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Overview of DNP Residency and Project - Medical University of

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					 Overview of DNP
Residency and Project
  Robin Bissinger, PhD, APRN, NNP-BC
   Medical University of South Carolina
            College of Nursing
                   Welcome
 Team of faculty to assist you
    Advisement Team
       Director of Graduate Program
       Graduate Program Coordinator
       Director of Student Services
    Clinical Placement Coordinator
       Site agreements and preceptors
    Practice Inquiry Project Coordinator
   DNP: Doctoral Degree for
          Practice
 It is a practice doctorate
 New Consensus model for practice
       APRN: 4 roles
           CNM, CNP, CRNA, CNS
       Population Foci: 6
           Family/Individual across the lifespan (FNP)
           Adult Gerontology
           Neonatal
           Pediatrics
           Women’s Health/Gender Related
           Psych-Mental Health
             DNP Competencies
   Eight essentials for doctoral education for APRNs
       Scientific underpinnings for practice
       Organizational and Systems leadership for Quality Improvement and Systems
        thinking
       Clinical Scholarship and Analytic Methods for Evidence-based Practice
            Understanding of translational research, evidence-based practice and process
             improvement
       Information systems/Technology and Patient Care Technology for the
        Improvement and Transformation of health care
       Health Care Policy for Advocacy in Health Care
       Inter-professional Collaboration for Improving Patient and Population Health
        Outcomes
       Clinical Prevention and Population Health for improving the Nation’s Health
       Advanced Nursing Practice
            The practice of clinical nursing at the highest level
               DNP Program
 Full or Part time plan of study
    Signed and agreed to by the student
       If you change from FT/PT or PT/FT we have to revise and
        sign a new plan of study
 Use your program plan to register for your courses each
  semester
    Email advising you to register and time to contact us if you
     have any questions or concerns
 Check your MUSC email daily for information
     DNP Program Needs
 My-Folio
    Sign honor code
    Upload your CV and keep current copy uploaded
    Upload a current picture
    Tell us your 2 sentence elevator speech
       “What is a DNP”
    Sign that you have reviewed the DNP and CON student
     handbooks both are posted on the web site
 Maintain current MUSC requirements (i.e. BCLS)
                       Residency
 Key component of the DNP Program
 Combines clinical practice experiences with scholarly
  activities (500 hours for a total of 1000 hours)
 Two components
    Comprehensive clinical experience
          400 Precepted Hours
          Broadens exposure in your APN specialty
          Does not provide a new specialty
    Practice Inquiry Project
          100 hours
                 Residency
 Key Aspects
   Integrative practicum for DNP students
   Completed in the final year of the program
   Key component of DNP education
   Synthesis of knowledge
   Ongoing Portfolio development (My-Folio)
                                   Residency
   Individually designed by each student

         Set your own clinical goals
         Approved by Residency Coordinator
   Demonstration of increasingly complex and proficient practice

                Clinical hours
                Procedural

   Refined communication, reflection and scholarly skills

                MyFolio
                       Reflective Journaling
                       Scholarly Activities
                       Competencies

   Patient care expertise with emphasis on independent and inter-professional clinical practice

                Typhon clinical logs
                Clinical and Preceptor contracts
   Health Policy and Health Care delivery Projects
           Clinical Residency
 Clinical Placement Coordinator: Lee Horton

      Clinical Site
          Clinical Site Approval form
               Faxed to Graduate Program Coordinator (Douglass)
               Goes to Clinical Placement Coordinator for Approval
          Once site approved: Affiliation Agreement Request Form
               Faxed to Graduate Program Coordinator
          Must have Legal facility agreement to start residency work
      Clinical Preceptor
          With expertise in clinical practice
          Nationally certified
          Complete clinical preceptor form, attach CV, copy of license and
           certification (Send to Graduate Program Coordinator: Douglass)
         Residency Contract
 Purpose of residency is to increase exposure to doctoral level
  clinical practice
       DNP Clinical Residency Contract
           Specific objectives, requirements and evaluation criteria
                Specified number of hours for each contract
                Completion of contract to successfully meet residency requirement
                     Final decision by residency course coordinator
           Contract must be developed by the student and agreed on by clinical
            preceptor and residency course coordinator
           Signed by the student, clinical preceptor and residency course
            coordinator.
                Placed in academic record
           Reflective Journal
 Integration of clinical leadership and inquiry into previous or
  current practice
    Utilize clinical cases from your experience or practice
    Integration of ethics, genetics, heath policy, collaboration and
     information technology, health disparity and other areas of
     doctoral level practice
    This is a tangible, deliverable academic product
    Example
          Identify a potential genetic risk in a population of patients you
           have cared for and discuss a diagnosis of a genetic condition
           and an intervention you made for an individual in your
           practice. Discuss the implications for the families. What did
           you learn from the experience? Would you do anything
           different? Provide a critical analysis and discussion. (Upload
           this to MyFolio)
        Scholarly Activities
 Academic and Scholarly activities
    Conferences, seminars, journal club, grand rounds,
     morbidity and mortality, patient conferences, quality and
     safety, practice-based lectures, interdisciplinary
     committees, quality improvement committees, policy or
     advocacy events
    Each student is expected to document a minimum of 10
     activities during residency
    On My-Folio: under Residency you will find this section
  Residency Competencies
 Domains and Competencies for DNP education and APRN practice
  must be met within the program.
      These are the skills, knowledge and attitudes required for clinical
       practice (referred to as competencies)
          Some are met in course work
          Others are met by students with documentation provided by you in
           MyFolio
 Each Domain and competency is outlined in MyFolio
      Required to review competencies and complete any tasks
      Example
          Competency 22: Counsels the patient on the use of
           complementary/alternative therapies (see task)
               In one paragraph describe how you counseled a patient on the use of
                complementary therapies.
     Residency Evaluation
 Evaluation of Clinical site

 Evaluation of Clinical Preceptors

 Evaluation of Residency Course

 Evaluation of Residency Course Coordinator
    Practice Inquiry Project
 Use of research knowledge and methods to create, implement
  and evaluate practice interventions, health delivery systems,
  and clinical teaching.
 Commitment to translate research into practice in order to
  improve health care outcomes
 Project in an area of clinical practice, expertise or interest
     A practice change initiative
     Program implementation and evaluation
     Practice model implementation and evaluation
     Health policy implementation
     Quality improvement project
                          MyFolio
 MyFolio is used instead of a written proposal
 Pieces of the Practice Inquiry Project are built in some of your
  courses
       Example: NRDP 844 Research Use and Evidence Based Practice
           Section 1: Introduction and Statement of Problem
           Section 3: State of the Science Paper
       Example: NRPHD: Knowledge Dissemination and Translation
           Section 2: Philosophical or theoretical perspective
       These pieces will assist you when you write your paper for
        publication in your last residency course
 IRB approval must be uploaded (exempt/expedited)
 CITI training certificate must be uploaded
                 Guidelines
 Project is related to advanced practice in the nursing
  specialty and benefits a group, population or community
  rather than an individual

 My be done in partnership with an agency or group but
  student must have the leadership role or can be solo

 Students work with the Practice Inquiry Project
  Coordinator to develop the project (Dr. Edlund)

 Must go through IRB at MUSC and your center
        Faculty Committee
 Three members
    Practice Inquiry Project Coordinator
    Clinical advisor or mentor at your site
    National expert or person with interest in area
 Complete Practice Inquiry Project Topic and Committee
  member form with all there of the above signatures agreeing
  to be part of your committee
 Deadline for forming the committee
    Post MSN/DNP: by end of the first semester
    Post BSN/DNP: by fall of the second year
   Practice Inquiry Project
 Components are threaded throughout your program

 Upload those components in the MyFolio
    Approval by your course instructor
    Approval by the Practice Inquiry Project Coordinator
 Communication with your PIP committee is essential
  each step of development

 Cannot be started until you have IRB approval and you
  must be in your residency course
             PIP Framework
 Focus-PDSA approach
      F: Find a process to improve
          What do you plan to change
      Organize an effort to work on improvement
          Who will be involved and what support do you need
      Clarify the current knowledge of the process
          What is the current state of the science related to the process or
           practice
      Understand process variation and performance capabilities
          Outline specifically how the current process works
      Select changes aimed at performance or process improvement
          Choose the intervention or interventions
          What changes are you going to make
             PIP Framework
 Plan the change. Analyze and predict the results
    How do you plan to measure the effect of the change
 Do it
    Execute the plan taking small steps in controlled
     circumstances
 Study it
    Check or study the results
 Act: Take action
    How do you sustain the gain
    If no working what is the next step (Continue PDSA)
       Program Milestones
 Completion and presentation of the Practice Inquiry Project
  Proposal (in Charleston)
    Must have proposal approval sheet with you
    Must have committee on board
          Plan to have distance members on-line
 Final Poster presentation of completed project (in Charleston)
    Must have final completion paperwork with you
    Consider having committee members present
 Submission of paper for publication
    Paper approved by faculty with all revisions
    Journal proof of submission
 Residency: Completion of all 500 hours
         Final Project Work
 Final proposal is completed in NRDNP 852 Health Program
  Planning
 Final paper and poster are due in your last residency (NRDNP 890)
 Two weeks prior to the poster presentation
      All sections of MyFolio must be complete
      Publication must be approved and all revisions made
 Poster presentation
      Electronic publication must be uploaded with proof of submission
       to journal
      Poster is presented with a 10 minute oral-summary
      Committee signs off on your work with recommendation for the
       DNP degree
                      Contact us
 Stay in touch
 Send emails with questions and concerns
 Consider being on the Graduate Program Committee and EPEC
  committee to represent your group
 If you are struggling call early so we can help
 Understand one thing:
       “Our Goal is that everyone will graduate, do well and represent the
        CON as a strong APRN leader”
 Follow up with us after graduation: Alumni survey, employer survey
  and graduation survey
QUESTIONS?

				
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posted:11/19/2012
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