PMID- 31453823 OWN - NLM STAT- MEDLINE DCOM- 20201116 LR - 20210217 IS - 2327-6924 (Electronic) IS - 2327-6886 (Linking) VI - 32 IP - 3 DP - 2020 Mar TI - Optimizing impact through the Tiered Doctor of Nursing Practice Project Model. PG - 263-268 LID - 10.1097/JXX.0000000000000283 [doi] AB - Colleges of Nursing (CONs) and health care organizations (HCOs) are increasingly embracing academic-practice partnerships (AcaPP). An HCO's workforce development plan prompted an AcaPP agreement with a CON for the purpose of increasing the number of doctor of nursing practice (DNP) advanced practice nurses in the HCO. Over a period of 6 years, 4 consecutive cohorts of approximately 100 HCO baccalaureate prepared nurses were enrolled in the CON DNP program. The AcaPP environment facilitates large-scale DNP projects among successive cohorts of students. The purpose of this article is to describe the innovative Tiered DNP Project Model, defined as the process by which current students build on and expand select DNP projects implemented by students in initial cohorts. The tiered approach to the DNP project is facilitated by an advising model that occurs in the context of mutually agreed-upon goals and compatible with the HCO strategic plan and CON DNP program objectives. In the Tiered DNP Project Model, select studies are chosen for continuation by DNP students in subsequent cohorts based on nursing leadership guidance of alignment with HCO strategic goals. The model has resulted in driving improvements in HCO patient and systems outcomes, promoted practice scholarship, and contributed to the quality of the CON DNP program. FAU - Melander, Sheila AU - Melander S AD - University of Kentucky College of Nursing, Lexington, Kentucky. FAU - Howard, Patricia B AU - Howard PB AD - University of Kentucky College of Nursing, Lexington, Kentucky. FAU - Williams, Tracy E AU - Williams TE AD - Norton Healthcare, Louisville, Kentucky. FAU - Tharp-Barrie, Kim AU - Tharp-Barrie K AD - Norton Institute for Nursing, Norton Healthcare, Louisville, Kentucky. FAU - El-Mallakh, Peggy AU - El-Mallakh P AD - University of Kentucky College of Nursing, Lexington, Kentucky. FAU - MacCallum, Tricia AU - MacCallum T AD - University of Kentucky College of Nursing Norton Healthcare Academic-Practice Partnership, University of Kentucky, Lexington, Kentucky. LA - eng PT - Journal Article PL - United States TA - J Am Assoc Nurse Pract JT - Journal of the American Association of Nurse Practitioners JID - 101600770 MH - Curriculum/trends MH - Education, Nursing, Graduate/*methods/standards/trends MH - Educational Measurement/methods MH - Humans MH - *Models, Educational MH - Students, Nursing EDAT- 2019/08/28 06:00 MHDA- 2020/11/18 06:00 CRDT- 2019/08/28 06:00 PHST- 2019/08/28 06:00 [pubmed] PHST- 2020/11/18 06:00 [medline] PHST- 2019/08/28 06:00 [entrez] AID - 01741002-202003000-00012 [pii] AID - 10.1097/JXX.0000000000000283 [doi] PST - ppublish SO - J Am Assoc Nurse Pract. 2020 Mar;32(3):263-268. doi: 10.1097/JXX.0000000000000283.