Spring 2022

NURS 6320-001 Theoretical Foundations for Advanced Nursing Practice

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

Students are expected to follow all policies related to COVID-19 found on the university webpage: https://wp.uthscsa.edu/coronavirus/.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

Welcome to the BSN to DNP Program and Theoretical Foundations for Advanced Nursing Practice.  We are looking forward to getting to know all of you as you continue your doctoral education journey. We will be meeting in room 1.222 in the SON. 


Susan M.McDonald, PhD, APRN, CPNP-PC

Associate Professor-Clinical

E-Mail:  mcdonaldsm@uthscsa.edu

Office Phone: 210-567-0159

Office Room: 2.518

Office Hours: Listed in Starfish

Office of Faculty Excellence


In this course students explore and consider theories from nursing and related disciplines. Emphasis is placed on the role of theory to guide practice and care improvement.  This course is a foundation for the advanced practice nurse to choose and use theories. 


Credit Hour Allocation:  3 semester credit hours
Clock Hour Allocation: 45 clock hours class


Graduate Standing


Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

  1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
  2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
  3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
  4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
  5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
  6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
  7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
  8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.


1.  Appraise the role of belief/values (e.g., personal, organization, cultural) in identification and framing of clinical practice improvement. (DNP Essential I; NONPF Competency: Scientific Foundation 4)
2.  Evaluate the utility of various theories as guides for clinical practice improvement. DNP Essential I; NONPF Competency: Scientific Foundation 4)
3.  Select theory(ies) that address clinical practice improvement in a chosen area of interest.  (DNP Essential I; NONPF Competency: Scientific Foundation 4)
4.  Explain theoretical concepts in a chosen theory and their applicability to impact practice.  (DNP Essential I; NONPF Competency: Scientific Foundation 4)
5.  Appraise the merits of selected theories for usefulness in guiding systems changes and/or clinical practice. (DNP Essential I; NONPF Competency: Scientific Foundation 4)


clinical outcomes


A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)



Percentage of grade



Conceptual Model


Literature Review


Group Presentation


Final Paper







Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


The APA Publication Manual 7th edition is required for use in all nursing school programs. 


Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).

The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses (http://bit.ly/1mtD5p2) and the following points of conduct.


School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.


Butts, J. B. & Rich, K. L. (Ed.), (2018). Philosophies and theories for advanced nursing practice, (3rd ed.). Boston, MA: Jones &Bartlett Learning. ISBN978-1-284-11224-5 (required)
American Psychological Association. (2020). Publication manual of the American Psychological Association,(7th ed.). Washington, D.C.: American Psychological Association. ISBN 978-1-4338-3216-1 (required)



Glanz, K., Rimer, B. K., & Viswanath, K.(Ed.), (2015). Health behavior: Theory, research, and practice, (5th ed.). San Francisco, CA: Jossey-Bass. ISBN 978-1-118-62898-0(recommended)


1. Foundations of Nursing Science
2. The Structure and Function of Theory
3. Interdisciplinary Philosophies and Theories
4. Select Nursing Models and Theories
5. Tools for Integrating and Disseminating Knowledge in Advanced Nursing  Practice

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

On this first day, we will do introductions, give a course overview, review APA, and available resources within the SON. For the full calendar and details, please refer to information posted in Canvas. We meet in SON 1.222.

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