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Reflection On The Doctor Of Nursing Practice Research Paper

Reflection On The Doctor Of Nursing Practice Research Paper

The History and Purpose of the DNP

The Doctor of Nursing Practice (DNP) is offered locally in the United States and internationally. In the US, the DNP is practice-based, with most of its content focused on the teaching and application of evidence-based practice. According to Chism (2021), this majorly differentiates between a DNP and Ph.D. degrees in nursing. While the latter focuses on research, DNP applies this research work into practice (Zaccagnini & Pechacek, 2019)Reflection On The Doctor Of Nursing Practice Research Paper.  For many years until 2003, the common practice in nursing was to offer advanced teaching practice to nurses in nursing schools, but this changed in 2004. A new requirement by the American Association of Colleges of Nursing (AACN) ordered that all colleges of nursing in the country gradually phase out the advanced practice degree for nursing and replace it with a DNP. The plan was to phase out the latter by 2015 completely but this has not been fully realized.

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The Current State of the DNP

The current state of affairs for DNP is that it is the most advanced level degree offered in nursing practice. Nursing practice is evidence-based, and a lot of research work and training are done on a day-to-day basis, and nursing practitioners are at the center of it. According to Grace (2018), the DNP packages nursing practice and teaches it in modules to learners for at least 1 year.

The objective of the healthcare system in the country and specifically nursing, is to improve the health outcomes for patients in the country and to do so effectively. The DNP program is crucial to the attainment of this goal as it focuses on the practice and leadership skills of the graduates, trusting that since they get into the health care system, they will apply the accrued skills, knowledge, and experience in the furtherance of nursing practice. Reflection On The Doctor Of Nursing Practice Research Paper

APRN’s assisting with Transformative Healthcare

Edwards et al. (2018) have noted that the advanced course registered nurses, APRNs who are DNP-trained or DNP-prepared, serve as the source of change in healthcare. With the accumulated skills in nursing practice, they share the same leadership capacities where they demonstrate and guide new evidence-based practices and standards. DNP teaching pushes for a future where the healthcare system improves patient outcomes making the entire country healthier.

The Future State of the DNP

The healthcare system is in dire need of transformation, and DNP-prepared APNs are more aware of the initiatives that need to be taken to achieve this goal. With their DNP instilled skills, APNs can transform healthcare by providing better quality care inspired by evidence-based practices taught through the course and which come in handy at a time when the healthcare environment is becoming more complex by the day.

Advantages and My Personal Thoughts on DNP

While the advantages of having a DNP in a healthcare facility are many, there are a few of them that stand out. One of these advantages is that DNP-prepared nurses have a fine-tuned perspective on best practices in different specializations. All these, notes Alatawi et al. (2020), are advised by a keen focus on evidence-based practice. Another advantage is that DNP graduates use their knowledge to model creative patient care models whose cost-effectiveness they first assess. The benefit of developing such innovative care models has positive impacts on practice and policy Reflection On The Doctor Of Nursing Practice Research Paper.

Reflecting on the highlighted benefits that a DNP would have on the healthcare provider organization I would work with and on me, I feel it is necessary to pursue the degree. In addition to the fact that the DNP dwells more on practice than theory, I think that attaining it would make me more impactful in nursing practice in the future.

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References

Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35-42. https://doi.org/10.11648/j.ajns.20200901.16

Chism, L. A. (2021). The doctor of nursing practice: A guidebook for role development and professional issues. Jones & Bartlett Learning.

Edwards, N. E., Coddington, J., Erler, C., & Kirkpatrick, J. (2018). The Impact of the Role of Doctor of Nursing PracticeNurses on Healthcare and Leadership. Medical Research Archives, 6(4). http://orcid.org/0000-0002-3477-8094

Grace, P. (2018). Enhancing nurse moral agency: the leadership promise of doctor of nursing practice preparation. OJIN: The Online Journal of Issues in Nursing, 23(1), 1. https://doi.org/10.3912/OJIN.Vol23No01Man04

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.

Nursing Informatics: Benchmark – User Testing Script

Who would be part of the user testing?

The installation of a new EHR system for the merged Oncology North and Oncology South would impact five categories of users; physicians, nurses, billing office, receptionists, and government agencies. All these groups will be required for user testing. These individual users have different uses for the workflow systems but are interconnected. For example, while a receptionist would want to test how well the basic information for a patient is entered into the system, populates necessary charts, and transferred to the physician, a physician on their part would want to verify that the proposed system is able to effectively document the time spent on each patient and generation of electronic prescription Reflection On The Doctor Of Nursing Practice Research Paper.

What are the elements to test?

In focusing on the key elements of testing the workflow of an EHR system, the base element of a new system that must be kept in mind is that the objective is functionality (Keshta & Odeh, 2021). In view of this, a handful of elements will be tested. The first element is health information and data. The users will need to be consistent that clinical data from patients can be collected, stored, and processed fast to generate results. The second element is result management. Fennelly et al. (2020) quipped that the workflow of the EHR should be tested for all users in the two wings to access present and past health records for the enhancement of oncology patients’ care. Order management is the third element that needs testing. Recognizing the high level of activity of the two facilities (Oncology North and Oncology South), nurses and other clinicians need to verify that the systems are able to store entered orders such as prescriptions and expeditiously enhance their execution and delivery. On this, it is important to ensure that the workflow does not duplicate and is faster than the existing system in place. Physicians, clinicians and the billing office need to test whether the decision support system for their individual needs is working. The decision support system according to Watson et al. (2019) use the volumes of data stored on the organization’s servers to offer insights for decision making. Reflection On The Doctor Of Nursing Practice Research Paper

What are the recommended steps used to perform acceptance testing, integration testing of new systems, and testing of system enhancements?

The workflow/EHR acceptance testing takes a number of key steps. These are;

  1. Test resource allocation. These include time and manpower that has been closely involved in or understand the new proposed system
  2. Have a keen awareness of the individual components of the system and tests involved
  • Planning of the process and steps of testing. Each of the individual scenarios for all stakeholders and elements of the system is broken down into small milestones for independent testing
  1. The creation of an environment ideal for system testing. Huang et al. (2020) advocate for an environment away from the one where the production was done and involves the presence of mock databases and software to be installed for the system
  2. The fifth step involves the actual testing of the various components of the workflow and making documentation of arising issues. Keshta and Odeh (2021) mention that it is during this step that discrepancies observed between the actual performance and expected outcomes are recorded.
  3. The last step involves the iteration of the fifth step until the desired outcomes are achieved Reflection On The Doctor Of Nursing Practice Research Paper.

Describe any rules involved

Perhaps the most important feature of the proposed system for use in the merged organization is the need to abide by standards for an electronic health system as suggested and recommended by the Institute of Medicine Committee on Data Standards for Patient Safety (IOM).

 

What is the action/outcome expected?

The objective of the installation of a new EHR system is to improve performance by the various classes of users. According to Fennelly et al. (2020), an improved workflow in a healthcare organization is to provide better healthcare by identifying areas of patient care and determining ways in which they can be improved. Ideally, areas such as safety, the effectiveness of communication and care delivery, education, and efficiency are especially focused on and the core intention of a new system at Oncology North and Oncology South is to achieve all these Reflection On The Doctor Of Nursing Practice Research Paper.

What would the recommended action plan be if testing does not work?

In the event that the proposed new system fails to work, repeated reviews and remodeling should be done. At first, the same vendor should be used to save on time and resources as there is no one system that is a fit for all. Watson et al. (2019) stated that EHR systems are designed to serve a handful of healthcare organizations but factoring in the fact that all organizations have their unique specialized needs, these systems are customizable. What this means is that the team installing the system into the merged organization cannot get it perfectly well the first time but needs to keep on trying until a time when all the user needs are met. Alternatively, if the testing fails to work even after multiple iterations, the healthcare organization could consider an alternative vendor that has more capabilities to create a system that serves their needs.

 

 

References

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., … & O’Hare, N. (2020). Successfully implementing a national electronic health record: a rapid umbrella review. International Journal of Medical Informatics, 144, 104281. https://doi.org/10.1016/j.ijmedinf.2020.104281

Huang, S. C., Pareek, A., Seyyedi, S., Banerjee, I., & Lungren, M. P. (2020). Fusion of medical imaging and electronic health records using deep learning: a systematic review and implementation guidelines. NPJ digital medicine, 3(1), 1-9. https://doi.org/10.1038/s41746-020-00341-z

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Keshta, I., & Odeh, A. (2021). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2), 177-183. https://doi.org/10.1016/j.eij.2020.07.003

Watson, J., Salisbury, C., Banks, J., Whiting, P., & Hamilton, W. (2019). Predictive value of inflammatory markers for cancer diagnosis in primary care: a prospective cohort study using electronic health records. British journal of cancer, 120(11), 1045-1051. https://doi.org/10.1038/s41416-019-0458-x Reflection On The Doctor Of Nursing Practice Research Paper