Chapter 4: Education Preparation for Advanced practice Nurses Flashcards
THE CHANGING ADVANCED PRACTICE EDUCATIONAL LANDSCAPE
Educational disparities between APRN roles
Movement to master’s, but “grand-personing” continues to support other credentials
Now a growing requirement for the doctor of nursing practice degree (DNP)
THE DOCTOR OF NURSING PRACTICE
Origins
Influence of the American Association of Colleges of Nursing (AACN)
Curriculum design
Full implementation by 2015
Rapid proliferation of programs
Expected migration of APRNs to the DNP
Accreditation
THE PhD IN NURSING
Delayed completion of the degree
Proliferation of programs but no significant
increase in admissions or graduates
Socialization and mentoring into the nurse scientist role difficult to obtain
Impact of the faculty shortage
INTERMEDIATE VARIATIONS ON THE THEME
DNSc
DNS
DSN
EdD
ND
RATIONALE FOR THE DNP
Current master’s too heavy with content and credits
Predictions of more knowledge demands in the future
Requirement for more supervised practice
Many health-care disciplines have already evolved toward a required doctorate
ARGUMENTS AGAINST THE DNP
No data-based evidence
Credits could be used more selectively
Absence of a cost/benefit analysis
To follow the evolution of other professions is a mindless excuse
THE DOCTORATE IN OTHER FIELDS
Doctor of Pharmacy (PharmD)
Doctor of Medicine (MD)
Doctor of Dentistry (DDS)
Doctor of Psychology (PsyD)
Doctor of Physiotherapy (DPT)
Doctor of Science in Physical Therapy (DScPT)
Doctor of Audiology (AudD)
EDUCATION OF THE DOCTORALLY PREPARED PRACTITIONER/SCHOLAR
DNP, a hybrid degree combining both research and practice
OTHER UNANSWERED QUESTIONS
The need for education in teaching
The opportunity for educational research
The credibility of accelerated programs which ignore the need for practice experience