Nurse Midwifery

 

1. Gather relevant data from multiple sources
2. Analyze and synthesize data to identify and prioritize problems
3. Develop and implement management plans using the best available evidence
4. Evaluate outcomes and modify management plans

1. Evaluate clinical evidence from multiple sources
2. Identify clinical challenges and participate in scholarship
3. Apply clinical scholarship to improve outcomes in health care.

1. Provide midwifery leadership to improve client/family outcomes and shape health systems
2. Demonstrate professionalism and integrity in interactions with clients, colleagues, and systems.
3. Collaborate with clients and colleagues to improve access to and quality of health care.
4. Act as a catalyst for assuring access to timely, quality health care for all people, irrespective of race, ethnicity, gender, or social status.
5. Participate in professional activities such as education and the political process.

 

Core Courses

Course ID	Title	Credits
NSG 876	Leadership and Health Policy	3
NSG 877	Healthcare Economics	3
NSG 824	Advanced Health Assessment and Diagnosis	3
NSG 827	Epidemiology for Clinical Practice	3
NSG 855	DNP Advanced Practice Role Development	2
NSG 910	Philosophy of Science & Theory in Nursing	4
NSG 831	Advanced Clinical Pathophysiology	3
NSG 830	Advanced Pharmacology	3
NSG 947	DNP Project Seminar 1	1
NSG 948	DNP Project Design and Methods	2
NSG 949	DNP Project Implementation and Evaluation	2
NSG 950	DNP Project Seminar II	1
	Total	30

Concentration-specific Courses

Course ID	Title	Credits
NMW 800	Birth Matters: A Midwifery Perspective	1
NMW 802	Midwifery Care of Women	3
NMW 803	Midwifery Care of Women-Practicum	2
FNP 808	Health Promotion for Family Nurse Practitioners	2
NMW 804	Midwifery Care During the Antepartum Period	3
NMW 805	Midwifery Care During the Antepartum Period-Practicum	3
NMW 806	Midwifery Care During the Intrapartum and Postpartum Periods	4
NMW 807	Midwifery Care During the Intrapartum and Postpartum Periods-Practicum	3
NMW 808	Midwifery Care of the Newborn	2
NMW 809	Integrated Midwifery Practicum	2
NMW 810	Social Determinants of Health	1
NMW 811	Complex Obstetrics and Midwifery Care	2
NMW 812	Complex Obstetrics and Midwifery Care -Practicum	2
NSG 926	DNP Synthesis Practicum: FNP	6
	Total	36
	Post-BSN DNP Total Credits:	66
	Total Clinical Hours:	1200

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Core Courses

Course ID	Title	Credits
NSG 876	Leadership and Health Policy	3
NSG 877	Healthcare Economics	3
NSG 827	Epidemiology for Clinical Practice	3
NSG 910	Philosophy of Science & Theory in Nursing	4
NSG 947	DNP Project Seminar I	1
NSG 948	DNP Project Design and Methods	2
NSG 949	DNP Project Implementation and Evaluation	2
NSG 950	DNP Project Seminar II	1
	Total	19

Concentration-specific Courses

Course ID	Title	Credits
FNP 806	Integrated Behavioral Health Care	3
NSG 960	Directed Study: Complex Obstetrics	4
NSG 926	DNP Synthesis Practicum: FNP	6
	Total	13
	Post-MSN DNP Total Credits:	32
	Total Clinical Hours:	480

 Individual course details and descriptions can be viewed in the College of Nursing section of the 2020-2021 Academic Bulletin.

In addition the technical and performance standards expected of all students in educational programs in the College of Nursing, students in the DNP program are also expected to possess the mental, auditory, visual, sensory, strength, manual dexterity, and communication skills to:

1. Perform a systematic and complete history and physical examination on a client.
2. Communicate significant examination findings to other professionals and client/family.
3. Appropriately assess and record subjective and objective findings.
4. Maintain effective relationships and interact appropriately with other professionals and clients/families, demonstrating skills of leadership collaborations and decisiveness.
5. Accurately analyze alterations in functional patterns.
6. Demonstrate advanced use of the nursing process: assess, develop, implement, educate and counsel clients, prescribe appropriate therapy, demonstrate self-care skills and evaluate appropriate plans of action for diagnosed problems.
7. Maintain flexibility and emotional stability in response to novel, unique situations and stress.

 

1. Anticipate potential common, acute self-limiting, and selected chronic problems.
2. Develop insight into own emotional functioning to evaluate the ability to provide therapeutic intervention for a client.

If a student cannot fulfill these Technical and Performance Standards, with or without accommodations, at any time in the program, the student will be ineligible for admission or continued progression in the DNP Program. In addition to assuring that students can meet the intellectual, emotional, and physical criteria for the DNP Program, it is of utmost importance that students have the ability to provide for the safety and welfare of their patients and others. Reasonable accommodations will be provided, when appropriate, to help student meet these Technical and Professional Standards. Determination of eligibility and recommendations of accommodations must be made by Disability Services at https://www.uthsc.edu/tlc/disability-services.php 

Certified Nurse-Midwives (CNM) provide advanced care to women/individuals and their partners throughout the lifespan with a specialized emphasis on pregnancy, birth, reproductive and gynecologic health care. The program is designed and continually revised to address the ACNM Core Competencies of Basic Midwifery Practice and skills required for today’s versatile nurse-midwife as medical knowledge expands, healthcare systems evolve, and technology advances in response to health care needs and evidence-based research. CNMs possess the skills necessary to make differential diagnoses, order and interpret diagnostic tests, prescribe medications and manage normal physiologic birth.

Most CNMs work in primary care sites such as a family or women’s health practice and attend hospital births. CNMs may also work in birth centers or home birth practices. Individual state legislation determines the scope of practice; rules and regulations vary. Scope of practice is based on education and experience. The best place to explore individual scope of practice issues is the State Board of Nursing, not the physician or office manager in a practice. Contact information for individual state boards of nursing is at https://www.ncsbn.org/index.htm..

Compensation rates vary regionally. The Bureau of Labor Statistics indicates nurse practitioners generally start around $72,000 with a maximum salary estimated near $150,000. The median salary is around $100,000.

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The UTHSC DNP-NMW concentration is fortunate to be in close proximity to numerous primary care clinics in the Memphis and Mid-South region. Additionally, the CON partners with Regional One Health, which has a vibrant CNM practice, and with CHOICES birth center. Along with a dynamic and challenging didactic program, students are required to complete a minimum of 1200 hours in direct, supervised family-centered care that includes managing births in both the hospital and birth center settings.   

 

 

The length of the program varies depending on whether the applicant is applying as a BSN-DNP or MSN-DNP student. Additionally, the length of the program may vary based on completion of previous graduate courses at another university and/or having previously completed an APRN program. Please see the links to the various program plans of study.

 

Full-time and part-time plans of study are available. Students should consult with the concentration coordinator about how to proceed with his/her respective program needs.

 

 

The UTHSC DNP-NMW full-time program is a rigorous program. The program requires a significant commitment for successful completion of didactic and clinical course experiences. For this reason, students are strongly discouraged to maintain full-time employment while enrolled in the program. Each student has his/her own individual responsibilities. If employment is essential, students are encouraged to explore flexible part-time employment and utilize saved vacation or other leave that can afford more time to commit to the program. 

 

Tuition costs are determined by in-state or out-of-state status and may change during the program. Tuition and fee information is located on the UTHSC Bursar's Fees webpage. Additionally, the Academic Common Market may be available for some out-of-state students. Information on this program is available through the Office of Financial Aid. Many employers also offer tuition reimbursement for full-time and part-time employees. Students should also consider the costs incurred for travel and hotel accommodations during the on-campus experiences. Students are encouraged to explore the many private scholarship funds available for graduate study in their communities as well as regional, state, and national financial aid. An internet search of graduate nursing scholarships can unmask various opportunities. Many diverse groups offer scholarship programs; some states and organizations have loan repayment programs for nursing education. There are also federal government grants for nursing students.

Book purchases will vary by semester. Many books specific to the DNP-NMW program will be used in consecutive semesters. Textbooks are supplemented with electronic media, much of which is available in the library for the students at no cost. Students need adequate computer hardware and internet access. Basic health assessment equipment including a high-quality stethoscope are required. Students generally do not have clinical their first semester and are encouraged to wait to purchase this equipment closer to their first clinical course. Requirements change as the quality of equipment continually advances. Lab coats are mandatory for clinical experiences, but the specifications periodically change.

 Clinical experiences are interspersed throughout the program and differ based on concentration and student background. Clinical hour requirements are identified in the plan of study. One credit of clinical experience equates to 60 clinical clock hours. To determine the number of clinical clock hours, multiply the clinical credits in the plan of study by 60. Clinical hours do not include on-campus experiences, conferences, travel or mealtime. Please remember that these are minimum hours.  Clinical proficiency may be individualized, which means minimum requirements can vary.

Faculty are integrally involved in the selection of highly qualified preceptors and the placement process in order for students to have opportunities that will meet course outcomes. The UTHSC CON partners with the Regional One Health (ROH) Midwifery practice as our primary site for students' clinical experiences. While students who live outside the Memphis area have an opportunity to collaborate with the clinical course faculty to identify appropriate clinical sites closer to their homes, the expectation is that clinical hours will be with our ROH midwifery partners. This may require the student to either relocate to the Memphis area or to make living arrangements to meet their clinical hours requirement. The UTHSC CON does not provide living arrangements or financial support for such arrangements.  Relatives may not serve as preceptors for students. Students who choose to continue working may not obtain their clinical hours in the same unit/office where they are employed. Clinical contracts are required for all clinical sites; development of a new clinical contract can be tedious, so it is important to start this process early in the program.

 Required on-campus experiences are scheduled as a part of specific courses to provide structured experiences such as with simulation. In the DNP-NMW program, students will be required to be on-campus 4 times during the second semester for the advanced health assessment course. Intensive skills labs and simulation occur 3 times per year - August, December, and May. On-campus experiences may last 1-3 days and are identified 6 months in advance. A published schedule is located on the CON academic calendar page.

Online education is very popular as it offers the student greater flexibility with location of learning sites. This flexibility can be more accommodating to your style of learning and lifestyle. Some online educational experiences are synchronized for classes to occur at a designated time. Online education takes discipline and self-motivation; it is not for everyone. Online education requires participative learning with much less traditional lecture-style teaching. Graduate course work entails significant quantities of reading and discussions among learners with guidance from the faculty.  Good computer skills are essential. Strong grammar and writing skills are important.  While online learning can be somewhat isolated, there are opportunities both online and during the on-campus weeks to be acquainted with your colleagues and develop strong professional relationships.  Some students struggle with online learning and may find that it is not for them. The Faculty at UTHSC CON are highly skilled in online education and are leaders in using distance technology in teaching/learning.

 Students are encouraged to ""shadow"" a CNM for a day or two. Learn as much as you can about the role by meeting APRNs, attending professional meetings, and/or reviewing the local and national websites. The American College of Nurse Midwives (ACNM) is the primary organization that represents CNMs. The ACNM website at https://www.midwife.org/ offers much information about education and practice.

The American College of Nurse-Midwives' local affiliate provides strong student support as well as an opportunity for students to volunteer on behalf of the profession. Our students benefit from all of these wonderful opportunities in Tennessee.

Find and visit your local NP group meetings. The Greater Memphis Area APN group web page is https://gmaapn.enpnetwork.com.

Obtain a diagnostic evaluation of your learning style. Numerous online engines offer this service at no cost. Simply enter "learning style assessment" into a search engine to locate these services.  Students admitted to the DNP Program have their learning style assessed prior to beginning classes.  We will also offer an intensive review of health assessment skills prior to class beginning.

Evaluate your family, community and work commitments and prioritize, prioritize, prioritize. The program requires a full commitment. All students will have to make adjustments in their personal and professional lives.