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1 Orvis School of Nursing Master of Science in Nursing Program Graduate Student Handbook Revision: 02/24/2011 Updated: 11/11/15

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Page 1: Orvis Handbook - University of Nevada, Reno  Web viewGraduate Student Handbook. ... longo@unr.edu. ... (NURS 795R) may be taken concurrently per Chair advisement, see section IV

1

Orvis School of Nursing

Master of Science in Nursing Program

Graduate Student Handbook

Revision: 02/24/2011Updated: 11/11/15

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General Note

It is important for graduate students to be aware of the University’s and Graduate School’s policies and procedures for graduate programs and to understand the policies relevant to their program contained in the General Catalog. For more information about UNR’s Graduate School, visit their website at: http://www.unr.edu/grad/ The following are the key points from Graduate School materials, plus additional guidelines relevant to the MSN program. Most of this information is also included in the General Catalog. It is the student’s responsibility to be aware of and meet all requirements. Refer to University and Graduate School policies and procedures if there are any discrepancies noted in the MSN handbook.

Table of Contents Page #Mission, Vision, Graduate Degree Programs, MSN Program Description.........................4

Graduate Program Student Learning Outcomes..................................................................4

MSN Curriculum Options, Degree Requirements...............................................................6

Nurse Educator........................................................................................................6Post Master’s Certificate Nurse Educator................................................................6

Adult Gerontology Acute Care Nurse Practitioner..................................................7Post Master’s Certificate Adult Gerontology Acute Care Nurse Practitioner.........7

Family Nurse Practitioner........................................................................................8Post Master’s Certificate Family Nurse Practitioner...............................................9

Clinical Nurse Leader..............................................................................................9Post Master’s Certificate Clinical Nurse Leader.....................................................9

Psychiatric Mental Health Nurse Practitioner.......................................................10Post Master’s Certificate Family Nurse Practitioner.............................................11

MSN/MPH Options ..............................................................................................12MSN/MPH Examining Committee.......................................................................16

Continuous Enrollment......................................................................................................16

Health Insurance................................................................................................................16

Graduate Student Association............................................................................................16

Plans of Study/Advisement...............................................................................................16

Timeline for Degree Completion.......................................................................................16

Courses and Course Load..................................................................................................17

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Continuous Enrollment......................................................................................................17

Leave of Absence..............................................................................................................18

Reinstatement....................................................................................................................18

Grades and Their Consequences........................................................................................18

Grading Scale..........................................................................................................19

Graduate Assistantships.....................................................................................................19

Important Forms for the Graduate School.........................................................................20

Clinical Practicum Requirements......................................................................................20

Fit for Duty, Standards of Conduct, Dress & Uniform, Absenteeism...............20-21

Chair and Graduate Scholarship Committees....................................................................21

Program of Study...............................................................................................................22

Research/Scholarship Requirement...................................................................................23Introduction...........................................................................................................23Thesis, General Thesis Guidelines...................................................................23-24Professional Project, Project Guidelines..........................................................25-26Professional Paper, Paper Guidelines....................................................................27

Comprehensive Oral Examination.....................................................................................29

Graduation Process............................................................................................................31

APPENDICES...................................................................................................................32

Appendix A: Graduate Program Terminal Objectives..........................................32Appendix B-1: Declaration of Advisor/Major Advisor/Committee Chair Form. .33Appendix B-2: Request for Graduate Advisory Chair..........................................34Appendix C: Program of Study EXAMPLE.........................................................35 Program of Study Instructions pg 1.................................................36 Program of Study Instructions pg 2.................................................37Appendix D: The Thesis Design............................................................................38Appendix E: Advising Guidelines NURS 798......................................................42Appendix F: Graduate Oral Comprehensive Exam Rubric...................................43Appendix G: Memorandum of Agreement, EXAMPLE.......................................45

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MissionThe mission of the Orvis School of Nursing at the University of Nevada, Reno is to prepare individuals for both entry level and advanced nursing roles by providing excellent academic programs integrating recognized educational standards. The curriculum emphasizes nursing care of individuals, families & populations throughout the lifespan; among diverse cultures & beliefs; and across all socioeconomic groups in the context of their environments by providing a strong foundation for evidence-based practice, critical thinking, and leadership. As an essential part of its mission as a land grant institution, Orvis School of Nursing provides service to the state of Nevada and to the professional community at large. Vision The vision of the Orvis School of Nursing at the University of Nevada, Reno is to be a leader in quality nursing education, research and service in partnership with our community of interest, locally, statewide and worldwide.

Graduate Degree ProgramsThe Orvis School of Nursing (OSN) at the University of Nevada, Reno offers a Master of Science in Nursing degree with the following options: Nurse Educator, Adult Gerontology Acute Care Nurse Practitioner, Family Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner and Clinical Nurse Leader. Post-Master’s Certificates are also offered for each of the specialty track options. In conjunction with the School of Community Health Sciences, the OSN offers a combined degree in nursing and public health, a Master of Science in Nursing/Master of Public Health (MSN/MPH).

Once admitted to a MSN track, a student is committed to that track. Should the student wish to change or transfer to a different track than which he/she was originally admitted, the student is required to re-apply for admission to the track to which the student wants during the next application cycle. The MSN tracks are very competitive and there is no guarantee a current student will be automatically accepted to a different track through the re-admission process.

Master of Science in Nursing (MSN) Program Description Graduate education at the MSN level prepares registered nurses for advanced practice, educator, and leadership positions in health care. MSN level study develops clinical competence and increased sophistication in exploring and identifying a theoretical framework for nursing practice. MSN education also serves as an introduction to scholarly activity for those who wish to pursue a doctoral degree in nursing. Research focuses on the search of nursing knowledge, analysis and evaluation of nursing theory, and the study of strategies for nursing application. MSN education also provides students with the opportunity to realize their creative potential and collaborate with other health care professionals in maintaining effective nursing and health care. Graduate Program Terminal Objectives are based on the revised AACN Essentials

Graduate Program Student Learning OutcomesIn accordance with the American Association of Colleges of Nursing the Master of Science in Nursing at the Orvis School of Nursing follows the guidelines set forth. “The Essentials of

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Master’s Education in Nursing reflects the profession’s continuing call for imagination, transformative thinking, and evolutionary change in graduate education. The extraordinary explosion of knowledge, expanding technologies, increasing diversity, and global health challenges produce a dynamic environment for nursing and amplify nursing’s critical contributions to health care. Master’s education prepares nurses for flexible leadership and critical action within complex, changing systems, including health, educational, and organizational systems. Master’s education equips nurses with valuable knowledge and skills to lead change, promote health, and elevate care in various roles and settings. Synergy with these Essentials, current and future healthcare reform legislation, and the action-oriented recommendations of the Initiative on the Future of Nursing (IOM, 2010) highlights the value and transforming potential of the nursing profession. These Essentials are core for all master’s programs in nursing and provide the necessary curricular elements and framework, regardless of focus, major, or intended practice setting. These Essentials delineate the outcomes expected of all graduates of master’s nursing programs. These Essentials are not prescriptive directives on the design of programs. Consistent with the Baccalaureate and Doctorate of Nursing Practice Essentials, this document does not address preparation for specific roles, which may change and emerge over time. These Essentials also provide guidance for master’s programs during a time when preparation for specialty advanced nursing practice is transitioning to the doctoral level. Master’s education remains a critical component of the nursing education trajectory to prepare nurses who can address the gaps resulting from growing healthcare needs. Nurses who obtain the competencies outlined in these Essentials have significant value for current and emerging roles in healthcare delivery and design through advanced nursing knowledge and higher level leadership skills for improving health outcomes. For some nurses, master’s education equips them with a fulfilling lifetime expression of their mastery area. For others, this core is a graduate foundation for doctoral education. Each preparation is valued” (American Association of Colleges of Nursing, 2011, p.3). The following are the revised (2012) terminal objectives for the MSN program of study.

1. Integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

2. Provide advanced, ethical, evidence-based nursing services for multi-cultural and ethnic individuals, families, aggregates, and select populations.

3. Apply patient-care and communication technologies to deliver, enhance, integrate, and coordinate care.

4. Collaborate with other professionals and members of the community to provide optimal coordinated health care to individuals, families, special populations, and communities with an emphasis on health promotion and disease prevention.

5. Respect diversity to address complex health care needs of persons, including the un-served and under-served, populations and communities, in the role of nurse leader, educator, and/or advanced practice nurse.

6. Participate in the organization, management, and policy negotiations of health care delivery systems to use ethical principles and advocacy strategies to influence health and healthcare.

7. Participate in the application of safe patient care and quality health care practices.

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8. Participate in the development of nursing as a science, through the use of theory, research, and scientific processes, while acquiring a foundation for doctoral study.(Accepted by OSN Faculty and UCCC Approved 2/6/12)

MSN Curriculum Options For any questions related to the Graduate curriculum, students may contact the individual track leaders or Dr. Stephanie DeBoor, the Associate Director for Graduate Programs [email protected]

1. Nurse Educator (updated 10/31/13) Contact: Dr. Susan Ervin [email protected] The Nurse Educator Track of the MSN program integrates scientific findings, nursing

and learning theories, informatics, and technology into the development and evaluation of curricula and educational programs in diverse educational settings. Graduates provide ethical, evidence-based nursing education services for multi-cultural and ethnically diverse, students, staff, families, select populations, and communities. There are 420 required practicum hours for this specialty track. The student may sit for national certification upon graduation. 1-1. Master of Science in Nursing (MSN) Educator Track

Courses CreditsNURS 716 Advance Ambulatory Pharmacy (1-3)NURS 717R Advanced Pathophysiology 3NURS 735R Introduction to Knowledge Development and Scientific Inquiry 3NURS 736 Health Care Policy and Social Justice 3NURS 737 Population/Aggregate Health Care Issues 3NURS 750R Advanced Health Assessment 3NURS 759 Planning Strategies for Care of Specialized Populations 2NURS 760 Advanced Nursing Care of Specialized Populations Practicum

240 hours of practicum4

NURS 780 Curriculum Development and Evaluation in Nursing 3NURS 781 Instructional Design & Evaluation in Nursing Education 3NURS 782 The Role of the Nurse Educator 2NURS 783 Nursing Education Role Practicum 180 hours practicum 3NURS 797 Thesis (Plan A) Or 6NURS 798 Professional Project/or Paper (Plan B) and 3NURS 795R Comprehensive Examination 1

Total Credits/Units 37-39

1-2. Post Master's Nurse Educator Certificate Note: This program is open to nurses with a master's degree in nursing. *May be required pending review of transcripts and prior practicum experiences.

NURS 759* Planning Strategies for Care of Specialized Populations 2NURS 760* Advanced Nursing Care of Specialized Populations Practicum 4NURS 780 Curriculum Development and Evaluation in Nursing 3NURS 781 Instructional Design & Evaluation in Nursing Education 3NURS 782 The Role of the Nurse Educator 2

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NURS 783 Nursing Education Role Practicum 3Total Credits/Units 11

2. Adult Gerontology Acute Care Nurse Practitioner (AGACNP) (Approved by UCCC, 5/21/2013)

Contact: Professor Jackie Ferdowsali [email protected] The Adult Gerontology Acute Care Nurse Practitioner (AGACNP) track of the MSN program prepares nurses to provide advanced practice in acute care settings through a program of study focused on the care of acutely ill patients and their families. An AGACNP can diagnose and treat medical conditions. In collaboration with the physician and other members of the health care team, AGACNPs provide direct care to patients from hospital admission through discharge. . There are 780 required practicum hours for this specialty track. The student may sit for national certification upon graduation.2-1. Adult Gerontology Acute Care Nurse Practitioner

Courses CreditsNURS 705 Diagnosis, Symptom & Illness Management 3NURS 706 Introduction to Management of Acute Care Patients 2NURS 707 Introduction into Acute Care Practicum 120 practicum hours 2NURS 709 Advanced prescribing Pharmacology for the Acute Care Patient 3NURS 710 Management of Chronic Illnesses within Acute Care 2NURS 711 Management of Chronic Illness in the Acute Care Patient Practicum

180 practicum hours3

NURS 712 Management of Comorbid Conditions in Acute Care 1NURS 713 Management of Comorbid Conditions in Acute Care Practicum

180 practicum hours3

NURS 714 Advanced Practice Introduction to Critical Care 2NURS 715 Advanced Practice Introduction to Critical Care Patients Practicum

300 practicum hours5

NURS 716R Advanced Ambulatory Prescribing Pharmacology 3NURS 717R Advanced Pathophysiology 3NURS 735R Introduction to Knowledge Development and Scientific Inquiry 3NURS 736 Health Care Policy and Social Justice 3NURS 737 Population/Aggregate Health Care Issues 3NURS 750R Advanced Health Assessment 3NURS 797 Thesis (Plan A) OR 6NURS 798 Professional Project/or Paper (Plan B) and 3NURS 795R Comprehensive Examination 1

Total Credits/Units 48-50

2-2. Post Master's Adult Gerontology Acute Care Nurse Practitioner CertificateNote: This program is open to nurses with a master's degree in nursing and requires 780 practicum hours. The student may sit for national certification upon graduation.

Courses CreditsNURS 705 Diagnosis, Symptom & Illness Management 3

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NURS 706 Introduction to Management of Acute Care Patients 2NURS 707 Introduction into Acute Care Practicum 2NURS 709 Advanced prescribing Pharmacology for the Acute Care Patient 3NURS 710 Management of Chronic Illnesses within Acute Care 2NURS 711 Management of Chronic Illness in the Acute Care Patient Practicum 3NURS 712 Management of Comorbid Conditions in Acute Care 1NURS 713 Management of Comorbid Conditions in Acute Care Practicum 3NURS 714 Advanced Practice Introduction to Critical Care 2NURS 715 Advanced Practice Introduction to Critical Care Patients Practicum 5NURS 716R* Advanced Ambulatory Prescribing Pharmacology 3NURS 717R* Advanced Pathophysiology 3NURS 750R * Advanced Health Assessment 3

Total Credits/Units 26*-35*Providing review of transcripts represents completion of required core coursework.

3. Family Nurse Practitioner (FNP) Contact: Professor Shaun Hasty [email protected] The Family Nurse Practitioner (FNP) track of the MSN program prepares students to provide primary care across the lifespan to individuals, families, and communities.  FNPs practice within private and clinic settings as well as urgent care facilities.  FNPs focus on health promotion and maintenance, and function in autonomous and collaborative roles guided by appropriate nurse practice acts.  There are 780 required practicum hours for this specialty track. The student may sit for national certification upon graduation.3-1. Family Nurse Practitioner

Courses CreditsNURS 708 Nursing Theories and Family Health Patterns 3NURS 716 Advanced Ambulatory Pharmacy 3NURS 717R Advanced Pathophysiology 3NURS 718R Advanced Health Promotion 3NURS 735R Introduction to Knowledge Development and Scientific Inquiry 3NURS 736 Health Care Policy and Social Justice 3NURS 737 Population/Aggregate Health Care Issues 3NURS 750R Advanced Health Assessment 3

NURS 755 R Role of the FNP in Managing Acute Illnesses in Primary Care 3NURS 751R Management of Acute Illnesses in the Primary Care

240 practicum hours4

NURS 756 R Role of the FNP in Managing Family Health in Primary Care 2NURS 752R Family Health in the Primary Care Setting 60 practicum hours 1NURS 757R Role of the FNP Managing Chronic Illness in Primary Care 3NURS 753S Management of Chronic Illness in the Primary Care Setting

240 practicum hours4

NURS 758R Role of the FNP in Managing Complex Illness in Primary Care 3

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NURS 754R Management of Complex Illness in the Primary Care Setting240 practicum hours

4

NURS 797 Thesis (Plan A) OR 6NURS 798 Professional Project/or Paper (Plan B) and 3NURS 795R Comprehensive Examination 1

Total Credits/Units 52-54

3-2. Post Master's Family Nurse Practitioner Certificate Note: This program is open to nurses with a master's degree in nursing and requires 780 practicum hours. The student may sit for national certification upon graduation.

Courses Credits NURS 708 Nursing Theories and Family Health Patterns 3NURS 716 Advanced Ambulatory Pharmacy 3NURS 717R Advanced Pathophysiology 3NURS 718R Health Promotion 3NURS 750R Advanced Health Assessment 3NURS 755 R Role of the FNP in Managing Acute Illnesses in Primary Care 3NURS 751R Management of Acute Illnesses in the Primary Care 4NURS 756 R Role of the FNP in Managing Family Health in Primary Care 2NURS 794R Family Health in the Primary Care Setting 1NURS 757R Role of the FNP Managing Chronic Illness in Primary Care 3NURS 753S Management of Chronic Illness in the Primary Care Setting 4NURS 758R Role of the FNP in Managing Complex Illness in Primary Care 3NURS 754R Management of Complex Illness in the Primary Care Setting 4

Total Credits/Units 39

4. Clinical Nurse Leader (CNL) Contact Dr. Bernadette Longo [email protected] The MSN program at the University of Nevada, Reno is designed to prepare graduates in the emerging role of the Clinical Nurse Leader (CNL). In response to healthcare and consumer needs, the American Association of Colleges of Nursing proposed the advanced practice role of the CNL in order to prepare effective leaders for health care delivery systems to work within all settings. A beginning CNL graduate would encompass the roles of clinician, outcomes manager, client advocate, educator, information manager, systems analyst, risk anticipator, team manager, member of a profession, and life-long learner (AACN, 2007). After successful completion of the Orvis School of Nursing MSN degree requirements (including a total of 420 clinical hours; a minimum of 300 hours in a supervised CNL role immersion practicum with an academic/practice partner), the CNL track graduate would meet the educational requirement to sit for the AACN CNL Certification Examination.

4-1.Master of Science in Nursing (MSN) Clinical Nurse Leader Track Courses Credits

NURS 716 Advance Ambulatory Pharmacy (1-3)NURS 717R Advanced Pathophysiology 3

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NURS 735R Introduction to Knowledge Development and Scientific Inquiry

3

NURS 736 Health Care Policy and Social Justice 3NURS 737 Population/Aggregate Health Care Issues 3NURS 750R Advanced Health Assessment 3NURS 746 Evidence-Based Practice and Management of Clinical

Outcomes 3

NURS 744 Leadership Development and Care Management 1NURS 747 Care Management in a Health Care Micro-System Practicum 2NURS 748/ PUBH753 or NURS 745

Health Informatics

Healthcare Information Systems & Technology

3

NURS 759 Planning Strategies for Care of Specialized Populations 2NURS 760 Advanced Nursing Care of Specialized Populations Practicum

240 practicum hours4

NURS 797 Thesis (Plan A) OR 6NURS 798 Professional Project/or Paper (Plan B) AND 3NURS 795R Comprehensive Examination 1

Total Credits/Units 35-37

4-2. Post Master's Clinical Nurse Leader CertificateNote: This program is open to nurses with a master's degree in nursing. The student may sit for national certification upon graduation.

Courses CreditsNURS 746 Evidence-Based Practice and Management of Clinical Outcomes 3NURS 744 Leadership Development and Care Management 1NURS 747 Care Management in a Health Care Micro-System Practicum 2NURS 748/ PUBH753

Health Informatics 3

NURS 759* Planning Strategies for Care of Specialized Populations 2NURS 760* Advanced Nursing Care of Specialized Populations Practicum 4

Total Credits/Units 15*May be required pending review of transcripts and prior practicum experiences.

5. Psychiatric Mental Health Nurse Practitioner (PMHNP) Contact: Dr. Sandra Talley [email protected] The Psychiatric Mental Health Nurse Practitioner (PMHNP) track prepares advanced practice nurses to care for individuals and families with behavioral and mental problems. This specialty track within the MSN program prepares graduates to assess, diagnose, intervene (e.g. psychotherapy and pharmacotherapy), and provide follow-up to facilitate ongoing levels of wellness. The PMHNP is prepared to provide psychiatric and mental health care in a variety of treatment settings (e.g. hospitals, jails, home care, and outpatient clinics) and participate with

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other members of the health care team. With a shortage of mental health professionals and increasing demand for expert mental health care in rural health settings, the PMHNPs scope of practice brings critically relevant skills needed to care for persons experiencing the full range of psychiatric and mental health problems. There are 720 required practicum hours for this specialty. The student may sit for national certification upon graduation.

5-1. Psychiatric Mental Health Nurse Practitioner Courses Credits

NURS 701 Mental Health Assessment Across the Lifespan 3NURS 702 Advanced Pharmacology for Mental Health 3NURS 703 Advanced Mental Health Therapies: Individual 3NURS 704 Advanced Mental Health Therapies: Group and Family 3NURS 716 Advanced Ambulatory Pharmacy 3NURS 717R Advanced Pathophysiology 3NURS 721 Assessment and Diagnosis within PMH Settings 180 practicum hours 3NURS 722 Interventions & Treatment Planning within PMH Settings 

180 practicum hours3

NURS 723 Advanced Therapeutic Interventions within PMH Settings 180 practicum hours

3

NURS 724 Advanced Management of Patient & Systems within PMH Settings  180 practicum hours

3

NURS 726 MH Diagnosis & Management of Children & Adolescents 2NURS 727 Mental Health Diagnosis and Management of the Adult 2NURS 730 Mental Health Diagnosis & Management of the Geriatric Client  2NURS 735R Introduction to Knowledge Development and Scientific Inquiry 3NURS 736 Health Care Policy and Social Justice 3NURS 737 Population/Aggregate Health Care Issues 3NURS 750R Advanced Health Assessment 3NURS 797 Thesis (Plan A) OR 6NURS 798 Professional Project/or Paper (Plan B) AND 3NURS 795R Comprehensive Examination 1

Total Credits/Units 52-54

5-2. Psychiatric Mental Health Nurse Practitioner Post-Master’s Certificate Program Note: This program is open to nurses with a master's degree in nursing. There are 720 required practicum hours for this specialty. The student may sit for national certification upon graduation.

Courses Credits NURS 701 Mental Health Assessment Across the Lifespan 3NURS 702 Advanced Pharmacology for Mental Health 3NURS 703 Advanced Mental Health Therapies: Individual 3NURS 704 Advanced Mental Health Therapies: Group and Family 3NURS 716 Advanced Ambulatory Pharmacy 3NURS 717R Advanced Pathophysiology 3

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NURS 721 Assessment and Diagnosis within PMH Settings  3NURS 722 Interventions & Treatment Planning within PMH Settings  3NURS 723 Advanced Therapeutic Interventions within PMH Settings  3NURS 724 Advanced Management of Patient & Systems within PMH

Settings 3

NURS 726 MH Diagnosis & Management of Children & Adolescents 2NURS 727 Mental Health Diagnosis and Management of the Adult 2NURS 730 Mental Health Diagnosis & Management of the Geriatric Client  2

Total Credits/Units 36

Master of Science in Nursing/Master of Public Health (MSN/MPH) Dual Degree Contacts: Dr. Stephanie DeBoor (nursing) [email protected] orDr. Wei Yang (community health sciences) [email protected] The Master of Science in Nursing/Master of Public Health dual degrees program provides an opportunity for nurses to gain knowledge and skills in public health, education, and community health nursing. There are three nursing options available within the combined degrees program. The first option provides the nurse with the knowledge and skills to practice in public health and to teach in schools of nursing or in health education settings. The second option provides the knowledge and skills to practice in public health and advanced community health/primary care nursing. In addition to the core courses of the MPH and MSN programs, the education option includes teaching and learning theories; curriculum development and evaluation, instructional design; and student and program evaluation. It includes a practice teaching experience in a school of nursing or an education practice setting. For the community health and primary care option, courses include knowledge and skills in advanced primary health care (FNP) practice. For the leadership care options courses include knowledge and skills in the role of clinical nurse leader. The education track courses and some of the core courses in nursing and public health are offered through WebCampus-based classes and focus on teacher-facilitated independent learning. Occasional on-campus classes are held to enhance the distance education format.

The CurriculumThere are five options within the master’s in nursing: Clinical Nurse Leader (CNL), Adult Gerontology Acute Care Nurse Practitioner (AGACNP), Family Nurse Practitioner (FNP), Nurse Educator, Psychiatric Mental Health Nurse Practitioner (PMHNP) and two options within the master’s in public health: Epidemiology and Social/Behavioral Health. Students may choose to emphasize any offered area within public health and nursing. All students must complete the MSN/MPH core courses, required for all options.

To be successful for the students, coordinated advisement between CHS and Nursing is necessary to be certain that courses are taken in the proper progression.

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MSN CORE COURSESRequired for all MSN Options

Required MSN Core Courses – 9 units CreditsNURS 735 Introduction to Knowledge Development and Scientific Inquiry 3NURS 736 Health Care Policy and Social Justice 3NURS 737 Population/Aggregate Health Care Issues 3 9

MPH CORE COURSESRequired for all MPH Options

Required MPH Core Courses – 16 units CreditsCHS 700 Introduction to Public Health Research 1CHS 701 Social and Behavioral Health 3CHS 712 MPH Epidemiology 3CHS 725 Health and the Environment 3CHS 755 Health Policy and Administration 3CHS 780 Biostatistics 3 16

For any of the MSN Options; Nurse Educator, CNL, AGACNP PMHNP, or FNP, please refer to the appropriate, pages of this handbook for curricular requirements.

MPH – Epidemiology Option/Courses

The epidemiology concentration is designed for students seeking to acquire skills in the fundamental methods of disease investigation and prevention in large populations. Concentration courses emphasize basic and advanced epidemiologic principles and their application to current problems in public health and related disciplines. Students in the epidemiology concentration are expected to use appropriate methods to plan, implement, and conduct epidemiologic research. Students are also expected to critically evaluate research methodology to assess validity and potential sources of bias. Skills in computer use and statistics acquired in the public health program are used to analyze, interpret, and disseminate the results of epidemiologic investigations. Students in the Epidemiology Specialization also take these (please note the course progression):

Required Core for Epidemiology – 12 credits CreditsCHS 703A Epidemiological Analysis 3CHS 708 Epidemiological II 4CHS 709 Epidemiology Research and Planning 2CHS 753 Health Informatics 3 12

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Eligible Electives – 6 credits CreditsCHS 706 Social Epidemiology 3CHS 707 HIV/AIDS Epidemiology 3CHS 722 Epidemiology of Chronic Diseases 3CHS 723 Epidemiology of Infectious Diseases 3CHS 724 Environmental Epidemiology 3CHS 740 Epidemiology of Cardiovascular Disease 3CHS 742 Epidemiology of Tropical Diseases 3CHS 748 Epidemiologic Surveillance (3 cr 2 + 1) CHS 749 Outbreak Investigation 3

MPH Culminating Experience – 9 creditsAt the conclusion of the Epidemiology specialization, students will complete 6 units of NURS 760 in a community organization (the overlap), then the 3 unit CHS 695 MPH capstone course.TOTAL MPH CREDITS: 37

MPH – Social Behavioral Health Option/Courses

The social and behavioral health concentration prepares professionals from a variety of disciplinary backgrounds and interests (e.g., medicine, nursing, allied health, social work, psychology, dentistry, physician assistant, health education, nutrition, etc.) to assume public health positions. Students in this concentration have an interest in maintaining and improving the health of individuals, families, communities and populations.

The social and behavioral health concentration uses a multidisciplinary approach and focuses on social, cultural, political, and economic factors that influence health status and health related behaviors of individuals and groups. The curriculum concentrates on strategies for the promotion of health and the prevention of disease in populations through public health policy and interventions in the context of social structure, community, family, and health care systems. Traditionally, program graduates have assumed positions in both public and private work settings. The MPH program can serve as preparation for doctoral studies.

MPH Core Courses – 16 credits CreditsCHS 700 Introduction to Public Health Research 1CHS 701 Social and Behavioral Health 3CHS 712 MPH Epidemiology 3CHS 725 Health and the Environment 3CHS 755 Health Policy and Administration 3CHS 780 Biostatistics 3

16

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Students in the Social Behavioral Health (SBH) Program also take these (please note the course progression):

Required Core for SBH - 12 credits CreditsCHS 705 Health Promotion Theory 3CHS 720 Program Planning and Grant Writing 3CHS 721 Program Evaluation in Public Health 3CHS 746 Culture and Diversity in Public Health 3

12

Eligible Electives – 6 credits CreditsCHS 605 Spirituality and Health 3CHS 626 Medical Anthropology 3CHS 639 Cross-Cultural Perspectives and Health 3CHS 648 Research Ethics 3CHS 660 Disability Issues in the Public Health 3CHS 676 AIDS: Psychosocial & Health Concerns 3CHS 695 Special Problems: Toxic Communities 3CHS 710 Health Behavior Change 3CHS 711 Advocacy in Health Promotion 3CHS 738 Public Health and Aging 3CHS 791 Seminar: Health Communication 3ECON 620 Economics of Health Care & Health Policy 3HDFS 637 Death & Dying: Family and Lifespan Perspectives 3HDFS 638 Children & Families in a Multiethnic Society 3HDFS 658 Families & Public Policy 3NURS 630 Aging and Health 3NUTR 720 Public Health Nutrition 3NUTR 725 Nutrition and Health 3PSY 641 Abnormal Psychology 3PSY 644 Psychology of Exceptional Children 3PSY 748 Community Psychology 3SOC 657 Society and Health 3

MPH Culminating Experience (9 credits)At the conclusion of the Epidemiology specialization, students will complete 6 units of NURS 760 in a community organization (the overlap), then the 3 unit CHS 695 MPH capstone course.TOTAL MPH CREDITS: 37

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MSN/MPH Examining Committee

As the nature of the dual degree indicates, a Masters Examining Committee will be formed by the faculty of both programs. The Committee collaborates to support the MSN/MPH Internship (covered by Nurs 760) and the MPH Capstone Course (which will include a Professional Paper).

The composition of this 4 member committee will include:

1. MSN Advisor2. MPH Capstone Course Faculty3. Graduate School Representative4. Community Preceptor

Health Insurance

All domestic degree seeking graduate students, who are enrolled in six or more credits (regardless of the course level) in a semester, will be automatically enrolled and billed for the University sponsored health insurance for each term they are eligible (fall & spring/summer). If a student has other comparable coverage and would like to waive out of the student health insurance, it is the student’s responsibility to complete the University online waiver form https://studentinsurance.wellsfargo.com/waivers/onlinewaiver.aspx?pagetype=INFTGT&waivername=unr-grad prior to the deadline. If approved, a health insurance waiver is good for the current academic year only. A new waiver must be submitted each academic year. All international graduate students are required to carry student health insurance, and the cost will be automatically added to your student account. Any international graduate students with insurance questions must contact the Office of International Students and Scholars (OISS) directly.http://www.unr.edu/grad/health-insurance

Graduate Student Association

The Graduate Student Association (GSA) represents all graduate students and promotes the welfare and interests of the graduate students at the University of Nevada, Reno. The GSA works closely with appropriate university administrative offices, including the Graduate School and Student Services and reports to the President of the University. The GSA government functions through the Council of Representatives, Executive Council and established committees. http://www.unr.edu/gsa/

Plans of Study/Advisement

Upon admission to the MSN program, students should meet with their Track Leader for advisement. During your meeting your advisor should provide you with a plan of study that will serve as an outline for progression throughout your program of study. This plan will be based on full-time, part-time or post-master’s certificate status.

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Once a semester you are required to make an appointment with your Track Leader for advisement and to ensure you are progressing as planned through the program. If for any reason the Track Leader is unavailable you may meet with the Associate Director for Graduate Programs.

Once the student has selected a chair for their Graduate Scholarship Committee, the chair and track leader will be responsible for co-advising. The chair will provide advisement for scholarship work and the track leader will provide advisement for program progression.

Timeline for Degree Completion

All MSN degree specialty tracks are designed with full and part time plans of study. Many of these options can be completed in five to eight semesters. All work toward a master’s degree (transfer credits, credits completed at UNR prior to program admission, and all examinations) must be completed within six (6) calendar years immediately preceding the granting of the degree. Requests for extensions must come from the major advisor with concurrence of the OSN Associate Director for Graduate Programs and be based on an academic or humanitarian rationale for the delay in degree completion. Not to exceed one year.

Courses and Course Load

A. Only graduate courses (numbered 600 or higher at UNR) are applicable toward the MSN degree. These include web-based courses, if available.

B. Transfer Credits: These are credits transferred from another institution. Credits completed at UNR in another program or as a graduate special do not need to be transferred. Transfer credit is requested on the Graduate Credit Transfer Evaluation Request form available on Graduate School website http://www.unr.edu/Documents/graduate-school/GraduateCreditTransferEvaluationRequest.pdf and must be signed by the student, major advisor, and graduate director. Transfer credits applied to a master’s program must comply with the time limitation on master’s work (6 years). Thus, if a student took a course five years prior to admission, they would have to complete the degree within one year for the course to apply to the degree. Credits from a completed master’s degree will be exempt from the 8-year time limitation for those students earning a doctoral degree. Additionally, no more than nine (9) credits completed either prior to admission to a graduate program or transferred from another institution may be applied to a master’s degree. The Graduate Credit Transfer Evaluation Request Form should be used to evaluate transfer credits.

C. Graduate credit may not be obtained through Extension courses or Correspondence courses.

Continuous Enrollment

To maintain “good standing” all graduate students are required to enroll in a minimum of three (3) graduate credits each fall and spring semester until they graduate. International students may be required to enroll in nine graduate credits each fall and spring semester depending on the requirements of their visa. All students holding assistantships (whether teaching or research Revision: 02/24/2011Updated: 11/11/15

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assistantships) are required to enroll in a minimum of six (6) graduate credits each semester they hold the assistantship.

Leave of Absence

Students in good standing may request a leave of absence by completing a leave of absence form available on the Graduate School website (http://www.unr.edu/Documents/graduate-school/leaveofabsencer_9.23.pdf) during which time they are not required to maintain continuous registration. Usually, a leave of absence is approved for one or two semesters. The leave of absence request may be extended by the student filing an additional leave of absence form. Students applying for a leave of absence should not have any “incomplete” grades which could be changed to “F” and have a detrimental impact on their cumulative GPA. Requests for leave of absences must be received by the Graduate School no later than the last day of enrollment for the semester the leave is to begin.

Reinstatement

When a student has been absent for one semester or more without an approved leave of absence, he or she may request reinstatement via the Reinstatement form (available on the Graduate School website http://www.unr.edu/Documents/graduate-school/noticereinstatementgraduatestanding_9.23.pdf). This form allows the program the option to recommend the student be re-admitted to their graduate program based on their previous admission OR require the student to re-apply for admission which would require students to submit a new application for admission and pay the application fee. The Notice of Reinstatement to Gradate Standing must be received by the Graduate School no later than the last day of enrollment for the semester the reinstatement is to begin.

Grades and Their Consequences(Revised 1/13/2014)

A. Good Standing: Students must maintain at least a 3.0 GPA. To be counted toward your master degree, each graduate course must be completed with a grade of “B” or better. However, to remain in good standing in the program, students are required to maintain a 3.0 “B” grade point average in both the core and the specialization individually.

B. Probation/Dismissal: If the graduate grade-point total is 2.3-2.99 the student will be placed on probation and must then raise the cumulative graduate GPA to 3.0 by the end of the following semester or the student will be dismissed from graduate standing. If the student’s GPA is 2.3 or less the student is dismissed from graduate standing, or if the student’s GPA remains below 3.0 of two (2) consecutive semesters, the student is dismissed from graduate standing.

C. A student may register for a course only two times. A student who has registered for the same course twice and has withdrawn, or received a grade less than a “B”, is ineligible for progression in any track of the MSN program. Revision: 02/24/2011Updated: 11/11/15

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D. If a student fails (receives less than a “B”) two courses or has withdrawn from two courses, he/she is ineligible for readmission unless approved by the OSN Associate Director of Graduate Program

Graduate Grading Scale Policy*Purpose: To provide consistency in grading across the graduate curriculum, the following grading scale is to be used by the Orvis School of Nursing faculty for all graduate courses

GRADE                   POINTS/PERCENT A             95.00-100A-            90.00-94.99B+            87.00-89.99B             83.00-86.99**B-            80.00-82.99 C+ 77.00-79.99C 73.00-76.99C- 70.00-72.99D+ 67.00-69.99D 63.00-66.99D- 60.00-62.99F <60.00

*Approved by the OSN graduate committee February 11, 2008.**A final grade below B in any graduate nursing course is considered as not passing.

GRADUATE ASSISTANTSHIPS

All graduate students holding an assistantship (teaching GTA or GRA) are considered Nevada residents for tuition purposes. Non-resident tuition is only waived for the duration of the assistantship. To be eligible for an assistantship, students must be admitted to a degree-granting program and be in good academic standing. The student must have an overall GPA of at least 3.0 and must be continuously enrolled in at least 6 graduate level credits (600-700) throughout the duration of the assistantship.

State-funded assistantships (GTA/GRA) may be held for a maximum of: three (3) years for master’s degree students and five (5) years for doctoral degree students.

The following links provide general information and the GA handbook. General information: http://www.unr.edu/grad/funding/graduate-assistantshipsGraduate Assistantship handbook: http://www.unr.edu/Documents/administration-finance/hr/hr-graduate/GA_handbook.pdf

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Important Forms

Most forms that will be needed throughout your graduate coursework can be found on the Graduate School webpage at the following address: www.unr.edu/grad/forms

Graduate Progression Forms Program of Study Requirements

http://www.unr.edu/Documents/graduate-school/program-of-study.pdf Declaration of Advisor http://www.unr.edu/grad/forms/delcaration-of-advisor Change in Program of Study Graduate Credit Transfer Evaluation Request Change of Advisory Committee Leave of Absence Notice of Reinstatement to Graduate Standing

Graduation Forms Graduation Application http://www.unr.edu/grad/forms/graduation-application Notice of Completion http://www.unr.edu/Documents/graduate-school/notice-of-

completion-master-degree.pdf Final Review Approval http://www.unr.edu/Documents/graduate-school/thesis-final-

review-appoval-form.pdf Master’s Thesis Filing Guidelines http://www.unr.edu/grad/forms/thesis-filing-guidelines Exit Survey http://www.unr.edu/grad/forms/exit-survey

MSN Clinical Practicums Requirements

Practicums/Clinical PlacementAll practicums/clinical placements for students are a collaborative arrangement. While students may have ideas for where they would like to have clinical experiences, these must be discussed and approved by the track advisors and faculty of record for that specific course prior to meeting with any prospective preceptor. A "Memorandum of Agreement" (Appendix G), outlining the agreed upon relationship between each preceptor and student must be completed and provided to the Track Advisor and course faculty for approval prior to the first week of the semester. We need up to date Curriculum Vitae for of clinical preceptors. Some practicum settings require a full contract with the University. Contracts can take up to 6 months, at times longer, to obtain. Please keep this in mind when considering preceptors and settings.

Fit for DutyAll students must be able to meet the minimum requirements of the job description for their specialty within the practicum settings they have been assigned. As part of the admission process, MSN students were required to have a physical examination and provide a note from their MD or practitioner stating “fit for duty”. If for any reason during the program, your physical status changes, you must provide an updated “fit for duty” note from your practitioner

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in order to return to the practicum setting. In the case of a serious injury or illness, you may request a leave of absence.

In addition, students must have current documentation of program requirements (Unencumbered license, Immunizations, BLS, ACLS, TB, Professional Liability, etc.) within their on campus files. It is the student’s responsibility to ensure that their documents are kept current. Students will not be allowed in the clinical setting if any document is missing or expired.

Standards of ConductIn any class/practicum related activity, students must demonstrate behaviors consistent with the ANA Code of Ethics and the Nursing Scope of Practice.

Dress/Uniform (updated and approved 12/8/2014)

For clinical/practicum rotations, students are required to dress in business/professional or navy blue scrubs and a white lab coat with the University of Nevada, Reno embroidered logo. A name badge will be provided for you and must be worn during all practicum hours. If the name badge is lost, the student will need to purchase a replacement badge. Additionally, you must have your identification (UNR/Wolf Card ID) badge visible. Obtain your UNR/Wolf Card ID at the Wolf Card Office in the Joe Crowley Student Union, room 204. Photo identification (driver’s license, passport, etc.) is required. ID cards may only be issued to students who have registered for classes.

Exceptions to this policy are otherwise defined by the environment in which the student is assigned (i.e. Pediatrics, Psych/Mental Health). Clinical sites may also provide additional identification that is required to be worn by the student during practicum hours. Students may be sent home from clinical sites for failure to comply with required dress/uniform standards.

AbsenteeismEach Master’s track has very specific clinical hour requirements to ensure eligibility for certification testing within that specialty. Clinical hours are expected to be completed within the semester assigned. Clinical hours may not be “banked” and rolled over to another semester. Based on those requirements, any missed clinical hours will need to be made up before the end of the semester for that course, otherwise a student may receive and unsatisfactory grade and have to repeat the course.

If unforeseen circumstances arise, (i.e. hospitalization), the student may request an incomplete for the course and complete the course during the next offered semester (this may delay progression within the program).

Chair and Graduate Scholarship Committee

The Declaration of Advisor/Major Advisor/Committee Chair Form This form must be received by the graduate School no later than the end of the second semester for all master’s students. The form can be found on the graduate school website at http://www.unr.edu/grad/forms/delcaration-of-advisor

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A. Prior to the completion of 12 credits, the student will select a chair. It is the student’s responsibility to meet with a potential Chair(s) to discuss development of a Committee. All OSN Graduate Faculty (doctoral prepared) members are eligible to fill this role. When a faculty member has agreed to chair the student’s committee, the completed Declaration of Advisor/Major Advisor/Committee Chair Form (Appendix B-1) and the Request for Graduate Advisory Chair (Appendix B-2) will be submitted to the Associate Director of Graduate Programs.

B. The committee Chair is the graduate faculty member who will guide the student in developing the thesis, professional project, or professional paper proposal and in implementing the various steps of that proposal. The Chair and student will determine other committee members to complete the committee makeup. The second committee member will be another OSN faculty member approved by the Graduate School and ideally, someone with some understanding of the student’s chosen area of concentration. The third faculty member; Graduate Representative, is generally selected from the university-at-large. According to the graduate school, the university-at-large member is given the role of representing the graduate school, assuring compliance with graduate school regulations and procedures and reporting any deviation from prescribed standards to the graduate school.

C. The Graduate School rule regarding committees is that they should be formed prior to completion of 12 graduate credits.

D. Graduate Scholarship Committee members must have graduate faculty status or approval of the Dean of the Graduate School. Contact the OSN Associate Director of Graduate Programs to initiate this request.

E. Students working on a project in the community may find it helpful and even vital to include a key person from the workplace on their committee. Preferably, this person should be doctoral educated (Ph.D., Ed.D. Dr.P.H., M.D., etc.), in which case it may be possible to obtain Graduate School approval for their role as an official committee member. If this is not possible, this person can at least serve on the committee ex officio. Contact the OSN Associate Director of Graduate Programs to initiate this request.

F. The student’s Chair and committee should meet with the student to review, approve, and, sign off on the student’s Program of Study, which should be detailed on the Graduate School’s Program of Study Form.

Program of Study

A. Students should discuss their program of study with their Track Leader advisor. The responsibility for approving a student’s program of study lays with the student’s Chair, other members of his/her Graduate Scholarship Committee, the track leader, and the Associate Director for Graduate Programs. This information is recorded by the student on the Graduate School’s Program of Study Form, (an example is provided in Appendix C) which, once finalized,

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must be signed by the Committee Chair, and each member of the Graduate Scholarship Committee and forwarded to the Associate Director of Graduate Programs for approval. Once the Program of Study form has been reviewed and approved by the Associate Director of Graduate Programs, the student will submit the form to the Graduate School. The student should make a copy of the original form for their student file prior to submitting to the Graduate School.

B. Elective-course choices should be made in collaboration with the student’s Chair and support the student’s areas of specialization and her/his research and professional interests. All degree requirements including elective courses must be included on the Program of Study Form.

Important note: The Program of Study Form should be submitted to the Graduate School as soon as possible after the completion of 12 credits in the program. Should a student need help with course decisions prior to selecting a Chair and committee, the Associate Director of Graduate Programs can assist in approving and recommending courses. If elective-course choices change, an amended Program of Study Form should be completed, necessary signatures obtained, and the form submitted to the Graduate School.

Research/Scholarship RequirementIntroduction

A standard of graduate nursing education is scholarship. The student is expected to develop a topic of scholarship prior to completion of 12 credits. The scholarship requirement consists of one of the following: (1) thesis, (2) professional project, or (3) professional paper. Prior to the completion of 12 credits, the student is expected to complete the Request for Graduate Advisory Chair and Declaration of Advisor form (Appendices B1 and B2). These forms begins the process for identifying a Chair (must be a doctoral prepared nursing faculty member) and two other committee members, one within the School of Nursing and one outside the School of Nursing with graduate faculty status or approval from the Graduate School director.

I. Thesis (Plan A)

Definition:The MSN Thesis is nursing oriented in nature and requires independent research processes aimed at discovery and/or development of elements or relationships derived from theory. The MSN thesis, while research based, does not necessarily require the generation of new data. The thesis requires a minimum of 6 credits (NURS 797) and is graded as satisfactory or unsatisfactory (S/U).

Objectives: Provides the student with the opportunity to:

1. generate a research question/hypothesis within a theory/conceptual framework 2. analyze the relevant literature, 3. implement the research with an appropriate design, 4. analyze and interpret data, and 5. Make recommendations for replication, revisions, or future investigations.

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General Thesis Guidelines (Revised and approved 11/24/2011 by OSN Graduate Committee)

The following guidelines are provided to assist you in preparation of your thesis. Always refer to your chair for any specific questions and timelines.

1. Choose a Chair for your thesis Committee. It is suggested that at the end of NURS 735, (Introduction to Knowledge Development and Scientific Inquiry) the student should seed a faculty member to serve as chair of their thesis committee. The Request for Graduate Advisor Chair and the Declaration of Advisor/Major Advisor/Committee Chair (Appendices B-1 & B-2) forms must be completed and signed by the requested faculty who will serve as chair of the thesis committee. The completed form must be submitted to the Associate Director of Graduate Programs.

2. Negotiate with chair to set a meeting time to discuss your topic of interest.

3. The Chair and student will select additional Committee members. The Committee is composed of three members, two nursing faculty members (one, doctoral prepared, serving as chair) and one discipline outside of nursing members.

4. Thesis Proposal Meeting and completion of Program of Study. The student will meet with his/her chairperson and discuss dates for a Thesis Proposal meeting, keeping in mind the calendars of other committee members for mutual date. Prior to initiation of the research, all details related to the thesis must be discussed, negotiated, and approved by the student’s Thesis committee. Program of Study Form. This form can be located on the Graduate School website under forms. Obtain chair, committee members, Associate Director of Graduate Programs, and graduate school signatures. Make sure a copy of this form is placed in your file.

5. Begin writing, following the Thesis/Dissertation guidelines and submission requirements found on the graduate school website under forms. In addition, The Thesis Design (Appendix D) is provided to guide you with your writing.

6. Submit the first three chapters of your thesis to your chair for review. Your chair will decide when it is appropriate to submit your writings to other members of the committee.

7. Negotiate with Chair setting a date and time for proposal meeting.

8. Once you have obtained approval from your Chair and Committee members begin Institutional Review board (IRB) application process. Guidelines for submitting an IRB application can be found on the Research Integrity Office website. If not already

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completed you will need to complete the Collaborative Institutional Training Initiative (CITI) course prior to applying to the IRB.

9. Once you have received IRB approval you may begin your data collection.

10. Begin writing Chapters 4 and 5 and submit to Chair. Once approved by Chair, you may submit your writings to other members of the committee.

11. Set final defense date. Pay very close attention to timeline requirements and important dates located on the Graduate School website. Students wishing to have the Graduate School post an announcement of the thesis defenses for your program area please submit the request to Kara Cleveland and they will list your defense. The Graduate School will delete the announcement after the event has taken place.

12. The final copy of your thesis will be submitted to the Committee 2-4 weeks prior to your final defense date. The exact timeframe of this submission will be determined by your chair.

13. Thesis Defense. Two (2) hours should be scheduled for this defense. Bring to your defense completed, for signature, The Master’s Degree—Notice of Completion form. This form can be found on the Graduate School website.

14. Submit your thesis to the Graduate School via option 1 (electronic) or option 2 (paper) in accordance with Thesis/Dissertation guidelines and submission requirements, located on the Graduate School website.

15. Don’t forget to register for Graduation!

II. Professional Project (Plan B)MSN Project Guidelines (NURS 798)

(Revised and approved 02/03/14 by OSN Graduate Committee)

OSN Definition of Professional Project: The MSN Professional Project will be appropriately oriented to the graduate student’s focus, and may be broad in application. The project does not need to be research based. It should apply to either the student’s work or other professional setting or to a selected advanced nursing role, e.g. educator, practitioner, care manager, etc. The Professional Project requires a minimum of 3 credits (NURS 798, that may be divided over multiple semesters) graded “A” through “F” or “I”. One credit of (NURS 795R) may be taken concurrently per Chair advisement, see section IV.

The Project Objectives from the Graduate Handbook: Provides the student with the opportunity to do one of the following:

1. participate in a part of a research study led by a scholar, 2. develop a health promotion project for a community or healthcare agency, 3. create an educational program for a health care problem,

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4. perform a community assessment for health development, 5. develop a commendable project as determined by the Graduate Scholarship Committee

General Project Guidelines:The following guidelines are provided to assist you in preparation of your project. Always refer to your Chair for any specific questions and timelines. Disregard any steps related to Oral Comprehensive Examination if not taking concurrently with NURS 798.

1. Choose a Chair for your committee. It is suggested that at the end of NURS 735- Introduction to Knowledge Development and Scientific Inquiry the student should seek a faculty member to serve as chair of their project committee. The Request for Graduate Advisory Chair and the Declaration of Advisor/Major Advisor/Committee Chair (Appendices B-1 & B-2) forms must be completed and signed by the requested faculty who will serve as chair of the committee. The completed form must be submitted to the Associate Director of Graduate Programs.

2. Negotiate with your Chair a meeting time to discuss your topic of interest and to identify other appropriate Committee members. The Committee is composed of three members; two nursing faculty members (The Chair must have a doctorate and graduate faculty standing. Requested justification and permission must be submitted of MSN specialty faculty to serve as readers on the Research/Project committee) and one Graduate Faculty member from a discipline outside of nursing.

3. Working with all Committee members, schedule a date for your proposal defense date and Oral Comprehensive Examination if taking concurrently. Please review separate guidelines (see page 23).

4. Submit a brief summary of your project proposal to all committee members once approved by your Chair and at least two weeks prior to the proposal defense following the NURS 798 Project Rubric as an outline (See Appendix E). Oral Comprehensive Examination will be scheduled for the same date if taking concurrently. This summary should be no longer than three pages and clearly describe your intended project. At a minimum, your summary must include the background, significance, statement of problem, need/rationale for project, purpose, activities included, timeline, costs and resources necessary for completion of the project. This summary is a starting point for your project and you should expect that Committee members will provide substantial feedback, suggestions, and modifications.

5. Upon successful completion of your proposal defense you will complete the Program of Study form. This form can be located on the Graduate School website under forms. Obtain chair, committee members, graduate coordinator, and graduate school signatures. Make sure a copy of this form is placed in your file. If not taking concurrently, discuss with your committee scheduling a date for Oral Comprehensive Examination (NURS 795). This must be completed by your last semester of study.

6. Upon successful defense of your Project Proposal, work with your Chair to initiate the

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IRB approval (if needed). IRB approval must be completed prior to initiation of any work.

7. Implement your project.8. Upon completion of your project, begin writing a formal Written Summary of your

Project.9. Schedule a Final Project Defense date with all Committee Members. This meeting

should be schedule for 2 hours. The final copy of your written Project Summary must be submitted to the committee at least 2-4 weeks prior to your final defense date. The exact timeframe of this submission will be determined by your Chair, but must comply with Graduate School timelines if completed in the final semester of coursework. Please be aware that Graduate School deadlines for approval of Projects may be substantially earlier than the actual graduation date in any given semester.

10. Bring to your defense the completed the Master’s Degree – Notice of Completion form. This form can be found on the Graduate School website. Committee members will sign this form upon successful defense of the project.

III. Professional Paper (Plan B)

MSN Professional Paper Guidelines (NURS 798)(Revised and approved 02/03/14 by OSN Graduate Committee)

OSN Definition of Professional Paper: The MSN Professional Paper will be will be appropriately oriented to the graduate student’s focus, and may be broad in application to nursing; nursing education, care management, leadership, or health oriented in nature and requires preparation of a high-quality manuscript prepared in a format ready for a peer reviewed manuscript submission. The Professional Paper requires a minimum of 3 credits (NURS798) graded satisfactory or unsatisfactory (S/U), and 1 credit (NURS 795R) graded satisfactory or unsatisfactory (S/U), see section IV.

Objectives: Provides the student with the opportunity to do one of the following:

1. a critical integrative review of the literature on a specific topic, 2. an evidenced-based nursing protocol, 3. a committee approved manuscript

General Professional Paper Guidelines:The following guidelines are provided to assist you in preparation of your professional paper. Always refer to your Chair for any specific questions and timelines.

1. Choose a Chair for your committee. It is suggested that at the end of NURS 735- Introduction to Knowledge Development and Scientific Inquiry the student should seek a faculty member to serve as chair of their professional paper committee. The Request for

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Graduate Advisory Chair and Declaration of Advisor/Major Advisor/Committee Chair (Appendices B1 and B2) form must be completed and signed by the requested faculty who will serve as chair of the committee. The completed form must be submitted to the Associate Director of Graduate Programs.

2. Negotiate with your Chair a meeting time to discuss your topic of interest and to identify other appropriate Committee members. The Committee is composed of three members; two nursing faculty members (at least one of which doctoral prepared serving as chair) and one Graduate Faculty member from a discipline outside of nursing.

3. Working with all Committee members, schedule a date for your Oral Comprehensive Examination. Please review separate guidelines (see page 23).

4. Submit a brief summary of your professional paper proposal to all committee members after it is approved by your Chair and at least two weeks prior to the Oral Comprehensive Examination date. This summary should be no longer than three pages and clearly describe your intended professional paper. At a minimum, your summary must delimit a specific problem or topic for exploration, analysis, to ground the analysis in a relevant body of theory and literature, include the background, significance, statement of problem, and need/rationale for professional paper. This summary is a starting point for your professional paper and you should expect that Committee members will provide substantial feedback, suggestions, and modifications following successful completion of your Oral Comprehensive Examination.

5. Oral Comprehensive Examination and completion of Program of Study – upon successful completion of your Oral Examination you will complete the Program of Study form. This form can be located on the Graduate School website under forms. Obtain chair, committee members, graduate coordinator, and graduate school signatures. Make sure a copy of this form is placed in your file.

6. Begin writing your formal Professional Paper proposal following the NURS 798 Professional Paper Rubric as an outline (See Appendix F). Submit drafts of your proposal to your Chair for review. Your Chair will determine when your draft is ready for submission to other Committee members.

7. Schedule a formal Proposal Defense with all Committee members. This can be scheduled for the same day as the Oral Comprehensive Examination, but may take place only after successful completion of the Comprehensive Exam. Your Chair will determine what presentation format is suitable for your Proposal Defense.

8. Upon successful defense of your Professional Paper Proposal, begin writing your paper. 9. Submit drafts to your chair. Your chair will determine when appropriate to send a draft

to other committee members. 10. Schedule a Final Professional Paper Defense date with all Committee Members. This

meeting should be schedule for 2 hours. The final copy of your written Professional Paper must be submitted to the committee at least 2-4 weeks prior to your final defense date. The exact timeframe of this submission will be determined by your Chair, but must

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comply with Graduate School timelines if completed in the final semester of coursework. Please be aware that Graduate School deadlines for approval of Professional Papers may be substantially earlier than the actual graduation date in any given semester.

11. Bring to your defense the completed the Master’s Degree – Notice of Completion form. This form can be found on the Graduate School website. Committee members will sign this form upon successful defense of the professional paper.

IV. Comprehensive Examination

Oral Comprehensive Examination Procedure/Guidelines

The Oral Comprehensive Exam is required for those students choosing the Professional Project or Professional Paper option. The purpose of the Oral Comprehensive Exam is to assess the student’s ability to articulate graduate level nursing knowledge and their readiness to begin the professional project/professional paper process (Pages 20-23). This exam is graded satisfactory or unsatisfactory (S/U).

Composition of Committee

The Committee is composed of three members, two nursing faculty members (one, doctoral prepared, serving as chair) and one discipline outside of nursing member. It is the responsibility of the chair to provide the student with a copy of the questions and assist the student in preparation for the Oral Comprehensive Examination.

Question Selection and Preparation

The student will select one question from each section of the Oral Comprehensive Review Questions to present during the comprehensive examination. Preparation should include: a) a general overview of their learning from the three (3) core courses (NURS 735, NURS 736, and NURS 737); b) how each of the core courses applies to their future role as a CNL, Educator, or FNP; and c) how knowledge from each of the core courses applies to their project or professional paper.

Scheduling and Procedure of Oral Comprehensive Examination

1. Enrollment in NURS 795, one (1) credit. Students may also enroll in NURS 798 for one (1) or more credits at this time per recommendation of Chair/Advisor.

2. The Oral Comprehensive Examination will be conducted after completion of the three (3) core courses (NURS 735, NURS 736, and NURS 737) or may be conducted during the same semester as the last of the core course is being taken. The student will meet with his/her chairperson and discuss dates for completing the oral exam, keeping in mind the calendars of other committee members for mutual date. If not already done, the student must complete the Declaration of Advisor form. The Program of Study if not already completed will be signed by all members of the

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committee at the time of the comprehensive exams. Check the Graduate School website, for important due dates.

3. Two (2) hours should be scheduled for the exam.A. The first hour* will consist of the student presentation and a

question/answer session. In order to maintain articulation, the student may refer to a note cards, an outline, or power point slides, which must be approved by and submitted to the Chair 2-weeks prior to the scheduled examination date. At the end, the student will be asked to leave the room in order for the committee to discuss the student’s responses and complete the grading rubric (Appendix F). The Chair will then ask the student to return to the room and inform the student whether the exam was Satisfactory/Unsatisfactory. Two of the three committee members must vote Satisfactory for the student to pass. A Satisfactory must be achieved for the student to be advanced. Completed rubrics will be placed in the student’s file.

B. The second hour* will serve one of two purposes:SatisfactoryIf the student has received a Satisfactory on their examination, this time will be utilized for discussion about the proposed project or professional paper. Edits and an agreement about the final project or professional paper will be identified on the grading rubric or the Graduate Student Acknowledgement of Project/Paper Responsibilities form.

UnsatisfactoryIf the student receives an Unsatisfactory, the committee will provide recommendations for further development and preparation. Comments and agreements will be identified on the grading rubric or the Graduate Student Acknowledgement of Project/Paper Responsibilities form. Re-examination must occur the following semester. The committee members will determine if the students will be allowed to begin their Research Project or Professional Paper before successful completion of the Comprehensive Exam. It is the student’s responsibility to reschedule the examination. The Oral Comprehensive Examination may be repeated only once. If the student fails a second attempt, they will be dismissed from the program.

*Time Approximates.

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GRADUATION PROCESS

A. Students have a total of 6 calendar years to complete all master’s degree requirements.

B. The student should purchase a Graduation Application and submit this completed form to the graduate coordinator according to the deadlines listed in the printed semester schedule and on UNR’s Graduate School webpage. Generally these deadlines will be in the first few days of December for graduation the following May and in the first few days of May for graduation either the following August or December. Note that only May and December have official graduation ceremonies.

C. A Program of Study Form must be completed by the student and approved/signed by all members of the student’s Graduate Scholarship Committee upon completion of 12 credits toward the MSN degree. The program of study form is then forwarded to the graduate coordinator for approval and then to the Graduate School for final approval.

D. An oral presentation and defense of the student’s project or thesis to her/his Graduate Scholarship Committee and other interested faculty and students must occur prior to the final exam period of the semester in which the student plans to graduate.

E. For those completing a thesis, following the successful completion of this presentation/defense, the student’s committee should sign the necessary thesis cover sheets and two unbound copies of the thesis, including signature page, should be submitted to the Graduate School at least one week prior to the end of the semester.

Important note: The “end of the semester” is usually the Monday following the end of the final examination period.

F. Following the successful completion of the above, the graduate coordinator will send a Notice of Completion to the Graduate School—a necessary component of the final approval of the student’s graduation.

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Appendix AGraduate Program Terminal Objectives

(Based on Revised AACN Essentials)(UCCC Approved 2/6/12)

1. Integrate scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

2. Provide advanced ethical, evidence-based nursing services for multi-cultural and ethnic individuals, families, aggregates, and select populations.

3. Apply patient care and communication technologies to deliver, enhance, integrate, and coordinate care.

4. Collaborate with other professionals and members of the community to provide optimal coordinated health care to individuals, families, special populations, and communities with an emphasis on health promotion and disease prevention.

5. Respect diversity to address the complex health care needs of persons, including the un-served and under-served populations and communities in the role of nurse leader, educator, and/or advanced practice nurse.

6. Participate in the ethical organization, management, and policy negotiations of health care delivery systems, while using advocacy strategies to influence health and health care.

7. Participate in the application of safe patient care and quality health care practices.8. Participate in the development of nursing as a science through the use of theory, research,

and scientific processes, while acquiring a foundation for doctoral study.

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Appendix B-1

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Appendix B-2

Request for Graduate Advisory Chair

Orvis School of Nursing

University of Nevada, Reno

Student Name: __________________________________________

Program Track: _____CNL _____FNP _____ PMHNP_____ Nurse Educator _____DNP

Full Time: _____ Part Time: _____

Anticipated Date of Graduation: ___________________________

The above student requests _________________________________ (name of faculty) to serve as chair of their committee for their Thesis/Professional Project/Professional Paper.

My signature below indicates that I agree to serve as chair for this student’s committee.

_____________________________________________Faculty Signature

_____________________________________________Printed Name

Return Completed Form to: Dr. Stephanie DeBoor _________________________________

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Appendix C

Program of Study EXAMPLE

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Appendix DThe Thesis Design

I. Chapter 1 - THE STUDY PROBLEM i. Introduction (Background)

A succinct overview of key literature to introduce the reader to the focus of the study DO NOT give an elaborate presentation – save for Chapter 2 DO NOT justify the study until after the problem statement

ii. Statement of the Problem Clear and concise direct statement of the problem in 1 or 2 sentences

iii. Purpose of the Study The Scientific Merit Why are you studying this? What do you plan to achieve? Is it worth the effort?

iv. Significance of the Study Explain the potential broad impact of this study to advance nursing practice or science Applicability: How helpful will it be – and to who? Who can use these findings?

v. Scientific and Theoretical Assumptions

What are the a priori assumptions about this research? These assumptions should simplify the variables or the method to be considered. These are not generic but are your assumptions as the researcher on what you will

study. If it is a questionable assumption, then make it a limitation. Example: subject recall

bias

vi. Research Questions & Hypotheses Questions for descriptive Hypotheses for experimental/analytical Objectives for outcomes research or project

vii. Limitations These are the constraints on the study, who/what is studied and who/what is not Biases: sampling, subject recall, interviewer, misclassification Potential confounders (extraneous variables) Inability to generalize the anticipated findings Keep the study clean and not littered with extraneous variables

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viii. Conceptual and Operational Definitions Operationally define each element in your hypothesis and variables Definitions for the reader

ix. Theoretical/Conceptual Framework Define the theoretical or analytical framework. Why is it appropriate? Visual diagram showing relationships for hypothesis or question

II. Chapter 2 - REVIEW OF THE LITERATURE Start broad and then narrow to the specific literature for your study Concept mapping (visual of related concepts & effect modifiers)

Example: Depression, Depression in adolescents, Depression in Latino Adolescent girls

III. Chapter 3 - METHODOLOGY i. Research Questions & Hypotheses (repeat)

ii. Research Design Quantitative, qualitative name of design: cross-sectional, pre-post, descriptive,

phenomenological …) Explain why the design is most suitable

iii. Description of Setting Where? (Hospital, Alaska, homeless shelter, on a ship) Who is the population you will draw the participants from?

iv. Sample

Size (power calculation) or planned size and how determine saturation in qualitative Who are the subjects, participants, informants? Criteria to be in the study or excluded.

“The eligible participants were adults aged 20 years or older with a minimum of 7-years residency, thereby allowing assessment of chronic exposure.”

v. Human Subjects Protection

IRB submission Consents

“The study protocol will be approved by the Institutional Review Board of the University of Nevada-Reno prior to data collection. Written informed consent will be obtained from all participants in person by the PI prior to data collection.”

vi. Data Collection Who collects it? (Self-administered, interviewer – who are they, only the PI?)

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When? Time schedule How? Sampling: Random, convenience, purposeful…

“To obtain a geographically representative sample, participants were systematically selected by every third household on all streets in …”

vii. Research Instruments Describe and why you are using this questionnaire or tool. Existing instrument: reliability and validity previous, how it has been used. New Instrument: how you will test validity and reliability Apparatuses needed

viii. Procedure How will you collect these data? Obtain Consent? Take a blood pressure? What comes first, second, third? This is a recipe of your study that someone could follow if they wanted to replicate or

conduct a similar study.

ix. Data Analysis How will you clean and prepare these data Level of measurement and statistical test(s) State the computer programs will you use to analyze (SPSS Version14) Qualitative analysis.

x. Budget & Funding (think early)

IV. Chapter 4 - RESULTS i. Description of Sample

Demographics of the sample population

ii. Findings Not raw data but the analysis results Not interpretation or new hypotheses – Just the results objectively. Tables, graphs, and interpretation

V. Chapter 5 - DISCUSSION

i. Description of the study: one paragraph

ii. Summary of Major Findings: one paragraph or so

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iii. Limitations (repeat & discuss) “This cross-sectional study had several potential limitations. First,..”

iv. Discussion: the fun part to talk about what you found, how it supports/contradicts the theory or

current body of evidence. What you think!

v. Implications for Nursing Practice How does this change practice? How does this advance our knowledge or understanding?

vi. Recommendations for Future Research What are you going to do next – or should be done given the opportunity?

vii. Conclusions DO NOT restate results – think hypothesis or research question.

“Long-term residency in degassing volcanic areas may adversely influence cardio-respiratory health in adults.”

Be unbiased The statements that will follow your research, so be clear and humble or bold.

Helpful Comments :

Write formal, third person tense The word data is plural “These data are …” Write in Future tense for the proposal

“This study will….” “The study will provide a better understanding about….”“The following research questions will be asked:”“These data will be analyzed….” Write in Past tense for the thesis “showed, took, obtained, was associated with, data

were analyzed with, reported, described, …”

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Appendix E

Orvis School of Nursing, Master of Science in Nursing Program Advising GuidelinesNURS 798 Research Project

(Approved and Accepted 9/23/13)

The project may consist of one of the following:1. Participation in a part of a research study led by a scholar, 2. Development of a health promotion project for a community or healthcare agency, 3. Creation of an educational program for a health care problem, 4. A community assessment for health development, 5. Development of a commendable project as determined by the Graduate Schools Graduate

Scholarship Committee 6. Written Professional paper

Advising Guidelines to ConsiderItem Goal for Student Comments

Abstract The abstract captures the elements of the proposal, is succinct, well organized, and well written.

Background The background is extensive and provides detailed information on the project.

Problem The problem statement is succinct, yet thoroughly describes the project

Need/rationale for the project

The description of the need or rationale for the project is described in detail, is reasonable, and contributes to the profession.

Purpose The purpose is well stated, relates to the student’s major, and is commendable.

Review of literature to document need/purpose

The review of the literature is well organized, written, referenced, and relates to the project.

Summary of the literature

The summary of the literature is succinct, applies to the project and its purpose, and is well written and referenced.

Activities to complete project

The proposal includes in detail the activities necessary to carry out the project.

Resources necessary for activities

The resources necessary for the project are described in detail.

IRB (if appropriate)

The IRB proposal has been completed and is ready for submission.

Timeline The timeline with benchmarks are listed and is reasonable.

Costs, if any A detailed budget with costs and resources to cover the costs is included.

PowerPoint Presentation

The PPT is well organized, interesting, and includes all components of the proposal. The oral presentation reflects an in-depth understanding of the project and the processes for completing it.

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Appendix F

Orvis School of NursingMSN Graduate Oral Comprehensive Exam Rubric (revised 917/12)

Student: Track/Program: _____________________

The purpose of the oral comprehensive examination is to evaluate this student’s ability to apply advanced clinical and theoretical knowledge in a selected area of specialization (AGACNP, FNP, PMHNP, CNL, or Educator) and to critique research as it relates to that area. The student has previously selected three questions from each course below for the comprehensive examination.

NURS 735 R - INTRO TO KNOWLEDGE DEVELOPMENT AND SCIENTIFIC INQUIRY

Satisfactory Unsatisfactory Comments

Answer showed ability to analyze, synthesize, and evaluate information from a variety of sources

Demonstrated the application of knowledge to their future nursing role

NURS 736 - HEALTH CARE POLICY AND SOCIAL JUSTICE Satisfactory Unsatisfactory Comments

Answer showed ability to analyze, synthesize, and evaluate information from a variety of sources

Demonstrated the application of knowledge to their future nursing role

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NURS 737 - POPULATIONS AND AGGREGATE HEALTH ISSUES Satisfactory Unsatisfactory Comments

Answer showed ability to analyze, synthesize, and evaluate information from a variety of sources

Demonstrated the application of knowledge to their future nursing role

Additional Questions Satisfactory Unsatisfactory Comments

Correctly answered

Used terminology that conveyed meaning with precision and in accordance with the discipline

Overall Evaluation of the Written Comprehensive Examination

Satisfactory Pass:

Unsatisfactory:

Remediation recommended in the following areas:

Signature of Evaluation Faculty: Date ___________

Committee Role: _____________________________

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Appendix GMemorandum of Agreement (for Clinical Placement) EXAMPLE

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