Making the switch to a terminal degree

EDITOR'S NOTE: Lisette Hilton is a freelance writer.
editors-note
Demand for the doctor of nursing practice degree is growing rapidly. The number of nurses enrolled in U.S. DNP programs climbed from 21,995 in 2015 to 25,289 the following year. DNP graduates spiked from 4,100 in 2015 to 4,855, in 2016, according to statistics published by the American Association of Colleges of Nursing (AACN).
While research-focused PhD programs in the profession have experienced slight growth since 2006, the growth chart for practice-focused DNP programs has increased with each year, growing from a few handfuls of DNP programs in 2006 to today’s 303 DNP programs nationwide. An additional 124 DNP programs are in the planning stages, according to AACN.
Jane Foote, EdD, MSN, RN, nursing department chairwoman and associate professor at Winona State University, in Winona, Minn., said she’s seeing increasing demand for the DNP. “What we’re seeing in our little part of the world may be unique because our graduate nursing programs are based in Rochester, Minn., home of the Mayo Clinic,” Foote said. “There is an emphasis by employers on having DNP-prepared nurse practitioners. I also teach in the nurse anesthetist program for Mayo School of Health Sciences and nurse anesthetist colleagues, APRNs, have fully adopted doctoral preparation for entry into the role. Nurse anesthetists are leading the way with requiring the doctoral credential for educational preparation.”
In essence, the DNP is about taking the evidence from the best research that’s available, and applying it to improve the quality of care that nurses provide, according to Foote. “The idea that nurses who love being in practice could have a terminal practice degree, where they would take the evidence in the literature and be able to really transcribe that into the work they do and improve patient care, inherently, delights a lot of nurses,” Foote said. “We tend to be very practical types of people. We like doing things with our hands and caring for patients. We focus on the impact that our care can provide families and systems.” Depending on the university, the increase in training for a baccalaureate-prepared nurse is about 70 to 75 credits to achieve a DPN, according to Foote. Winona State University offers DNP programs for nurses who have their master’s degrees, as well as a DNP program for bachelor’s-prepared nurses. Nurses with bachelor degrees who pursue higher education often choose the master’s program initially. They realize a year or so into it that the DNP is attainable, and they transfer to the terminal degree, according to Foote. “Graduate education does involve scholarship, but it’s very practice-oriented,” Foote said. “It is about caring for patients in new ways and looking at the quality of published peer-reviewed evidence. We focus in the program helping nurses to look at the quality of the evidence that they’re reading — that the PhD nurses and others are producing — to determine what the best actions might be to improve care for patients in all kinds of healthcare settings.”
DNP demand grows
Behind the momentum
In 2004, AACN member schools voted to endorse moving preparation necessary for advanced nursing practice from the master’s degree to the doctorate level by 2015. An increasingly complex healthcare environment requires the highest levels of scientific knowledge and practice expertise to assure quality patient outcomes, according to AACN. Nurses are in a position to lead the charge for improving quality in an increasingly transparent and complex healthcare system, according to Foote. “We know we have to improve care; we know we have high cost issues,” she said. “Nurses see themselves and are seen by others as providing high-quality, cost-effective care to many populations. When I look at my DNP students and the kinds of projects they’ve implemented and evaluated, and where they’ve done those in communities, it’s amazing to me how effective a nurse or two working on a team can be to actually change systems in a way that helps our patients be safer, get healthier quicker or have end-of-life unfold really the way that the family wants it.”
Focused on evidence-based practice
Search jobs by specialty, state and setting
Search Jobs
Moving forward
How a DNP might impact a nurse’s career path depends on the employer, according to Foote. The advanced degree can open doors not only at hospitals, healthcare systems and other corporations, but also at universities. “In our community, employers are requiring advanced education for leadership and teaching roles,” Foote said. Foote said teaching is appealing to many in the profession because nurses want to share what they know and lead new people into the profession. Foote said her advice for anybody going back to nursing school, but especially for nurses who are thinking of getting the terminal degree, is to ask how this commitment to education fits their lives, work and careers. Moving forward is ideal if employers are supportive and support nurses pursuing DNPs; if families and home lives are supportive of the commitment; and if nurses believe that they have the capacity and drive to be able to complete the DNP. “We in nursing need more nurses who are capable leaders, good scholars and expert practitioners to be able to advance the profession in a way that is needed,” Foote said. “Nursing leaders will be called upon to have the highest education available because of the complexity of the patients and the systems in which they work.” Still, nursing is nowhere near switching completely to the doctorate, according to Foote. Employers, she said, continue to value baccalaureate-degree nurses at the bedside because they are seasoned, experienced and wise. “I was a dean for 10 years at a fabulous two-year nursing program in Minneapolis, and I loved those students and what they were able to do in the world because they were so diverse. There’s room for everyone at the table,” Foote said. “My advice for students is always that timing is everything. Time your education in a way that allows you to be successful. Take the time you need to plan and garner support from employers and your families, so you can actually experience what a privilege it is to learn more about this fabulous profession.
IL_ThinkstockPhotos-576564876__1_
There are 58 post-baccalaureate and 66 post-master’s DNP programs in the works.
More DNP stats from the AACN
OnCourse-Web-Icons_02
259 DNP programs have received accreditation from the Commission on Collegiate Nursing Education, the leading accrediting agency for baccalaureate- and graduate-degree nursing programs in the U.S. since Fall 2008.
DNP programs are now available in all 50 states plus the District of Columbia. States with the most programs (10 or more) include California, Florida, Illinois, Massachusetts, Minnesota, New York, Ohio, Pennsylvania and Texas. 
OnCourse-Web-Icons_02OnCourse-Web-Icons_02
“Nurses are in a position to lead the charge for improving quality, in an increasingly transparent and complex healthcare system,” — Jane Foote, RN
Jane_FOote_D2L_photo_2015

Nurses, universities embrace doctor of nursing practice degree

article-down-arrow
By Lisette Hilton
share-dots-shadowleft-arrowright-arrowright-arrow-3
© 2017 OnCourse Learning Corp. All rights reserved
facebooktwitterLinkedinyoutube
Contact Nurse.com
20225 Water Tower Blvd. Brookfield, WI 53045
Advertise with Nurse.com
google-pluspinterest
MENU
toc-imageX
Contents
HOME
arrow-TOC
arrow-TOC
Take charge in negotiations
Negotiating your salary can have a huge impact on lifetime earnings.
Market, culture influence pay
Find out what drives pay rates in the healthcare market.
arrow-TOC
Look beyond pay rates
Cost of living can make a huge impact on your take-home pay.
arrow-TOC
CE COURSE: Interview like a pro
Ace a job interview with this comprehensive CE module.
arrow-TOC
A special kind of compensation
Never underestimate the value of thanks from patients, families.
arrow-TOC
ThinkstockPhotos-506752188_TOC_RZ
CE catalog
Learn how to switch specialties, build your network and more.
arrow-TOC
Travel nursing's special perks
Find out what attracts nurses to this specialty.
arrow-TOC
Nurse staffing's future course
Nurse shines light on how what specialties will be in high demand.
arrow-TOC
RN salaries always a hot topic
Learn more about issues that can help you increase your salary.
arrow-TOC
ThinkstockPhotos-511472442__1_
Revisit the Equal Pay Act
There's still work to be done in reaching equal pay across genders.
arrow-TOC
hamburguer-icon-shadow
MENU
toc-imageX
Contents
HOME
arrow-TOC
arrow-TOC
CE Catalog
ThinkstockPhotos-506752188_TOC_RZ
Learn new ways to teach, switch your specialty and more!
iStock-159329134
The benefits of an FNP
Discover the many professional paths available with an FNP.
arrow-TOC
ThinkstockPhotos-92275385
Degree status update
Discover how nursing degrees...
arrow-TOC
ThinkstockPhotos-520265671__1_
CE COURSE: The APRN role
This CE module provides complete info about AP nursing roles.
arrow-TOC
ThinkstockPhotos-166841908
A cure for the nursing shortage
Nursing schools are working hard to combat the nurse faculty shortage.
arrow-TOC
LP_ThinkstockPhotos-469693050__1___1_
Nursing's come a long way
Take a trip back in time with this journey through nursing education.
arrow-TOC
ThinkstockPhotos-479707865
Consider a PhD
Find out why a PhD degree may be right for you.
arrow-TOC
ThinkstockPhotos-497448396
Get ahead of the competition
An advanced degree provides an competitive edge in the workforce.
arrow-TOC
LP_ThinkstockPhotos-810113776
Nursing education a must
Learn why an advanced degree is necessary in today's nursing world.
arrow-TOC
iStock_000056975752_Large
Traits of an advanced practice
Empathy and fearlessness are just two of the traits of an AP nurse.
arrow-TOC
ThinkstockPhotos-511472442__1_
Shape tomorrow's nurse leaders
Nursing faculty have a hand in shaping students into leaders.
arrow-TOC
LP_ThinkstockPhotos-653792166-_1_
The shift to DNP
A DNP degree is a viable choice in higher nursing education.
arrow-TOC
Nurse-logo
How to Navigate
© 2017 OnCourse Learning Corp. All rights reserved
Contact Nurse.com
20225 Water Tower Blvd. Brookfield, WI 53045
Advertise with Nurse.com
X
How to Navigate
BROWSE
FIND
right-arrowleft-arrow
hamburguer-icon-shadow
MENU
Move forward or backward between articles by clicking the arrows.
Click or tap to bring up the Table of Contents.
READ
share-dots-shadow
facebooktwitterLinkedingoogle-pluspinterest
SHARE
scroll
Share articles by clicking on one of the social media icons in the upper right corner of the page.
Use your mouse wheel, keyboard arrow keys, or scroll bar to move up and down in an article.