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?