Stories Give Form to a Complex Reality: A Narrative Inquiry of DNP-Prepared APRNs During the COVID-19 Crisis

Abstract

Background: The COVID-19 pandemic changed the landscape of healthcare, yet there is a gap in the literature concerning Doctor of Nursing Practice (DNP) experiences during the COVID-19 pandemic. Objective: To gather an authentic understanding of the DNP-prepared Advanced Practice Registered Nurse (APRN) experiences (stories) caring for patients during the COVID-19 pandemic. Methods: This was a qualitative narrative inquiry study. A purposive sample of DNP-prepared APRNs (n = 8) was recruited to participate. All interviews were audio recorded, recordings were transcribed, and then each participant's narrative story was crafted by the authors. Results: Four overarching themes were identified: Do the Right Thing, Stepping Up, From Here to Reality, and Complex COVID Coping. Twelve subthemes were also identified. Participant stories were profound and indicated that their DNP education prepared them well for the healthcare crisis, but the emotional toll was difficult. Conclusions/Implications for Practice: This research provides insight into the experience of DNPs working during the COVID-19 crisis and elucidates the duty of nursing leaders and educators to appropriately plan, safeguard, and guide DNPs, students, and nurses at all levels. Preparation in epidemiology, public health, disaster planning, tele practice, and wellness is paramount.

Keywords: APRN; COVID; DNP; narrative inquiry; pandemic.