Monday, February 27, 2006

In The Beginning

First topic of note and of most relevance for this opening blog, is that of the DNP/DrNP debate. Paradoxically, some describe the Doctor of Nursing Practice to be the beginning of the future for Advanced Practice Nurses. Conversely, other describe it as the beginning of the end of Advanced Practice Nurses in and of themselves.

Is this a looming threat to the very nature and existence of Advanced Nursing Practice or is it a welcome addition to the profound degree of knowledge, expertise and quality of care the Advance Practice Nurse propagates on a daily basis. It is known and has been documented that the Advanced Practice Nurse indeed provides a comparable if not better quality of care to their patient population.

Thus, this begs the question: If quality, efficiency and effectiveness of care is ubiquitous among ANP's with their current level of expertise, does the additional DrNP, which includes an additional year of clinical residency along with an enhance research component, provide an enhanced foundation from which an increased quality of care can be measured.
Will these changes have a significant impact impact on the promising rising salaries of practicing NPs (http://nurse-practitioners.advanceweb.com/common/Editorial/Editorial.aspx?CC=65201) Advance for NP Recent salary results.

Why not increase the level of expertise at the onset by providing researched based learning opportunities, coupled with additional clincal residency opportunities. Won't this in the end make APN's even more desirable in the health care market place.

Will the BSN nurse savior the 4 year DrNP commitment as a welcome addition to their learning needs, or will they flock to the standardized 2 year PA track.

These and many other questions are yet to be answered. An open dialogue must and should ensue.

Therefore, as the depiction of our saddened whisky dog suggest; will APN's need to be rescued from the freeze of marginalization and isolationism represented by this new paradigm shift, or is the sweet fervent sip of enhanced research intensive cirriculum coupled with a 1 year residency, the needed entity for increased legitimization within a competition driven health care system.

Information of interest:

http://nursingworld.org/ojin/topic28/tpc28_5.htm

http://community.nursingspectrum.com/magazinearticles/article.cfm?AID=14156