Overview of DNPProject and Residency

Robin Bissinger, PhD, APRN, NNP-BC, FAANAssociate Dean of Academics

Medical University of South CarolinaCollege of Nursing

DNP Program Full or Part time plan of study

Signed and agreed to by the student If you change from FT/PT or PT/FT we have to revise and sign a new

plan of study This can delay graduation in some cases

Your program plan is used to register for you for your courses each semester Any questions related to your program come to Arly Douglass GiGi

Smith. Dr. Smith is the Director of the program and your program advisor.

Course issues are addressed first with faculty and if you cannot resolve the issue contact Dr. Smith.

Check your MUSC email daily for information Meet all mandatory's such as BCLS and Catts or you will be out of

your courses

Practice Improvement Project

Use of research knowledge and methods to create, implement and evaluate practice interventions, health delivery systems, and clinical teaching.

Commitment to translate research into practice in order to improve health care outcomes

Project in an area of clinical practice, expertise or interest A practice change initiative Program implementation and evaluation Practice model implementation and evaluation Health policy implementation Quality improvement project

Guidelines Project is related to advanced practice in the nursing

specialty and benefits a group, population or community rather than an individual

May be done in partnership with an agency or group but student must have the leadership role or can be solo

Students work with a clinical expert or mentor and the Residency Faculty

Must go through IRB at MUSC and your center Ask yourself “What population or outcome will you impact

with this change” and how will you know….what data will you look at pre and post change.

PIP Framework Focus-PDSA approach

F: Find a process to improve What do you plan to change

Organize an effort to work on improvement Who will be involved and what support do you need

Clarify the current knowledge of the process What is the current state of the science related to the process or

practice Understand process variation and performance capabilities

Outline specifically how the current process works Select changes aimed at performance or process improvement

Choose the intervention or interventions What changes are you going to make

PIP Framework Plan the change. Analyze and predict the results

How do you plan to measure the effect of the change Do it

Execute the plan taking small steps in controlled circumstances

Study it Check or study the results

Act: Take action How do you sustain the gain If no working what is the next step (Continue PDSA)

Residency Key component of the DNP Program Combines clinical practice experiences with scholarly

activities (400 total hours for a total of 1000 hours) Some students will need more hours to reach the 1000 based

on their MSN program Two components

Comprehensive clinical experience 300 Precepted Hours Broadens exposure in your APN specialty Does not provide a new specialty

Practice Inquiry Project 100 hours Cannot begin this project until you are in residency

Residency Individually designed by each student

Set your own clinical goals Approved by Residency Coordinator

Demonstration of increasingly complex and proficient practice

Clinical hours Procedural

Residency Refined communication, reflection and scholarly skills

MyFolio Reflective Journaling Scholarly Activities Competencies

Patient care expertise with emphasis on independent and inter-professional clinical practice

Typhon clinical logs for patient clinical Clinical and Preceptor contracts

Health Policy and Health Care delivery Projects

Clinical Residency Clinical Site

Clinical Site Approval form Faxed to Graduate Program Coordinator (Douglass) Goes to Residency Coordinator for Approval

Once site approved: Affiliation Agreement Request Form Faxed to Graduate Program Coordinator

Must have Legal facility agreement to start residency work

Clinical Preceptor With expertise in clinical practice and Nationally certified Complete clinical preceptor form, attach CV, copy of

license and certification Faxed to Graduate Program Coordinator: Douglass

Residency Contract Purpose of residency is to increase exposure to doctoral level

clinical practice DNP Clinical Residency Contract

Specific objectives, requirements and evaluation criteria Specified number of hours for each contract Completion of contract to successfully meet residency requirement

Final decision by residency course coordinator Contract must be developed by the student and agreed on by clinical

preceptor and residency course coordinator Signed by the student, clinical preceptor and residency course

coordinator. Placed in academic record Must demonstrate completion of contract and upload to my-folio unless in

Typhon Contracts for Spring residency already due Contracts can take the entire semester so get started

Reflective Journal Integration of clinical leadership and inquiry into previous

or current practice Utilize clinical cases from your experience or practice Integration of ethics, genetics, heath policy, collaboration

and information technology, health disparity and other areas of doctoral level practice

This is a tangible, deliverable academic product Example

Identify a potential genetic risk in a population of patients you have cared for and discuss a diagnosis of a genetic condition and an intervention you made for an individual in your practice. Discuss the implications for the families. What did you learn from the experience? Would you do anything different? Provide a critical analysis and discussion. Done in MyFolio under Reflective Journaling

Scholarly Activities Academic and Scholarly activities

Conferences, seminars, journal club, grand rounds, morbidity and mortality, patient conferences, quality and safety, practice-based lectures, interdisciplinary committees, quality improvement committees, policy or advocacy events

Each student is expected to document a minimum of 10 activities during the program. Can be done at any time in the program.

On My-Folio: under Residency you will find this section

Residency Competencies

Domains and Competencies for DNP education and APRN practice must be met within the program. These are the skills, knowledge and attitudes required for

clinical practice (referred to as competencies) Some are met in course work Others are met by students with documentation provided by you

in MyFolio Each Domain and competency is outlined in MyFolio

Required to review competencies and complete any tasks Example

Competency 22: Counsels the patient on the use of complementary/alternative therapies (see task) In one paragraph describe how you counseled a patient on the use of

complementary therapies.

Residency Evaluation Evaluation of Clinical site Evaluation of Clinical Preceptors Evaluation of Residency Course Evaluation of Residency Course Coordinator Preceptor evaluation of you

Long and short forms Long forms are required for clinical contracts over

50 hours

Residency I Only 1 credit hour Students asking to get started sooner Obtain site and preceptor contracts now Develop a goal for first residency contract to

grow in your APRN role

Residency II Project cannot be started until you have IRB approval and you must

be in your residency course Project

Upload 5 page edited paper with changes in my-folio Share this with your residency faculty

Choose your journal Write first section of your paper up to results/conclusion Stay on time-line and redo it if delay in IRB

Complete half of your clinical hours Insure clinical contracts are completed, hours verified and upload

Complete half of your scholarly activities, reflective journaling and competencies

Residency III Project

Write final paper, obtain faculty approval and send to journal Upload journal has received it Upload paper that was sent for publication

Develop poster and seek approval prior to presentation Meet with statistician early if needed

Complete remaining clinical hours Insure clinical contracts are completed

Complete remaining scholarly activities, reflective journaling and competencies

If any delays discuss need for another residency

Program Milestones Completion of Project Completion of MyFolio: All components Residency: Completion of all 400 hours

Final Project Work Final proposal is completed in Practice Inquiry and IRB

First draft of paper that outlines project is reviewed by faculty and uploaded after all changes are made

Final paper and poster are due in your last residency (NRDNP 890) Two weeks prior to the poster presentation

All sections of MyFolio must be complete Publication must be approved and all revisions made

Poster presentation Electronic publication must be uploaded with proof of submission to

journal Poster is presented with a 10 minute oral-summary Committee signs off on your work with recommendation for the

DNP degree

Contact us Stay in touch Send emails with questions and concerns Consider being on the Graduate Program Committee and

EPEC committee to represent your group If you are struggling call early so we can help Understand one thing:

“Our Goal is that everyone will graduate, do well and represent the CON as a strong APRN leader”

Follow up with us after graduation: Alumni survey, employer survey and graduation survey

QUESTIONS?