BSN TO DNP OPPORTUNITIES HISTORY, CHALLENGES, AND OUTCOMES

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1 BSN TO DNP OPPORTUNITIES HISTORY, CHALLENGES, AND OUTCOMES 7 th Annual Doctors of Nursing Practice Conference The DNP in Practice: The Health, the Care, and the Cost PRESENTER INTRODUCTIONS Jay M. Hunter, DNP, RN, CPNP-AC, CCRN, CPEN, CPN Instructor/Nurse Practitioner, Department of Pediatrics, Division of Pediatric Critical Care University of Texas Health Science Center San Antonio, School of Medicine BSN to DNP Graduate, University of South Alabama Karin Armstrong, MSN, CRNP, AGPCNP-BC Nocturnist Hospitalist Nurse Practitioner Providence Hospital, Mobile, AL BSN to DNP Student, University of South Alabama Karen S. Kesten, DNP, APRN, CCNS, CCRN, PCCN, CNE Director of Educational Innovations American Association of Colleges of Nursing DISCLOSURES Dr. Hunter serves as a member of the Conference Planning Committee and as a Volunteer Coordinator for the 7 th Annual Doctors of Nursing Practice Conference The DNP in Practice: The Health, the Care, and the Cost. No financial disclosures. Karin Armstrong serves as a member of the Conference Planning Committee and as a Volunteer Coordinator for the 7 th Annual Doctors of Nursing Practice Conference The DNP in Practice: The Health, the Care, and the Cost. No financial disclosures. Dr. Kesten has no financial disclosures. 1

2 OBJECTIVES Identify a brief history of how the BSN to DNP educational track has evolved to date. List the challenges of practice by BSN to DNP graduates compared to MSN to DNP graduates. Describe the impact of the BSN to DNP graduate on health care outcomes as a unique subset of DNP graduates. BSN TO DNP: HISTORY AND EVOLUTION DNP GRASS ROOTS BEGINNINGS University of Tennessee Health Science Center clinical DNSc, 1999 University of South Carolina, ND 1999 Rush University, ND, leadership and business of healthcare Case Western Reserve University ND, advanced practice University of Colorado, ND, advanced practice New approaches at Columbia University and University of Kentucky 2

3 NATIONAL DIALOGUE BEGAN AACN Doctoral Conference presentation, 2001 Nationally we are in the early stages of a conversation about clinical doctorates Columbia University invitational conferences NONPF Practice Doctorate Task Force, THE DNP JOURNEY 2002: AACN Board of Directors charged a task force to examine the current state of clinical or practice doctoral programs : Task Force conducts research and surveys; hosts five regional meetings and symposium with NONPF to collect feedback from communities of interest THE DNP JOURNEY 2004: AACN members vote to adopt Position Statement supporting the DNP as entry into practice for APRNs AACN members vote to approve 2015 as the target date for the transition of master s level APRN programs to the practice doctorate 3

4 THE DNP JOURNEY 2006: DNP Essentials endorsed by the AACN membership 2006: DNP Road Map Task Force final report approved by the AACN Board DNP Faculty Tool Kit released to assist schools in making the transition NATIONAL DIALOGUE Regional Conferences around DNP Position Statement and Essentials Specialty Organization Discussions AACN Doctoral Conferences Articles in lay press and professional publications DNP Summits CIC, AACN, JHU Directions of the Dialogue 4

5 CURRENT AACN INITIATIVES APRN Clinical Training Task Force Re-envisioning clinical education for APRNS Task Force on Implementation of the DNP Clarification of DNP Essentials, clinical hour requirements Recommendations regarding DNP projects BSN TO DNP: OPPORTUNITIES FOR DISCUSSION What trends are you seeing in clinical practice experience requirements prior to enrollment in BSN to DNP programs? Do the requirements vary by role? 5

6 What types of clinical practice experiences prior to enrollment should be required in a BSN to DNP program? What are some pros and cons to your stance? How do these requirements affect outcomes? What types of clinical experiences are BSN to DNP student receiving during their programs? How do advanced practice role clinical experiences differ from DNP clinical experiences in BSN to DNP programs? What is your position on postgraduate transition to practice programs for BSN to DNP students? What is your position on intraand inter-professional training? What are your experiences in this area? 6

7 Are there adequate amounts of qualified and available preceptors for advanced practice nursing and DNP students? What is a qualified preceptor? What do preceptors need to be successful? What challenges do preceptors face? What preceptor-related challenges do BSN to DNP students face? Can you envision clinical education that reduces dependency on a one to one preceptor model? What constitutes a DNP project at your university? Do you find consistency among universities regarding what constitutes a DNP project? Does your university have clear guidelines on what is expected of your DNP culmination project? 7

8 What are the barriers and facilitators for BSN to DNP students regarding completion of DNP projects? What processes are in place to ensure that BSN to DNP programs produce expert level, doctoral-prepared nurses? When you survey the landscape, do you see consistent interpretation of DNP Essentials? Are there adequate sources of graduate scholarships for BSN to DNP students? Do or did you work or do you expect to work while completing a BSN to DNP program? What is your stance on funding, loans, scholarship, working, and support for BSN to DNP students? 8

9 Were you or will you be compensated, promoted, and/or recognized when/once the DNP was/is earned? What are the incentives for completing a BSN to DNP program vs. a BSN to MSN program? How have you demonstrated the value of DNP? What can we do to further facilitate the value demonstration movement? How can we spread the message to prospective students the value of the DNP degree? Progress has been and is being made toward the goal of the DNP by 2015, but we still have a way to go. How can you help? Would certification and accreditation requirements help move this forward? What are your recommendations? 9

10 We asked if the DNP helps us to promote and advance in our careers, but do we help to promote and advance the DNP? What is the public perception of the DNP? What is the perception of the BSN to DNP among the nursing profession? How can we spread the message to employers and the public about what the DNP can offer? DNPs vs. PhDs: How can we convey the difference? How can we promote intraprofessional collaboration? BSN TO DNP: IMPACT ON HEALTH CARE OUTCOMES 10

11 What is unique about the impact of the BSN to DNP students on health care outcomes? Why is the focus on this particular subset of graduates important? What trends are you seeing? What trends would you like to see? What opportunities do you see? What can we do to impact the outcomes that BSN to DNP students have at the local, regional, national, and international levels? BSN TO DNP: WHAT IS NEXT? 11

12 NEW AACN INITIATIVES APRN Clinical Training Task Force Task Force on Implementation of the DNP Clarification of clinical hour requirements Recommendations regarding DNP projects RAND Corporation study was commissioned by AACN Board of Directors to study barriers & facilitators to implementation of BSN to DNP NEXT STEPS DNP Task Force dialogue at the AACN Fall Semiannual meeting, Washington, DC, October 2014 RAND report to be released January 2015 DNP Task Force will discuss its work at the AACN doctoral conference in January 2015, final report will be presented to the Board in July,

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