Is the PhD in nursing in terminal decline?

Area of Science:

• Nursing Science
• Higher Education Research
• Health Professions Education

Background:

• The Doctor of Philosophy (PhD) in nursing is a critical terminal degree for nurse researchers.
• Concerns exist regarding its sustainability and attractiveness to future generations.
• International evidence suggests a potential crisis within the nursing PhD landscape.

Purpose of the Study:

• To critically examine the current status and future viability of the nursing PhD.
• To identify structural, financial, and cultural challenges impacting the nursing PhD.
• To propose strategies for revitalizing the nursing PhD and supporting nurse scientists.

Main Methods:

• This paper is a discussion paper, critically examining existing literature and evidence.
• It draws on international evidence to analyze trends and challenges.
• Qualitative assessment of the nursing PhD's current state and future prospects.

Main Results:

• The nursing PhD is facing a crisis characterized by declining enrollments, reduced funding, and limited academic job prospects.
• Inequitable access disproportionately affects women, international students, and disadvantaged individuals.
• Alternative qualifications like the Doctor of Nursing Practice (DNP) and toxic academic environments exacerbate the crisis.

Conclusions:

• The nursing PhD remains essential for advancing healthcare through rigorous research and evidence-based practice.
• Coordinated action from universities, governments, and professional bodies is required to improve funding, supervision, and inclusivity.
• Revitalizing the nursing PhD necessitates structural reforms, better program design, and a renewed commitment to nurturing nurse scientists.