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By Faculty for Faculty| Volume 19, ISSUE 3, 104530, March 2023

Curricular Revision to Increase Use of Quality Improvement Principles in Doctor of Nursing Practice Projects

Published:February 02, 2023DOI:https://doi.org/10.1016/j.nurpra.2022.104530

      Highlights

      • Quality improvement (QI) methods are necessary for DNP students’ projects to demonstrate practice improvements.
      • Faculty development is needed to support doctor of nursing practice (DNP) student application of QI methods.
      • Measurable DNP project aims form the basis for demonstrating impact of DNP projects.

      Abstract

      Background

      A gap was identified related to students’ use of quality improvement (QI) methodologies in their final project, so a curricular change was made to incorporate a health care QI methods course in the curriculum.

      Methods

      We compared the use of SMART (specific, measurable, achievable, relevant, and time-bound) aims and QI evaluation methodologies in doctor of nursing practice (DNP) project proposals in 2 cohorts before and after the curriculum change.

      Results

      A total of 88 DNP proposals were evaluated.

      Conclusion

      Including a QI course increased the use of SMART aims but did not influence the use of QI methodologies. Future interventions will target faculty development related to QI.

      Keywords

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      References

        • American Association of Colleges of Nursing
        AACN Position Statement on the Practice Doctorate in Nursing.
        (Published online)
        • Backhouse A.
        • Ogunlayi F.
        Quality improvement into practice.
        The BMJ. 2020; 368: m865https://doi.org/10.1136/bmj.m865
        • American Association of Colleges of Nursing
        The Essentials: Core Competencies for Professional Nursing Education.
        (Published online)
        • Dols J.D.
        • Hernández C.
        • Miles H.
        The DNP project: quandaries for nursing scholars.
        Nurs Outlook. 2017; 65https://doi.org/10.1016/j.outlook.2016.07.009
        • White K.A.
        • Heitzler E.T.
        • Anderson K.M.
        • Yearwood E.L.
        • McLaughlin M.K.
        Fall-Dickson JM. Essential knowledge, skills, & attitudes of mentors and mentees for successful DNP scholarly projects.
        Nurse Educ Today. 2018; 71: 107-110https://doi.org/10.1016/j.nedt.2018.09.015
        • Wright R.
        • Lee Y.J.
        • Yoo A.
        • et al.
        Doctor of nursing practice project: key challenges and possible solutions.
        J Prof Nurs Off J Am Assoc Coll Nurs. 2022; 41: 53-57https://doi.org/10.1016/j.profnurs.2022.04.004
        • Roush K.
        • Tesoro M.
        An examination of the rigor and value of final scholarly projects completed by DNP nursing students.
        J Prof Nurs Off J Am Assoc Coll Nurs. 2018; 34: 437-443https://doi.org/10.1016/j.profnurs.2018.03.003
        • Provost L.P.
        • Murray S.K.
        The Health Care Data Guide: Learning From Data for Improvement. John Wiley & Sons.
        • Reynolds S.S.
        • Granger B.B.
        • Oermann M.H.
        Implementation science in nursing education research: an exemplar.
        Nurse Educ Today. 2022; 119105580https://doi.org/10.1016/j.nedt.2022.105580
        • Costa L.L.
        • Bingham D.
        • Storr C.L.
        • Hammersla M.
        • Martin J.
        • Seckman C.
        Development of a DNP measurement grid to increase the rigor of doctor of nursing practice students’ data collection and analysis methods.
        J Prof Nurs. 2020; 36: 666-672https://doi.org/10.1016/j.profnurs.2020.09.006
        • Tovar E.
        • Ossege J.
        • Farus-Brown S.
        • Zonsius M.
        • Morrow L.
        DNP program faculty and graduates’ knowledge and use of QI and safety processes.
        Nurse Educ. 2020; 45: 11-16https://doi.org/10.1097/NNE.0000000000000677
        • Hammersla M.
        • Belcher A.
        • Ruccio L.R.
        • Martin J.
        • Bingham D.
        Practice and quality improvement leaders survey of expectations of DNP graduates’ quality improvement expertise.
        Nurse Educ. 2021; 46: 361-365https://doi.org/10.1097/NNE.0000000000001009

      Biography

      Julee B. Waldrop, DNP, FNP-BC, PNP-BC, CNE, SANE-A, FAANP, FAAN, is professor and assistant dean for the DNP Program and chair of the DNP Committee at Duke University School of Nursing, Durham, NC. Dr Waldrop can be reached at [email protected]

      Biography

      Staci S. Reynolds, PhD, RN, ACNS-BC, CCRN, CNRN, SCRN, CPHQ, is an associate professor and chair of the DNP Program Committee at Duke University School of Nursing in Durham, NC. Disclosure: Julee Waldrop is the Editor-in-Chief of JNP. This manuscript’s evaluation and revisions were managed by other JNP editors.