Professional doctorates, especially the Doctor of Nursing Practice (DNP), are gaining global importance. To strengthen these programs, a rigorous evaluation of DNP projects at Johns Hopkins University was conducted, offering valuable recommendations for program advancement.
Past research highlights limitations in DNP project methodologies and dissemination. This study addresses these gaps by providing actionable recommendations to enhance project quality and strategies for managing larger student groups. This descriptive study, following STROBE guidelines, analyzed 191 DNP project reports from 2009-2018. Key project features were extracted, including theoretical framework use, design, setting, sample, and publication rates. Project publication was tracked via Google Scholar and Google searches using project titles and student names.
The analysis revealed that 83% of projects focused on adult populations, with 61% based in hospitals. Sample sizes varied significantly, from 7 to 24,702 participants. A pretest/post-test design was used in 80% of projects, encompassing both single and independent groups. Six major themes emerged: process improvement, clinician development, patient safety, patient outcome improvement, access to care, and workplace environment. Notably, 21% of project findings were published in peer-reviewed journals, demonstrating impact beyond program completion.
This critical review of DNP projects offers a strategic shift towards transformative changes in advanced practice nursing, moving beyond incremental improvements. Program evaluation is essential for preparing advanced practice nurses to effectively impact healthcare outcomes at both individual and population levels. These insights are crucial for the ten doctoral program leaders and faculty aiming to refine and elevate their DNP programs, ensuring graduates are equipped to drive meaningful advancements in clinical practice and healthcare delivery.
Alt text: Group of smiling Doctor of Nursing Practice graduates in regalia, celebrating program completion and their advanced nursing expertise.
