Paula F. Coe MSN, RN, NEA-BC. Discuss background that supports DNP for nurse administrators Explore nurse executive competencies Describe opportunities.

Doctorate of Nursing Practice (DNP) as an Administrator

Paula F. Coe MSN, RN, NEA-BC

Objectives

Discuss background that supports DNP for

nurse administrators

Explore nurse executive competencies

Describe opportunities the DNP provides the

administrative role

Identify strategies to articulate the contribution

of DNP education for administration

The background 2004

• Member schools affiliated with American Association of Colleges of Nursing (AACN) approved position statement for DNP

2007 • American Organization of Nurse Executives (AONE)

acknowledges and supports the DNP as valuable and necessary in nursing practice and a terminal degree for the NE Knowledge and ability to balance clinical practice with business

operations 2010

• Institute of Medicine (IOM)- nursing leadership competencies that include health policy, system improvement, EBP, teamwork and collaboration are critical for nurse executives to be successful

Comparison DNP PhDProgram

Objective Prepare the highest level nursing practice

scholars for clinical, administrative and academic career; terminal degree in practice

Prepare scholars for research and academic careers in public or private sectors of health

care; terminal degree in research

Applicant Evaluation

Evidence of scholarly ability; professional goals consistent with the advanced practice nursing

role and past nursing and leadership experiences

Evidence of scholastic preparation and intellectual capability; research/career goals

consistent with the School’s research foci/faculty expertise

Course of Study/ Competencies

Practice integration experience and emphasis on knowledge and skills for applying and translating evidence-based research into

practice

Two tracks of study: Clinical Research and Health Services Research; opportunities to work

in interdisciplinary research teams

Degree Requirements

Successful completion of a scholarly project demonstrating the synthesis of the student’s

coursework and practice application, culminating in a final manuscript and public

presentation.

Successful completion of advanced coursework, a qualifying examination paper, an oral qualifying

examination and dissertation (including oral defense of the proposal and findings)

Career Focus of Graduates

Leadership positions in nursing practice, management, information technology and

academia. Developing practice innovations designed to improve health care outcomes.

Conduct/disseminate research that responds to regional, national and international priorities.

Graduates advance the nursing discipline and practice through research, education and health

policy.

http://www.nursing.vanderbilt.edu/dnp/dnporphd.html

Applicability of DNP to nurse executive practice

Organizational and Systems Leadership for Quality Improvement

and Systems Thinking

Health Care Policy and Advocacy in Healthcare

Inter-professional Collaboration for Improving Patient and

Population Health Outcomes

Clinical Prevention and Population Health for Improving Nations

Health

AONE Nurse Executive Competencies

Communication and relationship building

Knowledge of healthcare environment

Leadership

Professionalism

Business Skills

http://www.aone.org/resources/leadership%20tools/nursecomp.shtml

Nurse competencies continued…

Having a global perspective or mindset Working knowledge of technology Expert decision making skills Prioritizing quality and safety Being politically astute Collaborative and team building skills Balancing authenticity and performance

expectations Coping effectively with change

Huston,C. (2008) Preparing nurse leaders for 2020. Journal of Nursing Management,16(8), 905-911. doi: 10.1111/j.1365-2834.2008.00942.x

Requirements of Nurse Leaders Adaptable and flexible to unpredictability Thinking critical to success Synthesize large amounts of knowledge Deliver valuable outcomes Manage constant change Emphasis on value Teamwork and interdisciplinary

collaboration

DNP Leader Prepared to introduce change Innovate Add value to organizations

• Setting direction• Improve patient outcomes• Improve system and or entity level outcomes

Practice leader assessing organizations, identifying issues, facilitating org-wide changes.

Leads using influence not authorityMontgomery, K.L. (2011). Leadership redefined: Educating the doctorate of nursing practice nurse leader through innovation. Nursing Administration Quarterly, 35(3), 248-251. doi: 10:1097/NAQ.0b013e3181ff38bc

Curriculum Complex healthcare systems

• Complex adaptive systems Linear to complexity thinking

• Active learning Anticipating the impact and direction of change on the

system• Quantum leadership

Create relationships Identify key stakeholders Develop influence, facilitate change Work effectively in teams

Montgomery, K.L., & O’Grady, T.P. (2010). Innovation and learning: Creating the DNP Nurse Leader. Nurse Leader, 44- 47. doi:10.1016/j.mnl/2010.05.001

Curriculum NUR 725- Organizational Behavior

• DNP as Boundary Spanner• Organizational Assessment• Organizational culture and change

NUR 735- Quality/Leadership• Leadership Style• Collaboration• Quality and Safety

Montgomery, K.L., & O’Grady, T.P. (2010). Innovation and learning: Creating the DNP Nurse Leader. Nurse Leader, 44- 47. doi:10.1016/j.mnl/2010.05.001

Benefit of DNP for Nurse Leaders

Offering a broader integrated perspective on practice

and system issues

Using innovation to positively impact patient and

system outcomes

Preparing nurse leaders for complex systems and

organizations

Development of evidence based leadership practice

skills to lead change

Benefits for the Nurse Executive Curriculum and activities of programs

provide experience to form a framework of success

Can benefit from hiring DNP’s to foster multi level system changes• Magnet Preparation• Strategic Planning• Project Management• Operations Leadership• Run clinics, community health clinics• Corporate consultants

CNO perceptions of the DNP Describe the perceptions of practicing CNO’s

regarding the applicability of the DNP degree for NE practice in the acute hospital setting

Survey was open for a total of 6 weeks with reminders sent at two week intervals.

Descriptive statistical analysis of response rates and other demographics was performed

Chi square tests were conducted to test the null hypothesis Swanson, M.L., & Stanton, M.P. (2013). Chief nursing officers’ perceptions of the doctorate of nursing

practice degree. Nursing Forum, 48(1), 35-44

Perceptions of CNO’s All responses trended positive

Greater than 50% of participants were responding “agree/strongly agree”

CNO’s in the acute care setting have more positive perceptions than negative perceptions of the DNP

Masters degree do not appear to influence overall perceptions

Swanson, M.L., & Stanton, M.P. (2013). Chief nursing officers’ perceptions of the doctorate of nursing practice degree. Nursing Forum, 48(1), 35-44

ReferencesAcorn, S., Lamarche, K., & Edwards, M. (2009). Practice doctorates in nursing: Developing Nursing Leaders. Nursing Research, 22(2), 85-91. Huston,C. (2008) Preparing nurse leaders for 2020. Journal of Nursing Management,16(8), 905-911. doi: 10.1111/j.1365-2834.2008.00942.x

Montgomery, K.L. (2011). Leadership redefined: Educating the doctorate of nursing practice nurse leader through innovation. Nursing Administration Quarterly, 35(3), 248-251. doi: 10:1097/NAQ.0b013e3181ff38bc.Montgomery, K.L., & O’Grady, T.P. (2010). Innovation and learning: Creating the DNP Nurse Leader. Nurse Leader, 44- 47. doi: 10.1016/j.mnl/2010.05.001.Nichols, C., O’Connor, N., & Dunn, D. (2014). Exploring early and future use of the DNP prepared nurses within healthcare organizations. Journal of Nursing Administration, 44(2), 74-78. doi: 10.1097/NNA/0000000000000029Swanson, M.L., & Stanton, M.P. (2013). Chief nursing officers’ perceptions of the doctorate of nursing practice degree. Nursing Forum, 48(1), 35-44. Waxman, K.T., & Maxworthy, J. (2010). The doctorate of nursing practice degree and the nurse executive: The perfect combination. Nurse Leader, 31-33. doi: 10.1016/j.mnl/2010.01.011.