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Policy Polit Nurs Pract. 2019 Nov;20(4):183-185. doi: 10.1177/1527154419882310. Epub 2019 Oct 22.

The Need for Advanced Clinical Education for Nurse Practitioners Continues Despite Expansion of Doctor of Nursing Practice Programs.

Policy, politics & nursing practice

Grant R Martsolf, Julie Sochalski

Affiliations

  1. Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, PA, USA.
  2. RAND Corporation, RAND Health Care, Santa Monica, CA, USA.
  3. School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.

PMID: 31640458 DOI: 10.1177/1527154419882310

Abstract

We read with great interest Mundinger and Carter's exposition of how, in their view, Doctor of Nursing Practice (DNP) education has lost its way and what consequences might result. Mundinger and Carter note that DNP programs are overwhelming focused on nonclinical practice. We share the concern of Mundinger and Carter about the future of nurse practitioner (NP) education within the context of expanding DNP programs. In this commentary, we raise concerns about NP transition to practice and the limited, but concerning, evidence that new NPs struggle in their transition to practice. We note that this concern is magnified as NPs continue to move into specialty roles. Health systems have responded to this concern by developing residency and fellowship programs. Fifteen years after the AACN position statement on the clinical doctorate was issued, the goal of DNP education remains an unfinished project. An important question remains: Can, will, and how should DNP programs deliver?

Keywords: education; health policy; nurse practitioners; nursing

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