Online Community - Practice Innovation - Professional Growth
You are very correct. I think this point must be crystal clear. The DNP is a practice-focused doctoral degree, not a role. A doctorally educated NP still functions as an NP, albeit with a much broader and advanced education. I believe the IOM report emphasizes APNs have a more prominent role in healthcare--to be true partners with physicians. And in a sense to rid the thinking of a heirarchy which has existed for too long.
I too read the report with great interest. We live in an exciting time where we, as the future DNP's of the country can sit at the table and impact the care that is provided. I thought the key messages which include:
Nurses should practice to the full extent of their education and training.
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.......looking at the rise in DNP programs and graduates we are moving there.
Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.......I believe this is what we are training for, to come with credibility to the table and being able to guide care from the macro perspective.
Effective workforce planning and policy making require better data collection and information infrastructure. ....as we look at the goals of the initial charter for DNP programs we are right in line for the future.
I agree, and as we see the role of the DNP develop over time, with respect to specialization, I believe that there will be a robust and holistic application of practice that only the nursing tradition can offer.
In order for the goals of the IOM to be fully realized, however, DNPs actively engaged in practice must also be prepared and available to serve as faculty to grow the nursing base and increase the number of Baccalaureate-prepared nurses.
One concern I have is the manner in which we will be able to serve to our full capacity due to the limitations imposed by (some) administrators who do not fully comprehend the nursing shortage and the implications that this situation will have on healthcare delivery across the globe in the coming years. Add to that naiveté the lability of the role during this early stage and inconsistent application of tenure designation at schools of higher education and it is apparent that the legislative/policy aspect and stakeholder buy-in are undoubtedly key to enabling DNPs of the future to fulfill their professional obligations.
The DNP program in which I am currently engaged offered a leadership specialty track that really called to me in light of the challenges we are facing as a profession. As a former U.S. Marine I have witnessed a myriad of obstacles faced by an international defense and security agency - what always sustained us was pride in our service and multiple intelligences that fortified the organization in accomplishing our strategic mission and goals. Nursing shares this pride and profound depth roster and while we may not be storming the Halls of Montezuma, nurses 'storming' the lawns of the state and national capitols as well as the board rooms of our facilities as a means of self-advocacy is requisite if we intend to see the role preserved and allowed to flourish in the years to come.
I am so excited to be part of the changes occurring in nursing! Creating novel approaches to application of this role in the practice setting is an amazing prospect!
IOM's stated strategies for combatting the nursing and nurse faculty shortage...
Could you provide a link to this report? I have only started my DNP program but would be greatly interested in reading. Thanks, Dawn Fitzpatrick
I have read The Future of Nursing: Leading Change, Advancing Health. The faltering health care system has no option but to undergo radical transformation or essentially implode. The Robert Wood Johnson Foundation (RWJF) is serving as a catalyst to promote positive changes in health care.
Research of this topic during my undergraduate degree is what prompted me to strive for the DNP as opposed to the MSN. I do believe that as more nurses obtain BSN degrees more interests in leadership will be generated.
The Robert Wood Johnson foundation's goal is to position the nurse as a major provider and transform the nursing profession. It appears we have much needed support. My plan is to become a leader in the area of complementary medicine. I am currently licensed as an Acupuncture Physician. I believe the dual licensure will be an asset to accomplishing this.
IOM (Institute of Medicine). 2011. Summary. In The Future of Nursing: Leading Change,
Advancing Health. (pp. S1-13). Washington, DC: The National Academies Press. Prepublication copy retrieved from: hhtp://www.nap.edu/catalog/12956.html.
I recently wrote an article reviewing the IOMs The Future of Nursing: Leading Change,