Doctor of Nursing Practice
A Vision of What Could Be….
Tukea L. Talbert, RN, DNP
Educational Preparation
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ADN (1985) KY Wesleyan College
BSN (1990) UK College of Nursing
MSN (1994) UK College of Nursing
DNP (2005) UK College of Nursing
Professional Background
• Orthopedic/Trauma staff RN
• Patient Care Manager (1991)
– General Medical Surgical
– Developed & managed trauma step-down(’93)
– Developed & managed geriatric (’94)
– BMT/Hematology Onc unit (’97 to present)
Professional Aspirations
• To serve in leadership/executive level at a
major healthcare organization
• To impact change that results in sustained
quality improvement w/ pt.care/outcomes
• To influence pt outcomes by ensuring best
practices based on evidence
• To make a difference in healthcare by
leading effectively through others
Educational Objectives
(Why DNP?)
• Desired to enhance leadership repertoire
• To develop administrative skill sets
(financial management/dev. of healthcare
programs)
• To better understand & integrate clinical
expertise & administrative skills to impact
pt outcomes
DNP
Integration of Practice & Leadership
• Research utilization vs Research
Production
• Focuses on leadership development
through theory, theory application, &
diverse experiences (clinical mentors)
• Focuses on the reality of implementing
research in the clinical setting—not just
conducting
Why DNP?
• Visionary program that prepares nurse
leaders to be effective in today’s dynamic
& chaotic healthcare milieu
• Jobes & Steinbinder (1996):
“The new executive leadership roles require
astute financial skills as well as expert
executive administrative skills”
Benefits of DNP Education
• New connection between ordinary events
• Continually & critically analyzing and
questioning the efficiency of the status quo
• Constantly asking, “What if?”
Benefits of DNP Education
• Well rounded approach to education
– Biostatistics, epidemiology, research critiques,
literature review, strength of evidence
– Identification of vulnerable populations &
specific needs of population
– Formative & summative evaluation of
programs
– Cognates with other colleges in the University
Benefits of DNP Education
• Leadership development through theory,
mentorship, & clinical residency
• Clinical residency/mentor experiences
(Dartmouth Hitchcock Med. Center & MD Anderson)
Karlene Kerfoot (1998):
“Management can be taught—leadership
must be experienced to be learned…”
Benefits of DNP Education
• Political insight to healthcare & healthcare
policy development
• Leadership philosophy
• Maintained passion for pts/pt care &
frontline care providers
Closing Remarks
“A leader must work through others to
accomplish the work, but the leader is only
as good as the people who are providing
the care….”
(Karleen Kerfoot, 2001)