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The Sustained Student Integration Model: A Longitudinal Framework for Doctor of Nursing Practice Project Integration
Ashley Fenton1,2, Colleen K Goode3, Amanda Rohde3
1Johns Hopkins University School of Nursing, Baltimore, MD, USA afenton2@jhu.edu.
Journal of Doctoral Nursing Practice
|May 11, 2026
Summary
The Sustained Student Integration Model (SSIM) embeds Doctor of Nursing Practice (DNP) projects into quality improvement infrastructure, enhancing practice transformation and preparing nurse leaders. This longitudinal framework ensures project sustainability and rigor.
Area of Science:
- Nursing Science
- Healthcare Quality Improvement
- Academic-Practice Partnerships
Background:
- Doctor of Nursing Practice (DNP) projects often face challenges with design variability, sustainability, and alignment with organizational goals, limiting their impact on practice transformation.
- A need exists for structured academic-practice models that integrate DNP scholarship with existing quality improvement (QI) infrastructures to improve rigor, continuity, and sustainability.
- Existing models struggle to provide long-term impact and scalability for DNP projects within clinical settings.
Purpose of the Study:
- To describe the development and implementation of the Sustained Student Integration Model (SSIM).
- To present SSIM as a longitudinal framework for integrating DNP student projects into the QI infrastructure of an NP-led interdisciplinary practice.
- To demonstrate how SSIM enhances the impact and sustainability of DNP projects.
Main Methods:
- The SSIM was developed using Donabedian's Quality of Care Model, Social Ecological Model, patient-centered care, and Interprofessional Education Collaborative competencies.
- DNP projects are embedded longitudinally across student cohorts within an NP-led interdisciplinary practice.
- Key components include structured mentorship, interdisciplinary collaboration, and alignment with practice-level QI priorities.
Main Results:
- Over 20 DNP projects have been implemented within the SSIM framework in areas such as access to care, cardiometabolic health, and digital health.
- Outcomes include sustained practice changes, peer-reviewed publications, and national scholarly presentations.
- The model demonstrates significant educational and organizational impact, fostering practice transformation.
Conclusions:
- The SSIM offers a replicable, longitudinal approach to embedding DNP scholarship within clinical practice.
- By aligning DNP projects with organizational priorities and QI infrastructure, the SSIM enhances sustainability, rigor, and translational impact.
- This model addresses challenges in DNP education and promotes sustainable, system-level nursing practice transformation.
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