Chamberlain College of Nursing, 583 Dakota Drive, Jupiter, FL 33458, United States of America.
J Prof Nurs. 2020 Jul-Aug;36(4):251-258. doi: 10.1016/j.profnurs.2019.11.004. Epub 2019 Nov 21.
Decades after the AACN (2004) position statement regarding the clinical doctorate, the DNP, shows ongoing dialogue without professional consensus regarding the two terminal degrees. The lack of understanding and confusion surrounding the two doctoral degrees in nursing subsequently projects a negative image about the profession; suggesting a lack of cohesiveness; promotes an environment of distrust, thereby creating confusion for the public about the nursing profession.
The purpose of this qualitative research was to develop a substantive theory about the perceptions and the attitudes of doctoral nurses regarding their roles.
An adapted approach of Strauss and Corbin's grounded theory methodology was used. Sampling was purposive, snowball, and theoretical. Theoretical sampling with an expert group validated concepts, themes, and categories.
The main categories of advancing, collaborating, transforming, and stewarding emerged from the data. The basic social process of Following the Path identified and explained the meaning ascribed by DNP and PhD nurses about their doctoral roles.
The theoretical framework provides information about the DNP and PhD nurse. The findings support evidence the nursing profession is moving forward towards self-definition. Acceptance and need for the doctoral roles were identified. Understanding the perspectives of the doctoral nurses in the profession has identified forward movement in practice and cohesion of the nursing discipline.
自 AACN（2004 年）发表关于临床博士学位的立场声明以来，已经过去了几十年，DNP 仍在持续进行对话，但在这两个终端学位方面尚未达成专业共识。护理领域对这两个博士学位缺乏理解和混淆，继而对该专业产生了负面形象；表明缺乏凝聚力；营造了不信任的环境，从而导致公众对护理专业感到困惑。
本质性研究的目的是针对博士护士对其角色的看法和态度发展出一个实质性的理论。
采用了 Strauss 和 Corbin 的扎根理论方法的改编方法。抽样是有目的的、滚雪球的和理论性的。通过专家组的理论抽样验证了概念、主题和类别。
推进、协作、转变和管理这四个主要类别从数据中脱颖而出。该研究还确定并解释了 DNP 和 PhD 护士对其博士角色的归因意义，这是一个名为“沿着道路前行”的基本社会过程。
该理论框架提供了有关 DNP 和 PhD 护士的信息。研究结果支持了护理行业正在朝着自我定义的方向发展的证据。接受和需要博士角色的问题已经得到确认。了解该专业的博士护士的观点，可以确定在实践中的前进步伐以及护理学科的凝聚力。
