PMID- 33439493 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20220716 IS - 1365-2702 (Electronic) IS - 0962-1067 (Print) IS - 0962-1067 (Linking) VI - 29 IP - 21-22 DP - 2020 Nov TI - A 10-year evaluation of projects in a doctor of nursing practice programme. PG - 4090-4103 LID - 10.1111/jocn.15435 [doi] AB - AIMS AND OBJECTIVES: The role of professional doctorates is receiving increased attention internationally. As part of building the rigour and scholarship of these programmes, we assessed projects undertaken as part of a doctor of nursing practice (DNP) programme at Johns Hopkins University. Recommendations for programme development in professional doctorates are provided. BACKGROUND: Past research has described the methodologic limitations and dissemination of DNP projects. However, few studies have provided recommendations for strengthening these projects and alternative strategies for achieving scale in larger student cohorts. DESIGN: A descriptive study reported in accordance with STROBE guidelines. METHODS: From 2009-2018, 191 final DNP project reports were obtained from the DNP programme administrator. Essential project characteristics from the papers were extracted, including use of theoretical framework, design, setting, sample and dissemination through publication. To determine whether the results of the projects had been published, the title and student's name were searched in Google Scholar and Google. RESULTS: Of the 191 projects, 83% focused on adults and 61% were conducted in the hospital setting. Sample sizes ranged from 7 to 24,702. Eighty per cent of the projects employed a pretest/post-test design, including both single and independent groups. The projects spanned six overarching themes, including process improvement, clinician development, patient safety, patient outcome improvement, access to care and workplace environment. Twenty-one per cent of the project findings were published in scholarly journals. CONCLUSIONS: Conducting a critical review of DNP projects has been useful in refining a strategy shifting from incremental to transformative changes in advanced practice. RELEVANCE TO CLINICAL PRACTICE: Programme evaluation is critical in order to sufficiently prepare nurses in advanced nursing practice to influence healthcare outcomes at the individual or population level. CI - (c) 2020 John Wiley & Sons Ltd. FAU - Turkson-Ocran, Ruth-Alma N AU - Turkson-Ocran RN AUID- ORCID: 0000-0001-9932-052X AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. FAU - Spaulding, Erin M AU - Spaulding EM AUID- ORCID: 0000-0001-8390-2277 AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. FAU - Renda, Susan AU - Renda S AUID- ORCID: 0000-0003-3343-1694 AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. FAU - Pandian, Vinciya AU - Pandian V AUID- ORCID: 0000-0002-2260-1080 AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. FAU - Rittler, Hannah AU - Rittler H AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. FAU - Davidson, Patricia M AU - Davidson PM AUID- ORCID: 0000-0003-0299-6289 AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. FAU - Nolan, Marie T AU - Nolan MT AUID- ORCID: 0000-0002-8341-7893 AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. FAU - D'Aoust, Rita AU - D'Aoust R AUID- ORCID: 0000-0001-6074-0359 AD - Johns Hopkins School of Nursing, Baltimore, MD, USA. LA - eng GR - T32 NR012704/NR/NINR NIH HHS/United States GR - T32DK062707/DK/NIDDK NIH HHS/United States GR - NSP II-17-107/Maryland Higher Education Commission/ GR - American Heart Association/ GR - F31DR017328/NR/NINR NIH HHS/United States GR - T32 DK062707/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Review DEP - 20200819 PL - England TA - J Clin Nurs JT - Journal of clinical nursing JID - 9207302 MH - Adult MH - *Advanced Practice Nursing MH - *Education, Nursing, Graduate MH - Humans MH - Nurses MH - Program Development MH - Program Evaluation PMC - PMC9080107 MID - NIHMS1678176 OTO - NOTNLM OT - doctoral nursing education OT - information dissemination OT - programme sustainability OT - study design COIS- CONFLICTS OF INTEREST None. EDAT- 2021/01/14 06:00 MHDA- 2021/06/24 06:00 PMCR- 2022/05/08 CRDT- 2021/01/13 12:15 PHST- 2020/01/15 00:00 [received] PHST- 2020/06/25 00:00 [revised] PHST- 2020/07/10 00:00 [accepted] PHST- 2021/01/13 12:15 [entrez] PHST- 2021/01/14 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2022/05/08 00:00 [pmc-release] AID - 10.1111/jocn.15435 [doi] PST - ppublish SO - J Clin Nurs. 2020 Nov;29(21-22):4090-4103. doi: 10.1111/jocn.15435. Epub 2020 Aug 19.