Doctor of Nursing Practice (DNP): My Personal Proís and Conís - page 3
by juan de la cruz 32,091 Views | 56 Comments Guide
The Doctor of Nursing Practice or DNP degree has been one of the biggest buzzwords in Advanced Practice Nursing. The mere mention of it creates a stir of emotions and strong opposing opinions perhaps of the same magnitude as the... Read More
- 17Aug 26, '12 by apocatastasisI'm a new NP, received my Master's 3 months ago. I have no complaints about the clinical portion of my MSN program. But we would have been well-served with MORE than 700 clinical hours. I would love, and willingly pay for, a doctoral program that would provide me with additional didactic and clinical training in psychotherapy, neuroscience, and psychopharmacology. You know, USEFUL stuff that we're supposed to know.
Would the DNP provide those experiences? Absolutely not, because this clinical/practice doctorate is neither clinical nor practical.
I've looked at curricula from schools all across the U.S. I can't help but see the DNP, quite frankly, as an inferiority complex-driven grab for money and power that embodies everything that is WRONG with nursing education.
Forgive me if I'm overly cynical, but these wounds are too fresh. I've already yawned my way through more hours of health policy, systems, and research than I care to count. I've already witnessed the most egregious and childish stereotyping of minorities in the name of a semester of "cultural competency." I've already written far too many forty page papers on the history of dryer lint and the ethical concerns surrounding Florence Nightingale's lighting farts on fire with a match, formatted in APA format and referenced.
And they're telling me I have to do it AGAIN? NO. THANKS.
When AACN gets its act together, it can find me over here... actually taking care of patients. (Now there's a concept they've never heard of.)Last edit by apocatastasis on Aug 26, '12
- 7Aug 26, '12 by SweettartRNI wish the lie of the DNP requirement would cease. This panic of being done with NP school by 2015 in order to avoid a change, is simply an unnecessary panic of something that, so far, isn't happening, and probably won't happen for years to come.
With all of the changes set to take place with the new healthcare laws being in place, and doctors threatening to leave private practice because of it, the need for APN's is going to grow exponentially, and currently supply will not be able to keep up with demand.
- 2Aug 27, '12 by BCRNAWhere exactly are programs offering a doctoral level PA programs? The last I heard the PA profession has publically commented (through there national association) that they are strongly against a doctoral PA program. There are some bridge programs that give PAs some credit to a MD program. Just curious if they changed there stance.Also, most clinicians do not actually know how to read and critique research articles. Their skills end at reading the conclusion section and skipping the methods all together. Not disparaging clinicians, but most programs do not teach true evidence based practices. It isnt enough to just read a review article or take someone elses word. How many clinicians could truly critique research studies or even explain the appropriate uses of ANOVA, logistic regression, or chi square?
- 0Aug 28, '12 by AbeFrohmanThe army offers a DSc in PA studies that coincides with a EM or Ortho residency. Other branches have the residencies in place and are working to implement the DSc. This was done mainly to allow for promotion as you can get stuck in a rut if you only have a masters degree. The AAPA is still against a doctorate. There is only one bridge which is for PA to DO at LECOM that is 3 years. Not even much of a bridge and is equivalent to other 3 year programs direct towards primary care where they just cut out the summer off and a couple of electives.
As far as evidence based practice goes, both my NP and CRNA program went into plenty of detail on this. Problem is, no one cares or uses it so it becomes lost after graduation.
- 1Aug 28, '12 by CraigB-RN
- 0All these differences in the levels of nursing just confuses me. Ugh! I thought the DNP was the "terminal degree" in nursing. What's the difference between the PhD and DNP? They aren't the same?
And why is it so complicated? An MD is either an MD or DO, not this and this and this.....why isn't nursing the same?
- 0Quote from priorities2Well, of course they oppose it! They see that as a threat to their title of "Doctor." The person with the MD behind their name thinks that they are the only ones who have earned the right to be called "Doctor."Another interesting article: AMA Delegates Oppose DNPs as Medical Team Leaders -- AAFP News Now -- American Academy of Family Physicians
In some states, the NP does not need MD oversite. They can practice independantly, as well as have prescriptive authority. This has been a huge fight here where I live. The NP's have fought hard to be independant practitioners. The governor just signed a bill saying CRNA's finally do not need MD supervision. I know, of course, that the NP isn't the DNP, but the general idea of autonomy for APN's.
- 0In fact, Epperly added, a DNP candidate completes only about 500 hours of additional training after receiving his or her master's degree. "That compares to about 9,000 to 15,000 hours of work that it takes a physician to become a primary care physician and a true doctor," he said.
This is incorrect. Only 500 hours after completion of the master's degree? Not according to Baylor's curiculum for their FNP:
NUR 5211 Servant Leadership and Advanced Practice Nursing2 NUR 5313 Health Care Systems, Policy and Management3 NUR 5414 Scientific Inquiry for Advanced Nursing Practice4
Advanced Nursing Practice Core: NUR 5212 Advanced Practice Nursing Roles2 Family Nurse Practitioner Specialty Courses: NUR 5350 Advanced Human Pathphysiology for Nurse Practitioners3 NUR 5351 Advanced Pharmacology for Nurse Practitioners3 NUR 5452 Advanced Health Assessment/Promotion/Disease Prevention4 NUR 5V49 Health Care and Missions2 NUR 5355 Family Health Care Management I3 NUR 5258 Advanced FNP Practicum I2 NUR 5356 Family Health Care Management II3 NUR 5259 Advanced FNP Practicum II2 NUR 5657 Family Nurse Practitioner Residency6Total Hours39
Post MS Advanced Practice Nurse NM-DNP
And, granted, this is just an example of one program, it's probably similar to others.
Year 1: Summer Semester CourseCredit Hours NUR 6370 Clinical Genetics3 NUR 5255 NM 1: Primary Care for Adv. Practice Nurses2 NUR 5158 NM 1: Primary Care for Adv. Practice Practicum1NUR 5141Professional Issues for Nurse Midwives1 Credits:7 Year 1: Fall Semester NUR 6373 Clinical Epidemiology3 NUR 6371 Nursing Informatics3 NUR 5V42 NM II: Women's Health2 NUR 5V43 NM II: Women's Health Practicum3 Credits:12 Year 1: Spring Semester NUR 6375 Scientific Inquiry II3 NUR 5V49 Health Care & Missions2 NUR 5344 NM III: The Childbearing Family3 NUR 5345 NM III: The Childbearing Family Practicum3 Credits:11 Year 2: Summer Semester NUR 5217 Budgeting & Healthcare Finance for Nursing Leadership2 NUR 5246 NM IV: High Risk Family2 NUR 5247 NM IV: High Risk Family Practicum2 Credits:6 Year 2: Fall Semester NUR 6374 Issues in Healthcare & Practice3 NUR 6V76 Advanced Practice Nursing Residency6 NUR 6372 Clinical Ethics3 Credits:12 Year 2: Spring Semester NUR 6637 Capstone Project6Total Credits54Nurse Midwifery Core20Clinical
- 4Aug 29, '12 by LadysSoloI would consider the DNP if I could learn what I really feel I need to improve my practice: Extra courses in becoming proficient in reading x-rays, ultrasounds, CT scans, and MRIs, and additional work in subtleties of reading EKGs, etc. I DO NOT need any more theorist nonsense - I am aware of what I need. If there was a place where I could design my own doctorate program, I would probably do it.