Paper
Friday, 21 July 2006
This presentation is part of : Nursing Education: Empowering Students
Clinical Doctorate Built on Evidence
Judy Honig, DrNP, EdD, Nursing, Columbia University School of Nursing, New York, NY, USA and Janice Smolowitz, DrNP, EdD, Nursing, Columbia University, New York, NY, USA.
Learning Objective #1: Discuss the process of utilizing outcomes research to generate new nursing educational models that address unmet and projected healthcare needs
Learning Objective #2: Recognize and discuss how evaluation of the CUSON faculty NP model forms the foundation for doctoral competencies and curricular content. `

Columbia University School of Nursing (CUSON) offers a clinical doctorate for nurses that addresses the IOM’s (2003) new vision for health education.

All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics.

The IOM recognized the need to restructure health care professionals’ education and training to supply a work force sufficient to meet the comprehensive health care needs of “all Americans regardless of economic status, geographic location, or language and cultural differences.” Built on evidence derived from over 10 years of scientific inquiry, including the randomized clinical trial  (JAMA, 2000), the Doctor of Nursing Practice (DrNP) is structured to educate advanced practice nurses to provide comprehensive care to maintain and improve the health status of patients over time and across sites. The DrNP is built on research that utilized the medical model to demonstrate parity between care provided by physicians and nurse practitioners, culminating in a randomized clinical trial which demonstrated that primary care physicians and faculty nurse practitioners (NP) provide the same quality of care. The scope of practice of the faculty NPs in this study was used to delineate the knowledge and skills required to provide this type of comprehensive primary care. Examination of faculty NP skill sets validated that their knowledge and practice competencies were consistent with IOM guidelines which enabling them to provide diagnostically complex care, utilize sophisticated informatics and decision-making technology, and assimilate in-depth knowledge of biophysical, psychosocial and behavioral sciences. Based on this role delineation and utilizing the faculty NP model, CUSON developed the DrNP curriculum and DrNP competencies.  

See more of Nursing Education: Empowering Students
See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)