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Program Outcomes

At the end of the MSN and Post-MSN APRN programs, students will be able to:

  • 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.
  • 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.
  • 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.
  • Demonstrate the ability to effectively communicate using audience-specific oral, written, and information technology for professional delivery of specialist nursing care.
  • Evaluate health needs of diverse populations for necessary teaching/coaching functions based on specialist nursing knowledge to restore/promote health and prevent illness/injury.
  • 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.
  • 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.

For the nurse practitioner programs, the College of Nursing uses the following guidelines and standards to inform the curriculum and professional behavior:

  • The Essentials of Master’s Education in Nursing (AACN, 2011)
  • The Nurse Practitioner Core Competencies (National Organization of Nurse Practitioner Faculties, 2017)
  • Criteria for Evaluation of Nurse Practitioner Programs (National Task Force on Quality Nurse Practitioner Education, 2016)
  • Guide to the Code of Ethics for Nurses with Interpretative Statements (American Nurses Association [ANA], 2015)
  • Nursing: Scope and Standards of Practice (ANA, 2015)

Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) Overview

Students in the AGACNP specialization engage in clinical experiences in which they focus on the provision of acute and chronic care for young adults (including adolescents and emancipated minors), adults, and older adults (including young-old, old, and old-old adults), including health promotion and assessment and management of acute and chronic health problems. There is a special emphasis on managing the care of acutely ill adults in high acuity inpatient settings. The content in the AGACNP specialization builds on concepts related to acute and chronic illness and its impact on individuals and families. This program educates students to work in an inpatient setting.

AGACNP Clinical Checklist

General MSN Preceptor Requirements

Preceptor Requirements

Preceptors must be academically and experientially qualified to serve as a preceptor.  Preceptors must meet the preceptor requirements to be eligible to be approved as a preceptor.   Once a preceptor is identified, students must communicate with their potential preceptor and determine if the individual meets the requirements for their practicum course. 

Instructions on how to nominate a preceptor are provided in Section 6: Practicum Approval Process.
Students should contact the Office of Field Experience with questions about qualifications and requirements of preceptors and practicum sites.   

Note: Walden discourages students from paying preceptors, practicum sites, or site placement agencies, due to conflicts of interest that can arise.

Preceptor Requirements

Prior to approval, the nominated preceptor’s experience, education, licensure and certification (if applicable) is verified and reviewed along with the Preceptor Commitment Form by the Office of Field Experience. The specialization coordinator gives final approval of preceptor nominees. 

NOTE:  These are general preceptor requirements for all specializations and courses.  Some state boards of nursing have specific requirements for preceptors and practicum.  Students must check with their state board of nursing for specific practicum requirements of preceptors to ensure students are meeting their state board of nursing requirements along with Walden requirements.  

Approval of the preceptor is based on the following criteria:

  • General Requirements:

    • The preceptor has a minimum of one year of postgraduate unsupervised experience, based upon the original date of licensure for licensed practitioners. Their current job role must be relevant to the NP specialization. 

    • The preceptor is able and willing to commit to the preceptor role for the practicum experience.

    • The preceptor is employed at the practicum site where practicum takes place.

    • The preceptor is not the student's relative, family member, fiancé, roommate, significant other, personal friend, or primary care provider, and does not have any other relationship that would create an actual or perceived conflict of interest.

    • The preceptor is not the student's direct or immediate supervisor and does not report directly to the student.

    • The preceptor must not be a current Walden nurse practitioner student.

    • The preceptor has not reached the maximum number of approved students for the 1:1 preceptor to student on-site direct supervision ratio during the term.  Students must confirm with their preceptor that they will be the only student the preceptor will precept during the practicum experience.

  • Course-Specific Requirements: See the “Course-Specific Preceptor, Site and Practicum Requirements” section to review specific requirements for each nurse practitioner practicum course.

  • Educational Level Requirement: Preceptors must have the education degree.  
    Preceptors must also meet the educational level requirements for the specific practicum course.  See the “Course-Specific Preceptor, Site and Practicum Requirements” section to review specific education requirements for each practicum course. 

  • General Educational level requirements include:

    • AGACNP, AGPCNP, FNP, PNP: holds a master’s or doctoral degree in nursing.
    • PMHNP or Psychiatrist: holds a master’s or doctoral degree in area of practice and licensed to practice in their specialty.
    • MD or DO: holds an earned doctoral degree.
    • PA: holds a master’s or doctoral degree.
    • Psychiatrist: holds an earned doctoral degree in area of practice, licensed and board-certified in psychiatry.
    • Psychologist: holds an earned doctoral degree.
    • Licensed Clinical Social Worker; Licensed Mental Health Counselor/Professional Counselor; or other appropriately licensed/certified mental health professional: holds a master’s degree in the area of mental health.
  • Licensure & Certification Requirements: Preceptors must have an active, unencumbered license to practice in the particular area of specialization and in the specific state where practicum will occur and where the patients are located. Preceptors must also meet the licensure and certification requirements for the specific practicum course.  See the “Course-Specific Preceptor, Site and Practicum Requirements” section to review specific licensure and compliance requirements for each practicum course.
  • General Licensing and Certification Preceptor Requirements Include: 
    • Nurse Practitioners: The preceptor is currently a registered nurse to practice as an NP in the particular area of specialization. The preceptor has national certification in an area of advanced practice nursing specialization (i.e., FNP; AGACNP; AGPCNP; PMHNP; certified nurse midwife [CNM]; adult, women’s health, or pediatric NP).
    • MD or DO: The preceptor is licensed as an MD or DO to practice medicine in the particular area of specialization.
    • PA: The preceptor is licensed as a physician’s assistant.
    • Psychiatrists: The preceptor is licensed as an MD or DO to practice medicine and is board-certified in psychiatry.
    • Psychologist: The preceptor is licensed as a psychologist.
    • Licensed Clinical Social Worker, Licensed Mental Health Counselor/Professional Counselor, or other appropriately licensed/certified mental health professional: The preceptor is licensed by the appropriate state board in the particular area of specialization.

More information: Preceptor to Student Ratio

If it is found that a student’s preceptor is a supervisor, direct report, relative, family member, fiancé, roommate, significant other, personal friend or primary care provider, the practicum hours will be rejected and not counted toward the practicum hour requirement. If a student utilizes a preceptor inappropriately as noted above, this may lead to an academic integrity violation up to and including dismissal from the university. Students are responsible for nominating preceptors that fully meet all requirements for preceptors.

Note: Please refer to the “Course Specific Requirements” section for more course-specific requirements for preceptors.

Important Note for Preceptor and Site Requirements

To learn the role of the nurse practitioner, it is required that at least two preceptors be NPs in an area of practice clearly relevant to meeting the objectives of the NP program/specialty. The two NP preceptors must cover two separate practicum courses. Having two NP preceptors for one course does not meet this requirement. Following are additional preceptor requirements:

  • Students may only use the same preceptor for two of their four practicum courses.
  • Students cannot use the same preceptor at the same practicum site when they are doubling up practicum courses during the same quarter.
  • Physicians (MDs, DOs) and physician assistants (PAs) may serve as preceptors but must be credentialed and licensed to practice in the population-focused and/or specialty area of practice in the state where the practicum will occur. In addition, this area of practice should be clearly relevant to meeting the course objectives of the student’s NP program and meet the course specific guidelines. Students are not allowed to use MDs or PAs for all four courses as at least two preceptors must be NPs.
  • Special notes about Physician Assistants (PAs) as preceptors:
    • PAs do not count as meeting the requirement of having two NPs as preceptors.
    • PAs may not serve as preceptors in the PMHNP program.
    • PAs may not serve as preceptors in some states due to specific state board of nursing regulations. Students should verify with their state Board of Nursing for requirements. Examples of some states that do not allow PAs as preceptors:  Alaska, Arizona, Florida, and Alabama.
    • Preceptors who are an APRN or MD/DO are the best options. However, if you are considering using a PA or other professional as a preceptor, it is helpful to contact your Board of Nursing and the Office of Field Experience to determine whether the preceptor is acceptable.

    Note: Approval of the preceptor must occur prior to the student starting the practicum course and logging hours. Students cannot begin logging practicum hours until their practicum application is fully approved, and they have been registered for the course.

Course Specific Requirements

PRAC 6566: Advanced Care of Adults in Acute Settings I Practicum

  • Types of Patients: Ages 13 and older with acute, critical, or significant exacerbation of preexisting disease states
  • Types of Services: Assessment and management of acute or critical disease states which may require airway management, pulmonary support, cardiovascular intervention, intravenous medication management, infection disease intervention, or renal intervention
  • Possible Preceptor Choices: ACNP, AGACNP, ANP, AGPCNP, ENP, MD, DO, PA, intensivist, or hospitalist
  • Unacceptable Preceptor Choices: CNS, FNP
  • Possible Site Choices: Acute care hospital setting, critical care units, EDs, urgent care centers

Note: The following in-hospital specialty rotations will be considered based on the services provided: Cardiology, endocrinology, gastroenterology, hematology/oncology, infectious disease, nephrology (excluding dialysis units), pulmonology, surgery, trauma, and intensive care units (ICU)

  • Nonacceptable Sites: Dialysis units, palliative care units, Cancer Centers of America, family practice clinics/offices, internal medicine offices, or retail health clinics
  • Requirements: 160 hours; minimum 80 patients
  • Preceptorship Prescreen Checklist

AGACNP course sequence

 Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) Specialization Course Sequence

NRNP and PRAC 6540: Advanced Practice Care of Older Adults   

  • May be taken first or second.
  • NRNP 6540 may be taken concurrently only with NRNP 6566, but not with a PRAC course.
  • See “Double Practicum Policy” for PRAC.

NRNP and PRAC 6566: Advanced Care of Adults in Acute Settings I

  • May be taken first or second.
  • NRNP 6566 may be taken concurrently only with NRNP 6540, but not with a PRAC course.
  • See “Double Practicum Policy” for PRAC.

NRNP and PRAC 6550: Advance Practice Care of Adult in Acute Settings II 

  • Must be third course.
  • Cannot take concurrently with any didactic or practicum course.

NRNP and PRAC 6560 - Advanced Care of Adults in Acute Settings III

  • Must be final course.
  • Cannot take concurrently with any didactic or practicum course.