Falkenberg-Olson Ann C
Department of Nursing Research, Gundersen Health System/Gundersen Medical Foundation, La Crosse, Wisconsin.
J Am Assoc Nurse Pract. 2019 Aug;31(8):447-453. doi: 10.1097/JXX.0000000000000266.
Doctoral prepared nurse practitioners (NPs) are uniquely positioned for responsible leadership as essential members of the health care system and have a professional responsibility to contribute to research and clinical inquiry initiatives that advance health care delivery and improve outcomes. Academic preparation of the Doctor of Philosophy (PhD) and Doctor of Nursing Practice (DNP), although different in focus, offers opportunities for effective collaborations that transcend and integrate the scientific and practice roles of generating data and translating evidence. As health care organizations evolve in managing complexities of providing high-quality care, roles for the PhD as research scientist and DNP as research translation specialist will also evolve to keep pace. Despite this professional calling and global opportunity for research and evidence-based practice (EBP), future NPs and nurses will be challenged with an imminent lack of experts who have the skills needed for data and research generation and evidence translation. This commentary introduces and discusses emerging roles and organizational models for doctoral prepared NPs in research, EBP, quality assurance, and quality improvement projects, offers suggestions for NPs interested in research and clinical inquiry, and seeks to ignite excitement for scientific discovery in NP-driven initiatives. Nurse practitioners are encouraged to take advantage of the many opportunities to shape and expand their careers by engaging in knowledge generation for improving health care outcomes.
拥有博士学位的执业护士(NPs)作为医疗保健系统的重要成员,在承担责任型领导方面具有独特的地位,并且有专业责任为推进医疗保健服务和改善治疗效果的研究及临床探究项目做出贡献。哲学博士(PhD)和护理实践博士(DNP)的学术培养,尽管侧重点不同,但提供了超越并整合生成数据和转化证据的科学与实践角色的有效合作机会。随着医疗保健组织在管理提供高质量护理的复杂性方面不断发展,作为研究科学家的PhD和作为研究转化专家的DNP的角色也将随之发展以跟上步伐。尽管有这种专业使命以及开展研究和循证实践(EBP)的全球机会,但未来的NPs和护士将面临迫在眉睫的挑战,即缺乏具备数据生成、研究开展以及证据转化所需技能的专家。本评论介绍并讨论了拥有博士学位的NPs在研究、EBP、质量保证和质量改进项目中的新兴角色和组织模式,为对研究和临床探究感兴趣的NPs提供建议,并试图点燃对NP主导的倡议中科学发现的热情。鼓励执业护士利用众多机会,通过参与知识生成以改善医疗保健效果,来塑造和拓展自己的职业。