Overview of DNP Residency and Project Robin Bissinger, PhD, APRN, NNP-BC Medical University of South...
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Transcript of Overview of DNP Residency and Project Robin Bissinger, PhD, APRN, NNP-BC Medical University of South...
Overview of DNPResidency and Project
Robin Bissinger, PhD, APRN, NNP-BCMedical University of South Carolina
College of Nursing
Welcome
Team of faculty to assist you
Advisement Team Director of Graduate Program
Graduate Program Coordinator
Director of Student Services
Clinical Placement Coordinator Site agreements and preceptors
Practice Inquiry Project Coordinator
DNP: Doctoral Degree for Practice
It is a practice doctorate
New Consensus model for practice
APRN: 4 roles CNM, CNP, CRNA, CNS
Population Foci: 6 Family/Individual across the lifespan (FNP)
Adult Gerontology
Neonatal
Pediatrics
Women’s Health/Gender Related
Psych-Mental Health
DNP Competencies Eight essentials for doctoral education for APRNs
Scientific underpinnings for practice
Organizational and Systems leadership for Quality Improvement and Systems thinking
Clinical Scholarship and Analytic Methods for Evidence-based Practice Understanding of translational research, evidence-based practice and
process improvement
Information systems/Technology and Patient Care Technology for the Improvement and Transformation of health care
Health Care Policy for Advocacy in Health Care
Inter-professional Collaboration for Improving Patient and Population Health Outcomes
Clinical Prevention and Population Health for improving the Nation’s Health
Advanced Nursing Practice The practice of clinical nursing at the highest level
DNP Program
Full or Part time plan of study
Signed and agreed to by the student If you change from FT/PT or PT/FT we have to revise
and sign a new plan of study
Use your program plan to register for your courses each semester
Email advising you to register and time to contact us if you have any questions or concerns
Check your MUSC email daily for information
DNP Program Needs
My-Folio
Sign honor code
Upload your CV and keep current copy uploaded
Upload a current picture
Tell us your 2 sentence elevator speech “What is a DNP”
Sign that you have reviewed the DNP and CON student handbooks both are posted on the web site
Maintain current MUSC requirements (i.e. BCLS)
Residency
Key component of the DNP Program
Combines clinical practice experiences with scholarly activities (500 hours for a total of 1000 hours)
Two components
Comprehensive clinical experience 400 Precepted Hours
Broadens exposure in your APN specialty
Does not provide a new specialty
Practice Inquiry Project 100 hours
Residency
Key Aspects
Integrative practicum for DNP students
Completed in the final year of the program
Key component of DNP education
Synthesis of knowledge
Ongoing Portfolio development (My-Folio)
Residency Individually designed by each student
Set your own clinical goals
Approved by Residency Coordinator
Demonstration of increasingly complex and proficient practice
Clinical hours
Procedural
Refined communication, reflection and scholarly skills
MyFolio Reflective Journaling
Scholarly Activities
Competencies
Patient care expertise with emphasis on independent and inter-professional clinical practice
Typhon clinical logs
Clinical and Preceptor contracts
Health Policy and Health Care delivery Projects
Clinical Residency
Clinical Placement Coordinator: Lee Horton
Clinical Site Clinical Site Approval form
Faxed to Graduate Program Coordinator (Douglass)
Goes to Clinical Placement Coordinator for Approval
Once site approved: Affiliation Agreement Request Form Faxed to Graduate Program Coordinator
Must have Legal facility agreement to start residency work
Clinical Preceptor With expertise in clinical practice
Nationally certified
Complete clinical preceptor form, attach CV, copy of license and certification (Send to Graduate Program Coordinator: Douglass)
Residency Contract
Purpose of residency is to increase exposure to doctoral level clinical practice
DNP Clinical Residency Contract Specific objectives, requirements and evaluation criteria
Specified number of hours for each contract
Completion of contract to successfully meet residency requirement
Final decision by residency course coordinator
Contract must be developed by the student and agreed on by clinical preceptor and residency course coordinator
Signed by the student, clinical preceptor and residency course coordinator. Placed in academic record
Reflective Journal
Integration of clinical leadership and inquiry into previous or current practice
Utilize clinical cases from your experience or practice
Integration of ethics, genetics, heath policy, collaboration and information technology, health disparity and other areas of doctoral level practice
This is a tangible, deliverable academic product
Example Identify a potential genetic risk in a population of patients
you have cared for and discuss a diagnosis of a genetic condition and an intervention you made for an individual in your practice. Discuss the implications for the families. What did you learn from the experience? Would you do anything different? Provide a critical analysis and discussion. (Upload this to MyFolio)
Scholarly Activities
Academic and Scholarly activities
Conferences, seminars, journal club, grand rounds, morbidity and mortality, patient conferences, quality and safety, practice-based lectures, interdisciplinary committees, quality improvement committees, policy or advocacy events
Each student is expected to document a minimum of 10 activities during residency
On My-Folio: under Residency you will find this section
Residency Competencies
Domains and Competencies for DNP education and APRN practice must be met within the program.
These are the skills, knowledge and attitudes required for clinical practice (referred to as competencies) Some are met in course work
Others are met by students with documentation provided by you in MyFolio
Each Domain and competency is outlined in MyFolio
Required to review competencies and complete any tasks
Example Competency 22: Counsels the patient on the use of
complementary/alternative therapies (see task) In one paragraph describe how you counseled a patient on the use
of complementary therapies.
Residency Evaluation
Evaluation of Clinical site
Evaluation of Clinical Preceptors
Evaluation of Residency Course
Evaluation of Residency Course Coordinator
Practice Inquiry Project
Use of research knowledge and methods to create, implement and evaluate practice interventions, health delivery systems, and clinical teaching.
Commitment to translate research into practice in order to improve health care outcomes
Project in an area of clinical practice, expertise or interest
A practice change initiative
Program implementation and evaluation
Practice model implementation and evaluation
Health policy implementation
Quality improvement project
MyFolio
MyFolio is used instead of a written proposal
Pieces of the Practice Inquiry Project are built in some of your courses
Example: NRDP 844 Research Use and Evidence Based Practice Section 1: Introduction and Statement of Problem
Section 3: State of the Science Paper
Example: NRPHD: Knowledge Dissemination and Translation Section 2: Philosophical or theoretical perspective
These pieces will assist you when you write your paper for publication in your last residency course
IRB approval must be uploaded (exempt/expedited)
CITI training certificate must be uploaded
Guidelines
Project is related to advanced practice in the nursing specialty and benefits a group, population or community rather than an individual
My be done in partnership with an agency or group but student must have the leadership role or can be solo
Students work with the Practice Inquiry Project Coordinator to develop the project (Dr. Edlund)
Must go through IRB at MUSC and your center
Faculty Committee
Three members
Practice Inquiry Project Coordinator
Clinical advisor or mentor at your site
National expert or person with interest in area
Complete Practice Inquiry Project Topic and Committee member form with all there of the above signatures agreeing to be part of your committee
Deadline for forming the committee
Post MSN/DNP: by end of the first semester
Post BSN/DNP: by fall of the second year
Practice Inquiry Project
Components are threaded throughout your program
Upload those components in the MyFolio
Approval by your course instructor
Approval by the Practice Inquiry Project Coordinator
Communication with your PIP committee is essential each step of development
Cannot be started until you have IRB approval and you must be in your residency course
PIP Framework
Focus-PDSA approach
F: Find a process to improve What do you plan to change
Organize an effort to work on improvement Who will be involved and what support do you need
Clarify the current knowledge of the process What is the current state of the science related to the process
or practice
Understand process variation and performance capabilities Outline specifically how the current process works
Select changes aimed at performance or process improvement Choose the intervention or interventions
What changes are you going to make
PIP Framework
Plan the change. Analyze and predict the results
How do you plan to measure the effect of the change
Do it
Execute the plan taking small steps in controlled circumstances
Study it
Check or study the results
Act: Take action
How do you sustain the gain
If no working what is the next step (Continue PDSA)
Program Milestones Completion and presentation of the Practice Inquiry
Project Proposal (in Charleston)
Must have proposal approval sheet with you
Must have committee on board Plan to have distance members on-line
Final Poster presentation of completed project (in Charleston)
Must have final completion paperwork with you
Consider having committee members present
Submission of paper for publication
Paper approved by faculty with all revisions
Journal proof of submission
Residency: Completion of all 500 hours
Final Project Work
Final proposal is completed in NRDNP 852 Health Program Planning
Final paper and poster are due in your last residency (NRDNP 890)
Two weeks prior to the poster presentation
All sections of MyFolio must be complete
Publication must be approved and all revisions made
Poster presentation
Electronic publication must be uploaded with proof of submission to journal
Poster is presented with a 10 minute oral-summary
Committee signs off on your work with recommendation for the DNP degree
Contact us
Stay in touch
Send emails with questions and concerns
Consider being on the Graduate Program Committee and EPEC committee to represent your group
If you are struggling call early so we can help
Understand one thing:
“Our Goal is that everyone will graduate, do well and represent the CON as a strong APRN leader”
Follow up with us after graduation: Alumni survey, employer survey and graduation survey
QUESTIONS?