Lawrence S. Bloomberg Faculty of Nursing

Nurse Practitioner

Adult Emphasis
Paediatric Emphasis
PHC-GH Emphasis
Program Requirements
Course Descriptions
Selecting an NP Emphasis
  • Adult Emphasis

    Some students interested in the adult emphasis are interested in working with adolescents, adults, and older adults in various settings where they provide primary and specialized health care. This includes assessing, diagnosing and treating individuals requiring acute and episodic care, and those with chronic illnesses living in community settings. Some students interested in the adult emphasis tend to prefer work in hospital settings, where they provide specialized health care to adolescents, adults and older adults with particular health conditions (respiratory, cardiac, renal etc.). Health care services provided by adult nurse practitioners may include first contact assessments, treatment for acute/critical/urgent care, health promotion, illness and injury prevention, and referral and coordination of care. Upon graduation, students are eligible to write the extended class registration exam for Adult Nurse Practitioners. Although our program is recognized by Canadian governing bodies such as the College of Nurses of Ontario, students must ensure they are aware of any special provincial regulatory guidelines regarding placement hours (e.g., number of required hours in primary care settings). For further information on completing the requirements for extended class registration, please see our academic resources.

  • Paediatric Emphasis

    Please note that admission to the NP Paediatric emphasis is offered in alternate years. Admission to the Paediatric emphasis IS offered for the September 2019 in-take and applications for this emphasis will open on November 1, 2018.

    Students interested in the paediatric emphasis are interested in working with infants, children and adolescents in various settings where they provide primary and specialized health care. This includes assessing, diagnosing and treating individuals requiring acute and episodic care, and those with chronic illnesses living in community settings. Health care services provided by paediatric nurse practitioners may include first contact assessments, treatment for acute/critical/urgent care, health promotion, illness and injury prevention, and referral and coordination of care. Upon graduation, students are eligible to write the extended class registration exam for Paediatric Nurse Practitioners. Our program is recognized by Canadian governing bodies such as the College of Nurses of Ontario as well as the Paediatric Nursing Certification Board (PNCB), a national certification body in the United States for paediatric nurse practitioners. In addition, it is important that students ensure that they are aware of any special provincial or state regulatory guidelines regarding placement hours (e.g., number of required hours in primary care settings).

    Information Regarding Certification from the Paediatric Nursing Certification Board (PNCB)

    The Master of Nursing (MN) Degree (Nurse Practitioner Field, Paediatrics) Program at the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, has been granted recognition by the Paediatric Nursing Certification Board (PNCB) in the United States. This is the first Canadian Program to receive this recognition. This accreditation allows Nurse Practitioner graduates from the Lawrence S. Bloomberg Faculty of Nursing to apply for the Primary Care Certified Paediatric Nurse Practitioner (CPNP) Certification Exam. This is the primary certification exam for paediatric nurse practitioners in the United States and this certification exam is recognized by various regulatory bodies in Canada (e.g. College of Nurses of Ontario). For further information on completing the requirements for extended class registration in Ontario please see our academic resources or visit the College of Nurses of Ontario website. For further information on completing the CPNP Certification Exam visit the PNCB website.

  • PHC-GH Emphasis

    Primary health care nurse practitioners generally work in community settings and provide primary health care to individuals across the lifespan. They tend to take primary responsibility for a group of individuals for whom they provide first contact assessments, treatment for short-term acute illnesses, health promotion, illness and injury prevention, and referral and coordination of care. Our primary health care – global health area of emphasis offers students an opportunity to focus on global health issues in Canada and around the world. Upon graduation, students are eligible to write the extended class registration exam for Primary Health Care Nurse Practitioners. Although our program is recognized by Canadian governing bodies (e.g., College of Nurses of Ontario), students must ensure they are aware of any special provincial regulatory guidelines regarding placement hours (e.g. number of required hours in primary care settings). For further information on completing the requirements for extended class registration please see our academic resources or visit the College of Nurses of Ontario website.

  • Nurse Practitioner Field of Study

    The Master of Nursing-Nurse Practitioner field of study program is designed to prepare nurses with the skills and competencies required to practice as a Nurse Practitioner in one of three areas of emphasis: Adult, Paediatric or Primary Health Care – Global Health. Graduates are prepared to lead in the direct care of patients through the application of advanced practice nursing and nurse practitioner competencies as described by the Canadian Nurses Association.

    Program Requirements

    This innovative population-based program is accessible to students across Canada. Course-work is on-line and the practicums are individually designed. Students will participate in 3 on-campus residencies, simulation-based learning, virtual classrooms and combined asynchronous and synchronous discussions. Successful completion of Year 1 courses is required for students to continue in Year 2 of the program. Students will engage in 800 hours of practicum experience across three courses in the program. During the practicums, students will work with nurse practitioners, normally in their communities, to learn about and begin to enact the role of a nurse practitioner. Students in the MN-NP program enroll in one emphasis (Adult or Paediatric or Primary Care – Global Health) and are required to complete all five (5) courses appropriate to that emphasis as well as the 4 MN foundational courses. Courses are offered once per year and must be taken sequentially. Required NP courses include:

    • NUR 1094H, NUR 1095H, NUR 1096H, and NUR 1097H;
    • a combination of courses based on the student’s emphasis:
      • Adult: NUR 1091Y, NUR 1101H, NUR 1115H, NUR 1215H, and NUR 1221Y or
      • Paediatric*: NUR 1092Y, NUR 1102H, NUR 1116H and NUR 1216H, and NUR 1222Y or
      • Primary Health Care—Global Health: NUR 1093Y, NUR 1114H, NUR 1117H and NUR 1217H, and NUR 1223Y
      • NUR 1221Y, NUR 1222Y, and NUR 1223Y must be taken alone in the final session and only after completion of all other coursework and program requirements

    Note: Effective September 2019, NUR 1017H, NUR 1034H, NUR 1022H, and NUR 1028H have been retired and replaced with NUR 1096H, NUR 1097H, NUR 1094H, and NUR 1095H.

    The MN-NP course sequence and practicum requirements are as follows:

    Fall Semester (Sept-Dec) Winter Semester (Jan-Apr) Spring/Summer Semester (Apr-June)
    Year 1 NUR1091Y or NUR1092Y or NUR1093Y and NUR1094H NUR1091Y or NUR1092Y or NUR1093Y and NUR1095H NUR1101H or NUR1102H or NUR1114H (100 clinical hours)
    Year 2 NUR1115H or NUR1116H or NUR1117H (250 clinical hours) and NUR1096H NUR1215H or NUR1216H or NUR1217H (250 clinical hours) and NUR1097H NUR1221Y or NUR1222Y or NUR1223Y (200 clinical hours)

    NUR1221Y/22Y/23Y must be taken alone in the final session and only after completion of all other coursework and program requirements.

    Placement Practicum Requirements See the Graduate Placements section of the website.

  • Courses

    Course
    NUR1091Y / 1092Y / 1093Y Pathophysiology and Pharmacotherapeutics

    This course will explore theoretical perspectives on the mechanism of altered functioning of human cells, organs, organ systems and the organism as a whole. Material in this course builds on the previous knowledge of physiology and introductory pathophysiology. In addition, this course will provide students with knowledge of basic pharmacologic concepts, including pharmacokinetics, pharmacodynamics and pharmacotherapeutics. Drug therapy considerations in special populations such as geriatric, paediatric, early immigrant, as well as in clients with chronic disease states and altered hepatic and renal function will be discussed.

    Submission of a health evaluation & immunization form is required prior to registration.
    (Online 3 hours/week)

    Program Requirements Course Type: Adult Emphasis/ Paediatric Emphasis / Primary Health Care - Global Health Emphasis
    NUR1094H Research Design, Appraisal, and Utilization: Nurse Practitioner

    The focus of this course is on the critical examination of nurse practitioner research, with an emphasis on maintaining the links between the research problem, theory, and research methods. Consideration is given primarily to quantitative research approaches, designs, data collection and analysis, and implementing and disseminating findings. Strategies for critically analyzing research studies and for utilizing research findings in clinical practice are discussed. At the end of this course, you should be able to become a confident and efficient user of health care research, and an advocate for evidence-based practice.

    Course content falls within the following major categories:

    1. Why should research inform practice? The benefits - and stress - of making decisions about the best form of care for a patient. Formulating a clear, answerable health care question.
    2. Finding the evidence: searching relevant databases.
    3. Critical appraisal of research publications: advantages and disadvantages of common quantitative research designs. Issues include bias, confounding variables, statistical power, generalizability, interpreting results, and determining implications for practice.
    4. Systematic reviews and meta-analysis: synthesizing the evidence. How to critically read a systematic review and apply its conclusion to practice.
    5. Measurement: critical appraisal of reports of diagnostic and screening tests; interpreting the results of psychometric studies.
    6. Strategies to implement and disseminating evidence: preparing for and implementing change in practice.
    NUR1095H Introduction to Qualitative Research: Methodologies, Appraisal and Knowledge Translation: Nurse Practitioner

    Increasingly, qualitative modes of inquiry are used in nursing and social science research to better understand health, illness, and health care delivery. This course is designed to provide students in the nurse practitioner field with a strong understanding of the philosophical foundations, approaches, and methods associated with qualitative research, and to acquaint students with critical issues and debates among qualitative researchers. This course will enhance students’ capacities to understand, evaluate, and utilize qualitative research in nursing and health sciences, and will contribute to their development for advanced practice.
    NUR1096H History of Ideas in Nursing Practice: Nurse Practitioner

    This course will critically explore some aspects of the discourse of nursing through the examination and interpretation of both historical and contemporary accounts of nursing practice in light of shifting and prevailing intellectual ideas, socio-cultural and/or historical circumstances. An emphasis will be placed on both the continuities and discontinuities in nursing practice through time. This course will help students to articulate nurse practitioner practice, its philosophical ontologies, and its relationship to or place within the contemporary historical world dominated by globalization, neoliberalism, managerialism and proliferating virtual technologies. At the same time, we will explore the distinctive contributions of nurses to the care of the sick and the running of the health care system.
    NUR1097H Program Planning and Evaluation in Nursing: Nurse Practitioner

    In this course, you will use existing evidence and theory to: 1) develop and implement solutions for problems or issues in your practice, and 2) evaluate programs / interventions in nursing and health care. As a nurse practitioner, you will have many opportunities to design, implement, and evaluate new programs or interventions as well as leading changes in what and how nursing care is provided and arranged. This course will prepare you to thoroughly assess the nature and scope of a problem, as well as to design, implement, and evaluate the effects of a solution or program to address a problem. You will draw heavily from and build on what you learned in your research courses regarding evidence and interpretation of data collected using different types of research designs.

    This course contributes to your development as an advanced practice nurse—such as clinical, research, leadership and consultation and collaboration (Advanced Nursing Practice: A National Framework 2008). The Canadian Nurses Association has identified competencies required of advanced practice nurses in the document 'Advanced Nursing Practice: A National Framework' (2008). Specifically, this course is intended to develop your knowledge, skill, and judgment related to the CNA advanced practice competencies of research, leadership, and consultation / collaboration.
    NUR1101H / 1102H / 1114H Advanced Health Assessment and Clinical Reasoning: Adult / Paediatric / Primary Health Care - Global Health

    Prepare to perform advanced health and physical assessment of the child or adult and family who are experiencing illness. Students must be competent in basic health and physical assessment, and the associated techniques prior to beginning the course. Models of clinical reasoning are investigated, critically reviewed and applied to a broad range of clinical case studies as students develop knowledge and skill in the collection of data, diagnostic approaches and formulation of therapeutic plans in collaboration with clients and families. Practical elements of advanced client assessment are addressed in terms of their impact on the client's health status, including physical and mental status, psychosocial status, developmentally appropriate approaches to assessment, growth and development milestones, family, cultural and community factors, and the implications of determinants of health and risk appraisal. Clinical, theoretical and scientific knowledge is synthesized in the identification and management of existing and potential client states of health and illness. Approaches to effective written and verbal communication of findings to lay individuals and health professional colleagues as they relate to the client and family are addressed.

    Submission of a health evaluation & immunization form is required prior to registration.

    Prerequisite: NUR1100
    (Online 3 hours/week, 100 clinical hours)

    Program Requirements Course Type: Adult Emphasis/ Paediatric Emphasis / Primary Health Care - Global Health Emphasis
    NUR1115H / 1116H / 1117H Advanced Health Assessment and Therapeutic Management I

    This field experience course incorporates a combination of faculty instruction, guest lectures, and clinical practice. The course provides students with opportunities to analyze synthesize and integrate theoretical principles and concepts into clinical practice with emphasis on diagnostic understanding, developmental issues and collaboration with clients, families and other health professionals.

    During the 250 hours of clinical practice, client/family health and illness states are used to build the students' development of advanced skills (e.g., interviewing, physical examination, diagnostics) related to client and family assessment, and to integrate diagnostic reasoning, and treatment planning/therapeutic management into practice. Application of the clinical reasoning process is integral to the students' experiences. Students will continue to develop advanced knowledge, skill and judgment related to client and family assessment, incorporating knowledge of diversity, cultural safety, developmental stage and social determinants of health into their assessments, diagnostics, diagnoses and therapeutic plans.

    During clinical practicum components, students will become familiar with changes in scope of practice from that of a registered nurse, and the ways that these changes affect their responsibilities and accountabilities as a nurse practitioner. Students will practice in accordance with federal and local legislation, professional and ethical standards, and policy relevant to the role of the nurse practitioner; including those that relate to privacy, documentation and information management (verbal, written and electronic).

    Approximately 8 hours/week will be spent in seminar learning and participating in guest lectures. A discussion forum for seminars (online) provides an opportunity for students to facilitate dialogue and communicate ideas and issues. Clinical seminars focus on the presentation of common health and illness symptoms from adolescence through old age (Adult), birth through adolescence (Paediatric) and all ages (PHC-GH) with acute, chronic, emergent, urgent and life-threatening illnesses as well as health promotion and illness prevention activities. There will be a focus on clinical reasoning, diagnostic testing and therapeutic planning. Students in the PHC-GH emphasis will align additional learning related to vulnerable and marginalized populations. Students will critically appraise relevant research and best practice guidelines when developing assignments, participating in on-line discussions, and in clinical practice. In addition, faculty and guest lecturers will provide students the opportunity to learn from individuals actively engaged in practice and research.

    Prerequisite: NUR1100 and one of NUR1101/1102/1114.
    Submission and checking of a health evaluation & immunization form is required prior to registration.

    (Online 3 hours/week, 250 clinical hours)

    Program Requirements Course Type: Adult Emphasis/ Paediatric Emphasis / Primary Health Care - Global Health Emphasis
    NUR1215H / 1216H / 1217H Advanced Health Assessment and Therapeutic Management II

    This course offers a combination of on-campus synchronous/asynchronous lectures and guest presentations using a flipped classroom format. Lectures will be offered in 8h segments every 2 weeks preceded and followed by online asynchronous discussion and virtual interactive case (VIC) completion. Lecture attendance, ongoing participation in the discussion board and VIC case completion are essential to assist in the development and refinement of skills to critically appraise and synthesize relevant clinical data, research, theory and clinical practice guidelines related to geriatrics, pain, end-of-life care and medical assistance in dying, mental health, diabetes, and skin disorders/dermatologic issues. In addition, faculty and guest lecturers will provide students the opportunity to learn from individuals actively engaged in practice and research.

    This course also includes 250h of clinical practicum. The course practicum should be in a practice setting that offers broad, comprehensive experience with common client/family health and illness states. During the 250 hours of clinical practice, client/family health and illness states are used to build the students' development of advanced skills related to client and family assessment, and to integrate collaboration, consultation and referral strategies into treatment plans/therapeutic management approaches. Health promotion, health protection, and the prevention of injury, illness, disease and complications are integral to students' experiences.

    During clinical practicum components, students will become familiar with changes in scope of practice from that of a registered nurse, and the ways that these changes affect their responsibilities and accountabilities as a nurse practitioner. Students will practice in accordance with federal and local legislation, professional and ethical standards, and policy relevant to the role of the nurse practitioner; including those that relate to controlled drugs and substances and assisted dying.

    Prerequisite: NUR1100, one of NUR1101/1102/1114 and one of NUR1115/1116/1117
    Submission and checking of a health evaluation & immunization form is required prior to registration.

    (Online 3 hours/week, 250 clinical hours)

    Program Requirements Course Type: Adult Emphasis/ Paediatric Emphasis / Primary Health Care - Global Health Emphasis
    NUR1221Y / 1222Y / 1223Y Nurse Practitioners: Roles and Issues

    Taken as a final course after all other program requirements have been met. This course provides learners with opportunities to continue the analysis, synthesis and integration of advanced theoretical principles and concepts related to advanced nursing practice. Learners will examine legal, organizational and system issues and how these influence the scope of practice and standards of ethical practice, professional accountability, and outcomes of advanced nursing practice. This course is the final practicum experience and incorporates a combination of clinical experience and student/faculty-facilitated seminars.

    Prerequisite: NUR1115/1116/1117Y.
    Submission and checking of a health evaluation & immunization form is required prior to registration.

    (Online 3 hours/week, 200 clinical hours)

    Program Requirements Course Type: Consolidation Course (Required) for Adult Emphasis/ Paediatric Emphasis / Primary Health Care - Global Health Emphasis
  • Selecting an NP Emphasis

    Within our NP program we offer 3 emphases: Adult, Paediatric, and Primary Health Care – Global Health. All our NP programs prepare graduates to provide health care services across the health spectrum. Each emphasis refers to a specific client population and not a clinical area or a practice sector.

    Emphasis Client population
    Adult 13 years through to end of life: adolescents, adults, older adults
    Paediatric Birth to 18 years: infants, children, adolescents
    Primary Health Care – Global Health All ages

    If your interest is working with an adult population, then you should apply to the Adult emphasis regardless of the clinical area or practice sector you want to work in. If your interest is working with a paediatric population, then you should apply to the Paediatric emphasis regardless of the clinical area or practice sector you want to work in. If you’re keen to work with clients across the lifespan and you have an interest in Global Health (marginalized populations, refugees, Northern populations, global, etc), then our PHC-Global Health emphasis is likely the best fit.

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