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
Education: The AACN position statement identifies a deadline of 2015 by which all advanced nursing programs should be at DNP level (AANC. 2004) The move to offering DNP would required universities to receive approval to grant doctoral degree or to authorize affiliation between doctoral degree institution that looking to implement the DNP program and institution without authority or accreditation. In many states collaboration with another system can be costly with negative impact on the public funds. Afaf Meleis , Dean of the school of nursing at the University of Pennsylvania and Kathleen Dracup, Dean of the school of nursing at the University of California express their concerns that the DNP is the wrong way degree for nursing and encourage refocus attention on MS and PhD, according to them the DNP create a second class citizenship in universities and enhanching the potential for marginialization of those with practice or research doctorate by others. They also argue that the time spent in development and implementation of the new degree is wasted . Educating doctorally prepared clinical expert without research focus is dichotomy and unable to complete the overall knowledge in nursing.
Hathaway and colleagues(2006) observed that existing DNP...