Vanderbilt University School of Nursing, Nashville TN.
Vanderbilt University School of Nursing, Nashville TN.
Nurs Outlook. 2019 Nov-Dec;67(6):671-679. doi: 10.1016/j.outlook.2019.05.012. Epub 2019 May 28.
Holders of the Doctor of Nursing Practice (DNP) degree were envisioned to improve health and health care outcomes by implementing quality improvement initiatives, applying evidence-based practice changes (EBP), and influencing policy. Little is known about the nature of the DNP project experience and its relationship with subsequent experiences of graduates. Filling these knowledge gaps is important because of the investment of time, faculty and student effort, expense, and the projects' potential long-term effects on the organizations in which they were conducted.
(1) Describe the impetus for foci, outcomes and activities of DNP projects and (2) determine the extent to which project foci are a part of post-graduation experiences.
A cross-sectional descriptive survey design was used and a via mailed paper and online version was sent with return options to graduates of Doctor of Nursing Practice program. The sampling technique was designed to maximize the capture of DNP graduates. Three mailings were sent to 5,830 nurse members of three national organizations with memberships that included advanced practice registered nurses, nurse administrators and nurse educators. The 1,308 DNP prepared respondents were demographically and geographically representative of organizational members.
Most (65.2%) reported the topic of the project was their own idea and they sought out an organization in which to conduct it. Twenty-five percent indicated not all aspects of the reorganization/initiative/policy change were completed by graduation. Five project foci emerged with the majority reporting an EBP initiative or an EBP project involving reorganization in the setting (57.7%) There was also a wide variation in the number, types and combinations of activities reported to be a part of the project. There was wide variation in the relationship of project foci and activities with reports of post-graduation experience by position title.
DISCUSSION/CONCLUSION: Findings suggest potential avenues for innovations during the DNP project experience innovations. Long term effects of projects on organizations in which they were conducted and the relationship of project activities with post-graduation roles should be considered.
持有护理实践博士（DNP）学位的人被期望通过实施质量改进计划、应用循证实践变革（EBP）和影响政策来改善健康和医疗保健结果。关于 DNP 项目经验的性质及其与毕业生后续经验的关系，知之甚少。由于投入了时间、教师和学生的努力、费用，以及这些项目对其所在组织的潜在长期影响，填补这些知识空白非常重要。
（1）描述 DNP 项目的焦点、结果和活动的动力，（2）确定项目焦点在多大程度上成为毕业后经验的一部分。
使用横断面描述性调查设计，并通过邮寄纸质和在线版本发送给博士护理实践课程的毕业生，并提供回复选项。抽样技术旨在最大限度地捕获 DNP 毕业生。向三个国家组织的 5830 名护士成员发送了三次邮件，这些组织的成员包括高级执业注册护士、护士管理人员和护士教育工作者。1308 名接受过 DNP 培训的受访者在人口统计学和地理位置上代表了组织成员。
大多数人（65.2%）报告说，项目的主题是他们自己的想法，他们寻求一个可以进行项目的组织。25%的人表示，并非所有的重组/倡议/政策变革都在毕业前完成。五个项目重点出现，大多数人报告说，在环境中有一个 EBP 倡议或一个涉及重组的 EBP 项目（57.7%）。报告的活动数量、类型和组合也有很大差异，这些活动被认为是项目的一部分。项目重点和活动与职位标题报告的毕业后经验之间的关系存在很大差异。
讨论/结论：研究结果表明，在 DNP 项目经验期间，可能存在创新的途径。应该考虑项目对其所在组织的长期影响，以及项目活动与毕业后角色的关系。
