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护理实践博士项目:关键挑战与可能的解决方案。

Doctor of nursing practice project: Key challenges and possible solutions.

机构信息

Johns Hopkins University School of Nursing, Baltimore, MD, United States of America.

Johns Hopkins University School of Nursing, Baltimore, MD, United States of America.

出版信息

J Prof Nurs. 2022 Jul-Aug;41:53-57. doi: 10.1016/j.profnurs.2022.04.004. Epub 2022 Apr 28.

Abstract

BACKGROUND

To thoughtfully and strategically embed the updated Essentials into Doctor of Nursing Practice (DNP) curricula, it is important to understand the current landscape of the DNP project.

METHOD

This discussion focuses on DNP project processes, providing a summary of the core challenges and solutions for project design, implementation and evaluation stages.

FINDINGS

Main challenges include: Difficulty defining a practice gap or absent training in protocol development for quality improvement (QI) projects (design stage); difficulty identifying and accessing project sites or practice mentors and limited academic faculty support (implementation stage); and a lack of common criteria for DNP project evaluation or unclear choices and use of QI measurement tools (evaluation stage). Scholarly Writing, Faculty Preparation, and Sustainability were overarching challenges hindering successful completion of DNP projects. Possible solutions included training and support for faculty, toolkits and practical strategies to support planning and organization.

CONCLUSION

The DNP, as an evolving degree, brings its own set of challenges for students, academic and clinical settings, faculty and administrators. Developing effective partnership of students, faculty, and healthcare systems is a key solution in helping students develop and demonstrate DNP competencies, and nursing institutions and leadership should explore further ways to fortify these partnerships.

摘要

背景

为了深思熟虑且策略性地将更新后的要点嵌入护理实践博士(DNP)课程中,了解 DNP 项目的当前情况非常重要。

方法

本讨论侧重于 DNP 项目流程,概述了项目设计、实施和评估阶段的核心挑战和解决方案。

发现

主要挑战包括:难以确定实践差距或缺乏质量改进(QI)项目的协议制定方面的培训(设计阶段);难以确定和访问项目地点或实践导师,以及有限的学术教师支持(实施阶段);以及缺乏 DNP 项目评估的共同标准或对 QI 测量工具的选择和使用不明确(评估阶段)。学术写作、教师准备和可持续性是阻碍 DNP 项目成功完成的总体挑战。可能的解决方案包括为教师提供培训和支持、工具包以及支持规划和组织的实用策略。

结论

DNP 作为一个不断发展的学位,给学生、学术和临床环境、教师和管理人员带来了一系列挑战。培养学生、教师和医疗系统之间的有效伙伴关系是帮助学生发展和展示 DNP 能力的关键解决方案,护理机构和领导层应探索进一步加强这些伙伴关系的方法。

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