
modality.
choice exam x1.
discussions.
activities.
activities.
discussions.
ecomap.
hours in Typhon.
discussions.
h. Self-directs practice to use appropriate
resources
exam.
modality.
choice exam x1.
discussions.
activities.
activities.
ecomap.

hours in Typhon.
discussions.
i. Consults or refers to other clinicians
including complimentary practitioners as
appropriate
exam.
modality.
NRS 567: Literature review paper; Reading responses
x6 on health communication theory, relationships,
nonverbal communication, health interviews, conflict-
resolution, and culturally competent communication;
activities.
NRS 567: Literature Review Paper The
Healthcare Practitioners Lament: Benefits of
Apology; Applied course principles when
working with translators in clinical settings;
APA format used in writings; Participated in
classroom discussions and submitted reading
responses.
activities.

hours in Typhon.

j. Develops comprehensive evidence based
management plans
activities.
activities.

hours in Typhon.
k. Develops delivery approaches that meet
current and future needs of patient
populations
choice exam x1.
activities.
discussions.
discussions.
activities.

hours in Typhon.
l. Articulates clinical decision-making
process
choice exam x1.
activities.
activities.
ecomap.
hours in Typhon.
discussions.
m. Educates and guides individuals, families
and groups through complex health and
situational transitions
advertisement.
activities.
activities.
discussions.
responses.
discussions.
ecomap.

hours in Typhon.
discussions.
n. Develops consumer health information
which is literacy-appropriate, accurate,
and timely
advertisement.
modality.
exam.
choice exam x1.
activities.
activities.
responses.
activities.
ecomap.
hours in Typhon.
discussions.

o. Justifies and accepts accountability for
actions and strategies
choice exam x1.
discussions.
activities.
activities.
responses.
discussions.
ecomap.

hours in Typhon.
discussions.
p. Demonstrates ability to use electronic
health records systems
advertisement.
activities.
activities.

hours in Typhon.

Competency #2: Demonstrates use of high level clinical judgment and a systems approach in evaluation of outcomes of actions and
practices

a. Designs and implements processes to
evaluate outcomes of individual practice
and practices within microsystem
Professional Work Experience: As public health
nurse, developed clinic procedures, patient handouts,
prepared quarterly reports, conducted networking, and
authored the project proposal as Project Coordinator of
the Healthy Kids Healthy Families grant supported by
the Utah Department of Health; Served as diabetes
expert in nurse educator role inspiring QI program
establishment, application of the Chronic Care Model,
PDSA cycle testing, statistical analysis of 300+ diabetic
patients, and submitted monthly federal grant reports for
the Small Rural Quality Program.
advertisement.
manuscript submission pending editorial review.
Project aligns with NONPF criteria; Self-evaluation;
choice exam x1.
activities.
NRS 548: Online discussion forums x3 on
dissemination models for improving population health,
Identification Using a Diabetes Check-up
Event Label; PDSA Written Assignment;
Quantitative Critique Quantitative Research
Critique of The Effects of Employer-Provided
Massage Therapy on Job Satisfaction,
Workplace Stress, and Pain and Discomfort;
Qualitative Critique Qualitative Research
Critique of Next-of-Kins Perspectives of
End-of-Life Care; APA format used in
organizational culture, and application of statistical
measures for project evaluation; Research study critique
paper; Dissemination study critique paper; Practice
NRS 547: Organizational and systems leadership
written project and oral presentation; Viewed six-sigma
DVD lectures; Weekend immersion activities.
activities.
Douglas Coombs MD Pediatric Office (Bountiful,
Utah); Online discussion forums x9 exploring various
strategies for working with the pediatric population;
SOAP notes x10; Case presentations x2; Health
presentation; Disease management practice based group
project paper and presentation; Preceptor evaluation;
Clinical faculty evaluation; Self-evaluation; Weekend
writings; Participated in classroom and online
discussions.
discussions.
discussions.
ecomap.

classroom discussions; Passing score on
and faculty (Lynne Frost DNP CPNP);
Recorded 125 clinical hours in Typhon.
hours in Typhon.
discussions.
b. Compares practice outcomes to national
data and identifies unique trends in
personal clinical practice
discussions.
choice exam x1.
activities.
activities.
discussions.
hours in Typhon.
c. Develops plan to continuously see more
effective practices to improve the health
of ones patient population

discussions.
discussions.
d. Uses findings from evaluation to develop
practice guidelines and/or to change
current individual and microsystem
practices in order to improve patient
outcomes
choice exam x1.
advertisement.
activities.
ecomap.

discussions.
discussions.
discussions.
discussions.
discussions.

Competency #3: Develops, implements, and evaluates interventions to address health promotion/disease prevention for individuals,
groups, or populations at the micro and/or macrosystem levels.

a. Incorporates a population focus in the
assessment, development, implementation
and evaluation of health
promotion/disease prevention strategies
discussions.
discussions.

presentation of geriatric Eldercare patient
living with CHF, diastolic murmur with
systolic thrill, and MDD; Passing score on
student performance evaluation by faculty;
Recorded 30 clinical seminar hours in Typhon.
discussions.
hours in Typhon.
b. Applies health promotion/ health behavior
NRS 598: 311.2 clinical hours with Roxina Fischer NRS 598: Case Exemplar Making Meaning
theories to develop appropriate
interventions
activities.
discussions.
discussions.
ecomap.

hours in Typhon.
discussions.
c. Analyzes and applies current, evidence-
based health screening and maintenance
guidelines to guide practice
activities.
discussions.

hours in Typhon.
d. Analyzes family history to plan screening
and education for disease prevention
activities.
ecomap.

hours in Typhon.
discussions.
e. Applies appropriate communication
theory and methods for patient, family,
and community health behavior change.
discussions.
responses.
activities.
ecomap.

discussions.
discussions.

Competency #4: Analyzes and addresses ethical situations in ones personal practice and in the practice microsystem.

a. Examines ethical frameworks for use in
practice
choice exam x1.
discussions.
discussions.
activities.
ecomap.
discussions.
clinical hours in Typhon..
ontology, epistemology, grass root efforts, culture,
ethics, chaos theory, aesthetic knowledge development,
and other philosophies applied to nursing; Theory
critique paper; Personal theory paper; Weekend

hours in Typhon.
discussions.
NRS 501: Theory Paper Sister Callista Roys
Adaptation Model Critique; Personal Theory
Paper Vanessa Bourlands Personal Theory;
b. Recognizes ethical issues affecting
patients/groups/populations situations
modality.
discussions.
exam.
reflective practice journal writing and
presented final entry through creative
depiction, Bearing Fruit: The Journey of
Healing Presence.
choice exam x1.
discussions.
responses.
discussions.
discussions.
activities.
ecomap.
NRS 502: Online discussion forums x3 on the DNP
role, controversies, AACN/NONPF competencies, legal
scope of practice, leadership, consensus model, and the
impact of healthcare reform; Synthesis paper; Synopsis
papers x2; Elevator speech on DNP FNP role as
creatively compared to the famous Marvel superhero
Spiderman; Portfolio management; Weekend immersion
activities.
hours in Typhon.
discussions.
NRS 502: Synthesis Paper Role
Understanding and Expectations of the NP at
the DNP Level; Synopsis Papers DNP
Leadership, Healthcare Reforms Impact on the
FNP Role; APA format used in writings;
discussions; Portfolio up-to-date as of 09-07-
2013.
c. Uses systematic approach for ethical
decision making
discussions.
choice exam x1.
activities.
discussions.
discussions.
ecomap.

hours in Typhon.
discussions.
d. Evaluates effectiveness of interventions
regarding ethical issues
choice exam x1.
activities.
discussions.
discussions.
ecomap.

hours in Typhon.
discussions.

Competency #5: Uses microsystems health information systems and best technology available to seek and evaluate data in order to
design strategies to address individual and population focused health needs.

a. Identifies and uses appropriate statistical
and analysis tools
advertisement.
choice exam x1.
activities.
NRS 566: Online discussion forums x8 on charity care,
HCAHPS, variance, inflation, healthcare payment
models, fixed/variable costs, and the Budget Control Act
of 2011; Created an operational budget; Business case
studies and assigned questions; Payment Model Paper;
activities.
discussions.
discussions.
NRS 566: Payment Model Paper Reducing
Healthcare Spending Rates Through New
Payment Models; Satisfactory completion of
assigned questions; APA format used in
writings; Excel spreadsheet application;
discussions.
discussions.
discussions.
hours in Typhon.
NRS 500: Clinical Study Paper Scale
Weight: Exploring the Relationship of Patient
Activation and Perceived Health Status in
Overweight Adults; Passed all modules;
Mastered EZAnalyze tool for statistical
analysis with Excel spreadsheet application;
b. Applies information system theory to
clinical practice issues
advertisement.
choice exam x1.
activities.
discussions.
discussions.
activities.

discussions.
discussions.
hours in Typhon.
c. Identifies best technology for evaluation
purposes
activities.
discussions.
discussions.
activities.
discussions.
discussions.

hours in Typhon.
d. Analyzes information systems for
evaluation of data
advertisement.
activities.
discussions.
discussions.
discussions.
e. Develops effective and efficient data
management strategies
activities.
advertisement.
discussions.
discussions.

Competency #6: Develops and sustains therapeutic relationships with patients (individual, family or groups)

a. Promotes relationship based practice in
which patients actively participate in their
own healthcare
HIV Testing Procedure, Baby Your Baby Intake
Procedure, Monthly Reports/Logs Instructions,
PPD Skin Test Read Reminder, Assessment of
Tobacco Practice Guidelines, Weight
Management Protocol, Staff Policy and
Management Empowerment Curriculum, PDSA
Cycle: Medication Reconciliation, Small Rural
Quality Program Monthly Narrative; Preceptor
to Truman State University Health Education
Undergraduate Student; Consulted on the
development of a local diabetes advertisement.
NRS 598: Case Exemplar Making Meaning of
Multiple Sclerosis; Case Presentation -
format used in writings; Passing score on written
in-class examination; Passing score on student
faculty; Passing score on Objective Structured
Clinical Examination (OSCE); Recorded 311.2
clinical hours of complex patient population and
113 non-clinic hours (total hours 424.2) in
Typhon.
modified evidence-based care coordination tool,
Minnesota Edinburgh Complexity Assessment
modality.
Method (MECAM) tool given author permission
for population use among Medicaid children
aged 10 to 12 years with diabetes; Designed care
coordination model emphasizing integration of
EHR and telehealth communications throughout
process; Clinical faculty evaluation; Self-
reflection; Weekend immersion activities.
Type 1 Diabetes Self-Management; Participated
in classroom and online discussions, MBSR, and
reflective practice journal writing; APA format
used in writings.
exam.
choice exam x1.
activities.
Testosterone Therapy; Participated in classroom
Completed and passed midterm exam.
Participated in online and classroom discussions.
responses.
performance evaluation by preceptor and faculty
(Tom Breyer PMHNP); Recorded 61 clinical
hours in Typhon.
Passing score on student performance evaluation
by preceptor and faculty; Recorded 177.8
ecomap.
in writings; Participated in online and classroom
(Lynne Frost DNP CPNP); Recorded 125
Case Study Mixed rhinosinusitis; Case Studies
Bacterial gastroenteritis, GERD, T2DM;
Primary Case Presentation Lower Urinary
Tract Symptoms; Supporting Presentations A
Case of Plantar Fasciitis: Pathophysiology &
Treatment, A Case of Rectal Bleeding: Health
Promotion; APA format used in writings;
(Marie Napolitano DNP FNP; Lisa Taylor MSN
FNP); Recorded 161 clinical hours in Typhon.
activities.
discussions.
Understanding and Expectations of the NP at the
DNP Level; Synopsis Papers DNP Leadership,
Healthcare Reforms Impact on the FNP Role;
online and classroom discussions; Portfolio up-
to-date as of 09-07-2013.

b. Focuses relationships with patients on
health and healing
Typhon.
used in writings.
exam.
modality.
choice exam x1.
activities.
health education that was tailored to cultural and
psychosocial aspects of patients; Oral case
performance evaluation by faculty; Recorded 30
clinical seminar hours in Typhon.
hours in Typhon.
ecomap.
discussions.
c. Uses integrative healthcare team approach
as part of therapeutic relationship
Typhon.
modality.
used in writings.
exam.
choice exam x1.
activities.
hours in Typhon.
ecomap.
discussions.
d. Demonstrates intentional listening
Typhon.
used in writings.
responses.
activities.
hours in Typhon.
activities.
e. Explores the dynamics of human
communication in building, maintaining,
or altering interpersonal relationships
Typhon.
NRS 589: Program Evaluation Paper Effective
Population Identification Using a Diabetic
Check-up Event Label; Oral PPT Presentation
Diabetes Check-up Event Label; PDSA Written
Assignment; Quantitative Critique
Quantitative Research Critique of The Effects
of Employer-Provided Massage Therapy on Job
Satisfaction, Workplace Stress, and Pain and
Discomfort; Qualitative Critique Qualitative
Research Critique of Next-of-Kins
Perspectives of End-of-Life Care; APA format
used in writings; Participated in classroom and
online discussions.
responses.
activities.
ecomap.
hours in Typhon.
Paper/Group PPT Presentation Stopwatch Sex:
Identifying and Controlling Premature

discussions.
f. Identifies barriers to effective
communication in the practice setting
activities.
Typhon.
online discussions.
Educational Intervention Data; APA format used
in writings; Completed PATCH assessment;
activities.
responses.
discussions.
hours in Typhon.

g. Develops strategies for effective
communication in practice setting
Typhon.
modality.
choice exam x1.
online discussions.
exam.
activities.
activities.
responses.
hours in Typhon.
h. Practices effective communication in
inter-cultural situations
Typhon.
exam.
modality.
choice exam x1.
activities.
responses.
activities.
hours in Typhon.

Competency #7: Develops and sustains effective partnerships with other professionals to facilitate optimal care and best patient
outcomes

a. Demonstrates ability to work in team
environment
Typhon.
modality.
choice exam x1.
online discussions.
exam.
activities.
Improvement Group Paper/Presentation Health
Coaching for Hypertension: A Patient- and
Family-Centered Care Project at Realizing
Inferential Statistic Measures; APA format used
in writings; Passed comprehensive exam;
hours in Typhon.
b. Participates effectively in group processes
Typhon.
online discussions.
modality.
activities.
NRS 543: Online discussion forums x3 on financing
cost-effective healthcare; Policy paper and PPT
presentation; Peer review of policy paper; Weekend
exam.
responses.
activities.
NRS 543: Policy Paper/Presentation Why
Weight? Facilitating Mandatory Obesity
Continuing Education for Healthcare
Professionals Through State Policy; Peer
Review of Policy Paper Peer Review: National
Concussion Policy; APA format used for
writings; Participation in online (initial,
response, summary postings) and classroom
discussions.
hours in Typhon.

c. Demonstrates qualities of transformational
leadership
Typhon.
online discussions.
modality.
activities.
exam.
activities.
responses.
discussions.
discussions.
hours in Typhon.
activities.
d. Articulates components of successful
partnerships
Typhon.
modality.
online discussions.
exam.
activities.
activities.
discussions.
hours in Typhon.
activities.
e. Identifies and resolves barriers to
successful partnerships
activities.
Typhon.
activities.
hours in Typhon.

Competency #8: Interprets nurse practitioner role to students and other health professionals.

a. Articulates historical development of NP
role and DNP education

Typhon.
activities.
hours in Typhon.
activities.

b. Relates NP practice to AACN Essentials
for DNP Education, NONPF DNP
competencies, NONPF Core and FNP
competencies
activities.
Typhon.
hours in Typhon.
activities.

c. Role-models professional
behaviors/expectations
activities.
Typhon.
online discussions.
responses.
hours in Typhon.
clinical hours in Typhon
d. Supports growth and development of
nurse practitioners especially as primary
care providers
Typhon.
activities.
e. Serves as preceptor for students
Typhon.

f. Provides constructive feedback to
colleagues
Typhon.
activities.
online discussions.
responses.
hours in Typhon.

Goal #2: Demonstrate leadership in macro and micro health care system change and personal practice improvement.
Competency #1: Demonstrates leadership within the practice microsystem and macrosystem levels

a. Uses a theoretical foundation to lead
system change
Typhon.
activities.
online discussions.

b. Demonstrates advanced professional
communication skills
Typhon.
online discussions.

hours in Typhon.
c. Fosters interprofessional teamwork in
analyses and problem-solving of practice
and organizational issues.
Typhon.
activities.
online discussions.
activities.
d. Articulates and uses linkages between
individual practice, the microsystem and
policy
activities.
Typhon.
online discussions.
discussions.
discussions.

hours in Typhon.
e. Uses reflective thinking and ethical
considerations in leadership functions
Typhon.
activities.
online discussions.
hours in Typhon.
activities.
f. Actively engages in professional and
healthcare issues at state and national
levels
Typhon.
activities.
discussions.
hours in Typhon.
g. Demonstrates the ability to resolve
Professional Work Experience: As public health Professional Work Experience: Presentations
conflicts within the practice microsystem
Typhon.

Competency #2: Participates effectively in organizational functions of ones practice microsystem

a. Applies theory and knowledge regarding
organizational structure, functions and
change
Typhon.
activities.
activities.
online discussions.
Participated in classroom and online discussions.

discussions.
hours in Typhon.
b. Examines organizations policies for
meeting needs of populations served
Typhon.
choice exam x1.
activities.
online discussions.
activities.

discussions.
hours in Typhon.
c. Evaluates organizations culture for
ability to support effective practice
activities.
Typhon.
online discussions.
activities.
hours in Typhon.
activities.
d. Demonstrates knowledge of health care
system financing
Typhon.
choice exam x1.
activities.
online discussions.
hours in Typhon.
e. Analyzes cost-effectiveness of ones
personal practice and organizational
practices
Typhon.
online discussions.
choice exam x1.
activities.
activities.
hours in Typhon.

f. Analyzes organizations balancing of
productivity and quality of care
Typhon.
activities.
activities.
online discussions.

hours in Typhon.
g. Assesses risk management program
within an organization
Typhon.
activities.

hours in Typhon.
h. Collaborates within an organization to
reduce risk and improve patient safety
choice exam x1.
activities.
Typhon.
discussions.
i. Integrates QSEN competencies within risk
management program
Typhon.
choice exam x1.
online discussions.
hours in Typhon.
activities.


Competency #3: Demonstrates professional behaviors in educational, clinical and other organizational settings

a. Uses APA 6
th
edition or other appropriate
formats in written materials
Typhon.
online discussions.
used in writings.
modality.
choice exam x1.
presentations/reference sheet x6; Final exam written
case study on pulmonary edema; Weekend immersion
exam.
Echocardiogram; Final Exam Case Study Case
Scenario Analysis: Pulmonary Edema;
Family History and Cholesterol Screening; Final
Exam Case Study Case Scenario Analysis:
PCOS; Completed and passed study worksheets;
activities.
Multiple choice study worksheets x4; Final exam
written case study on PCOS; Weekend immersion
activities.
activities.
responses.
activities.
discussions.
hours in Typhon.
ecomap.
discussions.
NRS 500: Clinical Study Paper Scale Weight:
Exploring the Relationship of Patient Activation
and Perceived Health Status in Overweight
Adults; Passed all modules; Mastered
EZAnalyze tool for statistical analysis with
Excel spreadsheet application; APA format used
discussions.
b. Communicates with colleagues, faculty,
and other professionals in a collegial and
collaborative manner.
Typhon.
online discussions.
used in writings.
exam.
modality.
choice exam x1.
activities.
activities.
activities.
responses.
discussions.
activities.
ecomap.
hours in Typhon.
discussions.
discussions.
c. Demonstrates thoughtful, effective
NRS 598: 311.2 clinical hours with Roxina Fischer NRS 598: Case Exemplar Making Meaning of
communication
Typhon.
modality.
online discussions.
used in writings.
exam.
choice exam x1.
activities.
activities.
activities.
responses.
activities.
discussions.
hours in Typhon.
discussions.
d. Engages in classroom, online and clinical
discussions

Typhon.
used in writings.
exam.
modality.
choice exam x1.
activities.
activities.
activities.
responses.
activities.
discussions.
hours in Typhon.
ecomap.
discussions.
discussions.
e. Uses standardized charting formats
(SOAP)
Typhon.
activities.

hours in Typhon.
by preceptor and facult; Recorded 104.1 clinical
hours in Typhon.
f. Articulates personal values and biases that
can potentially impact decision-making
Typhon.
online discussions.
used in writings.
exam.
modality.
choice exam x1.
activities.
responses.
discussions.
activities.
ecomap.
hours in Typhon.
discussions.
discussions.
g. Performs within the state and national
nurse practitioner scope of practice
Typhon.
exam.
modality.
choice exam x1.
activities.
responses.
activities.
discussions.
hours in Typhon.
ecomap.

discussions.
h. Demonstrates respect for divergent points
of view
Typhon.
modality.
online discussions.
exam.
choice exam x1.
activities.
responses.
activities.
discussions.
hours in Typhon.
ecomap.
discussions.
discussions.
i. Participates in self-reflection related to
course performance and
faculty/preceptor/peer feedback
Typhon.
modality.
choice exam x1.
online discussions.
used in writings.
exam.
activities.
responses.
activities.
discussions.
hours in Typhon.
ecomap.
discussions.
discussions.

Competency #4: Develops, implements, and evaluates quality improvement (QI) policy and processes for the practice microsystem.

a. Evaluates the impact of organizational,
financial, marketing, and policy decisions
on the quality of health care within
microsystem
activities.
Typhon.

online discussions.
discussions.
b. Assists with development of QI policy
within an organization
activities.
Typhon.
online discussions.
c. Uses QI processes appropriate to the
situation
Typhon.
online discussions.
d. Evaluates outcomes of QI policy within
organization
activities.
Typhon.
online discussions.

e. Examines various peer review processes
Typhon.
online discussions.
f. Develops a peer review process within
microsystem
Typhon.
online discussions.

Competency #5: Develops and implements an evaluation plan from practice information and databases to improve practice and
practice outcomes.

a. Articulates the process of developing and
implementing an evaluation plan to
improve practice and practice outcomes
Typhon.
choice exam x1.
activities.
activities.
online discussions.
b. Demonstrates the necessary technical
skills to extract appropriate data
choice exam x1.
Typhon.
activities.
activities.
online discussions.
c. Analyzes evaluation data
choice exam x1.
activities.
Typhon.
activities.
d. Develops improved practice models,
standards of care, and guidelines for
practice outcomes
Typhon.
choice exam x1.
activities.
e. Participates in the design of data
collection methods and databases for
ongoing evaluation of practice and
practice outcomes
activities.

Typhon.
online discussions.

Competency #6: Collaborates as a practice specialist in practice research.

a. Identifies practice improvement needs
Typhon.
activities.

b. Collects data from appropriate sources
NRS 598: 311.2 clinical hours with Roxina Fischer NRS 598: Case Exemplar Making Meaning of

Typhon.
online discussions.
c. Analyzes data with appropriate methods

Typhon.
online discussions.
d. Develops new approaches based on
evidence/data

Typhon.
online discussions.
e. Evaluates new approaches
Typhon.

online discussions.
f. Translates research findings into practice
Typhon.
online discussions.
activities.
g. Uses IRB processes appropriate to system
and to situation
Typhon.
h. Disseminates practice research findings
through reports, presentations and
manuscripts
Typhon.
online discussions.

Competency #7: Participates in the health policy process at multiple levels

a. Analyzes social, legal and ethical factors
in health policy development at local,
state and national levels
Typhon.
modality.
exam.
discussions.
b. Influences health policy
Typhon.

discussions.
c. Evaluates the ethical, social, economic
influences of health policy on ones
practice and the microsystem
Typhon.
modality.
exam.
choice exam x1.
activities.
discussions.
hours in Typhon.
activities.
d. Analyzes the impact of U.S. policy from a
global health perspective
Typhon.

discussions.

Goal #3: Proactively strive for social justice, actively address health disparities, function as culturally competent
practitioners who relate effectively with diverse and underserved individuals, families and populations.
Competency #1: Acts to address health disparities and improve equity within the practice microsystem and at state and national
levels

a. Discusses the scope of health disparities at
a state and national level
Typhon.
modality.
used in writings.
exam.
activities.
activities.
discussions.
hours in Typhon.
ecomap.
discussions.
discussions.
b. Assesses and identifies health disparities
within microsystem
Typhon.
choice exam x1.
activities.
activities.
activities.
online discussions.
activities.
hours in Typhon.
ecomap.
discussions.
c. Develops strategies to eliminate
disparities within ones personal practice
and the microsystem
Typhon.
choice exam x1.
activities.
activities.
hours in Typhon.
ecomap.

discussions.
d. Participates in strategies to eliminate
disparities at state and national levels

Typhon.
discussions.

e. Addresses gaps in healthcare of diverse
individuals, groups, and populations at
state and national levels
choice exam x1.
Typhon.
activities.
activities.
discussions.
hours in Typhon.
ecomap.
activities.

discussions.
f. Advocates for social justice to improve
the nations health status from a holistic
perspective (housing, environment,
nutrition, etc) at state and national levels
activities.

Preparation for NRS 581 theory paper examining
healthcare beliefs
Typhon.
discussions.

Competency #2: Acts to ensure ethical policies within the practice microsystem and at state and national levels

a. Assesses microsystem policies from an
ethical perspective
Typhon.
online discussions.
used in writings.
exam.
modality.
choice exam x1.
activities.
activities.
discussions.
hours in Typhon.
activities.

b. Analyzes state or national policies for
ethical considerations
choice exam x1.
Typhon.
discussions.

hours in Typhon.
c. Initiates appropriate actions to address
ethical issues/concerns
choice exam x1.
activities.
Typhon.
activities.
discussions.
hours in Typhon.


Competency #3: Strives continuously to increase cultural competency in ones practice and the practice microsystem

a. Incorporates epidemiologic patterns of
disease, risk factors, historical
considerations, physical findings, and
treatment alternatives for
individuals/families/populations from
diverse racial/ethnic and socioeconomic
disadvantaged backgrounds into
therapeutic care
Typhon.
used in writings.
modality.
exam.
choice exam x1.
activities.
activities.
hours in Typhon.
activities.
ecomap.
discussions.
discussions.
b. Seeks and prepares for transcultural
patient encounters
Typhon.
used in writings.
exam.
modality.
choice exam x1.
activities.
activities.
responses.
hours in Typhon.
activities.
ecomap.
activities.
discussions.
c. Assesses the cultural competency of
practice microsystem and develops
appropriate organizational practices and
policies to improve practice outcomes and
satisfaction for diverse individuals, groups
and populations
activities.
Typhon.
discussions.
d. Demonstrates ability to adapt
communication methods appropriate to
various cultures
Typhon.
used in writings.
exam.
modality.
choice exam x1.
activities.
responses.
activities.
hours in Typhon.
ecomap.
discussions.

Demonstration of competencies complete.

____________________________________________________ _______________
Student Signature Date

____________________________________________________ _______________
DNP Program Director Signature Date

____________________________________________________ _______________
DNP Program Advisor Signature Date

Bourland Current DNP Program Competencies Final 05-03-2-14

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