Enhancing wilderness post-MSN DNP nursing competencies through simulation and telehealth innovation

Area of Science:

• Nursing Science
• Remote Healthcare
• Medical Education

Background:

• Wilderness and remote healthcare present unique challenges including limited resources, environmental dangers, and extended evacuation times.
• Clinicians must provide high-stakes care in austere environments.

Purpose of the Study:

• Propose a conceptual framework for Doctor of Nursing Practice (DNP) nursing preparation in austere settings.
• Focus on enhancing role adaptability, clinical decision-making, and innovative training methods.

Main Methods:

• Conducted a targeted literature review from 2010 to 2025.
• Identified key competency themes in team-based care, education, and safety.
• Findings are descriptive, guiding framework development.

Main Results:

• Role fluidity and team-based care are crucial in austere settings.
• Nurses provide expertise in monitoring, prolonged field care, coordination, and risk mitigation.
• Key trends include expanded telehealth, simulation-based training, and mobile diagnostics.

Conclusions:

• Identified gaps in outcome data, competency standards, and policy alignment.
• Recommend standardized competencies, team-based training, and outcomes research.
• Anticipate improved APRN workforce readiness and remote care capacity.