The Doctorate Of Nursing Practice (DNP)

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The Doctorate of Nursing Practice (DNP) represents the terminal practice degree for the field of nursing.
Evolution of the DNP Degree The DNP embodies the convergence of the various practice doctorates in nursing and was adopted as the terminal practice degree in nursing by the American Association of Colleges of Nursing (AACN) in 2004 (Chism, 2016). Historically, nurses have been prepared at the doctoral level through a variety of degrees both outside of and within nursing. These various degrees include, but are not limited to, the doctor of education (EdD), DNS, DNSc, DrNP, ND, and PhDs in various fields of basic or applied sciences related to nursing.
Explanation of the Psychiatric Mental Health Nurse Practitioner Role Psychiatric …show more content…

Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA, …show more content…

As a result of state regulations, public awareness of the role and market forces, graduate psychiatric nursing programs began modifying training programs to meet the requirements for NP credentialing (ANA, 2014). The first PMHNP certification exams were created in the early 2000’s and the role of the PMHNP was clearly described and delineated by the creation of the Psychiatric-Mental Health Nurse Practitioner Competencies in 2003 by the NONPF (ANA, 2014; APNA 2010). Throughout the early 2000’s there were four advanced practice psychiatric mental health nursing credentials, the Adult Psychiatric-Mental Health CNS, the Child/Adolescent Psychiatric-Mental Health CNS, the Adult Psychiatric-Mental Health NP, and the Family Psychiatric-Mental Health NP. The availability of four credentials for PMH-APNs led to confusion amongst nurses, other health disciplines, employers and the

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