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The practice doctorate: innovation or disruption?

Susan K Chase1, Rosanne H Pruitt

  • 1Christine E Lynn College of Nursing, Florida Atlantic University, Boca Raton 33431, USA. schase@fau.edu

The Journal of Nursing Education
|May 26, 2006
PubMed
Summary

The American Association of Colleges of Nursing's 2015 Doctor of Nursing Practice (DNP) mandate for advanced practice nurses may create significant challenges. Researchers recommend abandoning this deadline due to potential negative impacts on students and nursing education.

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Area of Science:

  • Nursing Education
  • Healthcare Policy
  • Doctoral Studies

Background:

  • Advanced practice nurses (APNs), including nurse practitioners, are considered a disruptive innovation in healthcare.
  • The American Association of Colleges of Nursing (AACN) proposed a 2015 mandate for all APNs to hold a Doctor of Nursing Practice (DNP).

Purpose of the Study:

  • To critically examine potential difficulties and unintended consequences of mandating the Doctor of Nursing Practice (DNP) for advanced practice nurses.
  • To evaluate the impact of the AACN recommendation on students, practicing nurses, nursing colleges, and doctoral education.

Main Methods:

  • Critical reflection on published literature.
  • Analysis of current advanced practice nursing education models.
  • Exploration of implications for academic nursing and the nursing profession.

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Main Results:

  • Mandating the DNP by 2015 presents potential difficulties for students, practicing APNs, and nursing colleges.
  • Unintended consequences may affect academic nursing, curriculum development, titling, licensure, and economic factors.
  • A lack of evaluation research on the DNP mandate's effectiveness is noted.

Conclusions:

  • The 2015 deadline for DNP preparation for advanced practice nurses should be abandoned.
  • Further consideration and research are needed before widespread implementation of DNP as a mandatory degree for APNs.