Okay, I'm trying to be open minded, so please. Those experts on NP practice here, convince WHY a DNP should be required by 2015, and not simply recommended, or offered as an alternative.
I'm not trying to disparage anyone here. But in my role as an EM supervisor, I supervise both NP's and PA's in our group, and I also have an adjunctive role as a health policy advisor to several state reps. (Although working more and more on the national scene as well) I am merely trying to understand the impetus behind this....
However, any mention of "other professions do it" will be dismissed instantly, as that is about as strawman, as arguments get. Also, any mention of "prestige" will be dismissed as this is not a reason to shift an entire professions educational standard and smacks of elitism anyway.
SO why do it? From a health policy perspective, it makes no sense. We need NP's and PA's to be practicing in rural and inner city underserved areas. Historically, and from a policy perspective, the most likely candidates to practice in these areas are candidates FROM these areas. By elevating the degree beyond what is really necessary, you will dissuade some otherwise good RN's who cannot afford to take the time, and even more importantly the financial committment necessary to complete the DNP degree. This is folly in my estimation, as the RN's most likely to complete the degree are younger, without families, and able to manage the time and financial committment. These people are less likely statistically to practice in underserved areas.
AND YES, I'm sure someone will post about knowing someone who does....however, anecdotal data rings hollow for me, as it is for the most part....worthless.
Master's degrees have served your profession well. Talking with the NP's in various specialites at work, most seem to be opposed to this move.
SO, convince me, give my valid arguments HOW this will improve patient care, access to care, and help to supply more NP's for rural and underserved areas. Because those are the only real valid reasons to do it.
Again, I'm not trying to flame anyone, just trying to understand.
Last edit by sirI on Feb 11, '09
Feb 11, '09
I can't convince you and am not even going to try. I think the DNP is misguided and unnecessary as a required credential. In my opinion, nursing would be better off focusing its efforts on trying to advance NP practice at the Master's level and advocate the value of autonomous Master's level practitioners. I think this could be the hallmark feature of NPs and solidify their niche in the health care system. The DNP appears to be an erroneous detour with an uncertain outcome. I think it has a lot to do with nursing's inferiority complex as a profession.
Feb 11, '09
Its not something that I'm either for or against...sorry no argument from me.
Feb 11, '09
Please keep all discussion about the DNP in this thread:
Doctoral degree to become an NP???
Many of your questions/concerns have been addressed/answered in the link above, OP.