PMID- 32561157
OWN - NLM
STAT- MEDLINE
DCOM- 20200915
LR  - 20210919
IS  - 1528-3968 (Electronic)
IS  - 0029-6554 (Print)
IS  - 0029-6554 (Linking)
VI  - 68
IP  - 4
DP  - 2020 Jul-Aug
TI  - Doctor of nursing practice (DNP) degree in the United States: Reflecting, 
      readjusting, and getting back on track.
PG  - 494-503
LID - 10.1016/j.outlook.2020.03.008 [doi]
AB  - BACKGROUND: In 2004, the American Association of Colleges of Nursing (AACN) 
      called for all nursing schools to phase out master's-level preparation for 
      advanced practice registered nurses (APRNs) and transition to doctor of nursing 
      practice (DNP) preparation only by 2015. Today, five years after the AACN's 
      deadline, nursing has not yet adopted a universal DNP standard for APRN practice 
      entry. PURPOSE: The purpose of this paper is to examine the factors influencing 
      the ability of nursing schools to implement a universal DNP standard for APRNs. 
      METHODS: Deans from top-ranked nursing schools explore the current state of the 
      DNP degree in the US. The authors draw upon their collective experience as 
      national leaders in academic nursing, long-time influencers on this debate, and 
      heads of DNP programs themselves. This insight is combined with a synthesis of 
      the literature and analysis of previously unpublished data from the AACN on 
      trends in nursing doctoral education. FINDINGS: This paper highlights issues such 
      as the long history of inconsistency (in messaging, curricula, etc.) surrounding 
      the DNP, certification and accreditation challenges, cost barriers, and more. The 
      authors apply COVID-19 as a case study to help place DNP graduates within a 
      real-world context for health system stakeholders whose buy-in is essential for 
      the success of this professional transition. DISCUSSION: This paper describes the 
      DNP's standing in today's professional environment and advances the conversation 
      on key barriers to its adoption. Insights are shared regarding critical next 
      steps to ensure national acceptance of the DNP as nursing's terminal practice 
      degree.
CI  - Copyright (c) 2020 Elsevier Inc. All rights reserved.
FAU - McCauley, Linda A
AU  - McCauley LA
AD  - Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA.
FAU - Broome, Marion E
AU  - Broome ME
AD  - Duke University School of Nursing, Durham, NC.
FAU - Frazier, Lorraine
AU  - Frazier L
AD  - Columbia University School of Nursing, New York, NY.
FAU - Hayes, Rose
AU  - Hayes R
AD  - Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA.
FAU - Kurth, Ann
AU  - Kurth A
AD  - Yale School of Nursing, Orange, CT.
FAU - Musil, Carol M
AU  - Musil CM
AD  - Case Western Reserve University Frances Payne Bolton School of Nursing, 
      Cleveland, OH.
FAU - Norman, Linda D
AU  - Norman LD
AD  - Vanderbilt School of Nursing, Nashville, TN.
FAU - Rideout, Kathy H
AU  - Rideout KH
AD  - University of Rochester School of Nursing, Rochester, NY.
FAU - Villarruel, Antonia M
AU  - Villarruel AM
AD  - University of Pennsylvania School of Nursing, Philadelphia, PA.
LA  - eng
GR  - UL1 TR001863/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20200416
PL  - United States
TA  - Nurs Outlook
JT  - Nursing outlook
JID - 0401075
SB  - IM
MH  - Advanced Practice Nursing/*education
MH  - Curriculum
MH  - Education, Nursing, Graduate/*organization & administration/*standards
MH  - Humans
MH  - Nursing Education Research
MH  - Schools, Nursing/*organization & administration
MH  - Societies, Nursing
MH  - United States
PMC - PMC7161484
OTO - NOTNLM
OT  - Advanced practice nursing
OT  - Advanced practice nursing preparation
OT  - Doctor of nursing practice
OT  - Nursing doctoral education,
OT  - Nursing doctorate
OT  - Nursing education
OT  - Universal DNP
EDAT- 2020/06/21 06:00
MHDA- 2020/09/17 06:00
PMCR- 2020/04/16
CRDT- 2020/06/21 06:00
PHST- 2020/01/03 00:00 [received]
PHST- 2020/03/29 00:00 [revised]
PHST- 2020/03/31 00:00 [accepted]
PHST- 2020/06/21 06:00 [pubmed]
PHST- 2020/09/17 06:00 [medline]
PHST- 2020/06/21 06:00 [entrez]
PHST- 2020/04/16 00:00 [pmc-release]
AID - S0029-6554(20)30006-3 [pii]
AID - 10.1016/j.outlook.2020.03.008 [doi]
PST - ppublish
SO  - Nurs Outlook. 2020 Jul-Aug;68(4):494-503. doi: 10.1016/j.outlook.2020.03.008. 
      Epub 2020 Apr 16.