The Specialist of Nursing Practice Visionary Administration for the Act of Nursing.


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The Specialist of Nursing Practice Visionary Initiative for the Act of Nursing Advancement and Current Status of the National Development Review of Presentation Early on Remarks on the Present Connection and the Improvement of the DNP Talk Identified with the Work of the Guide Team
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Slide 1

The Doctor of Nursing Practice Visionary Leadership for the Practice of Nursing Evolution and Current Status of the National Movement

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Overview of Presentation Introductory Comments on the Present Context and the Development of the DNP Discussion Related to the Road\'s Work Map Task Force Description of the Essentials\' Work Task Force

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Focus of Comments Related to the Road Map Task Force Comment on the Paradigm Shift Occurring in Graduate Education in Nursing Describe the Task Force’s Charge Comment on Diffusion of Innovations as a Framework for Looking at what is going on and a Framework for Guiding the Work Discuss Frequently Asked Questions and Fears Comment on Feedback from Regional Conferences

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It speaks the truth the FUTURE !!!

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Creating the Future We have an obligation to make the future for our patients, for our calling, and for the general population\'s wellbeing.

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A Paradigm Shift is Underway in Graduate Education in Nursing A Number of Factors are Converging to Build Momentum for a Major arrangement of Shifts These Include: Aging of the Population; Expansion of Knowledge Underlying Practice; Increased Complexity of Patient Care; Major Concerns about Quality of Care and Patient Safety; Shortages of Nursing Personnel Demanding a Higher Level of Preparation for Leaders Who Can Design and Assess Care and Lead; Shortages of Prepared Nursing Faculty, Leaders in Practice, and Nurse Researchers, and Increasing Educational Expectations for the Preparation of other Health Professionals

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Position Statement on the Practice Doctorate in Nursing October 2004

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National Academy of Sciences 2005 Report on Nursing Research The Report Focuses on Increasing the Number of Nurse Scientists and Increasing the Number of Productive Research Years for Nurses Prepared in PhD Programs

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National Academy of Sciences 2005 Report Calls for a refinement between “the instructive needs and objectives of nursing as a practice calling that oblige specialists with clinical ability from Nursing as a scholarly teach and science that obliges free analysts and researchers to assemble the assortment of knowledge” (p.74)

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National Academy of Sciences 2005 Report “The requirement for doctorally arranged experts and clinical staff would be met if nursing could add to another nonresearch clinical doctorate, like the M.D. what\'s more, Pharm.D. in solution and drug store, respectively.”

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Development of the Clinical Nurse Leader at the Master’s Level

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Graduate Education in Nursing 2004

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Graduate Education in Nursing 2004 - 2010

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Members of the Roadmap Task Force Kathleen Andreoli – Rush University Debra Davis – University of South Alabama Carolina Huerta – Univ. of Texas-Pan American Martha Hill – Johns Hopkins University Nancy Mosser – Waynesburg College Robyn Nelson, Cal. State Univ.- Sacramento Marjorie Lawson – Univ. of Southern Maine Anna Alt-White – Dept. Veterans Affairs, D.C Carolyn Williams (Chair) Univ. of Kentucky

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Charge of the Roadmap Task Force Develop an Implementation Plan that gives a Roadmap to Achieving the Position\'s Goals Statement by 2015 Delineate Key Institutional and Academic Issues that Must be Addressed in Academic Institutions

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Charge of the Roadmap Task Force Assess Regulatory and/or Legislative Frameworks that Shape Practice Authority, Reimbursement, and/or Academic Authority, and Identify Implications of these Frameworks and Identify Actual and/or Potential Challenges and Opportunities Inherent in the Assessments and Make Recommendations

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Charge of the RoadmapTask Force Map Potential Interfaces and/or Partnerships that can be Created to Assist Undergraduate and Graduate Nursing Programs to Participate in Achieving the 2015 Goal Develop Recommendations that Detail Actions and Timelines for Accomplishment with Specific Focus on the Role of AACN in Facilitating the Implementation Process

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Rogers ’Diffusion of Innovations as a Conceptual Framework A Way of Looking at What is Happening A Framework for Guiding Our Work

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Diffusion of Innovations Provides a Conceptual Framework for Understanding the Adoption\'s Process of New Technologies or Practices and Social Change An Innovation is a thought, practice, or article, that is seen as new The dispersion segment is the procedure by which an advancement is conveyed

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Diffusion of Innovations Generally an advancement moves gradually through a gathering when it is initially presented. Numerous are wary and oppose change, however as the number attempting the advancement builds the thought moves at a speedier rate particularly if the early adopters are pacesetters The dissemination wonder at first takes after a S-molded bend

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Variables Determining the Rate of Adoption – Attributes of the Innovation Relative Advantage - Better than Previous Approaches Compatibility – Consistent with qualities/needs Complexity – Degree to which it is hard to Understand or set up

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Varibles Determining Adoption –Attributes of the Innovation Triability – The extent to which a development can be explored different avenues regarding Observability – The extent to which the consequences of a development are obvious to others

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Variables Influencing Rate of Adoption Communication Networks and Opinion Leaders Extent of Change Agent Efforts/Effectiveness – key components incorporate creating contact with “clients”, adding to a felt requirement for change, giving data trade – viability is expanded if there is comparability between the change operators and those they are trying to impact

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Reference on Roger’s Work Rogers, E.M., (2003). Dissemination of Innovations. New York, Free Press.

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Work of the Task Force We Understand that our Job is NOT constrained to information assembling and getting out a Report - BUT A REPORT WE WILL DO!!! We have to Establish Mechanisms for Input from Various Stakeholders We have to serve as Change Agents and Encourage Others to Do So

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Work of the Task Force Development of Communication Opportunities in Various Media Regional Conferences in Partnership With Essentials Task Force National Nursing Stakeholders Meeting in Partnership With Essentials Task Force Participation in Conference Calls with Various Organizations

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Work of the Task Force As we Think Things Through we likewise Need to Provide Information About the Innovation and Opportunities to Help the Community of Potential Adopters and different Stakeholders Clarify Their Understanding of the Innovation and Reduce Uncertainty This Translates Into Developing Materials and Developing Communication Channels, for example, Conferences and The Internet

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Information HIGH Stamp this out! Let’s get on with it! LOW Figure I INFORMATION AND “VIEW” GRID

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Products in Process Frequently Asked Questions – On Web Bibliography on the DNP – On Web Pathways Diagram – On Web Comparison of DNP and PhD/DNSc/DNS Programs – Done with Essentials T. Power Strategy For Growing DNP Faculty Description of An Institutional Partnering Effort Possibility of a DNP “Tool Box”

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ISSUES IDENTIFIED AT THE FOUR REGIONAL CONFERENCES, AT THE NATIONAL STAKEHOLDER’S CONFERENCE, AND AT AACN’S FALL MEETING

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Faculty Development of Faculty for DNP Programs Preparation of Preceptors Credentials Required to Teach in a DNP Program The Extent to which Engagement in an Active Practice is Needed Definitions of Scholarship Tenure Possibilities for DNP Faculty

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Program Questions Could Students be Certified before finishing the DNP so they could “Practice” at some level? Should Program Models accommodate a Jump-out sooner or later (MSN ? ) to take into account Practice and afterward Continue to DNP? Requirement for Multiple Pathways Strategies for Maintaining Quality and Rigor

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Institutional Issues Possible Impact on Non-Doctoral Institutions Possible Effect on an Institution’s Carnegie Classification Possibilities for Collaboration Among Various Institutions Strategies for Making the Case to the Institution Distance Learning Partnerships for Rural Areas

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Costs/Funding Costs for Students and Return on Investment Availability of Financial Aid for DNP Students, including Assistantships Possibility of National Funding for Paid Residencies Possibilities for HRSA Funding Costs for Institutions Reimbursement Issues

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Market Issues Strategies for Marketing to Students, incorporating those in Rural Areas Strategies for Informing the Public, Physicians, and Other Professional Groups Nature and Extent of the Market for Graduates - In the Practice Arena and Marketability of DNP Grads to Universities Strategies for Countering Misinformation

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Master’s Programs Impact on Current Master’s Programs What Type of Master’s Programs will Continue? Will CCNE Continue to Accredit Master’s Programs?

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Licensure and Certification Practice Acts May Vary and There May should be a few Changes in Some States Clarification of the Future Certification Status for Those Currently Certified who don\'t acquire a DNP Possible Usefulness of a National Definition of Advanced Practice

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Political Issues Extent of Support for Transition from State Regulatory and Educational Bodies Impact on Rural Areas Extent to Which the DNP will Change the Expect

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