In response to a global trend of increasing complexity within the health care system, nursing educators throughout the world developed clinical specialization programs. These programs were initially clinically oriented with the goal of training practitioners to function within a specific clinical specialization such as dialysis or midwifery. These programs were not academic in nature and were often offered via hospitals and/or ministries of health. More recently, nurse educators have become convinced that the best preparation of specialized or advanced clinical practice must be within an academic framework, preferably at the Masters Degree level.
A similar trend has occurred in Israel. At present most advanced clinical nursing training takes place within the post-basic courses sponsored by various hospitals and the Ministry of Health. Several Masters Degree programs in Israel offer advanced academic training but do not incorporate clinical practice within the academic framework.
The Hadassah-Hebrew University Advanced Practice Nursing Masters Program is unique in that it is the only generic masters program in Israel where students can integrate clinical and theoretical components within an academic structure.
The primary objective of the Masters Degree program is to train registered nurses to function in Advanced Practice Nursing roles within the Israeli health care system. It is composed of a rich body of theoretical and clinical knowledge necessary for coping with the professional challenges of the current health care system. It contains several components: 8 core courses (providing the theoretical and clinical basis for advanced nursing practice); 3-4 clinical specialty courses (containing advanced clinical knowledge related to one of three specialty areas, namely Oncology, Gerontology/Geriatric and Care of the Complicated Patient or Acute/Critical Care Nursing); a thesis seminar (supporting students through the research process); a thesis research project (developing and conducting a clinical nursing research study) and a final qualifying exam.
Clinical Specialty Tracks
The development of the Geriatric/Gerontology clinical track was prompted by the disparity between the health care needs of an aging Israeli population and a health care delivery system. The role of the Geriatric APN is to act as a central and vital resource for the advancement of elderly health interests.
The graduate of the geriatric track functions as an expert advanced practice nurse in various health care settings. The Geriatric Advanced Practice Nurse is expected to function at a high professional level; demonstrate knowledge of the bio-psycho-social processes associated with the elderly and their environment; develop and supervise new health care initiatives; fill vital roles in the changing health care system.
The Oncology Advanced Practice Nursing Track was developed due to the high incidence of cancer morbidity and mortality among the Israeli population. The complex nature of the health care needs of the oncology patient and his/her family require professional nursing care which is both highly professional and highly skilled. Due to the advancement of oncology medical and nursing treatment, a wide range of clients can be served best by the Advanced Practice Nurse.
An oncology advanced practice nurse has a wide and deep theoretical knowledge base and clinical expertise in the areas of health promotion, primary prevention, acute and chronic care and terminal care. Such a nurse also has the ability to make independent clinical decisions, provide and supervise care and provide guidance and support to patients, their families and other health care providers in all types of settings.
Acute/Critical Care Nursing/Care of the Clinically Complicated Patient
The acute/critical care track was chosen because of the high incidence of trauma and cardiovascular morbidity and mortality in Israel. The rapid development of medical technology has led to increased survival from diseases once thought to be fatal. Patients, especially those in trauma and critical care, tend to be clinically complicated. High hospital costs have led to decreased hospital stays and the rapid movement of the acute/critical care patient to the community. These patients, whether in the hospital or other institutions, require specialized care. Nurses tending these patients must be well versed in technological and medical advances, health care economics and finance as well as be sensitive to the needs of the patient and his/her family. The nurse under these conditions needs skills in teaching, consultation and supervision and the ability to work with a multi-disciplinary staff, whether or not the direct caregivers are professionally trained.
If you are interested in applying to our Master’s in Clinical Nursing in the areas of acute/critical care, geriatric and oncology nursing, please visit the Faculty of Medicine website
that outlines our program of study and the Hebrew University website
for admissions to master’s programs.