The DNP-is it for you?

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1 The DNP-is it for you? Patricia Cox, DNP, MPH, FNP-BC Assistant Professor University of Portland Chris Silva, DNP, FNP-BC Student Health Western Oregon University Larlene Dunsmuir, DNP, FNP, ANP-C Immediate Care & Telehealth Providence Medical Group We have no conflict of interest to disclose 1

Chris Silva, DNP, FNP-BC Student Health Western Oregon University Larlene

2 Objectives 1. Define essentials of doctoral education for Advanced Nursing Practice 2. Identify schools with DNP programs and how to interpret requirements and program details for selection 3. Identify benefits and possibilities of a DNP education 4. Discuss essentials and application to personal circumstances The DNP-a mini history 1999-The IOM published To Err is Human addressing the gap between the healthcare we were receiving and the healthcare we believe we deserve. More people die from medical errors annually than from motor vehicle accidents, breast cancer or AIDS. Provided recommendations to healthcare providers to prevent mistakes The IOM published Crossing the Quality Chasm on patient safety. Recommended changes to improve patient safety. Healthcare industry struggled with making improvements in part due to a lack of qualified people to effectively implement strategies. A mini-history of the DNP 2004-The AACN endorsed the position statement on the Practice Doctorate in Nursing moving the preparation for advanced practice nursing roles from the master s degree to the doctorate level by 2015 The changing demands of the nation s complex healthcare environment require that nurses serving in specialty positions have the highest level of scientific knowledge and practice expertise possible. Research has established a clear link between higher levels of nursing education and better patient outcomes. 2

Discuss essentials and application to personal circumstances The DNP-a mini history 1999-The IOM published To Err is Human addressing the gap between the healthcare we were receiving and the

3 A mini-history of the DNP Other factors that prompted a change in nursing education: Rapid expansion of knowledge underlying practice Increased complexity of patient care National concerns about quality of care and safety Shortages of nursing personnel which demands a higher level pf preparation for leaders who can design and assess care Shortages of doctoral prepared nursing faculty Increasing educational expectations for the preparation of other professionals The DNP Essentials Scientific Underpinnings for Practice Organizational & Systems Leadership for Quality Improvement & Systems Thinking Clinical Scholarship & Analytical Methods for Evidenced-Based Practice Information Systems/Technology & Patient Care Technology for the Improvement & Transformation of Health Care Health Care Policy for Advocacy in Health Care Interprofessional Collaboration for Improving Patient & Population Health Outcomes Clinical Prevention & Population Health for Improving the Nation s Health Advanced Nursing Practice How and why we decided to return to school 3

Increasing educational expectations for the preparation of other professionals The DNP Essentials Scientific Underpinnings for Practice Organizational & Systems Leadership for Quality Improvement &

4 Identify schools with DNP programs How to interpret requirements and program details Comparison of DNP programs Institution Calif.State University Case Western Reserve Chatham University TotalCredits Required Cost per Credit Hour $10, per semester Total Cost $54, (out of state) Program Delivery Hybrid 34 $1, $61,812 Hybrid 27 $ $22,977 Hybrid Duke University 35 $1,425 $49,875 Hybrid OHSU 46 $ $25,576 Online University of Portland University of Washington 50 $1,070 $53,500 Hybrid 48 $690 $33,120 (out of state) Hybrid DNP Resource American Association ofcolleges of Nursing 4

65 (out of state) Program Delivery Hybrid 34 $1,818.00 $61,812 Hybrid 27 $851.00 $22,977 Hybrid Duke University 35 $1,425 $49,875 Hybrid OHSU 46 $556.

5 Benefits and Possibilities ADVANCE for Nurse Practitioners (2011), reported that DNP prepared NPs earned $8,576 more than master s prepared NPs Employers are realizing the unique experiences that DNP graduates have to offer and demand to hire DNP prepared nurses is growing US Department of Labor, Bureau of Labor Statistics reports growth in jobs for nurses is expected to increase 19 % between 2012 and 2022 Increased demand for primary care providers due to the ACA coupled with the well known shortage of primary care physicians What the DNP has done for us How the DNP has affected ourapproach to healthcare Where we are going.. How about you? What are your questions? References American Association of Colleges of Nursing (2014) Contrast Grid.Retrieved from American Association of Colleges of Nursing (2014) Fact Sheet: The Doctor of Nursing Practice (DNP).Retrieved from American Association of Colleges of Nursing (2014) Program Schools. Retrieved from Kung, Y.M., Porterfield, S. (2009). The DNP: a need for standardized educational policies. The American Journal for Nurse Practitioners, 13 (5), Keteflan, S. (2013). Is the DNP fulfilling its promise? Dean s Notes,35 (2), 1-2. Nichols, C., O Connor, N., Dunn, D. (2014). Exploring early and future use of DNP prepared nurses within healthcare organizations. The Journal of Nursing Administration, 44 (2), Moore, E.R. & Watters, R. (2013). Educating DNP students about critical appraisal and knowledge translation. International Journal of Nursing Education Scholarship, 10 (1), Stoeckel, P., Kruschke, C. (2013). Practicing DNPs perceptions of the DNP. Clinical Scholars Review, 6 (2),

2012 and 2022 Increased demand for primary care providers due to the ACA coupled with the well known shortage of primary care physicians What the DNP has done for us How the DNP has affected

Doing More Through an Innovative Consortium Partnership. Presented at WCET Portland, Oregon November 20, 2014

Doing More Through an Innovative Consortium Partnership Presented at WCET Portland, Oregon November 20, 2014 Presenters Paula McNeil, MS, RN NEXus Project Director and Executive Director, Western Institute