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DNP Answers

DNP Affecting Advanced Practice Healthcare

Published August 26, 2011 2:29 PM by Michael Zychowicz

Q:  Have you seen evidence of the DNP formally affecting practice at the advanced practice level or is this more of move to equalize the actual degree formalities?

A: I believe there is a growing body of evidence of the impact of the DNP on clinical practice. First, as a DNP prepared advanced practice nurse, I have heard the anecdotal stories from my colleagues of how the preparation received during DNP education has affected practice as an APRN, educator, manager and entrepreneur. I have also been privileged to participate on DNP capstone committees as an educator. The work that DNP students are engaged in is amazing and is positively affecting and improving quality of clinical practice.

Lastly, I think the answer is in the literature. DNP students who perform capstone projects are generally going to publish the results of their projects, which are frequently quality improvement projects or original research. Those DNPs go on to affect practice on a variety of levels, and write about that, contributing to the body of existing scholarship. In searching the literature for authors that are DNP prepared, you will find the evidence of the DNP affecting clinical practice and contributing to scholarship.

Editor's note: At the DNP Answers blog we take your questions about the DNP and answer them as best we can. This post is written by blogger Michael Zychowicz, NP. Zychowicz recently became chairman for the Master's Programs at Duke University School of Nursing. Comment below to discuss this topic, or send new questions to jford@advanceweb.com.      

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2 comments

Megan, In response to your comment, I would like to assure you that the DNP degree is not a "scam". I am confident that the Institute of Medicine (2000, 2001, 2003, 2010) and the National Academy of Sciences would not make a recommendation that was a "Scam". If you are seeking "evidence-based" proof that the DNP degree has a positive effect on practice, please review the IOM reports which are based on the evidence supporting the additon of specific coursework in information technology, interprofessional collaboration, evidence-based practice, research methodology, health policy and advocacy, and leadership. The IOM found (through the evidence) that the addition of these compentencies for ALL health professionals would reduce medical errors and improve patient -centered care. Based on IOM, AACN, NONPF and most currently NACNS, the curriculum for DNP degrees addresses the additional preparation mentioned above and is meant to build on current clinical preparation and skills. The post masters DNP builds on current clinical preparation and skills whereas post bachelors DNP programs include current clinical content neccessary for competency in a chosen specialization. Further, I doubt that 140 programs and over 100 in development would be based on a "scam". Before you make a judgement about the DNP, perhaps you should review the evidence that has already documented (IOM) that the addition of these skills will improve practice. Not understanding- or having accurate knowledge about something- does not make it a "scam".

Lisa Chism August 30, 2011 11:16 AM

I'm sick of hearing from DNP-pushers that they are "sure" the DNP makes for better practice.  So, Michael has heard from others that this is so?  Wow.  And he points to articles and research published by DNPs as evidence?  The fact that DNP programs require their students to do some kind of research does not show that those students provide healthcare that is superior to that of masters-prepared ARNPs.  Lots of people are asking if patients would be better served by an ARNP with a doctorate than an ARNP with a masters, and we're tired of hearing, "We just know they would," as if evidence isn't necessary.  So much for "evidence based practice."  I know of DNPs who have told me that their doctorate preparation had nothing to do with clinical skills.  What a scam.

Megan Berryhill August 27, 2011 9:24 AM

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