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. 2020 Jul-Aug;68(4):494-503.
doi: 10.1016/j.outlook.2020.03.008. Epub 2020 Apr 16.

Doctor of nursing practice (DNP) degree in the United States: Reflecting, readjusting, and getting back on track

Linda A McCauley  1 , Marion E Broome  2 , Lorraine Frazier  3 , Rose Hayes  1 , Ann Kurth  4 , Carol M Musil  5 , Linda D Norman  6 , Kathy H Rideout  7 , Antonia M Villarruel  8
Affiliations

Doctor of nursing practice (DNP) degree in the United States: Reflecting, readjusting, and getting back on track

Linda A McCauley et al. Nurs Outlook. 2020 Jul-Aug.

Abstract

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 This insight is combined with a synthesis of the literature and analysis of previously unpublished data from the AACN on trends in nursing doctoral education.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.

Keywords: Advanced practice nursing; Advanced practice nursing preparation; Doctor of nursing practice; Nursing doctoral education,; Nursing doctorate; Nursing education; Universal DNP.

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Figures

Figure 1
Figure 1
DNP programs established from 2008 to 2018.
Figure 2
Figure 2
Nursing master's program closures, 2008 to 2018.
Figure 3
Figure 3
DNP vs. master's graduates, 2004 to 2018.
See this image and copyright information in PMC

References

    1. AACN . American Association of Colleges of Nursing; Washington, DC: 2004. AACN position statement on the practice doctorate in nursing.https://www.aacnnursing.org/DNP/Position-Statement Retrieved from:
    1. AACN . American Association of Colleges of Nursing; Washington, DC: 2006. The essentials: A doctoral education for advanced nursing practice.https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf Retrieved from:
    1. AACN. (2012). Fact sheet: The doctor of nursing practice. Retrieved from: http://www.aacn.nche.edu/media-relations/factsheets/dnp.
    1. AACN (2017). The numbers behind the degree: Financing graduate nursing education. Retrieved from: https://www.aacnnursing.org.
    1. AACN . American Association of Colleges of Nursing; Washington, DC: 2019. 2004-2018 Enrollment and graduations in baccalaureate and graduate programs in nursing.

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