SlideShare a Scribd company logo
1 of 23
Download to read offline
Chapter 3
The Essentials of the
Doctor of Nursing
Practice: A
Philosophical
Perspective
Introduction
• The Doctor of Nursing Practice (DNP) is
recommended by the American Association of
Colleges of Nursing (AACN) as the terminal
practice-focused degree in nursing.
• The history of doctoral education is important to
understanding the DNP.
• Philosophical inquiry about the nature of nursing
discipline and science is key to DNP
competencies.
Overview of the DNP Degree
• The DNP is defined as a practice-focused terminal
degree in nursing practice.
• Focuses on population outcomes and nursing’s
impact on healthcare policy.
• Emphasizes practice, which separates it from theory-
and research-focused PhD degrees.
• Graduates must demonstrate scholarly activity via a
theory-driven research project demonstrating
research in practice.
• Doctoral education in nursing has seen its
greatest growth in the past 40 years.
• Due to the small number of nursing-related
doctorates available through the 1960s, most
nurses pursued doctorates in the basic
sciences or education.
• Nursing PhDs did not become popular until
the 1970s.
Historical Perspectives (1 of 4)
Historical Perspectives (2 of 4)
• Doctoral education in nursing developed in
three phases:
– Development of functional specialists—preparing
nurses as teachers and administrators
– Development of nurse scientists—questioning the
nature and knowledge base of nursing
– Development of doctorates “in and of nursing”—
utilizing answers about nature and knowledge
base to improve practice
• A fourth phase emphasizing nursing practice has
occurred recently with development of the
Doctor of Nursing Science (DNS) degree.
• The DNS was the first practice-focused doctorate
designed to focus on clinical expertise.
• Gradually acquired a theory focus and became
more like a traditional PhD, again creating the
need for a practice-based degree.
Historical Perspectives (3 of 4)
Historical Perspectives (4 of 4)
• The Doctorate of Nursing (ND) was introduced in
1979 to address several needs in nursing:
– Reorientation of care toward health status while
maintaining a detection and treatment focus
– Reorientation of the nursing community to promote
scholarship and autonomy
– Reorientation of professional preparation toward
independent, accountable nurse practitioners
• ND was not as popular or uniform as the DNS or
PhD, but needs are reflected in the DNP.
Development of the DNP Degree
• In 2002, the AACN create a task force to evaluate
the current status of practice doctorates in
nursing.
• The task force developed recommendations and
proposed curriculum models via the Position
Statement on the Practice Doctorate.
• Position Statement recommended DNP as the
terminal practice-focused degree.
• There are currently more than 100 DNP programs
in the United States.
DNP Competencies
• In 2006, the AACN developed the Essentials of
Doctoral Education for Advanced Nursing Practice
to address the competencies at the core of
advanced practice.
• The AACN also developed the Practice Doctorate
Nurse Practitioner Entry-Level Competencies.
• These two documents provide curriculum
standards for all DNP programs.
Essential I: Scientific Underpinnings for
Practice
• Essential I describes the scientific foundations
for nursing practice.
• Foundations are derived from both natural
and social sciences, including biology,
physiology, and psychology.
• Nursing science and middle-range nursing
theories are also part of the foundations.
Essential II: Organizational and Systems
Leadership for Quality Improvement and
Systems Thinking
• Essential II describes preparation in organization and
systems leadership that affects healthcare delivery
and outcomes.
• Emphasizes organizational assessments, systems
issues, and facilitation of organization-wide changes.
• Prepares graduates to assume leadership roles at
every level of an organization.
Essential III: Clinical Scholarship and
Analytical Methods for Evidence-
Based Practice
• Essential III describes competencies related to
evaluation, integration, translation, and application
of evidence-based practice.
• Addresses the unique perspective of graduates to
merge science and human elements and ask
practice-related questions.
• Emphasizes research partnerships, clinical research,
and guideline and method design.
Essential IV: Information
Systems/Technology and Patient Care
Technology for the Improvement and
Transformation of Healthcare
• Essential IV prepares graduates to use information
technologies to improve patient care outcomes.
• Emphasizes use of expertise to evaluate
documentation programs and the accuracy,
timeliness, and appropriateness of healthcare
consumer information.
Essential V: Healthcare Policy for
Advocacy in Health Care
• Essential V describes the importance of nurses’
involvement in policy and advocacy.
• Emphasizes the relationship of practice and
policy.
• Focuses on analysis of policies and proposals
from multiple viewpoints and participation on
boards and committees.
• Encourages advocacy through organizational
leadership.
Essential VI: Interprofessional Collaboration
for Improving Patient and Population Health
Outcomes
• Essential VI prepares graduates for interprofessional
collaboration within a multitiered healthcare
environment.
• Emphasizes collaboration with members of other
professions.
• Focuses on development of expertise necessary for
assuming leadership roles on collaborative teams.
Essential VII: Clinical Prevention and
Population Health for Improving the
Nation’s Health
• Essential VII prepares graduates to analyze
population data in order to develop and implement
prevention strategies and evaluate population
health.
• Emphasizes health promotion and risk reduction
from an advanced nursing practice perspective.
Essential VIII: Advanced Nursing Practice
• Essential VIII describes clinical specialization content
from a specific domain of advanced nursing practice.
• Prepares graduates to develop therapeutic
relationships with patients and other professionals to
improve patient outcomes.
• Encourages utilization of advanced clinical decision-
making skills, mentoring of others in the profession,
and patient education.
Focus on Essential I (1 of 3)
• Basic sciences: Hard and soft sciences that build a
scientific basis for practice.
• Discipline of Nursing: Body of knowledge concerned
with four aspects of care:
– Principles governing life processes and well-being
– Patterning of human behavior
– Processes by which positive changes are effected
– Wholeness of health of human beings as they interact with
the environment
• Nursing science: Methods of inquiry specific to the
discipline and their outcomes.
• Nursing Theory: Product of nursing science that
attempts to describe, predict, or explain phenomena
consistent with nursing’s perspective.
• Middle-range theory: Concrete, narrow areas of
nursing knowledge applicable to clinical practice that
help direct assessment.
Focus on Essential I (2 of 3)
Focus on Essential I (3 of 3)
DNP Graduates and Nursing Theory
• Theory-practice gap exists in nursing due to lack of
understanding and applicability of nursing theories.
• Middle-range theories are key to closing the gap due
to their narrow scope.
• DNP nurses are well-positioned to close the gap by
utilizing and explaining theory-guided practice.
DNP Graduates and Use of Theories
• Nursing theory is reflective of a broad range of
perspectives due to the many disciplines that
form the foundation of practice.
• The social component of nursing requires theory
selection based on the individual patient or
situation.
• DNP nurses must evaluate and apply theories
with an overarching goal of ensuring patient-
centered care.
Dilution of the Discipline: Philosophical
Considerations for DNP Graduates
• Application and integration of interdisciplinary
theories adds to the knowledge base, but may dilute
nursing as a unique discipline.
• It is essential, therefore, that DNP nurses develop a
good understanding of the profession, science, and
discipline of nursing.
• Understanding differentiates DNPs from other nurses
by promoting theory integration that aligns with
concerns of the discipline.
Summary
• The DNP is the AACN recommended terminal
practice-focused degree in nursing.
• This recommendation has implications for
nursing as a profession, science, and discipline.
• Understanding the scientific underpinnings of
practice and the profession itself are essential to
applying knowledge to patient care and bridging
the theory-practice gap.

More Related Content

What's hot

Development of conceptual framework in Nursing Research
Development of conceptual framework in Nursing ResearchDevelopment of conceptual framework in Nursing Research
Development of conceptual framework in Nursing ResearchDhara Vyas
 
EVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICEEVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICEBalkeej Sidhu
 
Research utilization
Research utilizationResearch utilization
Research utilizationSMVDCoN ,J&K
 
Nursing research
Nursing researchNursing research
Nursing researchKiran
 
Ethics in nursing research
Ethics in nursing researchEthics in nursing research
Ethics in nursing researchNursing Path
 
TYPES OF THEORY & MODELS IN NURSING
TYPES OF THEORY & MODELS IN NURSINGTYPES OF THEORY & MODELS IN NURSING
TYPES OF THEORY & MODELS IN NURSINGMAHESWARI JAIKUMAR
 
Ppt. developing a conceptual framework
Ppt.  developing a conceptual frameworkPpt.  developing a conceptual framework
Ppt. developing a conceptual frameworkNursing Path
 
UTILIZATION OF NURSING RESEARCH
UTILIZATION OF NURSING RESEARCHUTILIZATION OF NURSING RESEARCH
UTILIZATION OF NURSING RESEARCHMagi Xavier
 
CONCEPT in Nursing Management
CONCEPT in Nursing Management CONCEPT in Nursing Management
CONCEPT in Nursing Management Sumona16
 
Hisrorical evelotion and trends in nursing research
Hisrorical evelotion and trends in nursing researchHisrorical evelotion and trends in nursing research
Hisrorical evelotion and trends in nursing researchdeepakkv1991
 
COMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTION
COMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTIONCOMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTION
COMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTIONRommel Luis III Israel
 
Nursing education quiz
Nursing education quizNursing education quiz
Nursing education quizNursing Path
 
Reporting and utilizing research findings
Reporting and utilizing research findingsReporting and utilizing research findings
Reporting and utilizing research findingsMelbaLobo
 

What's hot (20)

Development of conceptual framework in Nursing Research
Development of conceptual framework in Nursing ResearchDevelopment of conceptual framework in Nursing Research
Development of conceptual framework in Nursing Research
 
EVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICEEVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICE
 
Research utilization
Research utilizationResearch utilization
Research utilization
 
Nursing research
Nursing researchNursing research
Nursing research
 
Ethics in nursing research
Ethics in nursing researchEthics in nursing research
Ethics in nursing research
 
TYPES OF THEORY & MODELS IN NURSING
TYPES OF THEORY & MODELS IN NURSINGTYPES OF THEORY & MODELS IN NURSING
TYPES OF THEORY & MODELS IN NURSING
 
Benchmarking ppt
Benchmarking pptBenchmarking ppt
Benchmarking ppt
 
Health promotion model
Health promotion modelHealth promotion model
Health promotion model
 
Ppt. developing a conceptual framework
Ppt.  developing a conceptual frameworkPpt.  developing a conceptual framework
Ppt. developing a conceptual framework
 
Nursing theories-ppt
Nursing theories-pptNursing theories-ppt
Nursing theories-ppt
 
UTILIZATION OF NURSING RESEARCH
UTILIZATION OF NURSING RESEARCHUTILIZATION OF NURSING RESEARCH
UTILIZATION OF NURSING RESEARCH
 
CONCEPT in Nursing Management
CONCEPT in Nursing Management CONCEPT in Nursing Management
CONCEPT in Nursing Management
 
Role of research, leadership and management in nursing
Role of research, leadership and management in nursingRole of research, leadership and management in nursing
Role of research, leadership and management in nursing
 
Hisrorical evelotion and trends in nursing research
Hisrorical evelotion and trends in nursing researchHisrorical evelotion and trends in nursing research
Hisrorical evelotion and trends in nursing research
 
COMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTION
COMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTIONCOMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTION
COMMUNITY HEALTH NURSING CARE PLANS, DIAGNOSIS AND INTERVENTION
 
Nursing education quiz
Nursing education quizNursing education quiz
Nursing education quiz
 
Health Promotion- Models
Health Promotion- ModelsHealth Promotion- Models
Health Promotion- Models
 
Evidence based approach
Evidence based approachEvidence based approach
Evidence based approach
 
Reporting and utilizing research findings
Reporting and utilizing research findingsReporting and utilizing research findings
Reporting and utilizing research findings
 
RESEARCH APPROACH & DESIGN
RESEARCH APPROACH & DESIGNRESEARCH APPROACH & DESIGN
RESEARCH APPROACH & DESIGN
 

Similar to Chapter 3 the essentials of the doctor of nursing practice

The Nursing PhD and DNP, What's the Difference?
The Nursing PhD and DNP, What's the Difference?The Nursing PhD and DNP, What's the Difference?
The Nursing PhD and DNP, What's the Difference?OSUCCC - James
 
Creating the future registered nurse
Creating the future registered nurseCreating the future registered nurse
Creating the future registered nurseNHS England
 
evidence based practice
evidence based practice evidence based practice
evidence based practice Nikhil Patel
 
Baccalaureate Generalist Nursing Practice AACN Essentials.pdf
Baccalaureate Generalist Nursing Practice AACN Essentials.pdfBaccalaureate Generalist Nursing Practice AACN Essentials.pdf
Baccalaureate Generalist Nursing Practice AACN Essentials.pdfbkbk37
 
Types of Complaints by Patients Staff Essay.pdf
Types of Complaints by Patients Staff Essay.pdfTypes of Complaints by Patients Staff Essay.pdf
Types of Complaints by Patients Staff Essay.pdfsdfghj21
 
CHernandez DNP Essentials & Organization Systems Leadership.pptx
CHernandez  DNP Essentials & Organization Systems Leadership.pptxCHernandez  DNP Essentials & Organization Systems Leadership.pptx
CHernandez DNP Essentials & Organization Systems Leadership.pptxCamilleHernandez24
 
Nursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdfNursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdfbkbk37
 
Nursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdfNursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdfbkbk37
 
Patterns of nursing education and training programmes in
Patterns of nursing education and training programmes inPatterns of nursing education and training programmes in
Patterns of nursing education and training programmes inHiteshJadav17
 
Nursing Leadership Patient Readmission Healthcare Facilities.pdf
Nursing Leadership Patient Readmission Healthcare Facilities.pdfNursing Leadership Patient Readmission Healthcare Facilities.pdf
Nursing Leadership Patient Readmission Healthcare Facilities.pdfbkbk37
 
Quality nursing education
Quality nursing educationQuality nursing education
Quality nursing educationBhushan Joshi
 
Generalist Nursing Practice Essentials Nursing Field.docx
Generalist Nursing Practice Essentials Nursing Field.docxGeneralist Nursing Practice Essentials Nursing Field.docx
Generalist Nursing Practice Essentials Nursing Field.docxbkbk37
 
Elevating the scope of Nursing Practice.pptx
Elevating the scope of Nursing Practice.pptxElevating the scope of Nursing Practice.pptx
Elevating the scope of Nursing Practice.pptxAsokan R
 
WEEK 10Discuss two different types of comfort interventions that.docx
WEEK 10Discuss two different types of comfort interventions that.docxWEEK 10Discuss two different types of comfort interventions that.docx
WEEK 10Discuss two different types of comfort interventions that.docxcelenarouzie
 
Week 8 AACN Essentials Discussion WGU.pdf
Week 8 AACN Essentials Discussion WGU.pdfWeek 8 AACN Essentials Discussion WGU.pdf
Week 8 AACN Essentials Discussion WGU.pdfsdfghj21
 
Essentials Paper Education in.pdf
Essentials Paper Education in.pdfEssentials Paper Education in.pdf
Essentials Paper Education in.pdfsdfghj21
 

Similar to Chapter 3 the essentials of the doctor of nursing practice (20)

The Nursing PhD and DNP, What's the Difference?
The Nursing PhD and DNP, What's the Difference?The Nursing PhD and DNP, What's the Difference?
The Nursing PhD and DNP, What's the Difference?
 
clinical teaching methods
clinical teaching methodsclinical teaching methods
clinical teaching methods
 
Creating the future registered nurse
Creating the future registered nurseCreating the future registered nurse
Creating the future registered nurse
 
evidence based practice
evidence based practice evidence based practice
evidence based practice
 
Baccalaureate Generalist Nursing Practice AACN Essentials.pdf
Baccalaureate Generalist Nursing Practice AACN Essentials.pdfBaccalaureate Generalist Nursing Practice AACN Essentials.pdf
Baccalaureate Generalist Nursing Practice AACN Essentials.pdf
 
Types of Complaints by Patients Staff Essay.pdf
Types of Complaints by Patients Staff Essay.pdfTypes of Complaints by Patients Staff Essay.pdf
Types of Complaints by Patients Staff Essay.pdf
 
CHernandez DNP Essentials & Organization Systems Leadership.pptx
CHernandez  DNP Essentials & Organization Systems Leadership.pptxCHernandez  DNP Essentials & Organization Systems Leadership.pptx
CHernandez DNP Essentials & Organization Systems Leadership.pptx
 
Tanner
TannerTanner
Tanner
 
Introduction to PCMH RN (abreviated)
Introduction to PCMH RN (abreviated)Introduction to PCMH RN (abreviated)
Introduction to PCMH RN (abreviated)
 
Nursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdfNursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdf
 
Nursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdfNursing Theories Aacn Essentials Question CC.pdf
Nursing Theories Aacn Essentials Question CC.pdf
 
Patterns of nursing education and training programmes in
Patterns of nursing education and training programmes inPatterns of nursing education and training programmes in
Patterns of nursing education and training programmes in
 
Patterns of nursing education in india
Patterns of nursing education in indiaPatterns of nursing education in india
Patterns of nursing education in india
 
Nursing Leadership Patient Readmission Healthcare Facilities.pdf
Nursing Leadership Patient Readmission Healthcare Facilities.pdfNursing Leadership Patient Readmission Healthcare Facilities.pdf
Nursing Leadership Patient Readmission Healthcare Facilities.pdf
 
Quality nursing education
Quality nursing educationQuality nursing education
Quality nursing education
 
Generalist Nursing Practice Essentials Nursing Field.docx
Generalist Nursing Practice Essentials Nursing Field.docxGeneralist Nursing Practice Essentials Nursing Field.docx
Generalist Nursing Practice Essentials Nursing Field.docx
 
Elevating the scope of Nursing Practice.pptx
Elevating the scope of Nursing Practice.pptxElevating the scope of Nursing Practice.pptx
Elevating the scope of Nursing Practice.pptx
 
WEEK 10Discuss two different types of comfort interventions that.docx
WEEK 10Discuss two different types of comfort interventions that.docxWEEK 10Discuss two different types of comfort interventions that.docx
WEEK 10Discuss two different types of comfort interventions that.docx
 
Week 8 AACN Essentials Discussion WGU.pdf
Week 8 AACN Essentials Discussion WGU.pdfWeek 8 AACN Essentials Discussion WGU.pdf
Week 8 AACN Essentials Discussion WGU.pdf
 
Essentials Paper Education in.pdf
Essentials Paper Education in.pdfEssentials Paper Education in.pdf
Essentials Paper Education in.pdf
 

More from stanbridge

Micro Lab 3 Lecture
Micro Lab 3 LectureMicro Lab 3 Lecture
Micro Lab 3 Lecturestanbridge
 
Creating a poster v2
Creating a poster v2Creating a poster v2
Creating a poster v2stanbridge
 
Creating a poster
Creating a posterCreating a poster
Creating a posterstanbridge
 
OT 5018 Thesis Dissemination
OT 5018 Thesis DisseminationOT 5018 Thesis Dissemination
OT 5018 Thesis Disseminationstanbridge
 
Ot5101 005 week 5
Ot5101 005 week 5Ot5101 005 week 5
Ot5101 005 week 5stanbridge
 
Ot5101 005 week4
Ot5101 005 week4Ot5101 005 week4
Ot5101 005 week4stanbridge
 
Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors stanbridge
 
Ch 5 developmental stages of the learner
Ch 5   developmental stages of the learnerCh 5   developmental stages of the learner
Ch 5 developmental stages of the learnerstanbridge
 
OT 5101 week2 theory policy
OT 5101 week2 theory policyOT 5101 week2 theory policy
OT 5101 week2 theory policystanbridge
 
OT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessmentOT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessmentstanbridge
 
NUR 304 Chapter005
NUR 304 Chapter005NUR 304 Chapter005
NUR 304 Chapter005stanbridge
 
NUR 3043 Chapter007
NUR 3043 Chapter007NUR 3043 Chapter007
NUR 3043 Chapter007stanbridge
 
NUR 3043 Chapter006
NUR 3043 Chapter006NUR 3043 Chapter006
NUR 3043 Chapter006stanbridge
 
NUR 3043 Chapter004
NUR 3043 Chapter004NUR 3043 Chapter004
NUR 3043 Chapter004stanbridge
 
3043 Chapter009
3043 Chapter0093043 Chapter009
3043 Chapter009stanbridge
 
3043 Chapter008
 3043 Chapter008 3043 Chapter008
3043 Chapter008stanbridge
 
Melnyk ppt chapter_21
Melnyk ppt chapter_21Melnyk ppt chapter_21
Melnyk ppt chapter_21stanbridge
 
Melnyk ppt chapter_22
Melnyk ppt chapter_22Melnyk ppt chapter_22
Melnyk ppt chapter_22stanbridge
 

More from stanbridge (20)

Micro Lab 3 Lecture
Micro Lab 3 LectureMicro Lab 3 Lecture
Micro Lab 3 Lecture
 
Creating a poster v2
Creating a poster v2Creating a poster v2
Creating a poster v2
 
Creating a poster
Creating a posterCreating a poster
Creating a poster
 
Sample poster
Sample posterSample poster
Sample poster
 
OT 5018 Thesis Dissemination
OT 5018 Thesis DisseminationOT 5018 Thesis Dissemination
OT 5018 Thesis Dissemination
 
Ot5101 005 week 5
Ot5101 005 week 5Ot5101 005 week 5
Ot5101 005 week 5
 
Ot5101 005 week4
Ot5101 005 week4Ot5101 005 week4
Ot5101 005 week4
 
Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors
 
Ch 5 developmental stages of the learner
Ch 5   developmental stages of the learnerCh 5   developmental stages of the learner
Ch 5 developmental stages of the learner
 
OT 5101 week2 theory policy
OT 5101 week2 theory policyOT 5101 week2 theory policy
OT 5101 week2 theory policy
 
OT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessmentOT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessment
 
Ot5101 week1
Ot5101 week1Ot5101 week1
Ot5101 week1
 
NUR 304 Chapter005
NUR 304 Chapter005NUR 304 Chapter005
NUR 304 Chapter005
 
NUR 3043 Chapter007
NUR 3043 Chapter007NUR 3043 Chapter007
NUR 3043 Chapter007
 
NUR 3043 Chapter006
NUR 3043 Chapter006NUR 3043 Chapter006
NUR 3043 Chapter006
 
NUR 3043 Chapter004
NUR 3043 Chapter004NUR 3043 Chapter004
NUR 3043 Chapter004
 
3043 Chapter009
3043 Chapter0093043 Chapter009
3043 Chapter009
 
3043 Chapter008
 3043 Chapter008 3043 Chapter008
3043 Chapter008
 
Melnyk ppt chapter_21
Melnyk ppt chapter_21Melnyk ppt chapter_21
Melnyk ppt chapter_21
 
Melnyk ppt chapter_22
Melnyk ppt chapter_22Melnyk ppt chapter_22
Melnyk ppt chapter_22
 

Recently uploaded

Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfHongBiThi1
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 

Recently uploaded (20)

Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 

Chapter 3 the essentials of the doctor of nursing practice

  • 1. Chapter 3 The Essentials of the Doctor of Nursing Practice: A Philosophical Perspective
  • 2. Introduction • The Doctor of Nursing Practice (DNP) is recommended by the American Association of Colleges of Nursing (AACN) as the terminal practice-focused degree in nursing. • The history of doctoral education is important to understanding the DNP. • Philosophical inquiry about the nature of nursing discipline and science is key to DNP competencies.
  • 3. Overview of the DNP Degree • The DNP is defined as a practice-focused terminal degree in nursing practice. • Focuses on population outcomes and nursing’s impact on healthcare policy. • Emphasizes practice, which separates it from theory- and research-focused PhD degrees. • Graduates must demonstrate scholarly activity via a theory-driven research project demonstrating research in practice.
  • 4. • Doctoral education in nursing has seen its greatest growth in the past 40 years. • Due to the small number of nursing-related doctorates available through the 1960s, most nurses pursued doctorates in the basic sciences or education. • Nursing PhDs did not become popular until the 1970s. Historical Perspectives (1 of 4)
  • 5. Historical Perspectives (2 of 4) • Doctoral education in nursing developed in three phases: – Development of functional specialists—preparing nurses as teachers and administrators – Development of nurse scientists—questioning the nature and knowledge base of nursing – Development of doctorates “in and of nursing”— utilizing answers about nature and knowledge base to improve practice
  • 6. • A fourth phase emphasizing nursing practice has occurred recently with development of the Doctor of Nursing Science (DNS) degree. • The DNS was the first practice-focused doctorate designed to focus on clinical expertise. • Gradually acquired a theory focus and became more like a traditional PhD, again creating the need for a practice-based degree. Historical Perspectives (3 of 4)
  • 7. Historical Perspectives (4 of 4) • The Doctorate of Nursing (ND) was introduced in 1979 to address several needs in nursing: – Reorientation of care toward health status while maintaining a detection and treatment focus – Reorientation of the nursing community to promote scholarship and autonomy – Reorientation of professional preparation toward independent, accountable nurse practitioners • ND was not as popular or uniform as the DNS or PhD, but needs are reflected in the DNP.
  • 8. Development of the DNP Degree • In 2002, the AACN create a task force to evaluate the current status of practice doctorates in nursing. • The task force developed recommendations and proposed curriculum models via the Position Statement on the Practice Doctorate. • Position Statement recommended DNP as the terminal practice-focused degree. • There are currently more than 100 DNP programs in the United States.
  • 9. DNP Competencies • In 2006, the AACN developed the Essentials of Doctoral Education for Advanced Nursing Practice to address the competencies at the core of advanced practice. • The AACN also developed the Practice Doctorate Nurse Practitioner Entry-Level Competencies. • These two documents provide curriculum standards for all DNP programs.
  • 10. Essential I: Scientific Underpinnings for Practice • Essential I describes the scientific foundations for nursing practice. • Foundations are derived from both natural and social sciences, including biology, physiology, and psychology. • Nursing science and middle-range nursing theories are also part of the foundations.
  • 11. Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking • Essential II describes preparation in organization and systems leadership that affects healthcare delivery and outcomes. • Emphasizes organizational assessments, systems issues, and facilitation of organization-wide changes. • Prepares graduates to assume leadership roles at every level of an organization.
  • 12. Essential III: Clinical Scholarship and Analytical Methods for Evidence- Based Practice • Essential III describes competencies related to evaluation, integration, translation, and application of evidence-based practice. • Addresses the unique perspective of graduates to merge science and human elements and ask practice-related questions. • Emphasizes research partnerships, clinical research, and guideline and method design.
  • 13. Essential IV: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Healthcare • Essential IV prepares graduates to use information technologies to improve patient care outcomes. • Emphasizes use of expertise to evaluate documentation programs and the accuracy, timeliness, and appropriateness of healthcare consumer information.
  • 14. Essential V: Healthcare Policy for Advocacy in Health Care • Essential V describes the importance of nurses’ involvement in policy and advocacy. • Emphasizes the relationship of practice and policy. • Focuses on analysis of policies and proposals from multiple viewpoints and participation on boards and committees. • Encourages advocacy through organizational leadership.
  • 15. Essential VI: Interprofessional Collaboration for Improving Patient and Population Health Outcomes • Essential VI prepares graduates for interprofessional collaboration within a multitiered healthcare environment. • Emphasizes collaboration with members of other professions. • Focuses on development of expertise necessary for assuming leadership roles on collaborative teams.
  • 16. Essential VII: Clinical Prevention and Population Health for Improving the Nation’s Health • Essential VII prepares graduates to analyze population data in order to develop and implement prevention strategies and evaluate population health. • Emphasizes health promotion and risk reduction from an advanced nursing practice perspective.
  • 17. Essential VIII: Advanced Nursing Practice • Essential VIII describes clinical specialization content from a specific domain of advanced nursing practice. • Prepares graduates to develop therapeutic relationships with patients and other professionals to improve patient outcomes. • Encourages utilization of advanced clinical decision- making skills, mentoring of others in the profession, and patient education.
  • 18. Focus on Essential I (1 of 3) • Basic sciences: Hard and soft sciences that build a scientific basis for practice. • Discipline of Nursing: Body of knowledge concerned with four aspects of care: – Principles governing life processes and well-being – Patterning of human behavior – Processes by which positive changes are effected – Wholeness of health of human beings as they interact with the environment
  • 19. • Nursing science: Methods of inquiry specific to the discipline and their outcomes. • Nursing Theory: Product of nursing science that attempts to describe, predict, or explain phenomena consistent with nursing’s perspective. • Middle-range theory: Concrete, narrow areas of nursing knowledge applicable to clinical practice that help direct assessment. Focus on Essential I (2 of 3)
  • 20. Focus on Essential I (3 of 3) DNP Graduates and Nursing Theory • Theory-practice gap exists in nursing due to lack of understanding and applicability of nursing theories. • Middle-range theories are key to closing the gap due to their narrow scope. • DNP nurses are well-positioned to close the gap by utilizing and explaining theory-guided practice.
  • 21. DNP Graduates and Use of Theories • Nursing theory is reflective of a broad range of perspectives due to the many disciplines that form the foundation of practice. • The social component of nursing requires theory selection based on the individual patient or situation. • DNP nurses must evaluate and apply theories with an overarching goal of ensuring patient- centered care.
  • 22. Dilution of the Discipline: Philosophical Considerations for DNP Graduates • Application and integration of interdisciplinary theories adds to the knowledge base, but may dilute nursing as a unique discipline. • It is essential, therefore, that DNP nurses develop a good understanding of the profession, science, and discipline of nursing. • Understanding differentiates DNPs from other nurses by promoting theory integration that aligns with concerns of the discipline.
  • 23. Summary • The DNP is the AACN recommended terminal practice-focused degree in nursing. • This recommendation has implications for nursing as a profession, science, and discipline. • Understanding the scientific underpinnings of practice and the profession itself are essential to applying knowledge to patient care and bridging the theory-practice gap.