WHAT TO DO:
Respond to at least two of your colleagues, on different days, by offering one of the following:
·An additional expectation or role of a DNP-prepared nurse that they did not mention
·An additional difference between the expectations and role of a practice nurse and a research nurse that they did not mention
Note: Your responses to colleagues should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.
Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.
# 1 Krystle Anderson
Personal Motivations and Goals in Pursuing the DNP Degree
Pursuing a Doctor of Nursing Practice (DNP) degree aligns with my professional aspirations to improve patient care quality through leadership and evidence-based practice. My experiences as a nurse have shown me the impact that informed, research-backed decisions can have on patient outcomes, but I have also witnessed the barriers within healthcare systems that prevent optimal care. By obtaining a DNP, I aim to address these systemic issues and advocate for meaningful policy changes that lead to improved care delivery. This degree will empower me to not only provide exceptional care but also lead initiatives that have a broad and lasting effect on healthcare quality.
The DNP degree will enable me to take on leadership roles where I can implement changes rooted in clinical expertise and evidence-based practices, enhancing patient outcomes and organizational efficiency. I am motivated by the opportunity to apply advanced knowledge in practice settings to improve healthcare delivery systems and support interdisciplinary teams. My ultimate goal is to become a leader who can drive innovations in patient care and bridge the gap between research and practice.
Expectations and Role of a Nurse with a DNP vs. a Nurse with a Research Doctorate
The roles of DNP-prepared nurses differ significantly from those of PhD-prepared nurses, as each focuses on different aspects of healthcare improvement. A DNP-prepared nurse is primarily focused on applying research findings to practice, improving clinical outcomes, and leading quality improvement initiatives (Beeber et al., 2019). DNP-prepared nurses often assume leadership roles such as nurse practitioners, clinical nurse specialists, or healthcare administrators, directly influencing patient care and organizational policies (Beeber et al., 2019). Their responsibilities include implementing evidence-based strategies that enhance patient care, quality, and efficiency within practice settings (Udlis & Mancuso, 2015).
In contrast, nurses with a PhD are typically engaged in research aimed at generating new knowledge. PhD-prepared nurses work in academic or research settings, conducting studies that contribute to the theoretical foundations of nursing (Udlis & Mancuso, 2015). While both degrees play crucial roles in advancing the nursing profession, DNP-prepared nurses focus on real-world applications of research to solve healthcare challenges, whereas PhD-prepared nurses focus on producing new evidence through scientific inquiry (Carter & Jones, 2017).
Addressing an Organization’s Quality Improvement Needs as a DNP-Prepared Nurse
As a DNP-prepared nurse, I plan to address an organization’s quality improvement needs by focusing on practice gaps and implementing evidence-based changes. One area of particular interest to me is improving care transitions between different healthcare settings. Poor coordination during care transitions often results in readmissions, miscommunication between providers, and lower patient satisfaction. By using data analysis techniques learned during my DNP education, I will be able to examine trends in patient outcomes and propose solutions to improve care transitions, reduce readmission rates, and increase overall satisfaction (Beeber et al., 2019).
In a previous role, I led a quality improvement initiative aimed at reducing catheter-associated urinary tract infections (CAUTIs). Collaborating with interdisciplinary teams, I helped implement evidence-based catheter care protocols, which significantly reduced infection rates. This experience not only deepened my understanding of the quality improvement process but also solidified my commitment to pursuing the DNP degree. The leadership and data analysis skills I gained through that initiative will be essential in my future efforts to improve healthcare delivery systems.
As a DNP-prepared nurse, I will be equipped to lead similar quality improvement projects that address practice gaps and enhance care quality. The DNP will provide me with the advanced skills needed to integrate clinical expertise with systems leadership, driving positive changes in healthcare outcomes.
References
Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354-364.
Carter, M. A., & Jones, M. (2017). Nationwide doctor of nursing practice/advanced practice registered nurse survey on roles, functions, and competencies. Journal of Doctoral Nursing Practice, 10(2), 108-112.
Udlis, K. A., & Mancuso, J. M. (2015). Perceptions of the role of the doctor of nursing practice-prepared nurse: Clarity or confusion. Journal of Professional Nursing, 31(4), 274-283.
#2 Clara Eyra Dedzo Amenuvor
Main Post
The DNP-Prepared Nurse’s Role
Personal Motivations and Goals in Pursuing the DNP Degree.
The pursuit of a Doctor of Nursing Practice (DNP) degree is motivated by a profound dedication to enhancing clinical practice and optimizing patient outcomes. This aspiration is rooted in a commitment to incorporate evidence-based methodologies into everyday nursing activities, refine leadership capabilities, and instigate systemic transformations, including improved interdisciplinary collaboration, reforms in health policies, and advocacy for patients within the healthcare framework (Giardino & Hickey, 2020). The DNP program presents a distinctive opportunity to cultivate proficiency in the application of research to practice, tackle intricate healthcare challenges, and spearhead initiatives aimed at elevating patient care standards (Dobrowolska et al., 2021). My objective is to utilize this advanced education to direct quality improvement initiatives, aid in the formulation of best practices, and ultimately effectuate a significant positive influence on patient outcomes and the healthcare system.
Expectation and role of a Nurse Holding a Practice Doctorate Compared to Those with a Research Doctorate.
A nurse holding a Doctor of Nursing Practice (DNP) and a nurse possessing a Doctor of Philosophy (PhD) fulfill different functions and have varying expectations in the healthcare sector.
Role of a DNP-Prepared Nurse: A nurse with a Doctor of Nursing Practice (DNP) degree primarily engages in the application of evidence-based research to enhance clinical practice and spearhead initiatives aimed at improving patient care and healthcare systems (Dobrowolska et al., 2021). DNP-prepared nurses concentrate on converting research outcomes into actionable solutions, enacting changes in practice, and assessing the effects of these changes on patient outcomes (Beeber et al., 2019). They are anticipated to demonstrate robust leadership capabilities, participate in quality improvement initiatives, and champion evidence-based practices within their healthcare environments (Giardino & Hickey, 2020). Their responsibilities frequently include collaboration with interdisciplinary teams, the formulation and execution of protocols, and the identification and rectification of practice deficiencies to promote patient care and safety (Giardino & Hickey, 2020).
Role of a PHD-Prepared Nurse: A nurse who holds a research doctorate (PhD) is dedicated to the progression of nursing science through rigorous research endeavors (Negarandeh & Khoshkesht, 2022). The central responsibility of a PhD-prepared nurse is to undertake original research, enhance the theoretical framework surrounding nursing phenomena, and produce new insights that guide clinical practice (Negarandeh & Khoshkesht, 2022). These nurses participate in the design and implementation of research studies, data analysis, and the dissemination of their findings in scholarly journals (Van Dongen & Hafsteinsdóttir, 2021). Although they may contribute to improvements in practice, their primary focus remains on research and academic scholarship rather than direct patient care (Van Dongen & Hafsteinsdóttir, 2021).
Differences in Focus and Application
The primary distinction between nurses with a Doctor of Nursing Practice (DNP) and those with a Doctor of Philosophy (PhD) is found in their respective emphases and applications. DNP-prepared nurses primarily engage in the practical application of research, driving changes, and enhancing clinical outcomes (Beeber et al., 2019). In contrast, PhD-prepared nurses dedicate their efforts to the creation of new knowledge and the advancement of the scientific underpinnings of nursing. Both roles are vital to the nursing field, yet they serve different purposes, with DNP nurses prioritizing practical implementation and PhD nurses concentrating on theoretical advancement (Van Dongen & Hafsteinsdóttir, 2021).
Addressing an Organization’s Quality Improvement Needs as a DNP-Prepared Nurse
Identifying the Gap: Recognizing the Deficiencies: In my capacity as a DNP-prepared nurse, my strategy for tackling quality improvement requirements centers on pinpointing deficiencies in clinical practice. Notably, inadequate discharge planning and restricted availability of aftercare services represent significant factors that can adversely affect patient outcomes. To remedy these deficiencies, I would undertake a thorough evaluation of the current discharge protocols and aftercare services. This evaluation would encompass an analysis of patient discharge statistics, interviews with staff members, and an assessment of the available resources and operational processes (Graves et al., 2021).
Developing and Implementing Practice Changes: Following the evaluation, I would devise a focused strategy aimed at refining discharge planning and augmenting access to aftercare services. This strategy could encompass the establishment of uniform discharge protocols, the enhancement of communication channels between healthcare professionals and patients, and the assurance that patients receive essential follow-up care (Stricker, 2023). The execution of these modifications would necessitate staff training, procedural updates, and the formation of collaborations with community resources to support aftercare services (Graves et al., 2021).
Evaluating Impact: Following the implementation of practice changes, it is crucial to assess their effects on patient outcomes and care processes. This assessment includes the measurement of key performance indicators, such as patient satisfaction, readmission rates, and the efficacy of aftercare services (Genge et al., 2022). Through the analysis of this data, I can determine if the changes have resulted in enhancements and make any required modifications to further optimize outcomes.
Previous Experience: In my previous positions, I have tackled comparable deficiencies in practice by enhancing patient care pathways and fostering better communication among healthcare teams and patients. For example, I participated in a project that refined the discharge process through the introduction of a new protocol aimed at ensuring thorough patient education and follow-up care. This experience has provided me with essential skills in project management, data analysis, and collaborative problem-solving, which I intend to utilize to address the identified shortcomings in discharge planning and aftercare services.
Conclusion
My education in Doctor of Nursing Practice (DNP) has instilled in me a strong dedication to effecting significant change within healthcare organizations. By utilizing evidence-based approaches and working alongside interdisciplinary teams, I aim to implement transformative practices that are both innovative and sustainable. This includes the adoption of best practices, enhancement of protocols, and the promotion of a culture focused on continuous quality improvement. The advanced training I have received will provide me with the expertise needed to critically evaluate current practices and pinpoint areas in need of enhancement.
References
Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354–364. Links to an external site.
Dobrowolska, B., Chruściel, P., Markiewicz, R., & Palese, A. (2021). The role of doctoral‐educated nurses in the clinical setting: Findings from a scoping review. Journal of Clinical Nursing, 30(19–20), 2808–2821. to an external site.
Genge, L., Krala, A., Tritschler, T., Gal, G. L., Langlois, N., Dubois, S., West, C., Duffett, L., & Skeith, L. (2022). Evaluation of patients’ experience and related qualitative outcomes in venous thromboembolism: A scoping review. Journal of Thrombosis and Haemostasis, 20(10), 2323–2341. to an external site.
Giardino, E. R., & Hickey, J. V. (2020). Doctor of nursing practice students’ perceptions of professional change through the DNP program. Journal of Professional Nursing, 36(6), 595–603. to an external site.
Graves, L. Y., Tamez, P., Wallen, G. R., & Saligan, L. N. (2021). Defining the role of individuals prepared as a doctor of nurse practice in symptoms science research. Nursing Outlook, 69(4), 542–549. to an external site.
Negarandeh, R., & Khoshkesht, S. (2022). Expected Roles of PhD Graduated Nurses: A scoping review. Florence Nightingale Journal of Nursing. to an external site.
Stricker, L. G. (2023). Effectiveness of trauma nurse practitioner-led patient-centered discharge plan: a quality improvement project. to an external site.
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