Doctorate of nursing practice in advanced practice nursing

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Doctorate of nursing practice in advanced
practice nursing

• Jess Caulkins, Megan Howarth, Laura Laakso,
  Jennifer Patton, and Stephanie Sugg

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Overview

• 8 essentials to the DNP curriculum
• Benefits of the DNP
• Potential cons of the DNP
• DNP and education

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The 8 Essentials of DNP curriculum

• Scientific underpinnings for practice
• Advanced nursing practice
• Organization and system leadership/ management,
  quality improvement and transformation of
  healthcare
• Analytic methodologies related to the evalutation
  of practice and the application of evidence for
  practice

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8 Essentials contd.

• Utilization of technology and information for the
  improvement and transformation of healthcare
• Health policy development, implementation and
  evaluation
• Interdisciplinary collaboration for the improving
  patient and population healthcare outcomes
• Clinical prevention and populations health for
  improving the nations healthcare

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Benefits of the DNP
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• More equality among health care providers,
  especially among advanced practice nurses and
  other doctorate prepared clinicians
• More autonomy for advanced practice nurses
• The degree earned will match the credit
  requirements of the program

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• There will be more doctorate prepared nurses
  available to hold clinical faculty positions at
  universities
• DNP graduates will be prepared to incorporate
  research and their skills into evidence-based
  practice
• Sets higher standards for the nursing profession

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Potential negative consequences of the dnp
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Potential Negative Consequences

• Undermine nursing as a scientific progress
• Reduction in number of PhD prepared nurses
• Lengthen course of study for future PhD graduates
• Diverse curricular requirements
• Confusion for the general public
• Difference in doctors of the health care field
• Devalue of the current advance practice programs
• Worth of advanced practice nurses
• Division between academia and clinical practice
• DNP (practice) vs. PhD (research)

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The opinion of a current MSN student

• In my estimations, as I am currently 4 weeks away
  from completing my MSN master of science in
  nursing, with an emphasis on midwifery, a DNP is
  an attempt of masters-prepared nurses to garnish
  more political and financial power within the
  healthcare arena. Although that is a noble goal,
  it has not been demonstrated that it will improve
  patient care. What it will do is increase the
  length of time that it takes to obtain one's
  advanced practice degree, as well as increase
  substantially student debt load. In an era in
  which we are trying to recruit more people of
  color into our ranks, as well as nontraditional
  students, this "vision" will push many people
  away from advanced practice nursing. More
  importantly, the DNP has not been demonstrated to
  increase the professional salaries of those who
  obtain it. So does another year, costing an
  additional 20,000, sound palatable? Not to many
  of us. It won't change the quality of care, nor
  the salaries of those practicing. What it will do
  is push many people away from the degree and add
  another "title" within the many already existent.
  "So you are a nurse Doctor??"
• Kari Michalski, RN, BSN, SNMMinneapolis,
  Minnesota

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DNP and Education
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Questions To Ask

• Universities and educators are asking questions
  regarding DNP
• Who will teach this credential with lack of
  professionals with an experienced DNP degree?
• How will the push for DNP be embraced with
  deficit in overall faculty within the nursing
  field?

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Positives for DNP and Nursing Education

• More doctoral prepared nursing available to
  teach, helping the nurse and faculty shortage
• DNP candidates can teach both BSN and MSN student
  clinical education

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Negatives for DNP and Nursing Education

• Resource realignment
• Faculty repositioning
• Reevaluating tenure track policies to accommodate
  DNPs on faculty
• Might require increase amount of required
  clinical background of faculty to be able to
  teach DNP
• Effects linear continuum in advancing education

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DNPs - Good for Education?

• Needs work to accommodate
• Will potentially produce more educators
• Allow the opportunity to expand knowledge in
  clinical practice
• More options in advanced education
• Attract both BSN and MSN to clinical practice
  route

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Is the DNP Beneficial for Nursing?
Which side of the fence do you stand on?
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