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 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? 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 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 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 Addresses issues from the community Working with community partners, implements programs addressing identified health needs DTNI 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 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 Perinatal Cardiac Trauma Genetics Cancer Faculty Expertise 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. What was core Commitment to improving quality of care Using evidence to improve outcomes Patient safety Intra and interprofessional communication CTSA & DNP & PhD 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? 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 Seminars Research series lectures Third Thirsty Thursday Discussions Web casts/podcasts 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? Translation Transformation Leadership Advanced practice specialization Curriculum Foci 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 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 DNP 73-94 credits depends on advanced practice specialty selected Post MSN is 34 + credits Questions??
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