Role Development for Doctoral Advanced Nursing Practice

Contents......Page 8
Contributors......Page 12
Foreword......Page 18
Preface......Page 20
Acknowledgments......Page 22
List of Reviewers......Page 24
Introduction
......Page 26
REFERENCES
......Page 30
INTRODUCTION......Page 32
BACKGROUND......Page 34
THE EVOLUTION OF THE NEED FOR THE NURSE WITH A DOCTORATE......Page 37
THEN: THE DOCTORAL-PREPARED NURSE EMERGES FROM A MINISCULE POOL......Page 38
NOW: THE DWINDLING SUPPLY OF NURSING FACULTY WITH THE PhD......Page 40
THE SECOND PROFESSIONAL DOCTORATE IN NURSING: THE ND DEGREE......Page 43
THE CONTEMPORARY PRACTICE DOCTORATE MOVEMENT: DNP (MOSTLY) AND DrNP......Page 44
THE AACN’S EARLY DEVELOPMENTAL WORK ON THE DNP DEGREE......Page 47
THE AACN’S 2015 POSITION AND THE RUSH BEGINS......Page 49
Progress
......Page 53
Unresolved Issues......Page 56
INTERNATIONAL IMPLICATIONS FOR THE DOCTOR OF NURSING PRACTICE DEGREE......Page 59
SUMMARY......Page 60
NOTES......Page 61
REFERENCES......Page 62
Reflective Response
......Page 69
CRITICAL THINKING QUESTIONS......Page 70
INTRODUCTION......Page 72
ROLE AND ROLE THEORY IN THE PROFESSION OF NURSING......Page 73
Roles in the Profession......Page 74
The Impact of Nightingale......Page 78
The Toil and Contribution of Public Health Nurses to Nursing......Page 80
The Federal Reclassification of Nursing Changes the Profession......Page 83
REFERENCES......Page 86
Reflective Reponse
......Page 91
CRITICAL THINKING QUESTIONS......Page 92
INTRODUCTION......Page 94
DEVELOPMENT OF THE NURSE MIDWIFE ROLE......Page 95
DEVELOPMENT OF THE NURSE ANESTHETIST ROLE......Page 99
DEVELOPMENT OF THE NURSE PRACTITIONER ROLE......Page 101
DEVELOPMENT OF THE CLINICAL NURSE SPECIALIST ROLE......Page 103
UNIFICATION OF APRN EDUCATION, REGULATION, AND PRACTICE......Page 104
CONSENSUS MODEL AND......Page 105
UNIQUENESS OF APRN “PRACTICE”......Page 106
APRN PRACTICE OUTCOMES......Page 108
SUMMARY: FROM SILOS TO COMMON VISION......Page 109
REFERENCES......Page 111
INTRODUCTION......Page 116
ONGOING ISSUES......Page 117
WHAT IS THE COALITION FOR PATIENTS’ RIGHTS?......Page 118
REFERENCES......Page 119
Reflective Response 2......Page 121
CRITICAL THINKING QUESTIONS......Page 123
THE EMERGENCE OF THE DOCTOR OF NURSING PRACTICE DEGREE......Page 124
THE MSN ADVANCED PRACTICE NURSE: ONE IS SATISFIED, ONE WANTS......Page 125
THE DNP APRN: THE ONE WHO WANTS......Page 130
SUMMARY......Page 135
REFERENCES......Page 136
Reflective Reponse 1
......Page 139
REFERENCES
......Page 141
EDUCATIONAL DISPARITY......Page 142
RETURN ON INVESTMENT......Page 143
REFERENCES......Page 144
Reflective Response 3
......Page 145
CRITICAL THINKING QUESTIONS......Page 146
EVOLVING ACADEMIC PREPARATION FOR THE PRACTITIONER......Page 148
THE DNP: DEGREE OR ROLE?......Page 149
THE ARRIVAL OF THE DOCTORALLY PREPARED NP: IS IT DIFFERENT FROM THE MS-PREPARED NP?......Page 150
CLOSING MS-LEVEL NP PROGRAMS: POTENTIAL PITFALLS......Page 153
VARIABILITY AMONG DNP PROGRAMS: TO WHAT EXTENT ARE DNP PROGRAMS PRODUCING CLINICIANS WHO ARE DISTINCTLY DIFFERENT FROM MS-PREPAR......Page 154
THE CONCEPT OF SCHOLARSHIP AND THE DNP......Page 155
DO WE NEED ADDITIONAL CERTIFICATION TO INDICATE “DOCTORAL ADVANCED PRACTICE NURSING”?......Page 157
SUMMARY......Page 158
REFERENCES......Page 159
Reflective Response
......Page 161
CRITICAL THINKING QUESTIONS......Page 164
INTRODUCTION: SUPPLY, DEMAND, AND PREPARATION OF A CLINICAL EXECUTIVE—WHY IS IT IMPORTANT?......Page 166
AACN ESSENTIALS OF DOCTORAL EDUCATION FOR ADVANCED NURSING PRACTICE
......Page 167
THE DNP CLINICAL EXECUTIVE PRACTICA: A CRITICAL ELEMENT......Page 168
COMPARISON OF THE ESSENTIALS OF MASTER'S EDUCATION AND ESSENTIALS OF DOCTORAL EDUCATION FOR ADVANCED NURSING PRACTICE
......Page 170
NURSE EXECUTIVE PREPARATION: THE DNP VERSUS OTHER DEGREE OPTIONS......Page 176
AMERICAN ORGANIZATION OF NURSE EXECUTIVES NURSE EXECUTIVE COMPETENCIES......Page 177
FUTURE PERSPECTIVES......Page 178
SUMMARY......Page 179
REFERENCES......Page 180
Reflective Response
......Page 182
CRITICAL THINKING QUESTIONS......Page 183
INTRODUCTION......Page 186
THE PRACTICE OF “THE NURSE EDUCATOR”......Page 188
NURSING ACCREDITING BODIES’ VIEW OF THE DNP/EDUCATOR ROLE......Page 189
DNP STUDENTS: ESSENTIALS AND COMPETENCIES......Page 190
REDEFINING “PRACTICE” TO INCLUDE THE DOMAIN OF THE NURSE EDUCATOR......Page 191
CERTIFICATION FOR NURSE EDUCATORS......Page 193
PEDAGOGICAL EDUCATION FOR NURSE EDUCATORS......Page 194
THE DNP DEGREE AND TENURE......Page 195
DOCTOR OF NURSING PRACTICE CURRICULA TODAY......Page 196
WHERE WE STAND NOW......Page 199
REFERENCES......Page 200
EXPERIENCE OF ONE DNP-PREPARED FACULTY......Page 202
THE PRACTICE OF “THE NURSE EDUCATOR”......Page 203
SUMMARY: TRENDS AND NURSING ORGANIZATIONS......Page 204
CRITICAL THINKING QUESTIONS......Page 205
INTRODUCTION......Page 206
A UNIQUE DOCTORAL ADVANCED PRACTICE NURSING ROLE AT DREXEL UNIVERSITY......Page 207
THE CLINICAL SCHOLAR IN NURSING AND HEALTH RESEARCH: THE CLINICAL SCIENTIST......Page 208
PERSPECTIVES FROM TWO CLINICAL SCIENTIST TRACK STUDENTS......Page 211
Networking and the Socialization of the Clinical Nursing Scientist......Page 214
NOTES......Page 217
REFERENCES......Page 218
Reflective Response
......Page 221
CRITICAL THINKING QUESTIONS......Page 223
HOW IS CLINICAL SCHOLARSHIP DEFINED?......Page 224
HOW IS EXPERTISE IN THE USE OF EVIDENCE-BASED PRACTICE ACHIEVED?......Page 227
IS ACTION RESEARCH ORIENTED FOR DNP CLINICAL SCHOLARSHIP?......Page 228
SUMMARY: THE FUTURE OF THE DNP CLINICAL SCHOLAR......Page 229
REFERENCES......Page 230
Reflective Response
......Page 232
REFERENCES......Page 236
CRITICAL THINKING QUESTIONS......Page 237
INTRODUCTION......Page 238
The DNP-Educated Practitioner......Page 239
The DNP-Educated Clinical Executive......Page 240
The DNP-Educated Clinical Scientist......Page 241
Purpose and Significance of the Study......Page 242
Informant Recruitment and Informed Consent......Page 243
Findings......Page 244
Theme 1: Context of the DNP Role......Page 245
Theme 2: Feelings of Confidence and Empowerment in the Role as a DNP......Page 246
Theme 3: Finding My Way by Finding and Responding to Opportunity......Page 247
DISCUSSION AND CONCLUSIONS OF STUDY......Page 248
SUMMARY......Page 249
REFERENCES......Page 250
Reflective Response
......Page 252
CRITICAL THINKING QUESTIONS......Page 254
DNP: ADVANCED PRACTICE EVOLVING......Page 256
THE PERFECT STORM......Page 257
THE DNP: DISRUPTIVE INNOVATION RECONSIDERED......Page 258
PERSONAL READINESS STRATEGIES IN PLANNING A CAREER TRAJECTORY......Page 259
SUMMARY......Page 264
REFERENCES......Page 265
Reflective Response
......Page 267
REFERENCES
......Page 268
CRITICAL THINKING QUESTIONS......Page 269
REVISITING OUR PAST......Page 270
MASTERS VS. DOCTORAL PREPARATION......Page 271
THE LANDSCAPE FOR THE DNP CURRICULUM AND THE NURSE EXECUTIVE......Page 272
SO WHAT IS MISSING IN THE DNP NURSE EXECUTIVE TRACK CURRICULUM?......Page 277
Proposed Essential IX: Strategic Management......Page 278
SUMMARY......Page 279
REFERENCES......Page 280
Reflective Response
......Page 282
CRITICAL THINKING QUESTIONS......Page 285
INTRODUCTION......Page 286
TRANSITIONS IN PROFESSIONAL DEVELOPMENT......Page 287
The Loneliness Challenge......Page 288
The Identity Challenge......Page 289
ABOUT TRANSITIONS INTO LEADERSHIP ROLES......Page 290
LEADERSHIP CONSCIOUSNESS......Page 291
Awareness of Personal Styles and Strengths......Page 292
Awareness of Our Emotional Intelligence......Page 293
Awareness of Our “Inner Critic”......Page 294
Awareness as Mindfulness......Page 295
EXECUTIVE COACHING......Page 296
EXECUTIVE COACHING CASE EXAMPLE......Page 297
REFERENCES......Page 300
Reflective Response
......Page 302
CRITICAL THINKING QUESTIONS......Page 304
OVERVIEW OF CURRENT ADVANCE PRACTICE NURSE TECHNOLOGY EXPECTATIONS......Page 306
INFORMATICS AND TECHNICAL COMPETENCIES FOR THE DOCTORAL APN......Page 307
Knowledge Management Competencies......Page 308
TECHNOLOGICAL TOOLS THAT CAN SUPPORT THE DOCTORAL APN......Page 309
American Association of Colleges of Nursing (AACN)......Page 310
National Association of Clinical Nurse Specialists (NACNS)......Page 311
ROLE AND RELEVANCE OF THE DOCTORAL APN AND TECHNOLOGY......Page 312
Library Search Skills......Page 313
Life-Long Learning: Keeping Skills Up-to-Date Long After Graduation......Page 315
Interfacing With Libraries for Research-Based Support......Page 317
Simulation to Enhance and Evaluate Competency......Page 318
VIRTUAL WORLDS FOR EDUCATION AND RESEARCH......Page 319
WHAT’S ON THE HORIZON?......Page 320
SUMMARY......Page 321
REFERENCES......Page 322
Reflective Response 1
......Page 325
REFERENCES
......Page 328
Reflective Response 2
......Page 330
CRITICAL THINKING QUESTIONS......Page 331
INTRODUCTION......Page 332
SYSTEMS THEORY AS A CONTEXT FOR NEGOTIATION......Page 333
POLITICAL, CULTURAL, AND GENDER CONTEXTS WITHIN THE SYSTEM......Page 334
RANK AND PRIVILEGE......Page 335
THE ROLE OF THE DNP IN NEGOTIATION: THE TACTICAL VIEW......Page 336
TRAITS OF SUCCESSFUL NEGOTIATORS......Page 337
THREE CRUCIAL ELEMENTS FOR SUCCESSFUL NEGOTIATION......Page 338
THE "FOUR HORSEMEN OF THE APOCALYPSE"......Page 339
REFERENCES......Page 342
Reflective Response
......Page 344
CRITICAL THINKING QUESTIONS......Page 346
INTRODUCTION......Page 348
HISTORY OF MENTORSHIP AND MENTEESHIP IN THE NURSING PROFESSION......Page 349
Models of Mentorship......Page 350
Mentor–Mentee Profile......Page 353
MEETING THE NEEDS OF UNDERREPRESENTED GROUPS OF DNPs......Page 356
EFFECTIVE MENTORING......Page 358
Tips for the Mentee......Page 361
FUTURE DIRECTIONS AND RECOMMENDATIONS......Page 362
REFERENCES......Page 363
Reflective Response
......Page 366
REFERENCES
......Page 367
CRITICAL THINKING QUESTIONS......Page 368
SCOPE......Page 370
Academic
......Page 371
Governmental......Page 372
INTERPROFESSIONAL COLLABORATIVE RESEARCH......Page 373
REFERENCES......Page 374
Reflective Response
......Page 376
REFERENCES
......Page 380
CRITICAL THINKING QUESTIONS......Page 381
INTRODUCTION......Page 382
CALLS TO ACTION......Page 383
THEORETICAL FRAMEWORK......Page 384
APPLICATION......Page 385
PROCESS......Page 386
REFERENCES......Page 387
ROLE EXPECTATION......Page 389
RECOMMENDATIONS FOR A STEP FURTHER......Page 390
CRITICAL THINKING QUESTIONS......Page 391
INTRODUCTION......Page 394
HISTORY OF DOCTORAL EDUCATION......Page 395
DOCTORAL EDUCATION IN NURSING: GRADUATES ACCUSTOMED TO THE TITLE ‘Dr’......Page 397
American Medical Association Resolutions......Page 398
Legislation Limiting the Use of “Doctor”......Page 401
USE OF THE TITLE DOCTOR IN NURSING: THE DEBATE......Page 402
PRACTICAL RECOMMENDATIONS FOR THE DAPN......Page 404
SUMMARY......Page 405
REFERENCES......Page 406
Reflective Response 1
......Page 409
REFERENCES
......Page 411
Reflective Response 2
......Page 413
CRITICAL THINKING QUESTIONS......Page 416
WHAT IS REFLECTION AND REFLECTIVE PRACTICE?......Page 418
WHY BOTHER TO REFLECT?......Page 420
HOW DO YOU REFLECT ON PRACTICE?......Page 421
WHAT ABOUT NURSING KNOWLEDGE?......Page 423
SUMMARY......Page 425
REFERENCES......Page 426
Reflective Response
......Page 428
CRITICAL THINKING QUESTIONS......Page 429
WHY STUDY ABROAD FOR DOCTORAL NURSING STUDENTS?......Page 430
Why Was it Created?......Page 431
How is the Program Funded?......Page 432
FUNDING ACCOMPANYING DOCTORAL FACULTY ABROAD......Page 433
THE DrNP-IN-LONDON PROGRAM: A FACULTY PERSPECTIVE......Page 434
The DrNP-in-London Program: A Doctoral Student’s Perspective......Page 436
THE DrNP-IN-DUBLIN PROGRAM: A FACULTY PERSPECTIVE......Page 438
The DrNP-in-Dublin Program: A Doctoral Student’s Perspective......Page 439
WHAT WE LEARNED FROM BOTH EXPERIENCES......Page 440
SUMMARY......Page 441
NOTES......Page 442
REFERENCES......Page 443
Reflective Response
......Page 445
CRITICAL THINKING QUESTIONS......Page 447
WHAT IS THE DNP EXAMINATION?......Page 448
ARGUMENTS FOR THE DNP EXAMINATION......Page 449
ARGUMENTS AGAINST THE DNP EXAMINATION......Page 453
WHERE DO WE GO FROM HERE?......Page 454
REFERENCES......Page 455
Reflective Response 1
......Page 457
REFERENCES
......Page 458
Reflective Response 2
......Page 460
REFERENCES
......Page 461
CRITICAL THINKING QUESTIONS......Page 462
MUST THE ROLE BE DEFINED AT THIS TIME? WHAT IS THE VISION?......Page 464
MSN VERSUS DNP: WHICH IS BETTER ENTRY INTO APRN CLINICAL PRACTICE?......Page 466
WILL THE PRACTICE DOCTORATE EDUCATIONAL JOURNEY PROVIDE ADDITIONAL KNOWLEDGE AND SKILLS TO CHANGE THE CLINICIAN ROLE?......Page 467
AN ECOLOGIC EDUCATIONAL FRAMEWORK APPROACH TO THE PRACTICE DOCTORATE......Page 468
PATHWAYS TO POTENTIAL DNP ROLES......Page 469
NOTES......Page 471
REFERENCES......Page 472
Reflective Response
......Page 474
CRITICAL THINKING QUESTIONS......Page 476
INTRODUCTION......Page 478
THE DOCTORAL ADVANCED NURSING PRACTICE-EDUCATED "PRACTITIONER"......Page 479
THE DOCTORAL ADVANCED NURSING PRACTICE-EDUCATED “CLINICAL EXECUTIVE”......Page 483
THE DOCTORAL ADVANCED NURSING PRACTICE-EDUCATED “EDUCATOR”......Page 485
THE DOCTORAL ADVANCED NURSING PRACTICE-EDUCATED “CLINICAL SCIENTIST”......Page 488
SUMMARY......Page 491
REFERENCES......Page 492
Reflective Response
......Page 495
REFERENCES
......Page 497
CRITICAL THINKING QUESTIONS......Page 498
Index......Page 500