The Essentials Of The Dnp: The Components Of The Doctor Of Nursing Practice
A couple years after the official position statement was released, the AACN and its member institutions came together and formed a set of essential curricular elements and competencies for DNP programs, drawing them all up in a document entitled the Essentials of Doctoral Education for Advanced Nursing Practice, followed by the DNP Roadmap Task Force Report outlining recommendations for how institutions can implement that curriculum. These documents remain the primary guidelines for DNP curriculum development and implementation today.
The DNP builds upon the generalist foundation of a bachelors or advanced generalist masters in nursing and establishes a base for advanced nursing practice in an area of specialization. Depending on the program, students may enter a DNP program with a bachelors degree or a masters degree .
Many institutions design DNP programs in part-time, accelerated, and/or online formats to accommodate working nurses with demanding schedules and professional responsibilities. Online DNP programs provide students with a unique opportunity to complete all or most of the didactic requirements through interactive, web-based study, relieving the burden of having to adhere to a strict academic schedule.
The Future Of The Dnp Degree
Today, DNP-educated RNs fill roles across the spectrum of advanced practice as family nurse practitioners , clinical managers, nurse educators, nursing school administrators and chief nursing officers . The DNP-educated nurses role continues to develop and expand as nursing becomes more complex.
These complexities stem from numerous origin points. The increasing influx of tech-driven innovations, such as electronic health records and telehealth systems, have become increasingly vital parts of any effective healthcare delivery strategy. At the same time, these components must seamlessly integrate into healthcare strategy for not only the sake of patient care but also informational security. Leaders with a DNP degree can be well suited to provide the guidance needed to ensure such secure effectiveness.
The business of healthcare is also changing, as emerging concepts like value-driven healthcare and the ever-changing shift of regulatory compliance make it critical for a facility to operate in a manner thats economically and legally beneficial for the patient and facility alike. A DNP holders ability to apply knowledge and skills to this part of care delivery can ensure that the most vital part delivering patient care remains consistent and effective.
Dnp Program Formats Admissions And Pathways
DNP programs are offered in traditional campus-based formats, as well as online and in hybrid formats that combine distance learning and on-campus classroom instruction. Clinical internships and practicums must be completed in person at a site approved by the program, and in some APRN specializations the clinical training typically takes place on the nursing schools campus or at an alternate location. There are also a variety of enrollment options for DNP programs. Many programs offer full-time enrollment for students who are able to take three or more courses per semester, as well as part-time options for students who have work or other commitments outside of school.
Admission criteria vary by program, but a universal requirement is a valid and unencumbered state-issued RN license. Applicants are typically required to submit undergraduate and graduate degree transcripts, an updated CV, a personal goals statement, and letters of recommendation. Some schools require GRE scores and may have a minimum GPA requirement.
Finally, there are a number of different pathways by which RNs may earn a DNP degree. These pathways are contingent upon an applicants level of educational attainment. Individual DNP programs may or may not offer the following pathways:
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Accept Technology As The Future
Technological advances have transformed health care in a multitude of ways, including nurse education. As concepts such as big data and other technical innovations such as telehealth become increasingly ingrained in health care, it is up to nurse leaders to prepare the next generation of nurses to embrace tech.
Is A Dnp Different From A Phd

There are only two doctoral level degrees in the nursing profession – the Doctorate of Nursing Practice and the Doctorate of Philosophy
Both degrees are terminal degrees, this means that neither is considered more advanced than the other. However, its important not to get the two confused.
Upon earning the proper credentials, both DNP and Ph.D. graduates are eligible to work as nurse practitioners. If youre planning to work as a Nurse Practitioner after graduating and you earn a Ph.D. youll typically need a post-graduate certificate. The Ph.D. degree is heavily research focused and is generally pursued by those who are interested in scientific and scholarly work.
Although both are terminal degrees in the nursing profession, a practice-focused degree will place more focus on translating and implementing evidence into practice. While both degrees require extensive research reported in a final DNP Project or dissertation, practicing doctorates generally include integrative practice experiences and the manuscript is like telling the story of research implementation.
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Dual Dnp/phd Nursing Programs
Home / Dual DNP/Ph.D. Nursing Programs
When choosing to pursue a doctorate nursing degree, there are two distinctive tracks that nurses can take. A doctorate degree is the highest level of education for a given profession. Most doctorate programs accept MSN-prepared nurses and some have curriculum for BSN-prepared nurses that take additional time to complete. A nurse may choose the path of Doctor of Nursing Practice or Doctor of Philosophy , and in some cases, a nurse may opt to complete both in a dual program.
The Doctor of Nursing Practice program focuses on providing and implementing nursing care at the highest level of clinical practice. These programs include extensive clinical hours, as a DNP uses the most current research to improve patient outcomes in their practice. DNP-prepared nurses often work in nurse administration, management, or hold other leadership roles in a variety of medical settings.
A Doctor of Philosophy in Nursing focuses on conducting research to advance the practice of nursing. Ph.D. programs include very little clinical hours, as the majority of time and attention is devoted to research and writing/publishing. With this degree, a nurse can teach at a university, conduct research, evaluate programs, write books, lead healthcare organizations, and more.
Benefits Of Earning A Dnp
Earning a DNP can allow nurses to experience several potential benefits that make the degree a worthwhile pursuit. For example, the DNP can prepare nurses for advanced clinical roles as practitioners and health care policy leaders. This can allow graduates to shape the future of health care on a large scale.
The degree can also allow nurses to focus their careers on a specialized care role: toward a specific demographic such as elderly patients, or a specific element of care delivery such as research. Having this capacity to concentrate on an element of health care that is relevant to an individuals interest can add an extra level of career satisfaction.
Finally, regardless of what a DNPs career path may look like, chances are they will be well-compensated. The average DNP salary is about $107,000 annually, according to the payroll data aggregate website PayScale.
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Bsn To Dnp Curriculum Guides
Two subspecialities are offered in: palliative care and nursing education. If you are interested in nursing education, you could qualify for the nurse faculty loan, which helps with your tuition for the BSN to DNP.
for more information about the Doctor of Nursing Practice.
Associate Professor Mary Beth Zeni, RN, ScD, shares how her research on upstream factors that contributed to adverse health outcomes influenced her nursing practice at regional perinatal centers in this Year of the Nurse video.
Paying For Online Dnp Programs
Several factors impact your out-of-pocket costs for an online DNP degree, including how much financial aid you receive, the length of the program, and whether you have in- or out-of-state tuition. Cost also varies depending on whether the school is public or private.
Fortunately, there are funding options to help minimize your educational debt. All public and most private schools accept federal funding and offer federal loans and grants to graduate candidates. Private organizations and companies also offer grant opportunities. Students must fill out the Free Application for Federal Student Aid to demonstrate financial need.
There are also several types of federal loans available, based on your FAFSA score. The online DNP program may offer a combination of federal grants and loans, including any private loans available. Grants are money you do not pay back, while loans are paid back with interest.
Some employers offer a tuition reimbursement program to help advance the education of their nursing staff. If you accept a tuition reimbursement program, you may need to commit to work at the organization for a specified period after graduation.
You may also help offset the cost of school by working part-time while completing your online DNP program.
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Our Method: Ranking The Best Dnp Programs
For our ranking of the best traditional, on-campus Doctor of Nursing Practice programs, Best Health Degrees editors researched accredited, respected institutions focused on quality and opportunity. Programs are ranked according to their reputation, salary potential, and tuition cost, using data from U.S. News, Niche, IPEDS, and College Scorecard.
My Experience Earning My Dnp
The purpose of my DNP project was to initiate palliative care consultations for end-stage heart failure patients in the cardiac critical care unit. I had a foundation of research, and heart failure guidelines, known as a literature review, strongly suggesting palliative care consultations were necessary to provide the best care for patients.
Easy, right? Not exactly.
The DNP walked me through the process of making the current research become reality while taking into consideration stakeholders, unit culture, organizational behaviors, financials, and measurable outcomes. My research was not considered generalizable and was most beneficial to my institution. My manuscript encompassed my original plan, plus the story and the difficulties I encountered.
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What Is A Doctor Of Nursing Practice
The doctor of nursing practice is a terminal nursing degree, the highest level of education available in the field. It is important to distinguish the DNP from other terminal degrees available to nursing professionals, including the Ph.D., the doctor of nursing science , and the nurse doctorate . The DNP delivers practice-based training, while other terminal degrees focus on research skills, scholarly inquiry, or high-level specialty skills.
While some schools accept students with a bachelorâs degree in nursing, most require applicants to hold a masterâs degree, as doctoral programs build on MSN curricula. Most doctor of nursing practice programs emphasize areas that support nursing leadership, such as systems management, quality improvement and data-driven decision making.
Students already possessing a BSN typically complete a DNP in 3-6 years of study, depending on the program and the student’s enrollment status. Students with MSNs can complete their DNPs in as little as 18 months to 2 years. Curriculum content is largely focused on statistics and data analysis, leadership skills, advanced clinical skills and nursing philosophy.
What Are The 8 Dnp Essentials

The 8 DNP Essentials and a sampling of courses for each one are shown here. Every DNP program, regardless of the chosen focus or specialty, will include courses and practical experiences covering all of the above competencies:
- Scientific underpinnings of practice
- Concepts and contemporary issues for the DNP
- Methods & measurement for translational practice inquiry
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The Chance To Shape Health Policy
DNP graduates usually acquire a breadth of knowledge and skills that prepares them to participate in healthcare policy-making. Their clinical experience, combined with their research expertise and leadership training, gives them a unique perspective and valuable insights into the best ways to improve patient care and organizational efficiency.
If you want to make a difference by influencing healthcare policy, a DNP degree is excellent preparation.
How Is The Direct Entry Dnp Structured
The direct-entry DNP includes about 65-80 credits of coursework, about 700-800 clinical hours, and another 250 DNP practicum hours. Expect this program to include year-round coursework and take about four and a half years to complete.
Direct-entry DNPs are organized into two, distinct segments:
Pre-Licensure: The first portion of the program consists of the coursework and clinical training necessary to earn your MSN and sit for the NCLEX exam and earn your registered nursing license.
DNP: The second portion of the program, youll complete the coursework and clinical training necessary to earn the DNP and sit for the national certification examination and earn a state license in your chosen APRN role and patient population focus . National certification and advanced practice licensure dont come into play for programs with an aggregate/systems/organizational focus outside of direct patient care.
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What Is A Doctor Of Nusing Practice
The Doctor of Nursing Practice is an advanced degree within the nursing field. It is one of two terminalor highest degrees a nurse can achieve. According to the American Association of Colleges of Nursing, the Doctor of Nursing Practice is designed for nurses seeking an alternative to research-focused doctoral programs.
In other words, the DNP is a practicing degree. A nurse with this designation has the skills and training to utilize within the field, not particularly tailored for academia and research.
Though a DNP degree is technically on a doctorate level, nurse practitioners with DNPs do not have the same authority as a physician or other kinds of medical doctors. The Doctor of Nursing Practice designates that a nurse has reached the pinnacle of education.
Many nurses with DNP degrees end up in administrative or other leadership positions within the healthcare sector. Yet, others use their degree to pursue the various nurse practitioner roles.
The Doctor of Nursing Practice offers nurses a chance to have a competitive advantage over nurses with NPs applying for the same roles. In the future, nurse practitioners may have to receive their DNP to begin practicing.
Dnp Vs Np: At A Glance
NP with an MSN degree | NP with a DNP degree | |
---|---|---|
Years of Educationnote: certain specializations require additional coursework and/or clerical hours | BSN to MSN Path: | |
based on 2018 BLS data | Ranges from approximately $80,670-$182,750 depending upon specialty, work environment, experience, and education. | Ranges from approximately $80,670-$182,750 depending upon specialty, work environment, experience, and education. DNP may open the door to higher-level roles like Chief Nursing Officer. |
Specializations | -Psychiatric and mental health care -Pulmonology | Same as NP specializations plus other APRN specializaties including: -Certified Registered Nurse Anesthetist -Nurse Administrator |
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Leadership And Administration Dnp Roles
DNP prepared nurses who choose to work in leadership and administration play a key role in strengthening executive nurse leadership roles, as well as directly influencing healthcare outcomes through scientific findings.
They play an essential role in creating innovative care programs that are not only sustainable but, economical as well.
In the workforce, you may find DNPs in the following roles,
- Nurse Management
- Health policy – state and national
- Health informatics systems
What Is The Difference Between An Np And A Dnp
The main difference between a Doctor of Nursing Practice and a Nurse Practitioner is that a DNP is a terminal degree in the field of nursing and an NP is a nursing occupation or career.
This can be confusing – there are a lot of acronyms in nursing! DNP programs exist to train licensed, experienced nurses for leadership and/or certain specialized advanced practice nursing roles. This is to say that a DNP degree is a pathway for both experienced registered nurses and NPs to advance their nursing careers a DNP is not a career in and of itself.
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Why Is Online Dnp Program Accreditation Important
Attending an accredited program is important in every step of your nursing education. Although the DNP is a terminal degree in nursing, enrolling in an accredited program increases your eligibility for financial aid and tuition reimbursement from employers. It also paves the way for more employment opportunities.
The DNP program should be accredited by the Accreditation Commission for Education in Nursing or the Commission on Collegiate Nursing Education . These accreditations are important when seeking licensure and certification as an advanced practice registered nurse . Many certifying organizations only accept candidates from an accredited program.
Accreditation is important for a DNP online program for the following reasons:
- Accreditation assures a standard of quality for students and employers
- Students attending accredited programs have access to more financial aid and tuition reimbursement
- Many certifying organizations only accept candidates that have graduated from accredited programs
- Accredited programs may lead to higher-paying jobs and better job prospects
- Accreditation helps students identify acceptable institutions and programs
- The process develops goal-setting for institutional improvement
Clinical And Leadership Practicum Experiences

As part of the DNP program, Post-BS students complete a minimum of 1,000 practicum hours: 500 hours in clinical practice and 500 hours in clinical leadership. Post-MS students complete a minimum of 500 hours in clinical leadership. All clinical placements are arranged by the School of Nursing, taking advantage of established academic partnerships with major health care systems across Wisconsin. We do our best to honor student requests to complete clinicals near their home community or another site of interest, provided the site meets the requirements for the course and a qualified preceptor is available.
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