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?