SCHOOL OF NURSING

Presented byAnne Woodtli PhD FAAN

Visiting ProfessorUniversity of

Massachusetts Amherst

created by the “bridge engineers” of UMASS Amherst Faculty and Dean

Building the Bridge as You Walk on It:

The Process of DNP Development

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Pioneer Valley- We are Pioneers with a horizon

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Our “starter” Bridge! Don’t worry it WILL hold us!

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Uncertainty seen as “Opportunity”

Although we all share the same sky, we see it from different horizons

When the course is not set firm, it is an opportunity to shape it.

Living the uncertainty!

Building the Bridge As You Walk on It: A Guide for Leading Change (Robert Quinn, 2004)

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Key Points For Us— “ Blueprints for the Bridge” WE BELIEVE:

• APNs need knowledge and skills at the “highest level” and acknowledgment of achievement at that level

• specialty curricula must be deeply rooted in evidence-based practice model

• advanced knowledge in evaluative research methods, translational research, and leadership is essential

WE DECIDED:• to be in the vanguard

• to “build” the program on the foundation of the baccalaureate degree in nursing

WE HAVE:• full commitment of the Dean and Faculty

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SON Process- “Putting the Plans into Action”

Doctor of Nursing Practice:

embedded in strategic planning and goals for the School of Nursing over a 2 year period

conveyed at the institutional level, in the region and among the “system” schools(5)

preliminary discussions taking place over two years based on national dialogue

consultants utilized and time dedicated for DNP dialogue

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Linking Change– “Suspension Cables on Our Bridge”

Suspended admissions to MS APRN programs--BIG decision! Retained the MS/MPH program, started the CNL program

Reviewed current courses, raising questions!

Established the DNP Task Force late 2004

Invested: San Diego Doctoral Conference , Jan. 2005 Submitted: RFP -- grant proposal from “BHE “

Set targets: preliminary proposal, full proposal, course creation, potential start date Fall 2006

Gathered ongoing intelligence as program evolved

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Use of Task Force Model- Our “Engineers” Placed key players on DNP Task Force

Held retreats, day-long meetings to move the agenda and create the algorithms

Encouraged DNP speak: topic of many conversations, open dialogue with faculty and students

Involved students; networked with potential students Engaged in dialogue with regional and national

preceptors Presented Task Force reports and refined documents Designed and built the proposals Linked “Essentials” with courses and content

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Institutional process- “Hedging our Bets”

Essential to Prepare “up front” for Decision Making

• Level of the School, University, System• “Infiltrated the ranks” – Placed nursing faculty on key committees– Built relationships– Networked in community, state, region– Communicated with advisory boards, donors,

agencies, alumni–Made the case

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Doctor of Nursing Practice (DNP) Program

Post Baccalaureate

Baccalaureate2nd Bachelors

Foundation Core

Family NP Public Health Leadership

Residency/Capstone

DNP

RN to BSN

*Multiple entry points possible

Cognates/Electives

Psych NP

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Core --(All Students) N 603 Theoretical Components of Nursing Science (3) N/PH 690L Leadership (3)* NXX Healthcare Quality (2) NXX Care Environment Mgt. (2) BIOST-EP 640 Intermediate Biostatistics (3) BIOST-EP 630 Principles of Epidemiology (3) N 630 Research Methods for Nursing (3) MGT 833 Organizational Behavioral Theory (3) ComHlth 524 Politics and Public Policy (3) NXX Translational Research (Research) (3) N/PH 690-M Informatics (3) future*

Total Core = 31 Credits *taught by interdisciplinary teams

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Public Health Nursing Leadership NXXX Health Disparities (3) N640 Adv PH Nursing I (3) NXXX Adv PH Nursing II (3) ComHlth 620 Principles of Public Health (3) EnvHlth 565 Environmental Health (3) ComHlth 601 Social & Behavior Theory (3)* PubHlth 525 Population-based Ethics (3)* N/PH 690N Current Topics (3)* ComHlth 628 Financial Mgt (3) ComHlth 780 Public Health Law (3) ComHlth 704 Program Planning and Evaluation (3) N798G Practicum (6)

Total Specialty = 39 credits *Interdisciplinary teams: co-taught with nursing faculty

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Residency and Capstone –(All Students)ALL Students design individual residency experience

• according to area of specialization and interests • with approval of faculty and preceptors or mentors

actualize the capstone project during this experience.

N898 Residency (6) intensive immersion experience: 336 hrs N899 Capstone (3) clinical evaluation research projectTotal Residency/Capstone credits = 9

Total Program PHN-L Credits= 79 Core plus PHN-L Specialty, Residency/Capstone

(for postbaccalaureate student)

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DNP Specialties, Courses Key: “depth and detail” across a carefully

laid out curriculum for immediate entry post-baccalaureate students

Variability: related to specialty content

Individualized portfolio: reviewed for post masters students who take necessary “modules” to fill content gaps

(UMASS requires a minimum 36 post masters credits)

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Nurse Practitioner Specialties for DNP Psychiatric/Mental Health Nurse Practitioner• Total Specialty = 40 credits• Total Credits = 80 credits (Core plus Specialty & Residency/Capstone)

Family Nurse Practitioner• Total Specialty = 40 credits• Total Credits = 81 credits (Core plus Specialty & Residency/Capstone)

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Sample Plan of Study : Family Specialty (8I cr)

Year 1 (Fall) (9 cr) Year 1 (Spring) (9 cr)

Biost& EP640 Intermed Biostats Biost&EP630 Princ EpidemN690 Informatics N690 LeadershipCommHlth524 Politics & Policy N630 Res Methods for Nurs

Summer (3 cr)N603 Theoretical Components of Nursing Science

Year 2 (Fall) (10 cr) Year 2 (Spring) (10 cr)

Nxxx Healthcare Quality N690C Adv Health Assess

Nxxx Care Environ Mgt N698 Practicum N615 Adv Pathophysiology N690D Adv PharmacologySCH-MGMT 833 Org BehTheory N670 Fam Systems/Interv

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Con’t Year 3 (Fall) (10 cr) Year 3 (Spring) (10 cr)

N610 PrimHC Infant,Child, N620 PrimHC Middle,Older Adolescent AdultsN698E Practicum N698 Practicum,Role SeminarN790D Pharmacotherapeutic Nxxx Translational Research

Year 4 (Fall) (11 cr) Year 4 (Spring) (9 cr)

N798 Practicum, Role Sem Nxxx ResidencyN698 Practicum, Role Sem Nxxx CapstoneCognate

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Ongoing Issues Credit distribution? Year round? Part-time options? Distance learning components? Clinical practicum contact hours? Interdisciplinary content? Redundancy while ensuring key content? “Essentials” grid evolution?

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Well, here’s our bridge now, as seen from our horizon