Doctor of Nursing Practice _DNP_ by pptfiles

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									Translation, Transformation & Leadership: Keystones of the Duke University DNP Program
Barbara S Turner DNSc, RN, FAAN Professor and Chairperson of the DNP program

Catherine L. Gilliss, DNSc, RN, FAAN Dean, Duke University School of Nursing Vice Chancellor for Nursing Affairs Duke University School of Nursing

Objectives
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1. To understand the impact of the NIH Clinical Science and Translational Award on the development of the DNP program at Duke University 2. To recognize the process of evaluating the academic and practice setting strengths in establishing a DNP program

Duke University School of Nursing
Doctor of Nursing Practice

Historical degree pathways

BSN

Master’s

PhD

Current degree pathways
BSN

Master’s

DNP

PhD

Why a DNP?
Literature
DNP

Why Duke and in 2007?
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History of leadership in innovative programs that address existing or emerging nursing education needs Rigorous programs that addresses key issues in health care Talent (faculty and staff) and the resources to offer the DNP Demand from nurses Clinical Sciences and Translation Award (NIH)

CTSA
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Funded by NIH Speed the process of moving research from bench to bedside and back Has multiple arms (basic research, translational , community)

Duke Translational Research Institute
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A core aim: to provide “a comprehensive educational program, a place where young clinical and translational scientists learn their trade in an environment where excellent research is happening all around them.”

Duke Center for Community Research
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Addresses issues from the community Working with community partners, implements programs addressing identified health needs

DTNI
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Develop and implement a Duke Nursing Translational Institute, designed to translate clinical knowledge into evidence based practices for the improvement of patient care outcomes. DTNI structure and recruitments are underway.

University Strengths
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Math Medicine and Engineering Simulation and Technology Comprehensive Cancer Center Heart Center Clinical Research Unit Institute for Care at the End of Life Population Genetics Community outreach

Data Repositories
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Perinatal Cardiac Trauma Genetics Cancer

Faculty Expertise
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Early and late life, Care at the end of life Informal care-giving Primary care Chronic illness Nursing informatics Leadership and systems Health services research Faculty, staff and clinicians will work with students to mine DUHS databases to explore variations in practice, and will mentor students in testing evidenced-based nursing protocols and evaluating their impact on key outcomes.

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What was core
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Commitment to improving quality of care Using evidence to improve outcomes Patient safety Intra and interprofessional communication

CTSA & DNP & PhD
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The model shows the complementary areas of expertise of PhD-prepared nurses and DNPprepared nurses. PhD- Knowledge discovery and dissemination DNP- Use research forums to identify new clinical research findings and evaluate these findings for translation and application to practice settings.

What is the difference between the PhD and the DNP in nursing?
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Both are terminal degrees- research vs practice PhD- Knowledge discovery and dissemination DNP-identification, evaluation, translation, application and evaluation of research findings to practice setting for improvement in health outcomes

Research Practice Cycle

Dissemination of findings

Identify Clinical questions Conduct Research

As appropriate implement change Evaluate

Evaluates the evidence for application to practice

Dissemination of findings

Linkages between DNP and PhD
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Seminars Research series lectures Third Thirsty Thursday Discussions Web casts/podcasts

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The DNP program at Duke focuses on the development of expertise in evaluating and translating new knowledge to the practice setting Duke is one of only a few academic health centers in the country to lead in translational work to improve the care of patients, communities and populations. .

What are the foci of the DUSON Doctor of Nursing Practice?
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Translation Transformation Leadership Advanced practice specialization

Curriculum
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Foci
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moving evidence from dissemination to practice patient safety, quality, and patient outcomes strategies for making changes in health systems and across health systems Health policy, consumer advocacy, business and financial practices in health systems

Curriculum Overview
Translation Statistics, Analyzing Evidence, Applying Evidence to Create Change, Safety, Quality 22 credits Leadership Agents of Influence and Change 5 credits

Transformation Practice Models, Programs of Care, From the Individual to Global 15 credits

Advanced Specialty Practice 25-46 credits

Curriculum
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Matches with AACN 8 “Essentials of DNP” Post MSN students take 2 DNP courses a semester; allow them to work fulltime Courses are on-line with intensive on campus sessions (weekends) Lectures are loaded for MP3 (listening), Ipods or computer viewing. All students issued video Ipods.

Credits for DNP
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DNP 73-94 credits depends on advanced practice specialty selected Post MSN is 34 + credits

Questions??


								
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