Practice environment, independence, and roles among DNP- and MSN-prepared primary care nurse practitioners.

• DNP-prepared NPs working in primary care have very few differences in practice environment, independence, and practice roles compared to MSN-prepared NPs. • DNP-prepared NPs may have more favorable NP-Physician Relationships, fewer clinical hours, and more practice leadership roles but these diffe...

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Publicado en:Nursing Outlook Vol. 69; no. 6; pp. 953 - 961
Autores principales: Martsolf, Grant R., Komadino, Amy, Germack, Hayley, Harrison, Jordan, Poghosyan, Lusine
Formato: research Journal Article
Publicado: Elsevier B.V. Nov2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2021
      vid: 69
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.outlook.2021.06.008
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        atl: Practice environment, independence, and roles among DNP- and MSN-prepared primary care nurse practitioners.
      aug:
        au:
          Martsolf, Grant R.
          Komadino, Amy
          Germack, Hayley
          Harrison, Jordan
          Poghosyan, Lusine
        affil: University of Pittsburgh, School of Nursing, Department of Acute and Tertiary Care, Pittsburgh, PA 15213
      sug:
        subj:
          Nursing Practice
          Work Environment Evaluation
          Health Facility Environment Evaluation
          Professional Autonomy Evaluation
          Nursing Role Evaluation
          Doctorally Prepared Nurses
          Masters-Prepared Nurses
          Primary Nursing
          Nurse Practitioners
          Human
          Cross Sectional Studies
          Nonexperimental Studies
          Regression
          Nurse-Physician Relations
          Time Factors
          Leadership
      ab: • DNP-prepared NPs working in primary care have very few differences in practice environment, independence, and practice roles compared to MSN-prepared NPs. • DNP-prepared NPs may have more favorable NP-Physician Relationships, fewer clinical hours, and more practice leadership roles but these differences were small. • As more nursing schools establish DNP programs and more DNP-prepared NPs enter the field, it is especially important to continue to study the impact of DNP preparation on the NP workforce. Many nursing schools are adopting the Doctor of Nursing Practice (DNP) as the preferred model of nurse practitioner (NP) education and eliminating Master of Science in Nursing (MSN) programs. To date, no studies have explored the relationship between DNP preparation and NP practice environment, independence, and roles. The purpos of this study is to compare practice environment, independence, and roles among DNP- and MSN-prepared primary care NPs. This study used a cross-sectional design and observational regression analysis of survey data. DNP-prepared NPs reported: 1) more favorable NP-Physician Relationships, 2) fewer clinical hours, and 3) more practice leadership. These differences were, however, small and not significant at 0.05 level. We found no major differences in practice environment, independence, and roles among DNP- and MSN-prepared primary care NPs. As more nursing schools establish DNP programs and more DNP-prepared NPs enter the field, it is especially important to continue to study the impact of DNP preparation on the NP workforce.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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