DNP in full means doctor in nursing practice. It prepares experts in the field of nursing. To enroll in a DNP nurse school, one has to have a master's of Science or a bachelor's of Science in nursing. The requirements for doing the course are higher for people holding the bachelor's in science nursing than those with the masters degree . During training, the nurse goes through clinical work training for more than 1000 hours (Hammatt, 2015 . The curriculum includes cultivating practice expertise, decoding research proof into nursing practice, healthcare policy (including financial management, budgets, and leadership principle). After graduation, the individual can work in academia, leadership, healthcare policy formation, administration, or government positions, and Management positions (Hammatt, 2015) .
Evolution of DNP Degree and In Value in Your Specialty Area
AACN promoted DNP nursing as an alternative for Ph.D. A DNP prepared nurse is an expert in improvement science and translation rather than research. Today , DNP nurses work as family nurse practitioners, clinic managers, chief nursing officers, and nurse educators. As the field of nursing continues to expand, the DNP role also continues to grow. Healthcare practitioners see the future of the DNP degree as final preparation for advanced clinical practice and leadership. With this degree, the nurses can compare with other doctoral courses such as a doctor of pharmacy (Armstrong, 2019) . More nurses must take up the course so that they qualify as highly skilled nurses. From 2017 to 2018, the number of registered nurses who joined DNP programs, including online DNP programs, increased from 29,093 to 32,678. In 2004, AACN published a paper supporting the DNP as a final clinical degree in nursing. The association also recognized the DNP degree as an auxiliary for master’s-level progressive practice nursing education by 2015 (Armstrong, 2019) .
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Value of DNP
The DNP is made for nurses looking for a terminal degree that is in the field of nursing practice, and most nurses who want high-level leadership, management, and administration chose to do the course (Hammatt, 2015 . In 2004, AACN voted to support that DNP should be the requirement for one to be a registered nurse. They reasoned that due to the growing nursing knowledge and the increased complexity in nursing care, it is essential that the nurses go through high-level training.
The Scope of Practice in This Field
DNP degree does not alter the scope of practice for nurses. DNP expands the role of nurses to evaluators of care, leaders, and change agents. During the training, they acquire clinical, economic, organizational, and leadership skills. They are in a better position to critique nursing practice and come up with better policies that ensure the better patient outcome (Hammatt, 2015) .
Population to be served
The trained DNP nurses serve their fellow health workers that include doctors, laboratory technologists, pharmacists, radiologists, dental surgeons, and all the other health practitioners. They also help patients and ensure better health outcomes.
Clinical expectations
In a clinical setting, DNP nurses provide safe, affordable, and high-quality care while bringing a change in the overall health care system (Hammatt, 2015) . They can understand the role of each health practitioner in the care of a patient, ready to work with other health professionals to take care of a patient, understand the policies of the clinical setting and come up with new or better strategies that benefit the patient, participate in decision making with other leaders and promote psychological safety within the organization.
Professional Responsibilities of A DNP Nurse
The professional responsibilities include participation in long term care facilities, organizational systems leadership, school systems, population health, positive impact on population health indices, improved care changes, reducing medications error, prevention surgical complications, reducing wait times, proper antibiotic use, aggregate access to care by underserved people for instance immigrants and LGBTQ, and health literacy.
The Rules and Regulations about Practice according To Washington State Board of Nursing
Graduates of the DNP program may take either Nurse Practitioner certification examination offered by the American Academy of Nurse Practitioners Certification Program or the American Nurses' Credentialing Center to become state-licensed and certified. To maintain a nursing license, one needs 45 hours of continuing education every three years. One only count s the hours that they take in the educational activity.
The Political-Legal and Ethical Responsibilities of This Role
The political duties of a DNP nurse include casting votes, being part of rallies, talking to elected personnel, campaigning, participating in local problem solving, being a member of non-nursing and nursing organizations, and having a stand on the different political issue (Alhassan et al., 2019) . Ethical responsibilities of a DNP nurse include respect for people, justice and fairness, social responsibility, and do no harm (Grace, 2018). Legal responsibilities include being representing the patient In matters concerning their health and emergencies. The nurse connects the patient to the physician. It is the nurse's statutory duty to observe the patient, check for any abnormalities or complications during their stay at the hospital.
How Is This Role Promoting Care Effectiveness, Safe Practice, And Health Care Reform?
A DNP nurse can take part in the pharmacological intervention of the patient and prescribing, dictate the leadership of a health team, and organize work to be evidence-based, ethical, and cost-effective. All these factors promote care effectiveness, health care reform, and safe practice in the hospital.
The Difference between Masters Advanced Clinician and DNP Prepared Clinician
DNP uses research to influence nursing practice with MSN focuses on social and physical sciences, advanced nursing theory, nursing informatics, management issues, and studies. MSN builds on a bachelor's degree while DNP builds on MSN education. DNP usually requires more practice hours than MSN (Beeber et al., 2019) . MSN makes nurses have more opportunities than registered nurses, while DNP helps nurses achieve high levels of authority. The salary of DNP nurses is usually higher than the MSNs (Beeber et al., 2019) .
How I Am Compatible With My Chosen Role
Generally, I am organized, and I like things done a certain way. So taking a DNP degree will put me in a position to be a good nursing leader. Leaders should be organized so that they are position to come up with policies that help in guiding the organization. DNP nursing course helps nurses become leaders and educators.
Should DNP Graduates Use the Title Doctor?
I believe that DNP graduates and others made with practice doctorates should use the title doctor. The term doctor is a Latin originates from docere that means to teach. If one has gone through the highest degree in their field of study, they qualify to be called a doctor; .it does not say that they have become physicians (Revees, 2008) . It means that they have a great understanding of their field of work and they can use the knowledge to solve problems.
Those who argue that they should not be called doctors say that it may lead to confusion for patients. I do not think that it brings any difficulty. If a patient comes to you, it is your responsibility to explain to them what kind of a doctor you are. And again, when you attain the title, no one forces you to work in clinical operations. Everyone remains in their profession according to what they studied (Revees, 2008)
How the DNP Role Has Changed and Future Expectations
A DNP prepared nurse is an expert in improvement science and translation rather than research. Today DNP nurses work as family nurse practitioners, clinic managers, chief nursing officers, and nurse educators. As the field of nursing continues to expand, the DNP role also continues to grow. Healthcare professionals see the future of the DNP degree as final preparation for advanced clinical practice and leadership. With this degree, the nurses can compare with other doctoral courses such as doctors of pharmacy. More nurses must take up the course so that they qualify as highly skilled nurses
Skill Sets of a Successful Clinician
An excellent clinician shows confidence in in care delivery, humility, and empathy when handling patients. I will develop integrity, compassion, and empathy toward my patients. With these characteristics, my patient will be able to trust me. Again I will stand for the patient right during their care.
Conclusion
In conclusion, DNP nursing is the terminal course for those nurses that want to be high levels of leadership. For one to do the course, they need to have either a Bachelor of Science of masters of Science in nursing. Requirements for Masters in Science are lower than the elements of a bachelor's in Science. The DNP course focuses on one being more clinically competent, while a Ph.D. in nursing focuses on research. A DNP nurse has a higher skill and hence is in a better position to take care of the changing and complicating patient needs.
References
Alhassan, A., Kumi-Kyereme, A., Wombeogo, M., & Fuseini, A. G. (2019). Nurse Participation in Political Activities: Level and Practices of Registered Nurses in Tamale, Ghana.
Armstrong, G., Sables-Baus, S., & PCNS-BC, C. P. P. S. (Eds.). (2019). Leadership and Systems Improvement for the DNP . Springer Publishing Company.
Beeber, A. S., Palmer, C., Waldrop, J., Lynn, M. R., & Jones, C. B. (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing outlook , 67 (4), 354-364.
Grace, P. (2018). Enhancing nurse moral agency: the leadership promise of doctor of nursing practice preparation. OJIN: The Online Journal of Issues in Nursing , 23 (1), 1.
Hammatt, J. S. (2015). What Can We Expect? DNP’s: Retrieved from file:///C:/Users/Admin/Documents/Adobe/382559DNP expect.pdf
Revees, K. (2008). Doctor for Physiacians only ? Academy of Medical Surgical Nurses . Retrieved from file:///C:/Users/Admin/Documents/Adobe/382557ContentServer.pdf
