Graduate Nursing Handbook 2026-2027

• About the Graduate Nursing Student Handbook
• Department of Nursing
• Academic Calendar 2026 – 2027
• Graduate Program Policies
  • Alteration in Sequencing
  • Time Limitations
  • Program Interruptions and Readmission
  • Coursework and Grading
  • Department of Nursing Grading Scale
  • Transfer of Credit
  • Student Services
  • Faculty Advising
  • Academic Assistance
  • Graduate Student Organizations
  • Communication
  • Academic Integrity
  • Proctorio Policy
  • Grievance Procedures for Students
  • Formal Complaint not related to Course or Instructor
  • Compliance
  • Department of Nursing Graduate Program Drug Policy and Procedure
  • Social Media Policy
  • Variable Credit Policy
  • Required On-Campus Workshops
  • Change of Master’s Program Track
  • MSN Degree Requirements
  • FNP Clinical Competency Exam Grading Policy
  • MSN Comprehensive Exam
• Master of Science in Nursing Program
  • MSN Program Outcomes
  • MSN Curriculum
  • MSN CORE Courses
  • Family Nurse Practitioner Track
  • Family Nurse Practitioner Outcomes
  • FNP Required Courses
  • FNP Full-time and Part-time Options
  • Psychiatric Mental-health Nurse Practitioner Track
  • Psychiatric Mental-health Nurse Practitioner Track Outcomes
  • Psychiatric Mental-health Nurse Practitioner Track Required Courses
  • PMHNP Full-time and Part-time Options
  • Nurse Executive Leadership Track
  • Nurse Executive Leadership Track Outcomes
  • Nurse Executive Leadership Required Courses
• Doctor of Nursing Practice (DNP) Program
  • DNP Program Outcomes
  • DNP Curriculum
  • DNP Courses
  • DNP Academic Advisor
  • DNP Committee Chair
    • DNP Required Hours
    • DNP Practicum
    • Responsibilities of Mentor
    • DNP Project
  • DNP Committee
    • Procedures for Committee Approval
    • Candidacy and DNP Requirements
    • Final Project Examination Guidelines
    • Process of Forming DNP Committee
    • Responsibilities of the Student
    • Responsibilities of DNP Committee Chair
    • Responsibilities DNP Committee Member
  • DNP Proposal Defense for Candidacy
  • DNP Final Defense
  • DNP Project Courses and Requirements
    • DNP 722: DNP Project I (4 credit hours), Spring 1
    • DNP 724: DNP Project II (4 credit hours), Summer 1
    • DNP 726: DNP Project III (4 credit hours), Spring 2
  • Changing DNP Project Chair or Committee Members
  • Institutional Review Board(s) Requirements

About the Graduate Nursing Student Handbook

We welcome you to the graduate nursing program at Miami University! This handbook for graduate nursing students provides information regarding policies, procedures, available resources, and issues that are of concern to student academic life. It also outlines rights and responsibilities of the graduate nursing students. Students are responsible for using the handbook as a resource when questions arise and as a guide to academic and nonacademic policies and procedures. This handbook is to be used in conjunction with the Graduate School Handbook and the Miami Student Handbook, and Miami University publications and policies.
All students are required to sign the Handbook Certification Attestation document in their first semester of study.

In the Handbook Certification document, students certify that they are responsible for:

• Reading the handbook in its entirety
• Reviewing and understanding any changes made to the Handbook during the entire time they are enrolled as a student in the Department of Nursing
• Recognizing that changes made to policies and procedures may impact them as a student. Note that the information in this handbook is updated annually.
• Changes may also be made throughout the academic year. Students will be notified of any changes to the handbook via e-mail to their @MiamiOH.edu address. The information in this handbook is accurate as of August 2026.

Department of Nursing

Graduate Program Mission

To cultivate nurse leaders who are highly-skilled in the translation of evidence to excellence, quality and systems improvement, and collaborative partnerships for health equity, who will lead in the transformation of healthcare to improve health within our diverse global society.

Graduate Program Vision

To create nurse leaders who will lead in the transformation of healthcare to reduce disparities and improve the health and well-being of the global society.

Graduate Program Values

• Leadership
• Integrity
• Excellence
• Caring
• Collaboration

Statement of Commitment

Miami University is dedicated to providing a supportive atmosphere for students, faculty, staff, and local community members. We seek to learn from one another, foster a sense of shared experience, and commit to making the University the intellectual home for us all.

View the Statement of Commitment

Program Philosophy and Conceptual Framework

Academic Calendar 2026-2027

Refer to Miami Academic Calendar for semester dates.

Graduate Program Policies

Alteration in Sequencing

Full and part time progression plans for the MSN are available under each program section in this handbook. Students may request an alteration in sequencing by completing a Petition for Special Consideration Form through their Academic Advisor, with subsequent approval from the Graduate Admission, Progression & Graduation Committee. Alterations must not violate prerequisite or corequisite course requirements. There is no guarantee of approval as course offerings vary each semester.

Time Limitations

Students must complete the coursework and earn their MSN within five (5) years after they first register as an MSN student. This limit applies to all degree-seeking students, both full-time and part-time. Doctor of Nursing Practice (DNP) students must complete coursework, complete their DNP project and pass the final examination within five (5) years of completing their first course in the doctoral program.

Program Interruptions and Readmission

A student in good academic standing who interrupts their program for any reason, including approved Leave of Absence (LOA), after two (2) consecutive required semesters (including summer if required by program/ track) must apply for readmission to the MSN or DNP program. Students looking to take a LOA must have successfully completed at least one semester in their current program and be in good standing. Students who were not in good standing at the time they left the program, or who need more than five years to complete their program, may seek permission, and readmission is dependent upon approval by the Graduate Admission, Progression, and Graduation Committee, The Graduate School, and upon availability of space and facilities for the term in which readmission is requested. All requests for program change in progression, including LOA and readmission require students to complete a Petition for Special Consideration Form and to submit to the Graduate Admission, Progression, and Graduation Committee. Students with questions regarding program interruptions and/or readmission should contact the Director of Graduate Nursing Programs and review the Graduate School Registration policy.

Coursework and Grading

Students must complete all required courses to earn the respective graduate degree. To receive credit for graduate courses, students must earn a minimum of a B minus (B-) for their final course-grade. Any grade below a B minus (B-) is considered a graduate course failure. With a grade of “B-” or lower in one nursing program required course, the student must meet with the Director of their Program regarding progression in the program. Students who withdraw from a graduate course with a grade of “B-” or lower are recognized as having one course failure in their program. Even if a course is repeated and a passing grade is achieved, the first instance of a grade below "C" counts as an instance of a course failure for progression purposes.

First occurrence of B- or lower in a graduate course: If a student receives a final course grade below a B minus (B-), they will be permitted to retake that course in their respective MSN or DNP program. Miami University Course Repeat policy allows this repeated course grade to improve the student’s GPA. However, the University Course Repeat Policy does not dismiss the previous failing grade(s) (“B-” or lower) in graduate nursing courses.

Second occurrence of a B- or lower in a graduate course: The student will be dismissed from their respective MSN or DNP program without an opportunity to retake additional courses.

When a student receives a B- or lower in two courses in the same semester: The student will be dismissed from the program without an opportunity to retake additional courses.

Students must maintain a cumulative 3.0 GPA in their graduate courses to progress each semester in their graduate program. If a student’s GPA falls below a 3.0, they will be placed on academic probation for one semester. A graduate student who is on academic probation will be dismissed if his/her subsequent semester or summer term grade point average is less than 3.0. Academic dismissal is considered a permanent action.

Transfer of Credit

Admitted students may have earned graduate credits that they wish to apply to their MSN or DNP degree. Credit for these courses will be reviewed by the Graduate Nursing Director via a gap analysis using the Transfer Request form and following Miami Graduate registration policy. There is no guarantee that incoming credit(s) will be approved for credit towards the Miami MSN or DNP degree. Per Miami University policy, a maximum of one third of total credits can count towards a student's degree.

Student Services

Miami Graduate School is committed to advocating and supporting graduate programs dedicated to the pursuit of new knowledge and best teaching practices that promote diverse, globally aware students and faculty. Resources provided by the graduate school are located on the Student Services website, including Handbooks and Guides, Forms, Graduation, and Funding Opportunities.

Faculty Advising

All students will receive an assigned Faculty Advisor at the start of the program. Students are encouraged to  meet with their assigned advisor prior to starting their program.  Group advising sessions will be offered twice per year to discuss upcoming deadlines, program updates and changes, and to answer any questions. Students may also schedule a one-on-one appointment with their advisor at any time throughout their program. Students should talk with their advisor if they are considering dropping a course or if they are changing the sequencing of courses from their original program plan.

Academic Assistance

Students needing additional academic assistance are encouraged to communicate with Miller Center for Disability Services and with their individual course faculty.

Miller Center for Disability Services

Graduate Student Organizations

1. Graduate Students will elect a student liaison to represent them each year. The student liaison will serve as an intermediary for any issues that students would like to address, if they are not comfortable communing directly with faculty. The Student Liaison will communicate any reported concerns to the Graduate Nursing Director.
2. The Graduate Student Association is open to all graduate students. It sponsors a travel assistance fund, publishes a regular newsletter, advocates for the interests and concerns of graduate students, and organizes several social events each year. The Assistant to the Dean of the Graduate School is the adviser. The GSA selects student representatives to the University Senate, Graduate Council, and numerous campus-wide committees.
3. The Graduate Students of Color Association is designed to enhance the campus life of graduate students of color by providing academic, cultural, political, and social support. This support system functions to facilitate academic excellence through tutorial, liaison, and networking systems. It helps to foster diversity and pluralism among graduate students. The Assistant Dean of Admissions at the Graduate School is the adviser.
4. The Graduate Student Pride Association (GSPA). The purpose of GSPA is first and to provide a safe and inclusive space for LGBTQ+ and queer graduate professional students at Miami University. Safe spaces cultivate community marginalized groups and are thus vital to LGBTQ+ and queer graduate students. Furthermore, GSPA will represent and give voice to the concerns of and queer graduate and professional students at Miami University.

Communication

All persons in the Department of Nursing community (students, staff, and faculty) are expected to conduct themselves in a professional manner when communicating with one another in person, by email, or on the phone.

It is the students’ responsibility to notify the Department of Nursing and One Stop with any name, address, or phone number changes within one week of the change.

A Miami University-provided email address (UniqueID@MiamiOH.edu) is an official means of communication. Students are responsible for all University communication sent to their Miami email address. It is expected that students check their email account on a frequent and consistent basis. To ensure that students remain current with university-related communications, students are strongly encouraged to check their email daily. Students are advised to respond to all official University communications as directed in each communication (e.g., responding in person, by surface mail, or by email). Students should not assume an email response is a satisfactory substitution when directed otherwise.

Students are subject to this email policy beginning with program orientation, during academic terms for which they are enrolled, during breaks between terms, during university holidays and vacations, and during periods of suspension.

Students may forward their Miami email to another email address (e.g., @Gmail). However, Miami University is not liable for any problems that may result from forwarding Miami email to another account (e.g., problems with spam filters, full mailboxes, or loss of attachments). Students should understand that forwarding their university email may have the unintended consequence of exposing their privacy information to third parties because internet email is handled in a public fashion.

Faculty members determine how they will use email in their classes. Faculty may wish to include their email expectations in the course syllabus. The distribution of mass communications is restricted to university departments and offices for university business. External requests for mass communications will not be honored.

As stated in the policy titled “Responsible Use of Computing Resources”, “The University employs various measures to protect the security of its computing resources and users’ accounts. However, users should be aware that the University does not and cannot guarantee such security.”

Furthermore, individuals are advised to exercise caution when sending sensitive or FERPA-protected student information via email. In addition, individuals are reminded that some University information is not appropriate for email communication.

Academic Integrity

Students are expected to be familiar with and follow the University Academic Graduate Academic Integrity Policy.

Proctorio Policy

The graduate program is administered in an online environment. Faculty may incorporate Proctorio into testing for proctoring exams in a remote environment. To prevent future violations regarding academic integrity, please ensure you are in compliance with the following directives during all exams:

1. Position your webcam so that it clearly shows your face, shoulders, and the surrounding area. Your entire head and shoulders should be visible in the frame throughout the exam. If you are wearing a mask or any other head coverings, you may temporarily remove them for the initial video/photo verification and put them back later. Discuss with your instructor if you need any accommodations for this step.
2. Ensure the room is well-lit, and, to the extent possible, avoid backlighting (e.g., sitting with your back to a window) to keep your face visible.
3. Remain seated and face the webcam during the exam. To the extent that you are able to avoid excessive movements that may be interpreted as suspicious behavior.
4. Unless explicitly allowed by the instructor, do not use books, notes, phones, additional monitors, or other electronic devices during the exam.
5. Remove smartwatches and other wearable technology that could be used to access information.

It is the policy of Miami University not to discriminate against students with disabilities in any program or activity of the University, and to provide reasonable accommodation and academic support services to such students with due regard for the integrity of academic programs. Students who believe that they may need to request reasonable accommodations while enrolled in this course are encouraged to contact the Miller Center for Student Disability Services.

If students are not compliant with these directives regarding online exams, they will be referred to the academic integrity office for further review of the incident. Students who have received a university approved reasonable accommodation to deviate from the above directives should reach out to their instructor before the exam.

Grievance Procedures for Students

Students who may have a grievance or concern should address the issue with the following steps, following the department and the Graduate School Grievance Policy.

1. Instructor Level: In all cases, the student should first meet with the instructor to discuss the complaint, receive an explanation, and explore possible resolutions. If the student is not satisfied with the explanation, she/he/they should confer with the chair of the department and ask for a review of the grade through the departmental grievance procedure. The student should recognize the difference between questioning a grade and charging an instructor with a violation of the Statement of Good Teaching Practices. The latter is a serious act and should neither be undertaken lightly nor should the desire to have a grade reviewed and changed be the primary motivation. A student initiating a grievance procedure should be aware that the University Senate has ruled that the final determination of a student’s grade remains with the instructor, regardless of the outcome of any appeal procedure.
2. Department Chair Level: Initial Steps for Resolution: If a student approaches the Chair with a grievance, such as a request for a grade review or a charge of violation of the Statement of Good Teaching Practices as stated in the Miami University Policy Library, the Chair will ascertain whether the student has discussed the situation with the faculty person involved. If no discussion has occurred, the Chair will recommend the student do so before proceeding with any grievance procedure. The Chair also has the option of meeting with the student and faculty person to help reach a resolution if all parties agree.
3. Formal Procedure: To initiate a formal grievance procedure, the student will provide the Chair with a signed written statement of the grievance. The Chair will forward a copy of the student’s grievance to the instructor promptly after receiving it, together with a request for information relevant to the situation. The instructor shall also forward to the Chair a written reply to the student’s statement. The written statements and any other relevant materials shall then be forwarded to an Academic Grievance Committee. Academic Grievance Committee: The Chair shall appoint three representative faculty to serve as the committee and secure an administrator from outside the department to serve as hearing officer if a hearing is deemed necessary. These persons should not be teaching on the same teaching team as the faculty person against whom the complaint was filed. The Committee shall meet and examine the forwarded materials and determine whether the matter can be decided without a hearing. If a hearing is not required, the committee shall write a recommendation regarding the grievance within a reasonable period of time. The report is then sent to or discussed with the Chair of the Department. The Chair will forward copies of the report to the student and instructor. If the Academic Grievance Committee determines a hearing is necessary, the following procedures will be utilized to conduct the hearing. In addition to the three faculty members on the committee, another person representing the University administration will be asked to conduct the hearing as the department chair designee.
   
   1. The department chair or designee will communicate the date, time, and location of the hearing to all committee members, the student, and the faculty member involved in the grievance. If either party plans to bring witnesses, that party is responsible for communicating the hearing details to their respective witnesses. Virtual participation may be arranged if the student is unable to attend in person.
   2. Hearing will be closed to only those persons who are members of the Grievance Committee, the department chair designee, the student, faculty member, and any witnesses or advisors to the student and faculty. The student and faculty member may each bring an advisor who is a member of the University community to the hearing. The advisor must be a faculty member, administrator, or student staff member. Neither party may bring an attorney to the hearing.
   3. Student and the faculty member may also bring an advisor who is a member of the University community to the hearing. Said member of the community must be a faculty member, administrator or Student staff member. Neither party is permitted to bring an attorney.
   4. The student and faculty member must each submit copies of any documentation they wish the committee to consider, along with a list of anticipated witnesses, to the department chair or designee at least five days before the scheduled hearing. The department chair or designee will then provide each party with copies of the documentation and witness list submitted by the other party.
4. The student and the faculty member may bring witnesses who are able to provide testimony directly related to the specific issues. Character witnesses whose only purpose is to attest to the student’s personality are not generally necessary and, in the interest of time, may not be permitted to provide testimony. Formal Rules of Evidence will not apply. The Hearing Committee will receive only that information determined to be relevant or important in light of the totality of the circumstances.
5. At the beginning of the hearing, the department chair designee will advise the student and the faculty member of the following procedures:
   
   1. Each party may make a brief opening statement.
   2. The student has the first opportunity to provide information and call witnesses. The members of the Committee and the involved faculty member may ask questions of the student and the witnesses.
   3. The faculty member may then provide information and call witnesses. The members of the Committee and the student may ask questions of the faculty member and the witnesses.
   4. Witnesses will remain outside the hearing room when not providing information or responding to questions.
   5. Each party may make a closing statement.
   6. The Academic Grievance Committee may deliberate at the close of the hearing or at another time convenient to the members of the committee. The deliberation is not open to the student, the involved faculty member, or any of the witnesses. The department chair designee may sit in during the deliberations at his/her discretion.
   7. The Academic Grievance Committee shall produce written findings and recommendations and submit this document to the department chair designee within five days of the hearing.
   8. The department chair designee shall send the written findings and recommendations to the student, the involved faculty member and the department chair within two days of receiving said document.
6. Student Appeals Decision: If the student wishes to appeal beyond the departmental level, the student may submit to the divisional committee following procedures described in the Graduate School Policy.

In the case of a request for a grade change: If the Academic Grievance Committee believes the grade should be reviewed further or changed, they will make such recommendations to the Chair. The Chair will discuss the recommendations with the instructor. The instructor has the final decision on grades and does not have to change the grade as recommended.

In the case of a student filing charges of violation of Good Teaching Practices: The Academic Grievance Committee will decide as to whether such practices were violated, and put in writing any recommendations regarding this, which is to be submitted to the Chair. The Chair makes the final departmental decision regarding violation of Good Teaching Practices. The student may appeal the decision to the College of Liberal Arts and Applied Science grievance committee.

Formal Complaint not related to Course or Instructor

Those persons who have a complaint related to a topic not addressed by the Student Grievance Policy (above) may initiate a Formal Complaint to the Chair of the Department of Nursing.The complaint must be submitted in writing, include a detailed description of the concern and current contact information, and be signed by the individual submitting the complaint. The formal complaint must be delivered within 15 days of the event.

The Chair will review the complaint and discuss as appropriate with Miami University administrators. The chair will follow up with the complainant within 30 days in writing.

Compliance

To meet clinical affiliation compliance requirements, all graduate nursing students are required to provide health and immunization documentation and undergo annual criminal background checks and drug tests. Admission to the program is contingent upon a satisfactory criminal background check. All other compliance requirements are due within a specified timeframe, determined by the student’s enrollment date. The Graduate Clinical Placement Coordinator will validate student clinical and practicum compliance.

All MSN and DNP students must meet the following compliance requirements to participate in clinical/practicum experiences and DNP project activities, as applicable. Required documentation must be submitted electronically through CastleBranch/DISA Healthcare Technology by the designated deadlines. Students are responsible for maintaining current compliance documentation throughout their enrollment.

CastleBranch/DISA Healthcare Technology is the online vendor used for tracking student documentation of these requirements, including immunizations, certifications, and releases. When starting their MSN or DNP program, students will receive information regarding how to set up their myCB account. Students will use this account to submit required documents each year. Note that background checks are not submitted through CastleBranch; and should instead be submitted to the Graduate Administrative Assistant, Linda Helling, hellinlj@MiamiOH.edu.

Students will need to complete their requirements within the determined submission window, based on their program enrollment date, which may vary based on program. Students should confirm their deadlines with their advisors when planning their progression plans.

1. Criminal Background Check

All graduate nursing students must complete a criminal background check prior to beginning clinical/practicum or DNP project courses and annually thereafter.

• Ohio students must complete background checks through the Ohio Bureau of Criminal Identification and Investigation (BCII) and the Federal Bureau of Investigation (FBI).
• Students outside Ohio may be required to complete a state-specific background check in addition to the FBI check, depending on clinical agency agreements.
• Students are responsible for all associated fees and ensuring results are submitted to the Department of Nursing by the designated deadline.
• Background checks may take more than one month to process; students should plan accordingly.

Positive Background Check Results

A positive criminal background check may affect a student's eligibility for clinical placement and progression in the program.

• Positive findings will be reviewed by the Department of Nursing Director, who will determine whether additional consultation with clinical agencies is necessary.
• Clinical agencies have the authority to determine whether students with positive findings may participate in clinical experiences.
• Students will be notified of any decisions affecting their clinical placement or progression in the MSN or DNP program.
• Students must complete the required FERPA authorization permitting the Department of Nursing to share relevant information with clinical agencies and other appropriate individuals.
• Background check results will be maintained confidentially in the student's Department of Nursing records, with access limited to authorized individuals who have a legitimate educational need to know.

Failure to complete the required background check by the established deadline may prevent enrollment or participation in clinical/practicum courses. Miami University cannot guarantee clinical placement for students with positive findings, which may delay or prevent program completion.

2. Ten-Panel Urine Drug Screen

All students must complete a 10-panel urine drug screen prior to beginning clinical experiences and annually thereafter.

• Results must be submitted by the designated deadline.
• A positive drug screen may prevent participation in clinical experiences, subject to applicable university policies and clinical agency requirements.

Department of Nursing Graduate Program Drug Policy and Procedure listed below.

3. Registered Nurse Licensure

Students must maintain an active, unencumbered registered nurse (RN) license in the state where they will complete clinical experiences.

• This may include Ohio, Indiana, Kentucky, Illinois, or another approved state.
• Verification of licensure must be submitted according to the instructions provided in CastleBranch.

4. CPR Certification

Students must maintain current healthcare provider-level Basic Life Support (BLS) certification throughout their MSN or DNP enrollment.

Accepted certifications include:

• American Heart Association: BLS Provider
• American Heart Association: BLS–RQI Program
• American Red Cross: Basic Life Support for Healthcare Providers
• American Safety and Health Institute: Basic Life Support

Students must electronically submit a copy of their certification card or authorized documentation verifying successful completion.

Students holding a current CPR Instructor Certification may be exempt from additional renewal requirements, provided their certification meets program and clinical agency standards.

5. Physical Examination and Medical History

Students must submit the Miami University Department of Nursing Medical History Form, including physical examination findings completed by a healthcare provider.

• Documentation must be submitted and approved through CastleBranch/DISA Healthcare Technology prior to clinical participation and annually thereafter.
• Students must notify the Department of Nursing of significant changes in health status that may affect their ability to safely participate in clinical experiences.

6. Immunization and Infectious Disease Screening Requirements

Hepatitis B (HBV)

Students must provide one of the following:

• Documentation of a completed Hepatitis B vaccination series.
• A positive Hepatitis B surface antibody (anti-HBs) titer demonstrating immunity.
• A signed Hepatitis B vaccination declination form, when permitted by the clinical agency.

Tetanus, Diphtheria, and Pertussis (Tdap/Td)

Students must provide documentation of:

• At least one dose of Tdap administered during adolescence or adulthood.
• A Td or Tdap booster every 10 years thereafter.

Students without documentation of a prior Tdap dose must receive Tdap regardless of the interval since their last Td vaccination. Td or childhood DTaP documentation alone does not fulfill the Tdap requirement.

Measles, Mumps, and Rubella (MMR)

Students must provide documentation of appropriate MMR vaccination or laboratory evidence of immunity.

Varicella (Chickenpox)

Students must provide documentation of varicella vaccination or a positive antibody titer demonstrating immunity. A self-reported history of chickenpox is not sufficient.

Tuberculosis (TB) Screening

Students must complete annual TB screening as required by the program and clinical agency.

Acceptable testing documentation includes:

• A negative TB skin test (Mantoux/PPD).
• A negative interferon-gamma release assay (IGRA), such as QuantiFERON-TB Gold or T-SPOT.TB, with laboratory results.

Students with a history of positive TB testing must follow the applicable clinical agency requirements for documentation and evaluation.

Seasonal Influenza Vaccine

Students must submit documentation of the current season's influenza vaccination by November 1st of each year during enrollment, beginning with their first fall clinical semester.

COVID-19 Vaccination

Students must meet applicable university and clinical placement agency COVID-19 vaccination requirements. Current requirements will be communicated before clinical courses begin.

7. Respiratory Fit Testing

Graduate nursing students must comply with the respiratory protection and fit-testing requirements of their assigned clinical agency.

Specific requirements and instructions will be communicated to students via email before clinical courses begin.

Compliance Deadlines and Student Responsibilities

Students are responsible for:

• Completing all required screenings, immunizations, certifications, and documentation by the established deadlines.
• Maintaining current compliance status throughout enrollment.
• Monitoring CastleBranch/DISA Healthcare Technology and university email for updates and additional clinical agency requirements.
• Completing annual renewals as required.
• Promptly addressing missing, expired, or rejected documentation.

Failure to maintain compliance may result in delayed clinical placement, inability to participate in required clinical/practicum experiences, or delays in academic progression.

Department of Nursing Graduate Program Drug Policy and Procedure

Miami University is committed to the safety of its students, staff, faculty in all facets of their education, including clinical and field placements. Safety in the delivery of care to patient/client populations is of paramount importance. The use of “alcohol and other substances potentially places patients, the public, and nurses themselves at risk for serious injury or death” (International Nurses Society on Addictions, 2017). Protecting patients from potential harm caused by an impaired nurse is a professional responsibility, as indicated in the American Nurses Association (ANA) Code of Ethics, Provision 3.6 (ANA, 2015).

This policy applies to all Miami University (“University”) students admitted to the Graduate Nursing Program (“Program”) and is effective immediately. All University students admitted to the Program are required to complete clinical coursework at a hospital, clinic, nursing home, or other healthcare facility in order to complete their degree requirements. The purpose of this Policy is to notify students and faculty of the University’s requirement that all students in the Program submit to an annual drug screen as outlined in this policy and test negative before engaging in clinical activity associated with the Program (“Clinical Activity” or “Clinical Activities”). Clinical agencies affiliated with the University have drug and alcohol policies and require that nursing students comply with their drug testing policies in the same manner as their employees (e.g. 10 drug panel testing).

Clinical sites have the right to refuse any student for clinical placement based on concerns about that student’s ability to deliver safe practice. Clinical sites may request additional drug screening and students must comply with these requests to meet clinical placement requirements.

It is the policy of Miami University to comply with federal and state laws and regulations dealing with the usage and detection of drugs. This Policy is subject to change at the sole discretion of the University and is meant to supplement other relevant University policies. This Policy is in addition to any drug and alcohol testing policies and procedures at the clinical sites, and while students are engaging in clinical activities at hospitals, clinics, nursing homes, or other facilities on behalf of the Program, the drug and alcohol testing policies and procedures of the hospital, clinic, nursing home, or facility will also govern.

Social Media Policy

Activities on social media sites, private or via group, in any setting whether it is in a clinical or community that are deemed to be defamatory, harassing, obscene, profane, unprofessional, or in violation of any law will not be tolerated and are subject to disciplinary action. Inappropriate social media behaviors are strictly prohibited and will be handled through hearings with the Department Chair. 

This policy applies specifically to the Department of Nursing and nursing students’ responsibility to protect client privacy and confidentiality at all times through all means of communication which includes social media and other communication channels. Confidential and sensitive information is protected under FERPA and HIPAA. Students are required to follow the protection outlined in these laws and under the guidelines identified in this policy. This policy follows the guidelines outlined in the National Council of State Boards of Nursing’s White Paper: A Nurse’s Guide to Use of Social Media (2018). 

Policy

• Protect sensitive and confidential client and clinical information at all times. Do not share, disseminate or post information, images, and other information gained in the nurse-client relationship with anyone outside of the immediate clinical requirements. If there is a client care related need to share this information, consult with your clinical faculty member. Pre and Post conferences are learning experiences in which students may share with each other, under the guidance of their faculty member, specific clinical issues. Personal information needs to be protected even in these learning circumstances. It is expected that confidentiality will be maintained during the clinical conference and further discussion in a public forum is not to occur. 
• It is a violation of privacy to transmit by way of electronic media any client-related images. Do not take photos or videos of patients on personal devices, including cell phones. 
• If photographs are taken in the clinical setting/simulation as part of a clinical project, all required permission from the client and agency must be followed and the student must delete any electronic forms of these images. Posting or sharing of any images from a clinical or simulation experience online is not permitted. Students should avoid being in photographs taken by patients and family members while in the clinical setting.
• Clinical experiences are not to be discussed in public places and via electronic media, even if patient and personal information are not identified; this includes and is not limited to social media sites, email, text, blogs, twitter, and class sites. Limiting access to postings through privacy settings will not ensure privacy. 
• Use of personal devices for social media requires permission from clinical faculty and must not violate privacy and confidentiality. 
• Students must follow the agency’s policy regarding cell phone use in the agency. Cell phones are to be silenced while in the clinical setting. Personal phone calls or texting are not permitted while in the client area. 
• Information concerning clients and their family, as well as information regarding clinical rotations are not to be posted in any online forum. 
• Identification and discussion of health care institutions, staff, and community resources used in clinical or other nursing courses must be avoided. Any concerns about agencies used in nursing education must be shared with the department or an appropriate faculty member. Defamatory and malicious comments about agencies, the community, and resources within the community are not to be posted in any online forum. 
• Private health care information cannot be removed from the health care setting via paper or electronic devices such as computers, flash drives, personal devices, etc. 
• If a student identifies themselves as a Miami University nursing student on their Facebook or other online site, they should include a disclaimer that the views expressed do not represent Miami University or the Department of Nursing. Patient privacy and confidentiality are ethical and legal obligations for nursing students. Students are legally responsible for following the rules outlined in HIPAA and FERPA and are subject to liability if they fail to adhere to these laws. Violation of this policy will result in disciplinary action through the Department of Nursing which may include failure in a course and/ or dismissal from the program. 
• Students are legally liable for online posts and commentary deemed harassment, racist, obscene, libelous, defamatory, proprietary, or which violate copyright. 
• Future employers may conduct web searches prior to offering a nursing position. Professionalism in online posts can result in a positive outcome for the nursing applicant. 

Variable Credit Policy

Students may request to take a variable credit of 1-4 credits in their clinical and practicum courses. Student requests should be submitted to the student's Faculty Advisor, which will be evaluated by the program for approval/ non-approval. Requests are not guaranteed as placements will need to be secured to meet variable loads. If approved, an updated progression plan will be documented in the student’s Plan of Study with sign off from Faculty Advisor and Student. This policy is intended to allow for flexibility in the timing of students’ clinical or practicum course load. 

Credit: Clinical Hours Conversion: 

1 Credit hour course = 90 clinical hours 
2 Credit hour course = 175 clinical hours 
3 Credit hour course = 250 clinical hours 
4 Credit hour course = 340 clinical hours 

Total Required clinical hours for PMHNP and FNP: 750 clinical hours 

This policy applies to the following graduate nursing courses: 

FNP Track: NSG 622 (1-4), NSG 624 (1-4), NSG 626 (1-4) 
PMHNP Track: NSG 621 (1-4) NSG 623 (1-4), NSG 627 (1-4) 

Standard credits for the NP clinicals are 3 credits per course. Students must take at least 2 credits, and no more than 4 credits for each course offering. 

Required On-Campus Workshops 

All MSN students are required to attend the on-campus workshop within their MSN track. Notification of the date of the will be communicated to students no less than six months before the workshop. 

Change of Master’s Program Track 

Students interested in being considered for a change of program track should contact the Director of the Graduate Nursing Programs. This change requires full consideration by the Graduate Admission, Progression, and Graduation Committee. 

MSN Degree Requirements

Non-Thesis Culminating Experience

Miami University requires students in a master’s degree program to complete a thesis or non-thesis culminating experience as part of their program. The MSN program integrates a required non-thesis experience as a series of clinical/ practicum courses which vary by MSN track: 

Family Nurse Practitioner

• NSG 622 FNP Clinical I (230 hours) 
• NSG 624 FNP Clinical II (250 hours) 
• NSG 626 FNP Capstone Clinical III (250 hours) 

Psychiatric Mental-Health Nurse Practitioner 

• NSG 621 Psych Mental-Health Nurse Practitioner Clinical I (250 hours) 
• NSG 623 Psych Mental-Health Nurse Practitioner Clinical II (250 hours) 
• NSG 627 Psych Mental-Health Nurse Practitioner Clinical III (250 hours) 

Nurse Executive Leadership 

• NSG 684 Nurse Executive Leadership Practicum I (105 hours) 
• NSG 686 Nurse Executive Leadership Capstone Practicum II (105 hours) 

Each clinical placement is reviewed and approved by the Graduate Clinical Placement Coordinator, and the Graduate Director and/ or MSN Track Director prior to each clinical. This non-thesis, culminating experience is documented by the student with the MSN Culminating Paper in their final semester; and it is evaluated by a committee of at least three graduate-level A or B nursing faculty. Note that students’ clinical performance is evaluated in each clinical course separate from the MSN Culminating Paper. Guidelines for the MSN Culminating Paper are found in the MSN Syntheses courses. 

Clinical Competency Exam

Students are expected to successfully pass the APEA ‘3P’ Examination prior to beginning clinical courses. A passing grade on the exam is defined as a score that is equal to or greater than the national average at the time of the exam, or a score that is within one (1) standard deviation of the cohort mean. 

After First Unsuccessful Attempt on the ‘3P’ Exam: 

The student will receive feedback on performance. The student is expected to engage in self-directed remediation prior to the second attempt. 

After Second Unsuccessful Attempt on the ‘3P’ Exam: 

The student will be required to enroll in a one (1) credit independent study course for remediation in the subsequent semester. The independent study will be designed to address identified knowledge gaps and support successful exam completion. 

Subsequent Attempts Following Remediation: 

Upon completion of the first independent study, the student will be eligible for a third attempt at the ‘3P’ Examination. If the student successfully passes the third attempt, they will be permitted to progress to clinical courses in the subsequent semester. 

If the student does not pass the third attempt, the student will be required to enroll in a second one (1) credit independent study course for remediation in the subsequent semester, guided by faculty to address ongoing knowledge gaps. 

Final Attempt and Progression: 

Upon completion of the second independent study, the student will be eligible for a fourth and final attempt to earn a passing grade on the ‘3P’ Examination. If the student successfully passes the fourth attempt, they may progress to clinical courses in the subsequent semester. If the student is unsuccessful on the fourth attempt, they will not be permitted to progress in the program and will be dismissed. 

MSN Comprehensive Exam

All students will complete a proctored comprehensive exam as an end of program assessment. The comprehensive exam for each MSN track will cover content from each respective track and prepare students for their national certification exam. This exam also serves as Miami University’s master’s degree comprehensive exam requirement. 

Students are expected to successfully pass the MSN Comprehensive Examination as a requirement for successful completion of NSG 630 and MSN program progression toward graduation. 

After First Unsuccessful Attempt in NSG 630:
The student will receive feedback on performance. The student is expected to engage in self-directed remediation prior to the second attempt. 

After Second Unsuccessful Attempt in NSG 630: 
The student will be required to enroll in a 1-credit independent study course for remediation in the subsequent semester. The independent study will be designed to address identified knowledge gaps and support successful exam completion. 

Impact on NSG 630: 
Students who have not passed the second attempt of the Comprehensive Examination by the end of the semester will receive a grade of Incomplete (I) in NSG 630. The Incomplete will be resolved once the student successfully passes the Comprehensive Examination. Students may not earn a final passing grade in NSG 630 unless the Comprehensive Examination requirement is met. 

Subsequent Attempts Following Remediation: 
Upon completion of the first independent study, the student will be eligible for a third attempt at the Comprehensive Examination. 

If the student successfully passes the third attempt, the Incomplete grade in NSG 630 will be resolved with a passing grade. If the student does not pass the third attempt: 

The student will receive a failing grade in NSG 630. 

The student will be required to enroll in a second independent study course for remediation in the subsequent semester, guided by faculty to address ongoing knowledge gaps. 

Final Attempt and Progression: 
Upon completion of the second independent study, the student will be eligible for a fourth and final attempt at the Comprehensive Examination. During this semester, the student must also retake NSG 630 in order to earn a passing grade. If the student successfully passes the fourth attempt: 

The student may earn a passing grade in NSG 630 and progress to graduation. 

If the student does not pass the fourth attempt, the student will not be eligible to progress to graduation with the MSN degree. 

All Miami University academic integrity charges against a student must be resolved and sanctions completed before a student is eligible to graduate. 

Master of Science in Nursing Program

Miami University Master’s of Science in Nursing (MSN) program offers three tracks of study: Family Nurse Practitioner, Psychiatric Mental-Health Nurse Practitioner and Nurse Executive Leadership. These MSN program tracks will prepare nurses for key leadership roles in complex healthcare systems, in advanced practice provider roles. Graduates will be prepared to contribute to and lead the US healthcare system to transition to new models of care with an emphasis on population health, preventative health and chronic disease management.

Each MSN track will have the respective designation on the student’s transcript and diploma.

MSN Program Outcomes

1. Translate and integrate knowledge to inform the practice of nursing, including expert judgment in practice.
2. Synthesize understanding of effective organizational and systems leadership and interprofessional collaboration in complex systems of practice.
3. Apply principles and methods of quality and safety science, nursing science, and evidence-based practice as an integral aspect of nursing.
4. Use informatics and emerging technologies to manage and improve nursing practice, advocating for system level improvement in health and healthcare.
5. Collaborate with interprofessional partners including team members, patients, and communities to optimize care, enhance the experience for stakeholders, improve outcomes, and reduce costs
6. Synthesize understanding of equitable population health outcomes.
7. Analyze components of person-centered care for individuals, families and communities including individual to systems interventions targeting positive health outcomes.
8. Synthesize ethics and values of the profession, a commitment to self-development, and the professional leadership expertise into the development of an individual professional nursing identity.

MSN Curriculum

The MSN curriculum includes five core courses required for both tracks. The graduate nursing core courses are intended as a foundation in graduate nursing practice which align with current standards, procedures and guidelines of the American Association of Colleges of Nursing Essentials. Each MSN track is further developed to meet or exceed respective specialty standards and competencies. The Nurse Practitioner tracks meets criteria for evaluation of nurse practitioner programs from the National Organization of Nurse Practitioner Faculty. The Nurse Executive Leadership track aligns with the American Organization for Nursing Leadership Competencies.

MSN CORE Courses

• NSG 642 (3) Individual and Organizational Leadership in Healthcare
• NSG 644 (3) Informatics, Quality and Safety in Healthcare
• NSG 646 (3) Clinical Prevention and Population Health
• NSG 648 (3) Research and Evidence-based Practice
• NSG 674 (3) Healthcare Delivery Systems

Family Nurse Practitioner Track

Family Nurse Practitioners (FNPs) are clinical experts prepared to implement a holistic approach that emphasizes both care and cure. They apply evidenced-based practices and manage the health needs of patients in primary care and outpatient settings. The focus of the FNP track is to provide academic knowledge and the clinical skills necessary for health promotion, disease prevention, assessment, and management of acute and chronic illnesses.

The FNP track prepares graduates to become advanced practice providers with a primary care, family population focus. This track requires 46 credits, including 750 precepted clinical hours, and prepares students to deliver evidence-based, culturally competent, primary health care to individuals within the context of family and community. Graduates will be eligible to sit for national Family Nurse Practitioner certification exams.

FNP students complete three clinical courses. These clinical courses will provide an opportunity for application of knowledge to the patient care setting with an assigned preceptor with faculty oversight and evaluation. In addition to their online coursework, students enrolled in this track will also have one on-campus skills workshop. This workshop will prepare students to care for patients throughout their clinical experiences with advanced diagnostic and therapeutic procedures. Examples of these skills may include gynecologic examinations, skin suturing, and musculoskeletal intra-articular injections. Family Nurse Practitioner students will continue to participate in didactic and clinical courses in the final year of study, emphasizing the knowledge and skills needed in the primary care provider role.

Upon graduation, Family Nurse Practitioner students will be eligible to test for Family Nurse Practitioner certification exams from two organizations:

1. American Nurses Credentialing Center
2. American Academy of Nurse Practitioner Certification Board

Family Nurse Practitioner Outcomes

The Family Nurse Practitioner MSN graduate will be able to:

1. Manage the care of patients in the primary care setting by utilizing principles of assessment, diagnosis, planning and evaluation.
2. Diagnose pathologies and perform procedures in the primary care setting.
3. Partner with patients to provide and advocate for person-centered, culturally relevant care.
4. Develop and engage in interprofessional collaboration and community partnerships to meet the needs of a diverse patient population.
5. Apply leadership and professionalism in the role of advanced nursing practice.
6. Synthesize understanding of the healthcare delivery system to promote safe, cost-effective care.
7. Apply principles of population health, quality improvement, and evidence-based practice to primary care practice.

FNP Required Courses

MSN CORE Courses

• NSG 642 (3) Individual & Organizational Leadership in Healthcare
• NSG 644 (3) Informatics, Quality & Safety in Healthcare
• NSG 646 (3) Clinical Prevention and Population Health
• NSG 648 (3) Research and Evidence-based Practice
• NSG 674 (3) Healthcare Delivery Systems

FNP Courses

• NSG 602 (3) Advanced Pathophysiology for the APN
• NSG 604 (3) Advanced Pharmacology
• NSG 606 (3) Advanced Health Assessment and Clinical Diagnostics
• NSG 610 (3) Primary Care of Women Across the Lifespan
• NSG 612 (3) Primary Care of Children and Adolescents
• NSG 614 (3) Primary Care of Adults I
• NSG 616 (3) Primary Care of Adults II
• NSG 620 (1) Primary Care Skills II: Billing/Coding and Care Management
• NSG 622 (3) Family Nurse Practitioner Clinical I (230 hours)
• NSG 624 (3) Family Nurse Practitioner Clinical II (270 hours)
• NSG 626 (3) Family Nurse Practitioner Capstone Clinical III (270 hours)
• NSG 630 (1) FNP Synthesis

Psychiatric Mental-Health Nurse Practitioner Track

Psychiatric Mental Health Nurse Practitioners (PMHNPs) are advanced practice clinicians prepared to deliver comprehensive, patient-centered mental health care across the lifespan. They integrate a holistic approach that emphasizes evidence-based practice, therapeutic communication, and the biological, psychological, and social dimensions of care. PMHNPs assess, diagnose, and manage mental health conditions in a variety of settings, including outpatient and community environments.

The focus of the PMHNP track is to provide the academic knowledge and clinical skills necessary for the assessment, diagnosis, and management of acute and chronic psychiatric disorders, as well as the promotion of mental health and well-being. This track prepares graduates to become advanced practice providers with a lifespan psychiatric-mental health focus.

The PMHNP track requires 47 credits, including 750 precepted clinical hours, and prepares students to deliver evidence-based mental health care to diverse populations.

PMHNP students complete three clinical courses. These clinical experiences provide opportunities to apply knowledge in real-world patient care settings under the guidance of qualified preceptors, with faculty oversight and evaluation. In addition to online coursework, students participate in selected structured synchronous learning experiences designed to enhance clinical reasoning, diagnostic decision-making, and therapeutic management.

Throughout the final year, students continue in integrated didactic and clinical courses that emphasize advanced psychiatric assessment, psychopharmacologic management, and therapeutic interventions across the lifespan. 

Upon graduation graduates will be eligible to sit for national Psychiatric Mental Health Nurse Practitioner certification exams from two organizations:

1. American Nurses Credentialing Center
2. American Academy of Nurse Practitioner Certification Board

PMHNP Outcomes

The PMHNP graduate will be able to:

1. Apply scientific and theoretical knowledge to assess, diagnose, and manage mental health conditions across the lifespan.
2. Implement evidence-based pharmacologic and nonpharmacologic interventions for mental health care.
3. Partner with patients to provide and advocate for person-centered, culturally relevant care.
4. Develop and engage in interprofessional collaboration and community partnerships to meet the needs of a diverse patient population.
5. Apply leadership and professionalism in the role of advanced nursing practice.
6. Synthesize understanding of the healthcare delivery system to promote safe, cost-effective care.
7. Apply principles of population health, quality improvement, and evidence-based practice to psychiatric-mental health advanced practice nursing.

PMHNP Required Courses

MSN CORE Courses

• NSG 642 (3) Individual & Organizational Leadership in Healthcare
• NSG 644 (3) Informatics, Quality & Safety in Healthcare
• NSG 646 (3) Clinical Prevention and Population Health
• NSG 648 (3) Research and Evidence-based Practice
• NSG 674 (3) Healthcare Delivery Systems

PMHNP Courses

• NSG 602 (3) Advanced Pathophysiology for the APN
• NSG 603 (3) Neurobiology and Psychopharmacology for PMHNPs
• NSG 604 (3) Advanced Pharmacology
• NSG 606 (3) Advanced Health Assessment and Clinical Diagnostics
• NSG 607 (3) Assessment and Differential Diagnosis of Mental Health Disorders for PMHNPs
• NSG 611 (2) Psychotherapeutic Foundations and Modalities for PMHNPs
• NSG 613 (2) Comprehensive Psychiatric-Mental Health Care for Children, Adolescents, and Families for PMHNPs
• NSG 615 (2) Comprehensive Psychiatric-Mental Health Care for Adults and Older Adults
• NSG 621 (3) Psych Mental Health Nurse Practitioner Clinical I
• NSG 623 (3) Psych Mental Health Nurse Practitioner Clinical II
• NSG 627 (3) Psych Mental Health Nurse Practitioner Clinical III

Clinical and Practicum Information

Miami University Department of Nursing utilizes a clinical preceptorship model to provide students with opportunities to obtain clinical and practicum experiences in diverse healthcare settings. The preceptorship bridges theory and clinical practice and provides students with opportunities to develop competencies in graduate nursing roles. Students are integrated into the nurse practitioner, nurse executive, and DNP leadership roles through participation as members of the healthcare team, with preceptors serving as role models, mentors, teachers, and resources.

Clinical and Practicum Placement

Procurement of appropriate clinical sites and preceptors, as well as ensuring completion of the required quantity and quality of clinical and practicum hours, is a collaborative effort between the student and the Department of Nursing.

The Graduate Clinical Placement Coordinator develops and maintains community partnerships to support the availability of qualified preceptors and appropriate clinical sites. Students are expected to communicate with the Graduate Clinical Placement Coordinator throughout their program and participate actively in the placement process.

MSN students are expected to contact at least two potential preceptors for each clinical placement as the first step in securing a placement. Students must submit a Potential Preceptor Form to the Graduate Clinical Placement Coordinator by the following deadlines:

If the student's initial efforts do not result in a placement, the student will work with the Graduate Clinical Placement Coordinator to identify additional options. The Department of Nursing will work collaboratively with students to secure appropriate clinical placements.

Students are encouraged to identify potential preceptors through their professional networks. Unless otherwise directed, students should not contact hospital administration or clinical education departments directly to arrange placements. When a student recommends a potential preceptor or clinical site, the Graduate Clinical Placement Coordinator will determine whether the placement meets program requirements and, if appropriate, initiate the approval and contractual process.

Although student preferences will be considered, priority will be given to placements that meet the educational objectives and clinical requirements of the program. The Department of Nursing will make every effort to identify placements within the student's state of residence and RN licensure. However, students may need to demonstrate flexibility regarding geographic location, clinical setting, scheduling, or preceptor availability.

Students may be required to travel to clinical sites in different geographic areas and are responsible for transportation, automobile insurance, and any direct or indirect expenses associated with travel. Refusal of an appropriate clinical placement may result in an inability to complete required clinical hours and may delay progression or graduation.

The Graduate Clinical Placement Coordinator, in collaboration with the appropriate Track Director, is responsible for evaluating and approving clinical sites and preceptors. This includes consideration of preceptor qualifications, professional licensure, clinical experience, patient populations, patient census, learning opportunities, and the ability of the site to meet course and program objectives.

Students must maintain clear and timely communication regarding clinical placements. Any proposed change in a clinical site, preceptor, or schedule that affects an established placement must be communicated to and approved by the appropriate faculty and Graduate Clinical Placement Coordinator.

DNP student practicum placement requirements are addressed separately in the DNP section of this handbook.

Preceptor and Clinical Site Requirements

Clinical and practicum preceptors must be appropriately credentialed and licensed, as applicable to their professional role, and have at least one year of relevant clinical, leadership, or education experience. Their area of practice must be clearly relevant to the objectives of the student's program and course.

The majority of nurse practitioner clinical experiences should occur with preceptors practicing within the student's population-focused area. An interdisciplinary mix of qualified preceptors may be utilized when appropriate to support achievement of program objectives and preparation for the full scope of the advanced practice nursing role.

All preceptors must submit a completed Preceptor Agreement and Verification Form and CV/Preceptor Profile to the Department of Nursing prior to the beginning of the clinical or practicum experience. Preceptors must also complete the required Preceptor Orientation and attest to its completion before supervising students. The Graduate Clinical Placement Coordinator is responsible for verifying that all required preceptor documentation is complete and maintaining records of preceptor qualifications, agreements, and orientation completion.

A contractual agreement between Miami University and the clinical agency is required for all clinical and practicum placements. The Graduate Clinical Placement Coordinator facilitates the execution of these agreements and notifies students when all placement requirements have been satisfied.

Students may not begin clinical or practicum hours until the Graduate Clinical Placement Coordinator confirms completion of all required approvals and documentation, including:

• An executed agency contractual agreement.
• A completed and approved Preceptor Agreement and Verification Form.
• Verification of preceptor qualifications and credentials.
• Completion of all agency-specific compliance and onboarding requirements, including immunizations, health screenings, background checks, training, or other required documentation.

Students should begin required onboarding activities as soon as they are notified of a placement. Agency requirements vary and may include additional background checks, fingerprinting, electronic health record training, HIPAA education, or other orientation activities. These requirements may take considerable time to complete and must be satisfied before clinical or practicum hours begin.

Students should not contact an assigned clinical site or preceptor until authorized to do so by the Graduate Clinical Placement Coordinator. Once cleared, students should promptly communicate with the preceptor to establish their clinical or practicum schedule, even when the placement begins later in the semester.

Clinical and Practicum Experiences at a Place of Employment

Clinical and practicum experiences should be completed at a facility separate from the student's place of employment.

Students may request permission to complete clinical or practicum hours at their place of employment. Such arrangements require prior approval from the Graduate Clinical Placement Coordinator and the appropriate Track Director or Graduate Director.

If approved, clinical or practicum hours must be completed outside the student's usual employment role and scheduled working hours. The preceptor should not be a provider or colleague with whom the student works directly during usual employment or an individual with whom the student has a close personal relationship, such as a friend or relative.

Students may not receive compensation for clinical or practicum hours and must function strictly in a student learning role. During nurse practitioner clinical experiences, the preceptor retains overall responsibility for patient care.

The Graduate Clinical Placement Coordinator and appropriate Track Director or Graduate Director retain final authority to approve or deny proposed clinical sites, preceptors, and employment-site arrangements.

Nurse Practitioner Clinical Preceptor Responsibilities

Nurse practitioner preceptors are responsible for facilitating learning experiences that support achievement of course objectives and development of competencies appropriate to the student's level of preparation.

Preceptor responsibilities include:

• Reviewing course syllabi, clinical objectives, and student learning goals.
• Discussing daily learning objectives with the student and identifying appropriate clinical opportunities.
• Providing a supportive learning environment that promotes critical thinking, diagnostic reasoning, and progressive independence.
• Supervising student participation in patient care and providing feedback regarding assessments, clinical decisions, and proposed treatment plans.
• Discussing abnormal assessment findings, diagnostic results, and evidence-based management strategies.
• Ensuring that students demonstrate appropriate competence before performing procedures.
• Remaining present in the clinical area during student clinical experiences and retaining responsibility for patient care.
• Communicating with clinical faculty regarding student progress, concerns, or difficulties.
• Participating in student evaluations and required faculty communications.

Faculty will communicate with nurse practitioner preceptors through in-person clinical site visits or telecommunications at least once per semester to discuss student performance and achievement of clinical objectives.

Nurse Practitioner Clinical Requirements

Students enrolled in the Family Nurse Practitioner (FNP) and Psychiatric Mental Health Nurse Practitioner (PMHNP) tracks are required to complete 750 clinical hours in approved healthcare settings.

Each track includes three clinical courses, with 250 clinical hours required in each course. Clinical experiences must provide supervised patient care and opportunities to develop competencies appropriate to the student's population-focused area of practice.

Students may be required to complete clinical hours with more than one preceptor or at more than one clinical site during a semester to meet required patient population and learning objectives.

Clinical experiences should provide opportunities to assess and manage acute, chronic, and emergent conditions relevant to the student's population focus. Learning activities include patient interviewing, health assessment, diagnostic reasoning, differential diagnosis, development of evidence-based treatment plans, patient education, and case management.

Students are also encouraged to participate in appropriate interprofessional activities, quality improvement initiatives, and patient safety activities available within the clinical setting.

Family Nurse Practitioner (FNP) Clinical Requirements

FNP clinical experiences must provide opportunities to care for patients across the lifespan and develop competencies in primary care.

Within the required 750 clinical hours, students should aim to complete a minimum of 600 patient encounters. Students are encouraged to meet the following population-specific visit goals:

100 pediatric and adolescent visits involving patients ages 0–18 years.

100 women's health visits, defined as encounters involving an obstetric or gynecologic diagnostic code, with a goal of completing five speculum/bimanual examinations.

These encounter numbers are program goals intended to support a broad range of clinical experiences and are not additional requirements for graduation beyond the required clinical hours and demonstration of clinical competencies.

Students may complete more than 600 patient encounters while fulfilling the required clinical hours. Clinical placements will be evaluated to ensure adequate exposure to the appropriate patient populations. Additional placements may be necessary to achieve appropriate clinical experiences.

FNP Preceptor Qualifications

The following providers may serve as FNP clinical preceptors when their qualifications and clinical setting are appropriate to the course objectives:

• Family Nurse Practitioners.
• Adult/Gerontology Nurse Practitioners.
• Adult/Gerontology Primary Care Nurse Practitioners.
• Pediatric Nurse Practitioners.
• Women's Health Nurse Practitioners.
• Physician Assistants/Associates.
• Family Practice or Internal Medicine Physicians.

FNP Clinical Settings

Preferred FNP clinical settings include primary care offices, community health centers, pediatric practices, urgent care offices, and women's health clinics.

Specialty ambulatory clinics may also be appropriate when they provide experiences relevant to FNP program objectives. Examples include dermatology, orthopedics, cardiology, neurology, gastroenterology, nephrology, urology, and endocrinology.

Other specialty settings must be reviewed and approved by the Graduate Clinical Placement Coordinator and FNP Track Director before clinical hours may be completed.

Psychiatric Mental Health Nurse Practitioner (PMHNP) Clinical Requirements

PMHNP students are required to complete 750 clinical hours and are recommended to document at least 500 patient encounters in Typhon.

A minimum of 500 clinical hours must be completed with a psychiatric prescriber unless an exception is specifically approved by the PMHNP Track Director.

Telepsychiatry may be utilized for a portion of the required clinical hours. During telepsychiatry experiences, the student must be physically co-located with the preceptor.

Clinical experiences must provide opportunities to develop competencies in psychiatric assessment, diagnosis, treatment planning, and management of mental health conditions across the lifespan.

PMHNP Preceptor Qualifications

The following providers may serve as PMHNP clinical preceptors when their qualifications and clinical setting are appropriate to the course objectives:

• Psychiatric Mental Health Nurse Practitioners.
• Psychiatrists.
• Psychiatric Clinical Nurse Specialists.
• Independently licensed social workers.
• Licensed professional counselors.
• Psychologists.
• Licensed marriage and family therapists.

Nonprescribing mental health professionals may serve as preceptors for approved clinical experiences relevant to their professional scope of practice, such as psychotherapy. All preceptors must hold appropriate licensure and credentials for their clinical role. Selection of preceptors must support the student's educational objectives and the requirement to complete a minimum of 500 hours with a psychiatric prescriber, unless an exception has been approved.

PMHNP Clinical Settings

Preferred PMHNP clinical settings include outpatient psychiatry clinics, community mental health centers, inpatient psychiatric settings, primary care clinics with integrated behavioral health services, psychiatric emergency services, and counseling centers.

All proposed settings must be approved by the Graduate Clinical Placement Coordinator and PMHNP Track Director.

Nurse Executive Leader (NEL) Practicum Requirements

Students enrolled in the Nurse Executive Leader (NEL) track complete two practicum courses designed to provide opportunities to apply graduate nursing knowledge and develop competencies in nursing leadership, administration, and organizational practice.

Each practicum course may be taken for 1–3 credit hours, with 105 practicum hours required for each credit hour. Additional practicum hours may be applied toward DNP degree requirements for students planning to pursue the DNP program, as applicable to their program of study.

NEL practicum experiences must be completed in approved settings that provide opportunities to develop leadership competencies and achieve course and program objectives. Students must document practicum hours using the forms provided in their respective courses.

NEL Preceptor Qualifications

NEL preceptors must be appropriately credentialed and licensed, as applicable to their professional role, and have at least one year of experience in a leadership or education position relevant to the objectives of the Nurse Executive Leader track.

All preceptors must submit a completed Preceptor Agreement and Verification Form and CV/Preceptor Profile to the Department of Nursing prior to the beginning of the practicum experience. Preceptors must complete the required Preceptor Orientation before supervising students and attest to the completion of the orientation.

Preceptors will review course objectives with faculty and determine whether the practicum setting provides appropriate opportunities to meet those objectives. Faculty and preceptors will collaborate to address any necessary modifications to learning experiences.

Faculty will communicate with NEL preceptors through in-person or virtual site visits at least twice per semester to discuss student progress, achievement of objectives, and any concerns. Preceptors are expected to contact faculty promptly if problems arise during the practicum experience.

NEL Preceptor Responsibilities

NEL preceptors are responsible for providing learning experiences that support the development of competencies appropriate to the nurse executive leadership role.

Preceptor responsibilities include:

• Reviewing course syllabi, semester objectives, and student learning goals.
• Collaborating with students to identify appropriate leadership projects and professional development opportunities.
• Reviewing daily learning objectives with students at the beginning of each practicum day.
• Providing a supportive learning environment that promotes critical thinking, leadership development, and progressive independence.
• Providing feedback regarding student projects, professional development, and achievement of learning objectives.
• Communicating with faculty regarding student progress, concerns, or difficulties.
• Participating in student evaluations and required faculty communications.

NEL Student Responsibilities

NEL students are expected to demonstrate professional behavior, accountability, and active participation in their practicum learning experiences. In addition to the general student responsibilities outlined in this handbook, NEL students are expected to:

• Identify initial and ongoing learning needs and seek appropriate leadership experiences to meet course objectives.
• Collaborate with their preceptor to identify projects and activities that support development of nurse executive leadership competencies.
• Review course objectives and establish a practicum schedule with their preceptor before beginning the experience.
• Perform in the graduate-level nursing leadership role under the guidance of the approved preceptor.
• Maintain accurate and timely practicum logs according to course requirements.
• Demonstrate progressive independence and competency in leadership practice.
• Apply knowledge from previous coursework, including quality improvement, patient safety, organizational leadership, and evidence-based practice, to practicum activities.
• Participate actively in the evaluation process and identify strengths and areas for continued professional growth.
• Recognize the limits of the student role, seek appropriate guidance, and communicate concerns to faculty or the Graduate Clinical Placement Coordinator.
• Demonstrate professional communication, civility, and respect in interactions with healthcare colleagues, patients, and families.

All NEL students must comply with the general clinical and practicum placement, onboarding, professional conduct, documentation, and evaluation policies outlined in this handbook.

Clinical and Practicum Time Tracking and Documentation

FNP and PMHNP students must document clinical hours and patient encounters in Typhon according to course and program requirements.

Clinical hours are recorded in the Typhon Time Log and reviewed and approved by the clinical faculty member. Students must enter their clinical hours within 72 hours of completing the clinical experience.

Students are responsible for maintaining accurate and current clinical records throughout the semester. Program faculty and Track Directors will review clinical documentation and patient encounters to monitor progress toward required hours, patient populations, and clinical competencies.

NEL students must maintain accurate practicum logs using the documentation forms provided in their respective courses.

Failure to maintain accurate clinical or practicum documentation may result in disciplinary action. Additional documentation requirements will be provided in the applicable course.

Student Clinical and Practicum Responsibilities

Students are expected to demonstrate professional behavior, accountability, and active participation in their clinical and practicum learning experiences.

Student responsibilities include:

• Identifying personal learning needs and seeking appropriate clinical or practicum opportunities to meet course objectives.
• Completing all required compliance, orientation, and onboarding activities before beginning clinical or practicum hours.
• Monitoring Miami University email regularly for communications regarding placements and compliance.
• Communicating promptly with preceptors and clinical faculty regarding scheduling, learning objectives, and clinical expectations.
• Providing the clinical or practicum site with required licensure, certifications, immunization records, background checks, drug screening results, or other documentation as requested.
• Assisting with required placement documentation and agreements, as directed by the Graduate Clinical Placement Coordinator.
• Arriving prepared for clinical or practicum experiences and participating actively in assigned learning activities.
• Practicing within the limitations of the student role and under the supervision or guidance of the approved preceptor.
• Following all University, Department of Nursing, and clinical agency policies and procedures.
• Maintaining accurate and timely clinical or practicum documentation.
• Demonstrating professional communication, civility, and respect toward patients, families, preceptors, and other healthcare professionals.
• Seeking appropriate supervision and assistance when needed.
• Participating in ongoing evaluation and self-assessment of clinical or practicum performance.
• Demonstrating progressive development of professional judgment, independence, and competency.
• Communicating immediately with clinical faculty or the Graduate Clinical Placement Coordinator regarding concerns, conflicts, or proposed placement changes.

Students may not independently alter an established clinical or practicum placement without approval from the appropriate faculty and Graduate Clinical Placement Coordinator.

Clinical and Practicum Attendance

Students are responsible for notifying their preceptor promptly in the event of illness, absence, or an unexpected inability to attend a scheduled clinical or practicum experience

Absences without prior notification are considered unprofessional behavior and may negatively affect the student's evaluation and course grade.

Identification and Professional Appearance

Students must wear Miami University identification and any additional identification required by the clinical agency during clinical and practicum experiences.

Family nurse practitioner students are expected to wear their Miami Nursing photo identification badge and white laboratory coat in accordance with clinical requirements and agency policies.

Psychiatric-mental health nurse practitioner students are expected to wear their Miami Nursing photo identification badge and professional dress in accordance with clinical requirements and agency policies.

NEL students must wear their Miami Nursing photo identification badge and maintain professional attire appropriate to the practicum setting.

All students must comply with clinical agency policies regarding dress, identification, piercings, tattoos, artificial nails, and related requirements.

Faculty and preceptors will provide additional guidance regarding expectations for individual clinical and practicum settings.

Confidentiality and Use of Medical Records

Students and faculty participating in clinical and practicum experiences must comply with all applicable requirements of the Health Insurance Portability and Accountability Act (HIPAA), the Family Educational Rights and Privacy Act (FERPA), and clinical agency policies related to confidentiality and the use of protected information.

Students are responsible for completing any required HIPAA education and maintaining patient privacy and confidentiality throughout all clinical and practicum activities.

Violations of confidentiality requirements may result in disciplinary action by the Department of Nursing, including course failure or dismissal from the program.

Accidents and Injuries During Clinical and Practicum Experiences

Students who experience an injury, including a needlestick or other occupational exposure, during a clinical or practicum experience must immediately notify their preceptor and clinical or practicum faculty.

Students may be directed to Student Health Services, Employee Health Services, or an emergency department depending on the nature and severity of the injury.

Students must complete any incident reporting documentation required by the clinical agency. Clinical or practicum faculty should provide copies of applicable documentation to the Graduate Clinical Placement Coordinator for inclusion in the student's file.

Malpractice Insurance

Miami University provides malpractice insurance coverage for students enrolled in Department of Nursing clinical and practicum courses during approved academic activities.

This coverage does not extend to activities outside approved clinical or practicum experiences or to activities performed as part of a student's employment.

Miami University is self-insured, with blanket coverage in effect for enrolled students participating in approved academic activities. Students who hold professional licensure may wish to obtain additional malpractice insurance.

Questions regarding University coverage may be directed to[ Risk Management and Insurance](https://miamioh.edu/finance-business/risk-management/index.html).

Pregnancy During Clinical Experiences

A student who is pregnant may continue participating in clinical experiences as long as their health status permits safe completion of assigned clinical activities.

Documentation from the student's healthcare provider indicating the safety of clinical participation may be required. Students who are pregnant should consult with their clinical faculty well in advance of scheduled experiences.

Students who are pregnant must not enter areas where radioisotopes or X-ray therapy are being administered. Clinical agency policies regarding pregnancy and clinical assignments will also be followed.

Unexpected Events or Concerns During Clinical and Practicum Experiences

Unexpected events may occur in any healthcare setting and may involve patient care situations or circumstances outside established standards or procedures.

Students who experience concerns, conflicts, or unexpected events during clinical or practicum experiences should contact their faculty as soon as possible.

If faculty are unavailable, students should contact the Graduate Clinical Placement Coordinator:

Abby Richardson

reaghae@miamioh.edu

Clinical and Practicum Evaluation

Preceptors evaluate student performance and provide feedback regarding achievement of clinical or practicum objectives. Faculty maintain overall responsibility for evaluation of student performance, preceptors, and clinical or practicum sites.

Students are expected to participate in the evaluation process and reflect on strengths and areas for continued professional growth.

Feedback from students, preceptors, and faculty is used to evaluate learning experiences and support continuous program improvement. The Graduate Clinical Placement Coordinator reviews site and preceptor feedback to determine suitability for future placements.

Additional evaluation requirements are provided in individual clinical and practicum course syllabi.

Nurse Executive Leadership Track

The Nurse Executive Leadership track is designed to develop the knowledge, leadership abilities, interpersonal and interprofessional skills to improve healthcare systems in a variety of settings. Students in this track will complete 33 credit hours, including a minimum of 210 precepted practicum hours. Graduates will be prepared to lead in the delivery of safe, timely, efficient, equitable, and patient-centered care, and to employ advocacy strategies to influence policy across the healthcare system.

Nurse Executive Leadership track students will build their specialty knowledge with online didactic courses in the first two semesters. All Nurse Executive Leadership students will attend a summer on-campus, two-day workshop to develop hands-on skills in programs used for strategic planning and forecasting. The final year of study will include both didactic and practicum courses. Practicum courses will be precepted experiences with nurse executive mentoring and supervision and evaluated by faculty. Each clinical course is one credit hour with a required 105 precepted hours. Students who anticipate continuation to their DNP degree have the option to enroll in each of these courses for 1-3 credit hours and respective 105 – 315 precepted hours. These additional hours would count towards the DNP requirement of 1,000 total precepted graduate hours required for graduation.

Upon graduation, Nurse Executive Leadership students will meet the education eligibility requirements to test for certification from two organizations:

1. The Executive Nursing Practice Certification from the American Organization for Nursing Leadership
2. The Nurse Executive Certification from the American Nurses Credentialing Center

Nurse Executive Leadership Track Outcomes

The Nursing Leadership MSN Graduate will be able to:

1. Synthesize and apply effective communication skills with diverse individuals to promote community, academic and interprofessional relationships.
2. Model leadership in health systems, including reflective practice and visionary thinking.
3. Synthesize understanding of systems and leadership skills to effectively manage change, lead health systems and plan for succession.
4. Synthesize and apply ethics and professional accountability, including advocacy for the health care team, for patients/families and for the community.
5. Advocate for the advancement of the profession and create a professional career plan for nurse executive leadership.
6. Synthesize financial and strategic management, human resource management, and information management skills necessary to lead health systems.

Nurse Executive Leadership Required Courses

MSN CORE Courses

• NSG 642 (3) Individual & Organizational Leadership in Healthcare
• NSG 644 (3) Informatics, Quality & Safety in Healthcare
• NSG 646 (3) Clinical Prevention and Population Health
• NSG 648 (3) Research and Evidence-based Practice
• NSG 674 (3) Healthcare Delivery Systems

Nurse Executive Leadership

• NSG 670 (3) Healthcare Budgeting and Economics
• NSG 672 (3) Data, Health Analytics and Forecasting in Healthcare
• NSG 678 (3) Human Resource Management in Healthcare
• NSG 680 (3) Diversity, Equity, and Inclusion in Healthcare
• NSG 682 (3) Prof. Partnerships and Communication Strategies
• NSG 684 (1-3) Nurse Executive Leadership Practicum I (105 hours)
• NSG 686 (1-3) Nurse Executive Leadership Practicum II (105 hours)
• NSG 688 (1) Nurse Executive Leadership Synthesis

Doctor of Nursing Practice (DNP) Program

The Doctor of Nursing Practice (DNP) program is an advanced professional degree designed to prepare registered nurses for leadership roles in clinical practice, healthcare administration, policy advocacy, and more. Curriculum integrates advanced practicum training with coursework in healthcare policy, leadership, evidence-based practice, and healthcare systems. This combination equips graduates with the skills to improve patient outcomes, implement healthcare innovations, and lead interprofessional teams. The DNP program is designed to empower nurses with the highest level of clinical expertise and leadership capabilities, preparing them to address complex healthcare issues and drive positive change in their communities and beyond. This program is completely online with the exception of site-based practicum experiences.

DNP Program Outcomes

1. Develop and evaluate new approaches for quality improvement based on scientific theories and principles.
2. Employ principles of business, finance, economics, and health policy to develop and implement system-wide initiatives to improve outcomes.
3. Design, direct and evaluate quality improvement methodologies to promote safe, timely, effective, efficient and equitable outcomes.
4. Provide leadership in the evaluation and resolution of ethical and legal issues within a complex organization.
5. Synthesize leadership in the development and implementation of institutional, local, state, federal and/or international health policy.
6. Employ consultative and leadership skills in intraprofessional and interprofessional teams to facilitate quality initiatives to improve health care and/or organizational outcomes.
7. Evaluate delivery models and/or strategies using socioeconomic, cultural, organizational and community concepts.
8. Synthesize advanced levels of systems thinking, decision making and accountability in designing, delivering and evaluating an evidence-based project to improve outcomes in a complex organization.

DNP Curriculum

The DNP program requires 36 overall credits. The DNP curriculum includes 24 credits of core courses. An additional 12 credits are project courses focused on design, implementation, and evaluation of the practice/change initiative for quality improvement. Projects will use innovative strategies to create and sustain change at the organizational and policy level.

DNP Courses

• NSG 702 (3) Evidence-based Scholarly Practice and Inquiry
• NSG 703 (3) Planning, Managing & Evaluating Programs/Projects
• NSG 706 (3) Organizational/Systems Outcomes and Quality Management
• NSG 708 (3) Health Policy in DNP Practice
• NSG 710 (3) Finance and Economics in DNP Practice
• NSG 712 (3) DNP Role Seminar I
• NSG 714 (3) DNP Role Seminar II
• NSG 716 (3) DNP Role Seminar III
• NSG 722 (4) DNP Project I
• NSG 724 (4) DNP Project II
• NSG 726 (4) DNP Project III

DNP Academic Advisor

Students will be assigned an academic advisor upon admission to the program. The academic advisor will assist students with acclimation to the DNP program any programmatic or curricular advising needs through graduation.

DNP Committee Chair

In their first semester, students will identify and request a DNP faculty member to be their DNP Committee Chair, who will serve as their DNP Chair through the rest of the DNP program. The Committee Chair will oversee planning, implementation, and evaluation of the DNP Scholarly Project. They will assist with coordinating the DNP Project Proposal and the DNP Final Project Defense. It is expected that the student will maintain frequent contact with their DNP Committee Chair throughout the DNP program. DNP Committee Chair must be full time nursing faculty, hold a doctoral degree, and maintain appointment as a Graduate Level A faculty member from the Graduate School.

Once faculty agree to serve as DNP Committee Chair, students must submit notification to the Graduate Program Director via email.

DNP Required Hours

Students completing a DNP degree are required to complete 1,000 hours of direct and indirect graduate clinical hours. This includes both hours from their MSN degree and hours from their DNP degree. Miami’s MSN-DNP program has 500 indirect clinical hours built into the program, including immersion experiences and DNP practicum hours. Therefore, students will need to have or accumulate an additional 500 hours to meet the 1,000 hour requirement. These additional 500 hours may come from their MSN program, such as clinical hours in a nurse practitioner program, clinical nurse specialist program, or other clinical/ practicum-based MSN program. Students must complete a DNP Program Verification of MSN Hours Form with their Advisor prior to starting the DNP program.

If the student enters the DNP program with less than 500 hours, they may take NSG 690. This independent study elective course provides students an opportunity to earn immersion hours towards their DNP. Each credit will earn up to 105 clinical hours.

The 500 hours in the DNP program includes 370 practicum hours and 130 immersion hours. Immersion hours are considered time the student integrates the advanced level sub competencies and applicable specialty competencies. An immersion also provides an opportunity for the learner to focus on a population of interest, an advanced nursing role, or specialty area of study. Activities that are included in courses that are designated immersion hours are listed in the table below.

Students will complete an Immersion Hours Attestation for each didactic course that includes immersion hours, to confirm that they met the anticipated hour requirements for each embedded activity. The Immersion Hours Attestation is included in each relevant Canvas course and will be tracked by the Graduate Program Director.

Practicum hours obtained in the DNP Project courses will vary depending on the practicum site and DNP project. Students will identify how they spent their practicum hours at the end of each practicum course, with submission of a Practicum Hours Attestation. Students will indicate how their hours were spent within each semester, including both DNP Project work and additional Practicum activities completed at the Practicum site.

Examples of activities that may be counted for practicum hours include:

• Mentoring in a new leadership role
• Data gathering for DNP project
• Implementation of DNP project
• Mentored research/ Quality improvement activities
• Leadership in an interdisciplinary team
• Shadowing roles in finance, budgeting, or informatics

DNP Practicum

Students will complete a total of 370 practicum hours as part of the DNP Project Courses, NSG 722, NSG 724, NSG 726. Practicums will occur at an approved site with an approved site Mentor. Students will select their practicum site and mentor. Students will then seek approval of these sites and mentor(s) with the Practicum Site Approval Form by the end of their first semester in course NSG 712. Students must complete a Practicum Site Form prior to beginning each semester, even if there are no changes to practicum site or mentor. The Practicum Site Form is always submitted to the Graduate Clinical Placement Coordinator, Abby Richardson reaghae@MiamiOH.edu. Students may not proceed with any practicum experiences or project work unless these forms are submitted by the second week of each semester. Notification of practicum site and mentor approval will be sent by the Graduate Clinical Placement Coordinator to the student via email within one week after submission.

Faculty will assist students in finding appropriate practicum sites. Examples may include healthcare or health-related agencies. Students may complete their practicum hours at their place of employment if the practicum experiences differ from their standard employment role. The student's mentor should not be a direct report supervisor.

A valid contract between the healthcare site and the Department of Nursing must be in place prior to the beginning of the first DNP project course. The Graduate Clinical Placement Coordinator works with contracts and compliance at Miami and healthcare agencies to execute and maintain requested contracts and will track and confirm that students have met all compliance requirements for each agency.

Faculty will work with students to identify practicum mentors to guide their Practicum Hours and DNP Project experience. Mentors should be an expert within their organization, their population, the EBP/QI process, or the project topic. Mentor roles may include, but are not limited to Nurse Executives, Senior Clinicians, leaders in Health Policy, and/or leaders from other disciplines with relevant expertise. The mentor will ideally hold a doctorate degree. The mentor may not be a direct report supervisor to the student. Selection should be made in coordination with the student’s DNP Committee Chair. Students will coordinate with the prospective mentor to have them submit a Mentor Agreement Form and CV or resume by the end of the first semester. This will be submitted to the Graduate Clinical Placement Coordinator via email.

Responsibilities of Mentor

1. Mentors the DNP student as a leader and subject matter expert.
2. Serves as an exemplary role model, host, sponsor and teacher to the DNP student.
3. Provides orientation to the student of the practicum organization as appropriate.
4. Facilitates selection of appropriate experiences for the student to meet specified outcomes based on the student’s DNP project.
5. Provides the student with experiences, as appropriate, to meet the course requirements/objectives and specific educational expectations.
6. Appraises the student’s knowledge and growth during the designated mentorship period. This includes the completion of formal feedback forms at the end of each semester.
7. Maintains communication with the faculty as needed; discuss/evaluate student progress.
8. Notifies faculty of areas of concern regarding the DNP student.
9. Completes evaluations of the DNP student at end of each semester.
10. Agrees to be evaluated by the DNP student at the end of each semester.

DNP Project

All students enrolled in the DNP Program will complete a DNP Project as a requirement for graduation. DNP Project contributes to student attainment in the AACN advanced-level competencies. The DNP Project is implemented across three courses:  NSG 722, NSG 724 and NSG 726.  Each course focuses on a specific part of the project to design, implement, and evaluate a practice/change initiative for quality improvement. Projects will use innovative strategies to create and sustain change at the organizational and/or policy level.
The project is a scholarly work that aims to improve clinical practice. Key elements of the scholarly work include problem identification; a search, analysis, and synthesis of the literature and evidence; translating evidence to construct a strategy or method to address a problem; designing a plan for implementation and actual implementation, and an evaluation of the outcomes, process, and/ or experience. Findings are shared in the form of a scholarly paper and presentation in a DNP Final Project Defense. Students are encouraged to disseminate results with stakeholders, other scholars, and the public.

DNP project focuses on the student’s ability to demonstrate the integration of knowledge, expertise, and DNP competencies acquired across all courses, including practicum experiences, and applied throughout the DNP implementation project experience. Students will incorporate all that they have learned into a DNP Final Project that effectively expresses the use of evidence to improve direct patient, and /or system-based or provider outcomes.

The cumulative written document for the DNP Final project consists of 5 chapters aligning with SQUIRE manuscript format:

• Chapter 1 Introduction
• Chapter 2 Methods
• Chapter 3 Results
• Chapter 4 Discussion
• Chapter 5 Other Information 

Altered Timeline

Students may request an extended or altered timeline. All DNP Project courses (NSG 722, 724, 726) must be taken in pre-determined sequencing order. If a student requests a semester without coursework, but will be actively working on their DNP project, they must be enrolled in NSG 677 DNP Independent Study. Active work includes any communication with faculty regarding the DNP project, and any communication or work on their DNP project. Students enrolled in NSG 677 will have the DNP Chair as assigned Faculty and students collaborate with their DNP Chair to develop Independent Study goals and outcomes.

DNP Committee

For the Doctor of Nursing Practice degree, a core committee consisting of at least three (3) graduate faculty members will administer the comprehensive exam.

The committee is chaired by a Graduate Level A faculty with a terminal degree from the nursing department and is the student’s advisor throughout the program. The second member must be a Graduate Level A or B faculty from the nursing department.

The third member(s) of the committee must be a Graduate Level A or B faculty from a department outside of nursing serving as the Graduate School Representative.

The committee may include an additional external member (not employed at Miami) who has earned a doctorate, and has been approved as a Graduate Committee member by the Director of Graduate Programs and the Graduate School. The DNP mentor, from an external agency, may serve on the committee as content expert, and a non-voting member.

Procedures for Committee Approval

After a tentative doctoral examining committee has been chosen, the committee must be approved by the Dean of the Graduate School. Each department must complete the appropriate “Request for Appointment of Doctoral Committee” form (D-1 comprehensive exam, or D-3 final exam). Both forms are available on the Graduate School’s webpage under “Forms and Publications” and are described in the section of this policy titled “Required Forms for Completing the Doctoral”.

The form, “Request for Appointment of Doctoral Committee” (Comprehensive or Final Examination), must be submitted to the Graduate School for the approval of the Dean of the Graduate School at least ten (10) business days before the date of the scheduled examination.

Candidacy and DNP Requirements

After passing the DNP Proposal Examination and being admitted to candidacy, students must complete their DNP project and pass the DNP Final Project Defense. The DNP committee will conduct the DNP Proposal Final Project Examination when students complete the DNP Project.

Final Project Examination Guidelines

The Final Project examination to evaluate candidates’ work on the DNP Final Project and competence in the field will be conducted by an examining committee consisting of at least three (3) members of the graduate faculty as described in the section of this policy titled “Guidelines for Forming Doctoral Examining Committees”.

The student’s department should complete and send the Form D-3, “Request for Appointment of Doctoral Final Examination Committee” to the Graduate School for approval (see the section of this policy titled “Required Forms for Completing the Doctoral”) at least ten (10) business days prior to the final examination. The Dean of the Graduate School must give approval for a student’s final examination committee.

All committee members have responsibility for the conduct of the examination and must also certify the fairness of the examination.

Process of Forming DNP Committee

Students will work with their DNP Committee Chair to form their DNP committee early in NSG 722, the first DNP project course, with consideration of required committee member qualifications. All committee members must be informed of the commitment and agree to serve for the duration of the students DNP program.

Once a committee is formed, the student will submit notification to the Graduate Program Director for review of member qualifications. After verification of all qualifications met, the student will submit a Doctoral Comprehensive Exam Committee D-1 form to the Graduate School for approval.

Student and DNP Committee Chair will be notified when committee members are approved.

Responsibilities of the Student:

1. In consultation with DNP Mentor, identify key stakeholder and establish relationships within the practicum site for valuable DNP experiences and DNP project.
2. Lead project meeting with team members at the Practicum site.
3. Complete and submit required documentation for DNP program, including practicum, and DNP project deliverables.
4. Maintain consistent and effective communication with DNP Committee Chair.
5. Collaborate with the DNP Committee Chair to schedule meetings for advising, formal proposal presentation, and other Project related activities.
6. Submit work to the DNP committee that demonstrates a high level of leadership and scholarship.
7. Coordinate communication and activity between Miami Department of Nursing and the practicum project site.
8. Ensure compliance to all DNP Project requirements and IRB requirements.

Responsibilities of DNP Committee Chair:

1. Qualification: Full-time Miami Department of Nursing Faculty Member with Level A graduate faculty standing and a terminal degree.
2. Assure IRB compliance with Miami University, mentor student throughout the preparation of the DNP project proposal, the project development, implementation, evaluation process, and the final written DNP Project paper and defense.
3. Determine readiness for DNP Candidacy.
4. Provide primary guidance and feedback to the student through project completion, in consultation with DNP Mentor and DNP Committee.
5. Collaborate with student to schedule committee meetings, and especially for the proposal presentation and Final DNP project presentation.
6. Lead committee review and approval of the DNP Project Proposal, and Final DNP Project paper and presentation.
7. Communicate effectively with committee members.
8. Provide feedback to student on written drafts in a timely manner.
9. Document student progress toward completion of DNP Project requirements.

Responsibilities DNP Committee Member:

1. Advise and critique drafts of the developing DNP Project proposal.
2. Participate in the Team review, approval of the DNP Project Proposal, and Final DNP Project Presentation.
3. Provide feedback to student in a timely manner.
4. Communicate concerns to student and DNP Chair in a timely manner.

DNP Proposal Defense for Candidacy

The DNP Proposal Defense is the qualifying exam used to evaluate the student for DNP Candidacy. A DNP Candidate is considered to have demonstrated competency in their DNP program, competency to implement their DNP Project, and competency to communicate complex ideas effectively and professionally. The DNP Proposal Defense includes two portions, written and oral. Students will submit their final DNP Proposal to committee members at least 2 weeks prior to a planned DNP Proposal Defense. Students must have agreement from their DNP Committee that the student is ready to complete the DNP Proposal Defense before scheduling the defense.

The DNP Proposal is evaluated for both the written paper and the oral defense. Components of evaluation include the comprehensiveness of the proposal, including detailed description of the planned strategy for implementation, and evaluation of the proposal, and the effectiveness of the student to communicate complex ideas.

1. Students will complete the DNP Proposal draft with guidance from mentor and oversight and guidance from DNP Committee Chair.
2. Proposal draft will be sent to DNP committee for review a minimum of 3 weeks prior to the last day of class during the student’s NSG 722 course, typical in their first spring semester.
3. Committee will let the DNP Committee Chair and student know if they support moving forward with defense or if more work is needed. Students will continue to work with the committee to revise their proposal until the committee approves scheduling for DNP Proposal Defense.
4. Students will coordinate, with assistance of DNP Committee Chair if needed, a DNP Proposal Defense time with the DNP Committee. The Proposal must be completed by the deadline given by the instructor, which is typically 3 weeks prior to the last day of class in NSG 722.
5. The DNP Proposal Defense will be delivered in a virtual setting, and all DNP Committee members must be present for the defense. If one committee is unavailable, the defense must be rescheduled.
6. The DNP Proposal Defense will not exceed 60 minutes. The student will be allowed 30 minutes to deliver their proposal using an AV presentation (PowerPoint or similar presentation platform). The committee will be allowed 30 minutes to ask questions.
7. Immediately following the DNP Proposal Defense, the committee will meet separately to evaluate the student’s defense paper and presentation. Unanimous approval is required for the student to be successful in the Proposal Defense evaluation. Results of the committee evaluation will be recorded on the Results of Comprehensive Exam for Doctoral Degree D-2 form, and submitted to the Graduate Program Director. This will then be sent to the Graduate School.
8. If students are unsuccessful in their DNP Proposal Defense, they will be required to meet with their DNP Committee Chair and Faculty Advisor to discuss a plan and timeline to move forward for a second attempt. Students will have a total of two attempts to pass their DNP Proposal Defense. Students may not begin their DNP project until they have passed their DNP Proposal Defense. If a student is unsuccessful in their second attempt, they are no longer eligible to progress in the DNP program and may be dismissed. Students should work closely with their chair and committee members to ensure that the proposal meets expectations at all stages of their DNP project prior to their defense.

Students must have a successful proposal with committee approval before they can begin their DNP Project.

DNP Final Defense

The DNP Final Defense is a final evaluation for the DNP degree. It evaluates the students' completed paper and presentation of their DNP project. The DNP Defense includes two portions, written and oral. Students will submit their final DNP Project paper to committee members at least 2 weeks prior to a planned DNP Final Defense. Students must have agreement from their DNP Committee that the student is ready to defend their final project before scheduling the defense.

The DNP Defense is evaluated for both the written paper and the oral defense. Components of evaluation include the comprehensiveness of the paper, which will align with SQUIRE manuscript format. The oral portion of the exam will be delivered to the committee, describing the comprehensive summary of the final DNP project.

1. Students will complete the DNP Final Project with guidance from mentor and oversight and guidance from DNP Committee Chair.
2. DNP Final Project draft will be sent to DNP committee for review by week 7 of the student’s final semester.
3. Committee will let the DNP Committee Chair and student know if they support moving forward with Final Defense or if more work is needed. Students will continue to work with the committee to revise their proposal until the committee approves scheduling for DNP Proposal Defense. Students will coordinate, with assistance of DNP Faculty Chair if needed, a DNP Final Defense time with the DNP Committee. Students must complete their final defense four weeks prior to commencement in order to graduate in Spring semester. Students who are not able to meet this deadline will need to remain enrolled in NSG 677 subsequent semesters to complete their DNP Final Project and Defense.
4. The DNP Final Defense will be delivered in a virtual setting, and all DNP Committee members must be present for the defense. If one committee member is unavailable, the defense must be rescheduled.
5. The DNP Final Defense will not exceed 75 minutes. The student will be allowed 45 minutes to deliver their proposal using an AV presentation (PowerPoint or similar presentation platform). The committee will be allowed 30 minutes to ask questions.
6. Immediately following the DNP Final Defense, the committee will meet separately to evaluate the student’s final paper and presentation. Results of the committee evaluation will be recorded on the Results of Final Examination for Doctoral Degree D-4, and submitted to the Graduate Program Director.  This will then be sent to the Graduate School for graduation confirmation.
7. If the student does not pass the final examination after the first attempt, the committee may grant the student permission to take a second examination, which will be given under the conditions stipulated by the committee. Students can take a second examination no earlier than 14 calendar days following the conclusion of the first exam. If the student’s second attempt extends beyond the end of NSG 726, the student must maintain enrollment to progress to a second attempt. Students must be actively enrolled in a minimum of one graduate nursing course in order to work towards and complete a second DNP Final Defense. NSG 677 Independent Study is a 1 credit course that students may enroll in, under the guidance of their DNP Committee Chair, to maintain enrollment while they prepare for a second defense.

DNP Project Courses and Requirements

DNP 722: DNP Project I (4 credit hours), Spring 1

Description: This is the first of three sequential courses focusing on the student’s DNP project. The focus of this course is on the development of the DNP Quality Improvement project proposal.

The focus of this course is on developing the design for the DNP Quality Improvement project and submitting your proposal. This is also a practicum course, in which you will acquire 105 hours for the development of your DNP project, under the guidance of your DNP Mentor.

This Course includes the following outcomes:

• Finalizing and securing approval for DNP Committee members
• Collaboration with Practicum site mentor to strategically plan a DNP project to benefit a practice change need
• Participate in relevant stakeholder meetings, interview key stakeholders, and participate in agency activities to establish a feasible and valuable practice change proposal
• Chapter 1 Introduction
• Chapter 2 Methods
• Complete CITI and Human Subjects training through Miami University and begin IRB application.
• Complete DNP Proposal Defense
• Documenting Practicum Hours on Practicum Hours Plan, including DNP Project work, Collaboration with DNP Mentor, Collaboration with DNP Committee Chair, and DNP Committee Members.

DNP 724: DNP Project II (4 credit hours), Summer 1

Description:This is the second of three sequential courses focusing on the student’s DNP project. The focus of this course is the implementation of the DNP Quality Improvement project.

Students will primarily be completing data collection for the DNP Quality Improvement project. This is also a practicum course, in which you will acquire 160 hours for the development of your DNP project under the guidance of your DNP Mentor.

This course includes the following outcomes:

• IRB application and approval from Miami University and other organizations to implement the scholarly DNP Project
• Data Collection Plan and Implementation
• Chapter 3 - Results
• Begin Draft Chapter 4 - Discussion
• Documenting Practicum Hours on Practicum Hours Plan, including DNP Project work, Collaboration with DNP Mentor, Collaboration with DNP Committee Chair, and DNP Committee Members, and any other relevant activities

DNP 726: DNP Project III (4 credit hours), Spring 2

Description: This is the last of three sequential courses focusing on the student’s DNP project. The focus of this course is the evaluation and dissemination of the DNP Quality Improvement project results.

The focus of this course on evaluation and dissemination of the results of your scholarly inquiry. This is also a practicum course, in which you will acquire 105 hours for the development of your DNP project under the guidance of your DNP Mentor.

This course includes the following outcomes:

• Chapter 4 - Discussion     
• Chapter 5 – Other Information
• Final SQUIRE Manuscript
• Final DNP Project Defense

Changing DNP Project Chair or Committee Members

While a consistent DNP Chair and DNP Committee is ideal, a change in DNP Project Chair or Committee members may occur due to a variety of unforeseen reasons. Students requesting a change in committee makeup will submit an updated Committee Request Form to the Graduate Program Director, who will verify qualifications and committee make-up, and then forward to the Graduate School for approval.

Institutional Review Board(s) Requirements

All DNP Projects at Miami University Department of Nursing must be submitted to the Miami University Institutional Review Board, also known as IRB. There are NO EXCEPTIONS to this rule. If a student is working with a host organization that has their own IRB process, the student must submit the project to both IRBs.

Students will be provided training on the process during NSG 722 and NSG 724 DNP Project I and II courses.

Students should NOT submit any part of the proposal to the IRB without written permission from the DNP Committee Chair.  Students may not begin any part of project implementation until: 1) all IRB approvals are obtained; and 2) the DNP Committee Chair gives permission.