Two Pathways to Doctoral Preparation

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2 DNP Education & Programs

3 Two Pathways to Doctoral Preparation Academic Degree Post PhD PhD (Graduate School) Master of Science (MS) Non-nursing Bachelor s

4 Two Pathways to Doctoral Preparation Academic Degree Post PhD Professional Degree PhD (Graduate School) Professional Doctorate (DNP) Master of Science Non-nursing Bachelor s Professional Master s Baccalaureate in Nursing (BSN)

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6 Fulton J S, Lyon B L. The need for some sense making: Doctor of nursing practice. Online Journal of Issues in Nursing ; 2005;10(3): 1-16.

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8 PRACTICE EDUCATION RESEARCH

9 DNP Core: Outcome competencies deemed essential for all graduates Specialty Competencies/Content: Clinical and didactic learning experiences focused on preparing the DNP graduate for specialty which is defined by the specialty organizations

10 Essential I: Scientific Underpinnings for Practice Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking Clinical Scholarship and Analytical Methods for Evidence-Based Practice Essential III: Essential IV: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

11 Essential V: Health Care Policy for Advocacy in Health Care Interprofessional Collaboration for Improving Patient and Population Health Outcomes Essential VI: Essential VII: Clinical Prevention and Population Health for Improving the Nation s Health Essential VIII: Advanced Nursing Practice

12 DNP Program Focus Clinical decision making Evidence based research Research utilization in clinical practice Organizational and systems leadership Informations systems and technology Health care policy Clinical prevention and population health

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17 Post- BSN DNP Advanced Practice FNP(Family nurse practitioner ) AG/NP (Adult-Gerontological Nurse Practitioner) AG/CNS(Clinical Nurse Specialist ) Specialty Areas THEORY: Bridge to Practice & Research Advanced Physiology Pharmacokinetics and Pharmacodynamics for Advanced Practice Nursing Advanced Pathophysiology Advanced Health Assessment & Physical Diagnosis Health Care Research Health Promotion

18 Applied Drug Therapy Health Care Professionalism: Issues and Roles The Social Context for Health Care Policy Preparing Doctoral Leader Principles of Epidemiology Interpreting Research for Applied Science Specialty Area Course

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21 Post- MS DNP Advanced Practice The Social Context for Health Care Policy Preparing Doctoral Leader Principles of Epidemiology Interpreting Research for Applied Science Specialty Area Course Capstone Project for the DNP.. Specialty Area Course Project for the DNP

22 DNP Scholarly Projects/Capstone Projects Sample Titles Development of a Multidisciplinary Emergency Medicine Triage System Smoking Cessation Program for Patients with Coronary Artery Disease Safe Foot Care in African American Type 2 Diabetes Artificial Hydration at End of Life: Evidence Based Guidelines for Approaching Decision-Making Conversations

23 Promoting Nutritional Awareness and Improving Dietary Habits: A Community Based Approach Evidence Based Practice Update for Nurse Practitioners in Urgent Care Education Incarcerated African American Males on Sexually Transmitted Diseases Gerontological Nursing Education for Implementation of an Acute Care of Elders (ACE) Model.

24 Who will teach DNP students? There will be components of the DNP which will demand Doctorally prepared faculty. Many of those who currently teach in advanced practice programs will be involved in teaching DNP students, particularly at the beginning level. Master s-prepared faculty teaching in APRN programs will have the option to complete the DNP, enhancing their standing within the university and increasing the number of faculty qualified to teach in the DNP program.

25 Survey Results AACN s 2009 annual survey data; the following results were found: 72% of schools with APRN programs (388 schools) are either offer ing (120) or planning (161) a DNP program. 62% of schools either offering or planning a DNP program (281) ar e planning to offer a post baccalaureate entry option. C. Fay Raines. The Doctor of Nursing Practice: The Doctor of Nursing Practice: A Report on Progress. American Association of Colleges of Nursing. March 21, 2010

26 The surveys asked schools to identify theirgreatest challenges to opening a DNP program. Responses included: Insufficient faculty Limited financial resources State regulations Lack of faculty support When asked why some schools were NOT closing their post m aster s APRN programs, responders cited: Strong interest from students in post MSN option Regulatory requirements Concerns about a possible drop in enrollments Faculty reluctance

27 In all three supplemental surveys, AACN asked what resources were nee ded by schools looking to transition.among the resources mentioned w ere: Program development guidance; sample curriculum Examples of capstone projects Advocacy support at the state level Faculty development Partnership models Referrals to consultants Advice on managing costs and maintaining enrollments Planning and program evaluation tools

28 DNP Accreditation Practice doctorates with the degree title DNP are eligible for accreditation by CCNE (Commission on Collegiate Nursing Education)

29 Accrediting Organizations Commission on Collegiate Nursing Education (CCNE) Accredited 32 DNP programs 70 additional DNP programs seeking accreditation National League for Nursing Accreditation (NLNAC) Currently accredits 102 MSN programs with another 10 seeking accreditation One program accredited for DNP One program seeking accreditation for DNP

30 Practice doctorates with the degree title Doctor of Nursing Practice (DNP) are eligible to pursue accreditation by CCNE. DNP programs presented for accreditation are required to demonstrate incorporation of The Essentials of Doctoral Education for Advanced Nursing Practice (DNP Essentials) (AACN, 2006). Consistent with CCNE s long-standing policy, any new program pursuing initial accreditation by CCNE is eligible for a term of accreditation of up to 5 years. Programs pursuing continuing accreditation by CCNE are eligible for an accreditation term of up to 10 years.

31 CCNE has one set of accreditation standards for all educational programs: The CCNE Standards for Accreditation of Baccalaureate and Graduate Degree Nursing Programs, amended April 2009, went into effect on January 1, The 1,000 post-baccalaureate practice hour requirement (refer to the DNP Essentials) must be completed in a supervised academic program.

32 National League of Nursing Accreditation (NLNAC) 6 core components Mission and Academic Capacity Faculty Students Curriculum Resources Outcomes

33 Question? Are DNP programs offering the core curricular required to meet the degree competencies? Are graduates of DNP programs utilizing these core competencies in practice? Does the utilization of these competencies improve patient outcomes?

The Doctor of Nursing Practice: A Report on Progress. C. Fay Raines, PhD, RN President American Association of Colleges of Nursing March 21, 2010

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