Credits: Variable credit, (6-8) Instructional Method: three hours seminar; six to 12 hours practicum. Prerequisites:NURS 630, NURS 650. Variable credit; 6-8 credit hours; Focus on the implementation of advanced nursing practice roles in adult nursing. Content addresses total quality management/quality improvement; issues related to health promotion, protection and restoration; advanced nursing management of clients/families with selected complex holistic needs; political issues; and economics of acute and chronic care facilities. Practicum is individualized and emphasizes the roles of clinician, consultant, manager and researcher.