I'm a bit confused about the whole 2015 DNP requirement for APRNs. Does this mean a DNP, instead an MSN, is required in order to become a Nurse Practitioner starting 2015? Is this applied uniformly in all States or do States have their own "flexibility" on how this is handle? (I live in MA.)
If DNP is required, I wonder if MSN programs will be phased out and replaced by dnp programs or maybe integrated into the DNP programs. In a clinical setting, will the scope of practice expand for someone with a DNP vs someone with an MSN? Or are they moving to DNP because they believe that MSN programs are already very much a doctoral program relative to other health professions?
Nurse Doctors are better at doing brain surgery...
What does the literature state about outcomes between physicians and APRNs when doing the exact same job?
You can make fun of nurses all day long and APRNs for having their doctorate, but what you cannot do is control the massive amounts of research that shows the same or better outcomes of APRNs when compared to our physician colleagues.
APRNs do not practice in every speciality and for the most part we have no desire to. What we do do is offer efficient, safe, lower cost of care in high need areas such as primary care and anesthesia.
It is funny that it isn't considered egotistical when a physician calls themselves Doctor, but when a nurse who has earned a doctorate decides to call themselves Doctor they are considered egotistical and somehow subverting the whole healthcare system..
What does the literature state about outcomes between physicians and APRNs when doing the exact same job?
You can make fun of nurses all day long and APRNs for having their doctorate, but what you cannot do is control the massive amounts of research that shows the same or better outcomes of APRNs when compared to our physician colleagues.
APRNs do not practice in every speciality and for the most part we have no desire to. What we do do is offer efficient, safe, lower cost of care in high need areas such as primary care and anesthesia.
It is funny that it isn't considered egotistical when a physician calls themselves Doctor, but when a nurse who has earned a doctorate decides to call themselves Doctor they are considered egotistical and somehow subverting the whole healthcare system..
Everyone in medicine knows it's not difficult to treat HTN, DM and hyperlipidemia once you can get people to adhere to tx regimen... I can design a study of RN vs MD/DO treating people with HTN/DM etc... and the outcomes will show no difference at all because it's an algorithm that they have to follow
Diagnosing complex diseases when they first present is where I would make difference b/t NP and doctors in primary care...
Everyone in medicine knows it's not difficult to treat HTN, DM and hyperlipidemia once you can get people to adhere to tx regimen... I can design a study of RN vs MD/DO treating people with HTN/DM etc... and the outcomes will show no difference at all because it's an algorithm that they have to follow
Diagnosing complex diseases when they first present is where I would make difference b/t NP and doctors in primary care...
Then show us the research to back up your claims. I can already tell you it has been looked at, and if there was any validity to your claims every physician organization would be shouting about those publications in every state and federal healthcare agency in the United States.
Then show us the research to back up your claims. I can already tell you it has been looked at, and if there was any validity to your claims every physician organization would be shouting about those publications in every state and federal healthcare agency in the United States.
We can talk about what the evidence says, which I frankly don't believe that there is enough of. However, I certainly respect what IS available. The DNP is a personal choice that depends on what kind of career you want in Nursing. The fact is that where there is cost involved, the most adamant defenders(or offenders) appear. There is money for DNP, for example, I received a grant that is paying for my DNP with the stipulation that I work with underserved populations. Isn't that the premise of NPs anyway? - health equity for all. Furthermore, I get to leave my institution's walls and see what is being said on a national level. It is not just Nursing professionals calling for my advancement in nursing, but MDs who understand the challenges our nation faces. For example, I am focused on Oncology and we are lectured by OngologISTS from a major cancer center, who are lead researchers in clinical trials. They are extremely cognizant of the value of a doctorally-prepared nurse practitioner and digress from lecture to really explain to us what value we have in the clinical setting. Some even say they trust NPs more than their residents. Is this unusual?... maybe not... it depends on who you speak to. I think that nurses are sometimes the quickest to debase conversations pertaining to advancement. When you see this advancement as a benefit for the population you serve, which is what the DNP should be focused on, even if you choose to not advance, encourage those who are willing to spend the extra time (and money) learning, growing and advocating for everyone.
There are literally thousands of research articles studying the quality of APRN care. http://www.npjournal.org/article/S1555-4155(13)00410-8/fulltext This is just one literature reviews that look at the quality of care between NPs and physicians.
There is more than enough evidence to advocate for independent practice of APRNs.
This is the reason we are moving to a clinical doctorate.
[h=4]"INTRODUCING THE DOCTOR OF NURSING PRACTICE[/h]
In many institutions, advanced practice registered nurses (APRNs), including Nurse Practitioners, Clinical Nurse Specialists, Certified Nurse-Midwives, and Certified Nurse Anesthetists, are prepared in master's-degree programs that often carry a credit load equivalent to doctoral degrees in the other health professions. AACN's position statement calls for educating APRNs and nurses seeking top systems/organizational roles in dnp programs.
DNP curricula build on traditional master's programs by providing education in evidence-based practice, quality improvement, and systems leadership, among other key areas.
The DNP is designed for nurses seeking a terminal degree in nursing practice and offers an alternative to research-focused doctoral programs. DNP-prepared nurses are well-equipped to fully implement the science developed by nurse researchers prepared in PhD, DNSc, and other research-focused nursing doctorates.
[h=4]WHY MOVE TO THE DNP?[/h]
The changing demands of this nation's complex healthcare environment require the highest level of scientific knowledge and practice expertise to assure quality patient outcomes. The Institute of Medicine, Joint Commission, Robert Wood Johnson Foundation, and other authorities have called for reconceptualizing educational programs that prepare today's health professionals.
Some of the many factors building momentum for change in nursing education at the graduate level include: the rapid expansion of knowledge underlying practice; increased complexity of patient care; national concerns about the quality of care and patient safety; shortages of nursing personnel which demands a higher level of preparation for leaders who can design and assess care; shortages of doctorally-prepared nursing faculty; and increasing educational expectations for the preparation of other members of the healthcare team.
In a 2005 report titled Advancing the Nation's Health Needs: NIH Research Training Programs, the National Academy of Sciences called for nursing to develop a non-research clinical doctorate to prepare expert practitioners who can also serve as clinical faculty. AACN's work to advance the DNP is consistent with this call to action.
Nursing is moving in the direction of other health professions in the transition to the DNP. Medicine (MD), Dentistry (DDS), Pharmacy (PharmD), Psychology (PsyD), Physical Therapy (DPT), and Audiology (AudD) all offer practice doctorates."
sirI, MSN, APRN, NP
17 Articles; 45,870 Posts
How about we get back on topic and leave the snark out of the equation?