Kesten Karen, Moran Katherine, Beebe Sarah L, Conrad Dianne, Burson Rosanne, Corrigan Catherine, Manderscheid Amy, Pohl Elizabeth
The George Washington University, School of Nursing, Washington, DC.
Grand Valley State University, Kirkhof College of Nursing, Grand Rapids, MI.
J Am Assoc Nurse Pract. 2022 May 1;34(5):722-730. doi: 10.1097/JXX.0000000000000707.
Today's health systems are complex and are challenged to strive for high-quality care that leads to optimal health outcomes. Doctor of Nursing Practice (DNP)-prepared nurses have the necessary competencies to influence health systems and delivery, that lead to safe and effective practice, by implementing practice scholarship, the translation of science to transform health care delivery, and clinical inquiry to improve practice.
The purpose of this study was to determine DNP-prepared nurses' satisfaction with their frequency of engagement in practice scholarship, and the relationship between the satisfaction and perceived impact of practice scholarship.
In this cross-sectional study, DNP-prepared nurses (n = 309) were recruited from a U.S. national membership organization and were asked to complete an online survey.
Usable data findings (n = 269) revealed that 81% of participants reported feeling very, or moderately, satisfied with time spent engaging in practice scholarship or clinical inquiry in the areas of quality improvement, translation of research, and evidence-based practice; however, 19% expressed minimal satisfaction or dissatisfaction. There was a significant, moderate positive correlation between impact and satisfaction with time spent engaging in practice scholarship.
Unclear roles and the lack of objective data measurement of practice scholarship are hindering the ability of DNP-prepared nurses to work to the full extent of their education and scope of practice.
Further studies to develop processes and tools to measure the value and impact of DNP-prepared nurses on quality and safety, health care policies, systems, and population health are recommended.
当今的卫生系统十分复杂，面临着提供高质量医疗服务以实现最佳健康结果的挑战。具备护理学实践博士（DNP）学位的护士拥有必要的能力，可通过实施实践学术研究（即将科学转化为改善医疗服务的实践）以及临床探究以改进实践，来影响卫生系统及医疗服务的提供，从而实现安全有效的实践。
本研究旨在确定具备DNP学位的护士对其参与实践学术研究的频率的满意度，以及满意度与实践学术研究的感知影响之间的关系。
在这项横断面研究中，从美国一个全国性会员组织招募了具备DNP学位的护士（n = 309），并要求他们完成一项在线调查。
有效数据结果（n = 269）显示，81%的参与者报告对在质量改进、研究转化和循证实践领域参与实践学术研究或临床探究所花费的时间感到非常满意或中度满意；然而，19%的参与者表示满意度很低或不满意。在实践学术研究的影响与参与时间的满意度之间存在显著的中度正相关。
实践学术研究的角色不明确以及缺乏客观的数据衡量，正在阻碍具备DNP学位的护士充分发挥其教育水平和实践范围的能力。
建议开展进一步研究，以开发用于衡量具备DNP学位的护士对质量与安全、医疗政策、系统及人群健康的价值和影响的流程与工具。
