DNP- 802 ROLE DEVELOPMENT

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DNP Role Assignment Part I

Title: The Role of a DNP Prepared Nurse Committed to Evidence-Based Practice Acting as a DON in a Clinic

I need the assignment corrected

Please use the attached PDF with Professor’s comments to correct the Word document also attached. 

DNP ROLE SWOT ANALYSIS 1

Nanu Ogunyoku

Northern Kentucky University

DNP 802: Role Development

Dr. Melissa Cheeks

January 28, 2023

Melissa Cheeks
75110000000188463
per APA 7th edition, running head no longer required for student papers

2
DNP ROLE SWOT ANALYSIS

A DNP-Prepared Nurse as a Director of Nursing in a Clinic using Evidence-Based Practice

It is becoming increasingly clear that a Director of Nursing (DON) in a clinic must be a

nurse with a Doctor of Nursing Practice (DNP) degree who is dedicated to using evidence-based

practice in their daily operations. The DON is the person in charge of overseeing and

implementing changes to nursing staff ranging from shift changes, infection control, prevention

procedures, evaluating and directing all the staff while establishing goals and creating and

making sure everyone is compliant with the healthcare policies in place. To fill the gap between

clinical practice and healthcare research and to provide leadership and direction to nursing

personnel in the clinic setting, this position was selected for its advanced practice nurse

qualifications.

According to Pritham and White, a DNP-prepared nurse would be able to understand how

to handle ethical dilemmas because of the advanced technologies and scientific findings that are

rapidly occurring within the field. They would also be able to participate in ethics reviews and

policy-making committees which would benefit everyone involved (2016).

While reviewing our weekly readings from the American Association of Colleges of

Nursing (AACN) the Essentials also made it very clear how the DNP program equips the DNP-

prepared nurse ranging from Essentials 1 through 8 just to name a few. They are equipped with

knowledge ranging from how to bring about changes in the healthcare status, organizational and

systems leadership for quality improvement which affects healthcare and patient outcomes,

scholarship, and research by the form of discovery, they also advocate for good healthcare

Melissa Cheeks
75110000000188463
cite source
Melissa Cheeks
75110000000188463
date placed after author names
Melissa Cheeks
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missing date for reference
Melissa Cheeks
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per APA, should be the same as title of paper
Melissa Cheeks
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would delete all

3
DNP ROLE SWOT ANALYSIS

policies and able to collaborate inter-professionally and also promote health which is listed under

Essential VII (AACN, 2006). All these are the qualifications and tools that a DNP-prepared

DON would bring to the table within the clinic with the end goals of achieving a great team and

great patient outcomes.

There was also an analysis done by the American Association of Colleges of Nursing

(AACN) which showed a time frame of seven years and how fast people that were already

registered nurses were obtaining their doctorate degree with a concentration in DNP instead of

the Ph.D. (Nursing workforce, 2021). This goes to show how important the DNP-prepared nurse

is and its place within society continues to grow rapidly.

There is a void in the research on this topic because most studies have concentrated on

the function of the DNP-prepared nurse in hospitals and other tertiary care facilities rather than

primary care settings like clinics (Zaccagnini & Pechacek, 2021). The advanced knowledge and

skills required to lead the implementation of evidence-based practice and improve the quality of

care provided to patients are uniquely suited to the DNP-prepared nurse. The DNP-prepared

nurse is increasingly being recognized as the ideal candidate for this position in clinical settings

due to the fact that almost everything required for this position has to be evident based in order to

be successful. The DON has to make sure that the clinic is in order for when they get

recommissioned by the Joint Commission on Accreditation of Healthcare (JCAHO)and one of

the benefits of DNP-prepared DON is that they know once JHACO has accredited the clinic, this

strengthens the community’s confidence in the quality and safety of care, treatment and services

rendered by that facility or clinic(Facts about benefits of Joint Commission accreditation,” n.d).

Educators with a Master of Science in Nursing (MSN) degree can learn much from the

DNP perspective, which differs in various ways from MSN. First, a DNP graduate with

Melissa Cheeks
75110000000188463
couldn’t a MSN DON know this as well?
Melissa Cheeks
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evidence-based
Melissa Cheeks
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okay, here it is
Melissa Cheeks
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good point!

4
DNP ROLE SWOT ANALYSIS

advanced education in healthcare research and the ability to critically analyze and apply research

findings to clinical practice is in a better position to lead the implementation of evidence-based

practice in the clinic. The DNP holder has a deeper understanding of healthcare systems and

interdisciplinary team dynamics, making them better equipped to provide leadership and

direction to their nursing staff (Trautman et al., 2018).

The DNP DON will be equipped with superior expertise in healthcare research, data

analysis, and quality improvement, allowing them to pioneer the introduction of evidence-based

practice in clinical settings. They will also have superior management and leadership abilities,

allowing them to steer the nursing team in the right direction and collaborate fruitfully with other

medical professionals (Zaccagnini & Pechacek, 2021). The Doctor of Nursing Practice (DNP)

holder will also be equipped with the knowledge and skills necessary to effectively advocate for

patients and enhance the quality of care delivered in clinical settings by virtue of their familiarity

with and mastery of healthcare systems. The DON that holds a DNP degree and is dedicated and

understands the importance of using evidence-based practice as a tool to achieve their goals

within the clinic. The DNP DON has the advanced knowledge, skills, and perspective to lead the

implementation of evidence-based practice and to provide leadership and direction to nursing

staff in the clinic setting, making them better qualified than an MSN educator to fill this void

(Siddiqui, 2021). In this paper, we will discuss the SWOT(strength, weakness, opportunities, and

threats) analysis for a DNP-prepared DON in clinics that apply Evidenced based practice in their

services.

SWOT Analysis

Melissa Cheeks
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strengths & weaknesses (internal to organization) are listed in the top two sections & opportunities & threats (external to organization) are listed in the bottom two (see text)
Melissa Cheeks
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fair amount of duplication of thoughts/sentences in different paragraphs
Melissa Cheeks
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no capitalization, evidence-based

5
DNP ROLE SWOT ANALYSIS

Strengths

 Advanced education and training in

evidence-based practice, leadership,

and quality improvement- Doctor of

Nursing Practice (DNP) programs

prepare nurses to critically evaluate

and apply research to clinical practice,

giving them the skills to make

informed decisions and improve

patient outcomes.

 Leadership capabilities: As a DNP-

prepared nurse, the DON has the

knowledge and skills to effectively

lead and manage a clinic (Trautman et

al., 2018).

 DNP graduates are prepared to design,

influence, and implement health care

policies that frame health care

financing, practice regulation, access,

safety, quality, and efficacy(AACN,

2006).

 DNP-prepared NPs strongly

understand healthcare systems and can

Opportunities

 Increased demand for advanced

practice nurses: As the healthcare

system shifts towards value-based

care, there is a growing need for

advanced practice nurses like DNPs to

provide high-quality, cost-effective

care.

 Collaboration with other healthcare

professionals: The DON, as a DNP,

can collaborate with physicians,

pharmacists, and other healthcare

professionals to improve patient

outcomes and decrease healthcare

costs.

 Telehealth: The increasing use of

telehealth can allow DNP-prepared

nurses to care for patients in remote

areas which would improve patient’s

ability to access care without thinking

about issues with transportation etc.

 Increased use of technology: DNP-

prepared nurses can use technology to

6
DNP ROLE SWOT ANALYSIS

analyze and use data to improve

patient outcomes. This allows them to

take a leadership role in improving

primary care delivery and to advocate

for policy changes that support and

improve patient-centered care

characterized by quality services

(Zaccagnini & Pechacek, 2021).

 They have the ability to incorporate

most if not all of the essentials learnt

during the DNP education(AACN,

2006)

 Advanced clinical knowledge: DNP-

prepared nurses have a wide range of

knowledge in different specialties and

can provide specialized care to

patients.

 Strong research skills: DNP-prepared

nurses have strong research skills that

will be utilized to eradicate the low

quality of care provided in the clinic.

improve the quality and efficiency of

care provided in the clinic.

 Increased focus on preventive care:

DNP-prepared nurses can use their

knowledge and skills to promote

preventive care in the clinic

(Zaccagnini & Pechacek, 2021).

 Increased focus on community health:

DNP-prepared nurses can use their

skills to improve the community’s

health by providing education and

outreach.

Weaknesses Threats

7
DNP ROLE SWOT ANALYSIS

 Limited understanding of business

aspects: While DNPs have advanced

healthcare knowledge, they may not

have formal business management and

administration training.

 The limited scope of practice: In some

states, DNPs may have a different

scope of practice than physicians,

limiting their ability to make certain

clinical decisions.

 Limited reimbursement: Some

insurance plans may only partially

reimburse for services provided by

advanced practice nurses, which can

limit their ability to provide care.

 Limited access to certain medications:

DNP-prepared nurses may not have

the same prescribing authority as

physicians, which can limit the care

that can be provided (Zaccagnini &

Pechacek, 2021).

 Limited public recognition: DNP-

prepared nurses may not be as well-

 Limited reimbursement for advanced

practice nurses: Some insurance plans

may not fully reimburse for services

provided by advanced practice nurses,

which can limit their ability to provide

care.

 Resistance to change: Some healthcare

professionals may be resistant to the

integration of advanced practice

nurses into the healthcare system and

may not fully understand or support

the role of the DNP.

 Limited funding for advanced practice

nurses: There may be limited funding

for advanced practice nurses, which

can limit the services that can be

provided.

 Some states may continue to have a

restrictive scope of practice laws for

NPs, which could limit the ability of

DNP-prepared NPs to practice to the

full extent of their education and

training” (Nursing workforce, 2021).

Melissa Cheeks
75110000000188463
reimbursement would be a threat

8
DNP ROLE SWOT ANALYSIS

known as physicians, which can limit

the recognition of their skills and

expertise.

 Limited access to certain medical

equipment: DNP-prepared nurses may

not have the same access to medical

equipment as physicians, which can

limit the care that can be provided.

 Limited access to certain medications

or equipment: DNP-prepared nurses

may not have the same prescribing

authority as physicians, which can

limit the care that can be provided

(Zaccagnini & Pechacek, 2021).

 Limited public recognition: DNP-

prepared nurses may not be as well-

known as physicians, which can limit

the recognition of their skills and

expertise in the healthcare system and

may also affect the clinic’s reputation

in the community.

Melissa Cheeks
75110000000188463
this comment R/T entire SWOT, while it’s possible some findings can be considered a weakness & a threat, usually you will have different findings in each section

9
DNP ROLE SWOT ANALYSIS

REFERENCES

American Association of Colleges of Nursing. (2006). Essentials of doctoral education for

advanced practice nursing. Retrieved from

https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

Facts about benefits of Joint Commission accreditation. (n.d.). A Trusted Partner in Patient Care |

The Joint Commission. https://www.jointcommission.org/resources/news-and-

multimedia/fact-sheets/facts-about-benefits-of-joint-commission-accreditation/

National Academies of Sciences, Engineering, and Medicine. 2021. The Future of Nursing 2020-

2030: Charting a Path to Achieve Health Equity. Washington, DC: The National

Academies Press (US), 2021 May 11, 3 The Nursing workforce Retrieved from:

https://www.ncbi.nlm.nih.gov/books/NBK573922/

Pritham, U. A., & White, P. (2016). Assessing DNP impact using program evaluations to capture

healthcare system change. The Nurse Practitioner, 41(4), 44-53.

https://doi.org/10.1097/01.npr.0000481509.24736.c8

Siddiqui, A. A. (2021). The use of Pestel Analysis Tool of Quality Management in the health care

business and its advantages. American Journal of Biomedical Science & Research, 14(6),

507–512. https://doi.org/10.34297/ajbsr.2021.14.002046

The nursing workforce – The future of nursing 2020-2030 – NCBI bookshelf. (2021, May 11).

National Center for Biotechnology

Information. https://www.ncbi.nlm.nih.gov/books/NBK573922/

Melissa Cheeks
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not APA
Melissa Cheeks
75110000000188463
(2021)
Melissa Cheeks
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per APA, journal title & volume italicized, issue number is not

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DNP ROLE SWOT ANALYSIS

Trautman, D., Idzik, S., Hammersla, M., & Rosseter, R. (2018). Advancing Scholarship through

Translational Research: The role of PhD and DNP prepared nurses. OJIN: The Online

Journal of Issues in Nursing, 23(2). https://doi.org/10.3912/ojin.vol23no02man02

Zaccagnini, M., & Pechacek, J. (2021). The Doctor of Nursing practice essentials. (4th Ed.).

Burlington, MA: Jones & Bartlett Learning.

Melissa Cheeks
75110000000188463
delete extra spaces
Melissa Cheeks
75110000000188463
include page numbers

1

2

DNP ROLE SWOT ANALYSIS

Nanu Ogunyoku

Northern Kentucky University

DNP 802: Role Development

Dr. Melissa Cheeks

January 28, 2023

A DNP-Prepared Nurse as a Director of Nursing in a Clinic using Evidence-Based Practice

It is becoming increasingly clear that a Director of Nursing (DON) in a clinic must be a nurse with a Doctor of Nursing Practice (DNP) degree who is dedicated to using evidence-based practice in their daily operations. The DON is the person in charge of overseeing and implementing changes to nursing staff ranging from shift changes, infection control, prevention procedures, evaluating and directing all the staff while establishing goals and creating and making sure everyone is compliant with the healthcare policies in place. To fill the gap between clinical practice and healthcare research and to provide leadership and direction to nursing personnel in the clinic setting, this position was selected for its advanced practice nurse qualifications.

According to Pritham and White, a DNP-prepared nurse would be able to understand how to handle ethical dilemmas because of the advanced technologies and scientific findings that are rapidly occurring within the field. They would also be able to participate in ethics reviews and policy-making committees which would benefit everyone involved (2016).

While reviewing our weekly readings from the American Association of Colleges of Nursing (AACN, 2006) the Essentials also made it very clear how the DNP program equips the DNP-prepared nurse ranging from Essentials 1 through 8 just to name a few. They are equipped with knowledge ranging from how to bring about changes in the healthcare status, organizational and systems leadership for quality improvement which affects healthcare and patient outcomes, scholarship, and research by the form of discovery, they also advocate for good healthcare policies and able to collaborate inter-professionally and also promote health which is listed under Essential VII (AACN, 2006). All these are the qualifications and tools that a DNP-prepared DON would bring to the table within the clinic with the end goals of achieving a great team and great patient outcomes.

There was also an analysis done by the American Association of Colleges of Nursing (AACN) which showed a time frame of seven years and how fast people that were already registered nurses were obtaining their doctorate degree with a concentration in DNP instead of the Ph.D. (Nursing workforce, 2021). This goes to show how important the DNP-prepared nurse is and its place within society continues to grow rapidly.

There is a void in the research on this topic because most studies have concentrated on the function of the DNP-prepared nurse in hospitals and other tertiary care facilities rather than primary care settings like clinics (Zaccagnini & Pechacek, 2021). The advanced knowledge and skills required to lead the implementation of evidence-based practice and improve the quality of care provided to patients are uniquely suited to the DNP-prepared nurse. The DNP-prepared nurse is increasingly being recognized as the ideal candidate for this position in clinical settings due to the fact that almost everything required for this position has to be evident based in order to be successful. The DON has to make sure that the clinic is in order for when they get recommissioned by the Joint Commission on Accreditation of Healthcare (JCAHO)and one of the benefits of DNP-prepared DON is that they know once JHACO has accredited the clinic, this strengthens the community’s confidence in the quality and safety of care, treatment and services rendered by that facility or clinic(Facts about benefits of Joint Commission accreditation,” n.d).

Educators with a Master of Science in Nursing (MSN) degree can learn much from the DNP perspective, which differs in various ways from MSN. First, a DNP graduate with advanced education in healthcare research and the ability to critically analyze and apply research findings to clinical practice is in a better position to lead the implementation of evidence-based practice in the clinic. The DNP holder has a deeper understanding of healthcare systems and interdisciplinary team dynamics, making them better equipped to provide leadership and direction to their nursing staff (Trautman et al., 2018).

The DNP DON will be equipped with superior expertise in healthcare research, data analysis, and quality improvement, allowing them to pioneer the introduction of evidence-based practice in clinical settings. They will also have superior management and leadership abilities, allowing them to steer the nursing team in the right direction and collaborate fruitfully with other medical professionals (Zaccagnini & Pechacek, 2021). The Doctor of Nursing Practice (DNP) holder will also be equipped with the knowledge and skills necessary to effectively advocate for patients and enhance the quality of care delivered in clinical settings by virtue of their familiarity with and mastery of healthcare systems. The DON that holds a DNP degree and is dedicated and understands the importance of using evidence-based practice as a tool to achieve their goals within the clinic. The DNP DON has the advanced knowledge, skills, and perspective to lead the implementation of evidence-based practice and to provide leadership and direction to nursing staff in the clinic setting, making them better qualified than an MSN educator to fill this void (Siddiqui, 2021). In this paper, we will discuss the SWOT(strength, weakness, opportunities, and threats) analysis for a DNP-prepared DON in clinics that apply Evidenced based practice in their services.

SWOT Analysis

Strengths

· Advanced education and training in evidence-based practice, leadership, and quality improvement- Doctor of Nursing Practice (DNP) programs prepare nurses to critically evaluate and apply research to clinical practice, giving them the skills to make informed decisions and improve patient outcomes.

· Leadership capabilities: As a DNP-prepared nurse, the DON has the knowledge and skills to effectively lead and manage a clinic (Trautman et al., 2018).

· DNP graduates are prepared to design, influence, and implement health care policies that frame health care financing, practice regulation, access, safety, quality, and efficacy(AACN, 2006).

· DNP-prepared NPs strongly understand healthcare systems and can analyze and use data to improve patient outcomes. This allows them to take a leadership role in improving primary care delivery and to advocate for policy changes that support and improve patient-centered care characterized by quality services (Zaccagnini & Pechacek, 2021).

· They have the ability to incorporate most if not all of the essentials learnt during the DNP education(AACN, 2006)

· Advanced clinical knowledge: DNP-prepared nurses have a wide range of knowledge in different specialties and can provide specialized care to patients.

· Strong research skills: DNP-prepared nurses have strong research skills that will be utilized to eradicate the low quality of care provided in the clinic.

Opportunities

· Increased demand for advanced practice nurses: As the healthcare system shifts towards value-based care, there is a growing need for advanced practice nurses like DNPs to provide high-quality, cost-effective care.

· Collaboration with other healthcare professionals: The DON, as a DNP, can collaborate with physicians, pharmacists, and other healthcare professionals to improve patient outcomes and decrease healthcare costs.

· Telehealth: The increasing use of telehealth can allow DNP-prepared nurses to care for patients in remote areas which would improve patient’s ability to access care without thinking about issues with transportation etc.

· Increased use of technology: DNP-prepared nurses can use technology to improve the quality and efficiency of care provided in the clinic.

· Increased focus on preventive care: DNP-prepared nurses can use their knowledge and skills to promote preventive care in the clinic (Zaccagnini & Pechacek, 2021).

· Increased focus on community health: DNP-prepared nurses can use their skills to improve the community’s health by providing education and outreach.

Weaknesses

· Limited understanding of business aspects: While DNPs have advanced healthcare knowledge, they may not have formal business management and administration training.

· The limited scope of practice: In some states, DNPs may have a different scope of practice than physicians, limiting their ability to make certain clinical decisions.

· Limited reimbursement: Some insurance plans may only partially reimburse for services provided by advanced practice nurses, which can limit their ability to provide care.

· Limited access to certain medications: DNP-prepared nurses may not have the same prescribing authority as physicians, which can limit the care that can be provided (Zaccagnini & Pechacek, 2021).

· Limited public recognition: DNP-prepared nurses may not be as well-known as physicians, which can limit the recognition of their skills and expertise.

· Limited access to certain medical equipment: DNP-prepared nurses may not have the same access to medical equipment as physicians, which can limit the care that can be provided.

Threats

· Limited reimbursement for advanced practice nurses: Some insurance plans may not fully reimburse for services provided by advanced practice nurses, which can limit their ability to provide care.

· Resistance to change: Some healthcare professionals may be resistant to the integration of advanced practice nurses into the healthcare system and may not fully understand or support the role of the DNP.

· Limited funding for advanced practice nurses: There may be limited funding for advanced practice nurses, which can limit the services that can be provided.

· Some states may continue to have a restrictive scope of practice laws for NPs, which could limit the ability of DNP-prepared NPs to practice to the full extent of their education and training” (Nursing workforce, 2021).

· Limited access to certain medications or equipment: DNP-prepared nurses may not have the same prescribing authority as physicians, which can limit the care that can be provided (Zaccagnini & Pechacek, 2021).

· Limited public recognition: DNP-prepared nurses may not be as well-known as physicians, which can limit the recognition of their skills and expertise in the healthcare system and may also affect the clinic’s reputation in the community.

REFERENCES

American Association of Colleges of Nursing. (2006).
Essentials of doctoral education for advanced practice nursing. Retrieved from https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

Facts about benefits of Joint Commission accreditation. (n.d.). A Trusted Partner in Patient Care | The Joint Commission.
https://www.jointcommission.org/resources/news-and-multimedia/fact-sheets/facts-about-benefits-of-joint-commission-accreditation/

National Academies of Sciences, Engineering, and Medicine. 2021. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington, DC: The National Academies Press (US), 2021 May 11, 3 The Nursing workforce Retrieved from:

https://www.ncbi.nlm.nih.gov/books/NBK573922/

Pritham, U. A., & White, P. (2016). Assessing DNP impact using program evaluations to capture healthcare system change. The Nurse Practitioner, 41
(4), 44-53. https://doi.org/10.1097/01.npr.0000481509.24736.c8

Siddiqui, A. A. (2021). The use of Pestel Analysis Tool of Quality Management in the health care business and its advantages.
American Journal of Biomedical Science & Research,
14(6), 507–512.
https://doi.org/10.34297/ajbsr.2021.14.002046

The nursing workforce – The future of nursing 2020-2030 – NCBI bookshelf. (2021, May 11). National Center for Biotechnology Information. 

https://www.ncbi.nlm.nih.gov/books/NBK573922/

Trautman, D., Idzik, S., Hammersla, M., & Rosseter, R. (2018). Advancing Scholarship through Translational Research: The role of PhD and DNP prepared nurses.
OJIN: The Online Journal of Issues in Nursing,
23(2). https://doi.org/10.3912/ojin.vol23no02man02

Zaccagnini, M., & Pechacek, J.  (2021). The Doctor of Nursing practice essentials. (4th Ed.). Burlington, MA: Jones & Bartlett Learning. 

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