Martsolf Grant R, Komadino Amy, Germack Hayley, Harrison Jordan, Poghosyan Lusine
University of Pittsburgh, School of Nursing, Department of Acute and Tertiary Care, Pittsburgh, PA 15213; RAND Corporation, Health Care Division, Pittsburgh, PA 15213.
University of Pittsburgh, School of Nursing, Department of Acute and Tertiary Care, Pittsburgh, PA 15213.
Nurs Outlook. 2021 Nov-Dec;69(6):953-960. doi: 10.1016/j.outlook.2021.06.008. Epub 2021 Aug 23.
Many nursing schools are adopting the Doctor of Nursing Practice (DNP) as the preferred model of nurse practitioner (NP) education and eliminating Master of Science in Nursing (MSN) programs. To date, no studies have explored the relationship between DNP preparation and NP practice environment, independence, and roles.
The purpos of this study is to compare practice environment, independence, and roles among DNP- and MSN-prepared primary care NPs.
This study used a cross-sectional design and observational regression analysis of survey data.
DNP-prepared NPs reported: 1) more favorable NP-Physician Relationships, 2) fewer clinical hours, and 3) more practice leadership. These differences were, however, small and not significant at 0.05 level.
We found no major differences in practice environment, independence, and roles among DNP- and MSN-prepared primary care NPs. As more nursing schools establish DNP programs and more DNP-prepared NPs enter the field, it is especially important to continue to study the impact of DNP preparation on the NP workforce.
许多护理学院正在采用护理实践博士（DNP）作为执业护士（NP）教育的首选模式，并取消护理学硕士（MSN）项目。迄今为止，尚无研究探讨DNP培养与NP实践环境、独立性及角色之间的关系。
本研究旨在比较DNP培养和MSN培养的初级保健NP在实践环境、独立性和角色方面的差异。
本研究采用横断面设计和对调查数据的观察性回归分析。
接受DNP培养的NP报告称：1）与医生的关系更融洽；2）临床工作时长更少；3）更多参与实践领导。然而，这些差异较小，在0.05水平上不显著。
我们发现，在接受DNP培养和MSN培养的初级保健NP中，实践环境、独立性和角色方面没有重大差异。随着越来越多的护理学院开设DNP项目，越来越多接受DNP培养的NP进入该领域，继续研究DNP培养对NP劳动力的影响尤为重要。
