For Courses Numbered 6000 and Higher

Graduate Curriculum Committee Course Proposal Form For Courses Numbered 6000 and Higher

Note: Before completing this form, please carefully read the accompanying instructions.

1. Course prefix and number: NURS 7631 2. Date: 1/15/11 3. Requested action: x New Course Revision of Active Course Revision & Unbanking of a Banked Course Renumbering of an Existing Course from from # to #

4. Method(s) of delivery (check all boxes that apply for both current/proposed and expected future delivery methods within the next three years): Current or Expected Proposed Delivery Future Delivery Method(s): Method(s): On-campus (face to face)

Distance Course (face to face off campus) x Online (delivery of 50% or more of the instruction is offered online) x

5. Justification (must cite accreditation and/or assessment by the graduate faculty) for new course or course revision or course renumbering: Diminishing resources supporting community mental health centers (CMHC) has created a disparity in access to mental health services. Reimbursement policies have mandated that Nurse Practitioners shall be educated and credentialed by 2015 in their population focus in psychiatric mental health to be eligible for reimbursement for mental health services. A market needs analysis was conducted revealing a need for clinicians with family psychiatric mental health nurse practitioner (FPMHNP) education and credentials. Survey results were presented to the College of Nursing (CON) Graduate Faculty Org (GFO) in the fall of 2010 resulting in a task force to develop and implement a FPMHNP concentration. The Chair and faculty of the Department of Graduate Nursing Science have determined that there is a need

Revised 09-16-09 for a FPMNHNP concentration and this course which has been developed by the FPMHNP task force. Dean Brown has stated approval of resources to hire additional faculty to support the new concentration and courses. Preliminary curriculum work was presented to the CON GFO in the spring of 2010 with favorable support to continue further develop and implement a FPMHNP concentration with appropriate curriculum. Consultation with national recognized content experts, certifying bodies and accreditation agencies have guided appropriate curriculum development with content experts within the College of Nursing, ECU.

6. Course description exactly as it should appear in the next catalog: 7631. Psychopharmacology Across the Lifespan for Advanced Practice Nursing (3) P: Consent of concentration director. Examines neurobiological, pharmacokinetic, and psychopharmacological principles related to prescriptive processes of advanced practice nursing.

7. If this is a course revision, briefly describe the requested change:

8. Graduate catalog page number from current (.pdf) graduate catalog: 281

9. Course credit: Lecture Hours 3 Weekly OR Per Term Credit Hours 3 s.h. Lab Weekly OR Per Term Credit Hours s.h. Studio Weekly OR Per Term Credit Hours s.h. Practicum Weekly OR Per Term Credit Hours s.h. Internship Weekly OR Per Term Credit Hours s.h. Other (e.g., independent study) Please explain. Total Credit Hours 3 s.h.

10. Anticipated annual student enrollment: 30

Revised 09-16-09 11. Affected degrees or academic programs: Degree(s)/Program(s) Current Catalog Page Changes in Degree Hours MSN 281 none

12. Overlapping or duplication with affected units or programs: x Not applicable Notification & response from affected units is attached

13. Council for Teacher Education (CTE) approval (for courses affecting teacher education): x Not applicable Applicable and CTE has given their approval.

14. Service-Learning Advisory Committee (SLAC) approval x Not applicable Applicable and SLAC has given their approval.

15. Statements of support:

a. Staff Current staff is adequate Additional staff is needed (describe needs in the box below): x Will recruit appropriately credentialed faculty to teach course.

b. Facilities x Current facilities are adequate Additional facilities are needed (describe needs in the box below):

c. Library x Initial library resources are adequate Initial resources are needed (in the box below, give a brief explanation and an estimate for the cost of acquisition of required initial resources):

d. Unit computer resources x Unit computer resources are adequate Additional unit computer resources are needed (in the box below, give a brief explanation and an estimate for the cost of acquisition):

Revised 09-16-09 e. ITCS resources x ITCS resources are not needed The following ITCS resources are needed (put a check beside each need): Mainframe computer system Statistical services Network connections Computer lab for students Software Approval from the Director of ITCS attached

16. Course information (see: Graduate Curriculum and Program Development Manual for instructions): a. Textbook(s) and/or readings: author(s), name, publication date, publisher, and city/state/country

Required Texts: Lichtblau, L. (2011). Psychopharmacology Demystified. (1st ed.). New York: Delmar Cengage Learning. ISBN# 0-7216-0338-6.

Stahl, S. (2009). Stahl’s Essential Psychopharmacology: The Prescriber’s Guide. Cambridge University Press, New York, NY. ISBN-13: 9780521743990.

Stahl, S., Stahl, S.M., Mutner, N. (2008). Stahl’s Essential Psychopharmacology: Neuroscientific Basis & Practical Applications. Cambridge University Press, New York, NY. ISBN-13: 9780521673761.

b. Course objectives for the course (student – centered, behavioral focus) Upon successful completion of this course the student will be able to:

1. Implement knowledge of neurophysiology and psychopharmacology in prescribing for specified client populations across the life-span. 2. Integrate knowledge of pharmacokinetic processes including cytochrome P-450 system’s effect on metabolism and excretion, drug- drug interactions, and food/supplement effects. 3. Interpret the actions of major neurotransmitters on the brain, other body organs, and neurohormonal circuitry. 4. Simulate prescribing psychopharmacotherapeutics to vulnerable populations such as children, pregnant/lactating women, geriatrics, and clients with co-morbid conditions. 5. Counsel consumers regarding use of complementary, alternative therapies for safety, and potential interactions. 6. Educate consumers and other practitioners regarding the use of somatic interventions.

Revised 09-16-09 c. Course topic outline Module 1: Neurophysiology of mental health processes

A. Brain (thalamus, hypothalamus, & limbic system) & nervous system B. Primary neurotransmitters (NT’s) acetylcholine, norepinephrine, dopamine, serotonin, glutamate, & GABA C. Genetic influences

Module 2: Psychoneuroimmunology

A. Hormonal influence B. Cortisol & stress C. Cytochrome P-450 enzyme system

Module 3: Psychopharmacology

A. Antidepressants (SSRI’s, SNRI’s, TCA’s) B. Mood stabilizers C. Anticonvulsants D. Anxiolytics E. Hypnotics F. Stimulants G. Typical & atypical neuroleptics H. Anticholinergics I. Cholinesterase inhibitors J. Others

Module 4: Care Plan

A. Selection of psychopharmacologic interventions B. Care continuity with appropriate collaboration, coordination, & referral C. Optimize treatment outcome & minimize side effect profile D. Individual, family, & community psycho education

Module 5: Special populations/considerations

A. Child, adolescent, & geriatric B. Women’s health: pregnancy, postpartum, lactation, & menopause C. Co-morbidities D. Combat veterans: PTSD & TBI E. Cultural & ethnicity F. Somatic therapies G. Dual diagnoses H. Polypharmacy

Revised 09-16-09 Module 6: Prescription considerations

A. Scope of advanced practice nurse role B. State law & regulation C. Legal & ethical issues

Module 7: Pertinent case studies

d. List of course assignments, weighting of each assignment, and grading/evaluation system for determining a grade

Evaluation Methods: Grading Scale: 93-100% = A 85-92% = B 77-84% = C <76% = F

Course Grade: 1. Exam #1 20 % 2. Exam #2 20 % 3. Final Exam 25 % 4. Case Studies 25 % 5. Prescription Seminar 10 % 100%

A student is required to earn a grade of C or higher for satisfactory completion of this course.

Revised 09-16-09