ALIGNING THE ESSENTIALS WITH A GAP IN PRACTICE OR PRACTICE CHANGE

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ALIGNING THE ESSENTIALS WITH A GAP IN PRACTICE OR PRACTICE CHANGE

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In order to fulfil your DNP degree at Walden, you will complete non-clinical coursework, practicum hours, and a DNP Project. Both the clinical hours you will complete as part of your Practicum and your DNP Project will align with specific Domains as defined in The  Essentials.

Your DNP Project will focus on a gap in practice or practice change designed to improve quality within the organization at which you are doing your Practicum. The specifics of this will be decided later on, but at this early stage of your program, you should begin thinking about 1) the types of organizations you might select for your practicum experiences and 2) gaps in practice or practice changes that could be identified within these organizations. As you do this, keep in mind how the gaps in practice or practice changes will align with The Essentials.

TO PREPARE:

· Review the Learning Resources for this week, specifically Chapter 4 of Dang et al. (2021) addressing the practice question, AACN’s  The Essentials, the  Doctor of Nursing Practice (DNP) Practicum Manual, and the  DNP Project Process Guide.

· Consider the types of organizations you might select for your practicum experiences (e.g., a large acute care health system, a long-term care facility, a pediatric hospital, a community health center, etc.)

· Consider the kinds of gaps in practice or practice changes that could benefit such organizations, including those specific to the organization and those that relate to healthcare practices more generally.  

· Consider how the gaps in practice or practice changes you are interested in pursuing align to  The Essentials

· Select  one organizational type and  one gap in practice or practice change on which to focus for this Assignment. Note: You may select a new organizational type and gap in practice or practice change or, if you choose, you may reuse one on which you focused for a previous Assignment, Discussion, or Blog in this course.

· Also Note: These may or may not be the same organizational type and gap in practice or practice change as those you will focus on for your Practicum and DNP Project.

· Select a minimum of  four domains from  The Essentials that closely align with the gap in practice or practice change you selected.

Note: Be sure to review the grading rubric for this Assignment so you fully understand what is expected of you. To access the rubric, scroll down to the bottom of the Assignment page.

THE ASSIGNMENT: (2–3 PAGES)

Write a paper in which you address the following:

· Describe the organization type and the gap in practice or practice change that you selected for this Assignment.

· Identify the  four Domains from  The Essentials you identified which closely align with the gap in practice or practice change.

· Justify your Domain choices, explaining how each aligns with the gap in practice or practice change you selected.

Note: Us this week's Learning Resources to support your Assignment. Use proper APA format and style for all references and citations. The College of Nursing requires that all papers include a title page, introduction, summary, and references. Use the  College of Nursing Writing TemplateLinks to an external site.  for your Assignment submission.

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AlignmentofDNPdegreecompetencieswithemployerperspectivesThevalueofacademicpracticepart.html

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Journal of Professional Nursing

Volume 48, September–October 2023, Pages 112-118

Alignment of DNP degree competencies with employer perspectives: The value of academic practice partnerships

Author links open overlay panelKaren Kesten DNP, APRN, CCNS, CNE, FAAN a, Sarah Beebe PhD, APRN, CNM, WHNPr, CHSE b, Dianne Conrad DNP, RN, FNP-BC, FNAP c d, Catherine Corrigan DNP, RN, FNP, NE, CNM e, Amy Manderscheid DNP, RN, AGPCNP-BC, AGNP-C, CMSRN c, Katherine Moran DNP, CDCES, FADCES, FNAP c, Madison Niederer BSN, RN c Show moreAdd to MendeleyShare Cite https://doi.org/10.1016/j.profnurs.2023.07.003 Get rights and content Full text access

Highlights

  • •Employer perceived competencies of DNP-prepared graduates align with 2021 AACN Essentials.
  • •DNP-prepared nurses are hired to conduct quality improvement projects, systems thinking, and leadership.
  • •Evidence is provided for competency-based education to prepare DNP graduates to meet organizational needs.
  • •DNP graduates must advocate for time to engage in quality improvement and EBP initiatives to improve outcomes.
  • •Active academic-practice partnerships are needed to prepare real-world, valid practice doctorates.
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Keywords

DNP education Competencies Employer Hiring Academic practice partnerships Recommended articles

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TheroleofDoctorofNursingPractice-preparednursesinpracticesettings-ScienceDirect.html

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Nursing Outlook

Volume 67, Issue 4, July–August 2019, Pages 354-364

The role of Doctor of Nursing Practice-prepared nurses in practice settings

Author links open overlay panelAnna Song Beeber PhD, RN, FAAN a b, Carrie Palmer DNP, RN, ANP-BC a, Julee Waldrop DNP, PNP-BC, FAANP, FAAN a, Mary R. Lynn PhD, RN a, Cheryl B. Jones PhD, RN, FAAN a Show moreAdd to MendeleyShare Cite https://doi.org/10.1016/j.outlook.2019.02.006 Get rights and content Full text access

Highlights

  • •The role of the Doctor of Nursing Practice-prepared nurse (DNP) outside of academic settings has not been clearly articulated or widely explored, and therefore the value DNP-prepared nurses bring to their practice settings is largely unknown.
  • •Employers identified DNP-prepared nurses as filling the following roles in their organizations: (1) “traditional” clinical role – as a nurse practitioner, nurse anesthetist, nurse midwife, or a clinical nurse specialist; (2) administrators – providing administrative oversight in roles such as managers, supervisors, or primary care practice administrator; and (3) executives – DNP-prepared nurses taking on high-level leadership roles in large health care organizations.
  • •Employers had difficulty differentiating nurses with DNP degrees from nurses with other advanced training, in part because of the “newness” of the DNP degree and the scarcity of positions specifically designed for nurses with DNP degrees. In cases where DNP-prepared nurses were employed in either administrative or quality-centered positions, employers appreciated the DNP-prepared nurses’ broader perspectives and policy backgrounds.
  • •Future research efforts aimed at gathering data quantifying the outcomes of DNP-prepared nurses’ direct care and leadership roles could provide additional information about the value of the DNP-prepared nurse in health care.

Abstract

Background

The role of the Doctor of Nursing Practice-prepared nurse (DNP) outside of academic settings has not been clearly articulated or widely explored, and therefore the value DNP-prepared nurses bring to their practice settings is largely unknown. This study: (1) surveyed existing DNP programs to identify the nonacademic settings in which their DNP graduates were employed and (2) conducted semistructured interviews with employers to identify the role and value of the DNP-prepared nurse in nonacademic settings.

Method

Data were collected from January 2016 to August 2016 in two parts: (1) an online survey of the DNP programs and (2) qualitative semistructured telephone interviews with employers. First, we conducted an online survey of program directors (or their equivalent) from 288 DNP programs across the United States to capture descriptive information about current DNP programs (e.g., location, modality, profit status), the types of nonacademic institutions that hire their graduates, percentage of graduates employed by each setting, and the contact information for these employers. Employers were identified either by DNP program directors through the online survey or by a convenience sampling method. Using semistructured telephone interviews, we asked questions to employers in different care settings about the role of the DNP in these settings and how the DNP compares to other nurse leaders and advanced practice nurses (APRN). Employers were asked to describe the role of the DNP-prepared nurse working in direct patient care roles such as APRNs or as leaders, administrators, and managers.

Findings

Descriptive thematic analyses were derived from the interviews, to identify the roles DNP-prepared nurses filled and how they compared to other nurse leaders and advanced practice nurses in these settings. A total of 130 DNP program directors responded to the online survey. Twenty-three employers participated in semistructured telephone interviews. The thematic analysis resulted in four main themes regarding the role of the DNP-prepared nurse in non-academic settings: “DNP-Prepared Nurse Positions and Roles,” “Perceived Impact of the DNP-Prepared Nurse on Staff, Patient, and Organizational Outcomes,” “Comparison of the DNP-Prepared Nurse to Other Nurses With Advanced Training,” and “Challenges Experienced by Nurses With DNP Degrees.

Discussion

The role of the DNP-prepared nurse in nonacademic settings is unclear. These DNP-prepared nurses typically function as APRNs in clinical care or as health care system leaders. While there is a low number of DNPs in clinical practice settings, the number is expected to grow as more graduate and enter practice. Thus, knowledge of the roles, value, and outcomes of the DNP-prepared nurse can guide practice setting leaders on how to best use DNP-prepared nurses in their setting.
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Keywords

Doctor of Nursing Practice DNP Advance practice nurse Nurse practitioner DNP role Nursing practice Recommended articles

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The authors have disclosed no potential conflicts of interest, financial, or otherwise.
View Abstract© 2019 Elsevier Inc. All rights reserved.

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All content on this site: Copyright © 2025 Elsevier B.V., its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies. For all open access content, the relevant licensing terms apply.

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