Module 1: Leadership and the Doctorate of Nursing practice Degree
QUESTION no.4: Doctoral education research or practice
Crossing the Quality Chasem: A New Health System for the 21st Century(IOM, 2001) emphasizes that the safety and quality of care problems exist largely due to system that lacked of adequate prepared staff and system that is not supportive, when they are in practice. In 2002 , The American Association of Colleges of Nursing developed a Practice Doctoral Task Force published a DNP position statement calling for transformational change in the education required for professional nurses who will practice at the most advanced level. In 2008 there were 113 research-focused doctoral (PhD) programs and 92 practice focused doctoral degree(DNP),there are plans to implement an additional 102 DNP program’ s across the USA
PhD: The PhD program prepares the nurse scholar to develop and conduct scientific research that advances the theoretical foundation of nursing practice and healthcare delivery .
Possess knowledge and skills in theoretical, methodological, and analytical approaches that will enable you to conduct research to discover and apply knowledge in nursing science and healthcare
DNP: Management of patient health/illness status
Nurse Practitioner-patient relationship
The teaching coaching function
Professional role and leadership
Managing and negotiating health care delivery and outcomes
Monitoring and ensuring quality of health care practice
Culturally sensitive care
due to this gap we can look at the concerned about DNP that fall into three categories: education , economics and practice
The debate
Education: The AACN position statem...
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...argaret Flinter, Vice President and Clinical Director of FQHC believe that without practice-based institutional residency , DNP is not able to enter and undertake independent practice for which they are fully accountable, her statement that residency training followed by educational program allows academic education to be translated into clinical practice that is safe and deliver high quality care.
Recognition of the gap that exist between research finding and their application to practice is growing, DNP must be able to translate newly discovered relevant scientific knowledge into their provision of health care and navigate in the health care system to improve patient outcome. both educational pathway are completing one another, from research to practise , collaboration is an essential skill for all researcher and practitioner in the 21th century health care.
The role of nurse practitioner in the Canadian healthcare system is relatively new compared to the traditional roles of doctors and registered nurses, and as with any new role, there are people who oppose the changes and others who appreciate them. Some members of the public and the healthcare system believe that the addition of the nurse practitioner (NP) role is an unnecessary change and liability to the system because it blurs the line between a doctor and a nurse; this is because nurse practitioners are registered nurses with additional training (usually a masters degree) that allows them to expand their scope of practice into some areas which can be treated by doctors. Other people feel that nurse practitioners can help provide additional primary care services, while bridging communication between nurses and doctors. There are always legitimate challenges to be overcome when changing a system as complicated as healthcare,
For instance, I use to think that APRN can works in hospital settings, but I learned that she/he can work in many areas like pharmaceutical and biomedical companies, Insurance companies, Federal agencies, and as policy maker (Congress, and Senate). Also, there may be a confusion between DNP and APRN, but through this course I can now better explain difference between them. For example, DNP programs teach students to be embraced leadership, knowledge, skills, independent practice, and scientific foundation as core competencies of a fully trained APRN. These are emerging areas of scholarship in DNP that students can be prepared for, indicating the focus on clinical and systems outcomes of the Doctor of Nursing Practice
I am delighted in my career as a professional nurse and seeking the Doctor of Nursing Practice (DNP) gives me the opportunity to expand my knowledge base in order to practice at a higher level, and obtain the terminal degree in my profession. My goal is to become an adult nurse practitioner, with primary focus to improve the practice of nursing. The Doctor of Nursing Practice will equip me with knowledge and skills needed to understand and appreciate research and facilitate the process of putting evidence into practice, with the overall goal of achieving improve patient safety, satisfaction and outcomes. The Doctor of Nursing Practice will enable me to assume more leadership role, in practice and in research. I should be able to participate in research and formulate nursing models guided by evidence based practice models of care. Having practiced as a professional nurse for five years, obtaining the Doctor of Nursing Practice gives me the opportunity to foster my professional growth and development.
The DNP embodies the convergence of the various practice doctorates in nursing and was adopted as the terminal practice degree in nursing by the American Association of Colleges of Nursing (AACN) in 2004 (Chism, 2016). Historically, nurses have been prepared at the doctoral level through a variety of degrees both outside of and within nursing. These various degrees include, but are not limited to, the doctor of education (EdD), DNS, DNSc, DrNP, ND, and PhDs in various fields of basic or applied sciences related to nursing.
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
Main, R., Dunn, N., & Kendall, K., (2007). ‘Crossing professional boundaries’: barriers to the integration of nurse practitioners in primary care. Education for Primary Care, 18, 480 – 487. Mundinger, M., (1994).
There is much controversy about the educational requirement to prepare nurses for practice. Rather the minimal education level be a diploma, associate degree in nursing (ADN), or bachelor of science in nursing (BSN) a need for an agreed upon education level for practice is necessary. There is a wide range of nursing related practices all of which do not require the same amount of education and this author agrees with the National League of Nursing (NLN) concerning scope of practice and preparation for the field of nursing; that an ADN or diploma program is a sufficient level of education for technical nursing practice and the BSN should be the minimum for practice as a professional nurse (Black, 2014, p. 136). This author thinks that the option for an ADN is vital to nursing as a whole, however agrees with the idea that any career requiring only two years of schooling is technical and not professional. This places ADNs in the same category as technicians and assistance in other health care fields (Taylor, 2008, p. 613). This paper examines the necessity for nursing education beyond an associate degree for professional nursing practice in order to meet the increase of complex medical needs.
Nurse Practitioning is a very important job in the field of medicine. In the nursing field the highest degree attainable while holding the status of “Nurse” is Nurse Practitioner (NP). This career has influenced the nursing world in several ways throughout the years. A few key things that set Nurse Practitioning apart from other medical professionals are the history and background of the job, the quality care provided by the nurse practitioner, and the different responsibilities help by an NP as opposed to those of an RN. These are important because nurse practitioners can be compared to other physicians, the history changed how people looked at and thought of nurses, and NPs can perform different and possibly more advanced activities than other level nurses. The history of nurse practitioning is more detailed and complex than one would think. Throughout the history of the profession, small detail have been refined such as the education, training, and responsibilities required to be effective in the career and the job prospect that come from being trained and certified. There are several things that go into the finely tuned care provided by nurse
In 1990 a group of educators, called the National Task Force for Family Nurse Practitioner Curriculum and Evaluation, created the initial curriculum guidelines for nurse practitioners (Graduate nurse practitioners education competencies, n.d.).Today, the NONPF represents most NP educational institutions worldwide and they continue to develop/improve the NP competencies and guidelines in order to prepare healthcare professionals across the world (Graduate nurse practitioners education competencies,
Prior to entering the professional role of nursing, a nurse should also determine the principals and personal values that will guide their nursing practice. Personal values, past experiences, and influences of other nurses are what attract many to the profession of nursing. Nurses have a profound impact on the lives of their patients, their families, and the community. Nursing is a constant process of building a prevalent knowledge base while maintaining a sense of compassion and empathy for those during a time of need. Nursing is more than a career, it is an art form that is continuously being molded by personal experiences and the gain of knowledge; what we do with it is that defines us as nurses.
Our role as nursing leaders is to place a high priority on our commitment to educating ourselves, while improving the lives of patients through collaborative and transformational nursing leadership. I have chosen to pursue the Doctorate of Nursing Practice to transform and revolutionize best practice outcomes. While exploring program types, I considered the PhD, however this degree placed an emphasis on academics and research. My final decision was centered on how to affect change in nursing practice at the bedside. The decision to apply to Yale was based on the time-tested, world-class faculty and scholars available to the DNP student. Yale is a leader in higher education and I am seeking the very best.
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
As an up and coming DNP’s we must be aware of the steps to successfully implement change. The hospital that I conduct my maternal/child clinical is trying to achieve
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
A career in nursing has always sounded like an extremely rewarding and beneficial profession. Nurses have the great opportunity to care for patients on a daily basis, nurses are responsible for helping patients maintain a long, healthy life. In this paper, I will discuss how I became interested in nursing, how my values relate to those of a nurse, and my goals pertaining to the nursing program.