Doctor of Nursing Practice (DNP) Degree in the US: Reflecting, Readjusting, and Getting Back on Track

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Highlights

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Paper explores barriers to a universal DNP requirement for advanced practice nurses
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Includes cost analysis and perceptions of the DNP in today's professional environment
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Offers insights to help facilitate the implementation of a universal DNP standard

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Most cited references 42

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Improvement of maternal and newborn health through midwifery.

Petra ten Hoope-Bender, Luc de Bernis, James Campbell … (2014)

In the concluding paper of this Series about midwifery, we look at the policy implications from the framework for quality maternal and newborn care, the potential effect of life-saving interventions that fall within the scope of practice of midwives, and the historic sequence of health system changes that made a reduction in maternal mortality possible in countries that have expanded their midwifery workforce. Achievement of better health outcomes for women and newborn infants is possible, but needs improvements in the quality of reproductive, maternal, and newborn care, alongside necessary increases in universal coverage. In this report, we propose three priority research areas and outline how national investment in midwives and in their work environment, education, regulation, and management can improve quality of care. Midwifery and midwives are crucial to the achievement of national and international goals and targets in reproductive, maternal, newborn, and child health; now and beyond 2015.

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Health and social services expenditures: associations with health outcomes.

D Elkins, Elizabeth H Bradley, Brian Elbel … (2011)

To examine variations in health service expenditures and social services expenditures across Organisation for Economic Co-operation and Development (OECD) countries and assess their association with five population-level health outcomes. A pooled, cross-sectional analysis using data from the 2009 release of the OECD Health Data 2009 Statistics and Indicators and OECD Social Expenditure Database. OECD countries (n = 30) from 1995 to 2005. Life expectancy at birth, infant mortality, low birth weight, maternal mortality and potential years of life lost. Health services expenditures adjusted for gross domestic product (GDP) per capita were significantly associated with better health outcomes in only two of five health indicators; social services expenditures adjusted for GDP were significantly associated with better health outcomes in three of five indicators. The ratio of social expenditures to health expenditures was significantly associated with better outcomes in infant mortality, life expectancy and increased potential life years lost, after adjusting for the level of health expenditures and GDP. Attention to broader domains of social policy may be helpful in accomplishing improvements in health envisioned by advocates of healthcare reform.

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Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions.

Ai-ris Collier, Rose Molina (2019)

The rising trend in pregnancy-related deaths during the past 2 decades in the United States stands out among other high-income countries where pregnancy-related deaths are declining. Cardiomyopathy and other cardiovascular conditions, hemorrhage, and other chronic medical conditions are all important causes of death. Unintentional death from violence, overdose, and self-harm are emerging causes that require medical and public health attention. Significant racial/ethnic inequities exist in pregnancy care with non-Hispanic black women incurring 3 to 4 times higher rates of pregnancy-related death than non-Hispanic white women. Varied terminology and lack of standardized methods for identifying maternal deaths in the United States have resulted in nuanced data collection and interpretation challenges. State maternal mortality review committees are important mechanisms for capturing and interpreting data on cause, timing, and preventability of maternal deaths. Importantly, a thorough standardized review of each maternal death leads to recommendations to prevent future pregnancy-associated deaths. Key interventions to improve maternal health outcomes include 1) integrating multidisciplinary care for women with high-risk comorbidities during preconception care, pregnancy, postpartum, and beyond; 2) addressing structural racism and the social determinants of health; 3) implementing hospital-wide safety bundles with team training and simulation; 4) providing patient education on early warning signs for medical complications of pregnancy; and 5) regionalizing maternal levels of care so that women with risk factors are supported when delivering at facilities with specialized care teams.

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Author and article information

Contributors

Linda A. McCauley

Marion E. Broome

Lorraine Frazier

Rose Hayes

Ann Kurth

Carol M. Musil

Linda D. Norman

Kathy H. Rideout

Antonia M. Villarruel

Journal

Journal ID (nlm-ta): Nurs Outlook

Journal ID (iso-abbrev): Nurs Outlook

Title: Nursing Outlook

Publisher: Elsevier Inc.

ISSN (Print): 0029-6554

ISSN (Electronic): 1528-3968

Publication date PMC-release: 16 April 2020

Publication date (Electronic): 16 April 2020

Affiliations

[a ]Dean and Professor, Emory University Nell Hodgson Woodruff School of Nursing, 1520 Clifton Rd., Atlanta, GA 30322

[b ]Dean and Professor, Duke University School of Nursing, 3322, 307 Trent Dr., School of Nursing Box 3322, Durham, NC 27708

[c ]Dean and Professor, Columbia University School of Nursing, 560 West 168th Street, New York, NY 10032

[d ]Senior Manager of Executive Communications at Emory University Nell Hodgson Woodruff School of Nursing, 1520 Clifton Rd., Atlanta, GA 30322

[e ]Dean and Professor, Yale School of Nursing, 400 West Campus Drive, Orange, CT 06477

[f ]Dean and Professor, Case Western Reserve University Frances Payne Bolton School of Nursing, 10900 Euclid Ave., Cleveland, OH 44106

[g ]Dean and Professor, Vanderbilt School of Nursing, Room 111 Godchaux Hall, 461 21st Avenue South, Nashville, TN, 37240

[h ]Dean and Professor, University of Rochester School of Nursing, Box SON, Helen Wood Hall, 601 Elmwood Ave., Rochester, NY 14642

[i ]Dean and Professor, University of Pennsylvania School of Nursing, 418 Curie Boulevard, Room 430, Philadelphia, PA 19104-4217

Author notes

[* ]Corresponding author. rkhayes@ 123456emory.edu

Article

Publisher ID: S0029-6554(20)30006-3

DOI: 10.1016/j.outlook.2020.03.008

PMC ID: 7161484

PubMed ID: 32561157

SO-VID: c59f9167-0679-40e6-8d02-d9bde5745c66

License:

Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Doctor of Nursing Practice (DNP) Degree in the US: Reflecting, Readjusting, and Getting Back on Track

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Most cited references 42

Improvement of maternal and newborn health through midwifery.

Health and social services expenditures: associations with health outcomes.

Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions.

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