Journal of Doctoral Nursing Practice最新文献

{"title":"Artificial Intelligence-Ready Doctor of Nursing Practice Education: A Competency-Based Approach.","authors":"Veronica Ronnie Quattrini, Lisa Taylor, Donna Lynch-Smith, Tarnisha Hemphill, Tiffany Gibson, Amy Ford, Emily Fox, Amanda Roesch, Tene Turner, Wanda Hilliard, Angel Anthamatten","doi":"10.1891/JDNP-2025-0051","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0051","url":null,"abstract":"<p><p><b>Background:</b> Artificial intelligence (AI) is rapidly transforming nursing education and clinical practice. As AI becomes increasingly embedded in health care delivery, integrating AI competencies into Doctor of Nursing Practice (DNP) education is essential to prepare advanced practice registered nurses (APRNs) to utilize these tools effectively and ethically. <b>Objective:</b> This manuscript examines the integration of AI into DNP education, addressing policy implications, best practices, and strategies to prepare APRNs for leadership in AI-enhanced environments. <b>Methods:</b> A review of institutional innovations and faculty strategies demonstrates the application of AI in nursing education through adaptive learning platforms, virtual simulations, predictive analytics, and AI-driven clinical decision support systems. Case exemplars highlight implementation approaches and educational outcomes. <b>Results:</b> AI-enhanced tools have demonstrated several benefits, such as improved student engagement, individualized learning, and enhanced clinical reasoning. Case-based reflections revealed enhanced decision-making, mentorship, and student competency tracking. Limitations and potential risks of AI are also identified. Key guiding principles include evaluating existing competencies within the context of AI capabilities, defining emerging AI needs, supporting faculty development through AI training, and advancing policies for responsible and ethical AI use. <b>Conclusions:</b> The nursing profession is well recognized for its innovative approach to adopting new technologies. Embedding AI into DNP education requires intentional curricular reform, strong leadership support, and ethical oversight to ensure sustainable adoption. Nursing faculty must champion the strategic and responsible use of AI to prepare APRNs for evidence-based, technology-driven practice. DNP-prepared nurses, with their expertise in quality improvement and ethical practice, are uniquely positioned to shape the development and implementation of AI tools.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"19 1","pages":"11-23"},"PeriodicalIF":0.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doctor of Nursing Practice Student Rounds: Acclimating Novice Students.","authors":"Curry Bordelon, Aimee Holland, Tammy Fields, Becky Suttle, Tedra Smith","doi":"10.1891/JDNP-2023-0048","DOIUrl":"https://doi.org/10.1891/JDNP-2023-0048","url":null,"abstract":"<p><p><b>Background:</b> Novice doctor of nursing practice (DNP) students often have difficulties with incorporating programmatic requirements, understanding principles of quality improvement, developing scholarship skills, and fostering engagement with student colleagues. Mentoring by experienced faculty can be effective in acclimating students and developing scholarly work. <b>Objective:</b> The authors of this manuscript describe how mentoring sessions, DNP Student Rounds, provide a unique student assimilation and engagement experience for first-semester DNP students. <b>Methods:</b> DNP Student Rounds is an innovative approach for mentoring new DNP students by providing four monthly 60-minute virtual sessions during the first semester as students engage in learning principles of the quality improvement process, network with fellow students, identify project topics, and develop project teams. <b>Results:</b> Student feedback is overall positive with increased engagement and faculty interaction throughout their first semester. Faculty are more confident that this process helps the students with their project development while enhancing scholarship skills. <b>Conclusions:</b> Providing routine mentoring opportunities during the first semester of the DNP Program can be an effective method of supporting student engagement and program success. <b>Implications for Nursing:</b> By improving the educational process for DNP students, graduates are more prepared to build teams, lead quality improvement efforts, and impact health outcomes in the healthcare setting.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"19 1","pages":"39-44"},"PeriodicalIF":0.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Type 2 Diabetes Screening and Treatment Rates at a Community Clinic.","authors":"Melanie B Looser, Bethany Gilbert","doi":"10.1891/JDNP-2024-0063","DOIUrl":"https://doi.org/10.1891/JDNP-2024-0063","url":null,"abstract":"<p><p><b>Background:</b> Although type 2 diabetes mellitus (T2DM) and prediabetes are widespread conditions affecting many people across the United States, they often remain undiagnosed due to the lack of screening processes in primary care. Underdiagnosis of these conditions can lead to disease progression and poor outcomes. <b>Objective:</b> A clinical practice change was implemented at a community clinic to improve screening rates and provide earlier patient treatment by implementing a systematic screening and treatment protocol into the current workflow. <b>Methods:</b> The existing clinic flow was adjusted to reflect updated screening guidelines by the American Diabetes Association. The clinic providers were trained on implementing this change and complied with the new process until project completion. <b>Results:</b> Descriptive statistics were used to analyze the collected data. The results were as follows: 32 patients were screened for diabetes, totaling a screening rate of 39.51%; in addition, 2.46% of patients were diagnosed with T2DM, and 4.96% were identified as prediabetic. As a result, 100% of the patients identified received standard-of-care treatment. <b>Conclusions:</b> This clinical practice change increased screening rates and impacted early identification and treatment of T2DM and prediabetes. The clinical facility will continue implementing this standard of care within its daily routine. <b>Implications for Nursing:</b> Systematic screening protocols positively impact screening rates and patient care.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness-Based Cognitive Therapy Self-Directed Education in Depressive Symptom Remission: A Quality Improvement Study.","authors":"Bethanie Simmons-Becil, Kirsten Pancione","doi":"10.1891/JDNP-2025-0029","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0029","url":null,"abstract":"<p><p><b>Background:</b> Mindfulness-based cognitive therapy (MBCT), a therapeutic method that combines cognitive behavioral therapy (CBT) techniques and mindful meditation teachings, has been highly efficacious in remission maintenance for depressive symptoms and is currently recommended for remission maintenance of depression. <b>Objective:</b> The MBCT quality improvement study sought to implement an evidence-based MBCT-guided self-education program to maintain remission of depressive symptoms, improve quality of life, and reduce disability. <b>Results:</b> Comparing the Patient Health Questionnaire-9 (PHQ-9), Sheehan Disability Scale (SDS), and World Health Organization Well-Being Questionnaire-5 (WHO-5) surveys from both the treatment-as-usual and MBCT groups, there is a notable improvement in scores in the MBCT group. Within 8 weeks, the intervention group mean PHQ-9 scores reflected a 41% decline in depression; the WHO-5 scores reflected a 56.06% increase in quality of life, and the group mean SDS scores reflected a 66.67% improvement in function. <b>Conclusions:</b> This evidence-based MBCT self-education program, through a quality improvement implementation, decreased incidence of relapse in depressive symptoms by maintaining stable mood, maintaining functional ability, and maintaining or improving quality of life of the participants. <b>Implications for Nursing:</b> Combining MBCT techniques with self-education offers evidence-based practice education, autonomy, and self-efficacy for those who struggle with recurrent depression and lack of access to quality mental health care.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Rehabilitation Referrals to Improve Early Mobility and Discharge.","authors":"Dianne A London, Suzanna Fitzpatrick","doi":"10.1891/JDNP-2025-0071","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0071","url":null,"abstract":"<p><p><b>Background:</b> In a 30-bed medical-surgical unit, only 53% of patients received complete mobility screening versus the 80% national benchmark due to incomplete activity orders and poor communication among providers, nurses, and therapists. <b>Objective:</b> The aim of the study is to enhance mobility management by integrating systematic mobility discussions into daily multidisciplinary rounds and achieving 100% comprehensive mobility screenings. <b>Methods:</b> This 15-week project implemented staff training on the care team rounds flow sheet. Patient mobility was reviewed during daily rounds, with providers completing missing activity orders to enable nursing screenings and rehabilitation referrals. Weekly data were analyzed using Research Electronic Data Capture (REDCap). <b>Results:</b> Among 359 patients, 5.6% (<i>n</i> = 20) lacked activity orders and 7% (<i>n</i> = 24) lacked mobility screenings. During rounds, 100% of patients with missing activity orders received appropriate orders and subsequent screenings. Run-chart analysis showed decreasing trends in missing orders. <b>Conclusions:</b> The intervention achieved 100% compliance in placing missing activity orders and assessing mobility status. Using validated tools within interdisciplinary discussions enhances patient outcomes and hospital efficiency. <b>Implications for Nursing:</b> This approach empowers nurses to conduct comprehensive mobility assessments, improving care coordination and patient safety while establishing clear protocols for mobility management.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Prenatal Care Bridges: A Quality Improvement Project to Support Early Care Engagement.","authors":"Josephine S D Arnold, Tammy Walker-Smith, Sarah Guy, Rosie Banda","doi":"10.1891/JDNP-2024-0071","DOIUrl":"https://doi.org/10.1891/JDNP-2024-0071","url":null,"abstract":"<p><p><b>Background:</b> The United States leads the West in maternal mortality, with 18.6 deaths per 100,000 births. Late prenatal care (PNC) entry, a notable problem in the United States, is associated with maternal mortality. The clinic of interest had a 15% prevalence of early PNC entry in 2023. <b>Objective:</b> This quality improvement study sought to assess the relationship between free initial prenatal (IPN) visits with a community nurse practitioner (NP) and early PNC care entry for uninsured pregnant adults. <b>Methods:</b> Guiding frameworks included King's Theory of Goal Attainment and Stevens' Star Model of Knowledge Transformation. Aims included a 2% monthly increase in early PNC appointments and completed early PNC visits. Uninsured pregnant adults (<i>n</i> = 20) were recruited for IPN visits. PNC entry was assessed via follow-up contacts. <b>Results:</b> Sixty-five percent of participants reported early PNC appointments, and 45% completed early PNC visits during the study period. <b>Conclusions:</b> This study supported the efficacy of NP-led IPN visits to improve PNC entry timing. Limitations included a limited sample and study period. <b>Implications for Nursing:</b> NP care for early pregnancies may promote early PNC entry. Future research utilizing larger samples and longitudinal formats is indicated.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Implementation of a CDC Guideline Using an Evidence-Based Risk Assessment Tool to Increase Colorectal Cancer Screening in Primary Care Patients.","authors":"Jaime L Musone","doi":"10.1891/JDNP-2024-0065","DOIUrl":"https://doi.org/10.1891/JDNP-2024-0065","url":null,"abstract":"<p><p><b>Background:</b> Over the years, colorectal cancer (CRC) has been diagnosed in younger adults less than 50 years of age, most common in those with Lynch syndrome. In turn, CRC has become the fourth leading cause of cancer deaths. According to Sinicrope et al. it is imperative in identifying inherited syndromes, Lynch syndrome being the most recurrent. <b>Objective:</b> This quality improvement project aimed to increase colorectal cancer screening in primary care patients by implementing a CDC guideline and risk assessment tool. The implementation of an evidence-based risk assessment tool during primary care visits will improve the identification of patients who should be referred for CRC screening. <b>Methods:</b> For this quality improvement project, 25 patients were selected at random during their well-visit encounter, between the ages of 45 and 50, male or female, who did not have a current diagnosis or history of CRC. Over a 2-week period, the Centers for Disease Control and Prevention guideline and the evidence-based risk assessment tool were implemented during these patient encounters. Following implementation, there was a vigorous chart review to further determine which of those individuals were at risk for CRC based on the risk assessment tool. If the evidence identified a patient at risk for CRC, a colonoscopy was ordered. <b>Results:</b> The following week after implementation, a chart review was performed on all 25 of these individuals, which further identified who was at risk for CRC. The female patient accounted for only 4% of the total charts reviewed, whereas the remaining 24 male patients were calculated at 96% of the total. The only female patient indeed had CRC risk factors based on the risk assessment tool; in turn, a colonoscopy was ordered. For the remaining 24 male patients, it was identified that 7 of these individuals had CRC risk factors based on the risk assessment tool, and the remaining 17 did not. It was further identified that three out of the seven male patients, or 42.86%, were overdue for a colonoscopy. <b>Conclusion:</b> This means that approximately 29.167% of the male patients were identified as having CRC risk factors, and 70.833% were not. After patient discussion, a colonoscopy was ordered for all seven male individuals. <b>Implications for Nursing:</b> In relation to these project findings, it is imperative that the nursing community continues to have leaders who will educate and promote the health and well-being of patients. As nurses continue to provide effective patient education, this will positively impact the overall patient health care delivery. By using risk assessment tools, such as the tool used for this project, nurses have the ability to prevent cancers and other disease states.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Prescribing Guidelines for Atypical Antipsychotics to Reduce Metabolic Effects.","authors":"Katrice Lowe, Kelli Whitted","doi":"10.1891/JDNP-2025-0063","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0063","url":null,"abstract":"<p><p><b>Background:</b> Atypical antipsychotics have become the standard prescribing therapy for mental health treatment. Metabolic conditions such as weight gain and increased glucose measures have been a consistent concern with the use of these medications. <b>Objective:</b> An evidence-based practice change was initiated by implementing the Prescribing Guidelines for Atypical Antipsychotics to evaluate the effect of the guidelines on weight, waist circumference, blood pressure, fasting blood glucose, and fasting lipid profile. <b>Methods:</b> Implementation of the prescribing guidelines prompted the provider to assess weight, waist circumference, blood pressure, fasting blood glucose, and fasting lipid profile and monitor changes in these variables. <b>Results:</b> There were 23 patients who completed the 12-week data collection, and data analysis provided statistically significant results. The study revealed that utilization of the interventional tool can reduce metabolic effects by increased monitoring of the measures within the tool. <b>Conclusions:</b> Patients can have decreased long-term metabolic effects of atypical antipsychotics when providers utilize structured guidelines to monitor the side effects of these medications. <b>Implications for Nursing:</b> Providers must complete initial and ongoing assessments of patients initiated on atypical antipsychotic medications and also patients currently taking these medications to assess for side effects as well as ensure treatment response.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Role of Embedded Resilience Training in a Doctor of Nursing Practice Program.","authors":"Susan E Young, Sara L Hubbell, Anka Roberto","doi":"10.1891/JDNP-2025-0087","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0087","url":null,"abstract":"<p><p><b>Background:</b> Graduate nursing students face unique challenges balancing the demands of school, work, and personal life, putting both their academic success and individual well-being at risk. <b>Objectives:</b> This study examined the impact of embedding Community Resiliency Model^© training in a Doctor of Nursing Practice (DNP) program at a U.S. public university to determine the utility of and perceived need for resilience training in this population and measure student resilience, burnout, and posttraumatic growth. <b>Methods:</b> A quantitative, pre/post design was used to evaluate outcomes via surveys utilizing open-ended questions and three validated instruments before and following resilience training. <b>Results:</b> Among 98 students who participated, the training was described as good to excellent quality (95%) and most (85%) continued to use the skills learned. All students recommended that resilience training should be included in a DNP program. There were no statistically significant differences in measures of resilience, burnout, or posttraumatic growth. <b>Conclusions:</b> A holistic approach including building resilience is needed to appropriately support graduate nursing students. <b>Implications for Nursing:</b> Resilience training is essential to equip DNP students with the skills needed to navigate demands of personal and professional life while ensuring their own well-being and that of those they serve.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implications of the 2025 Executive Order on Homelessness and Mental Health for Nursing Practice.","authors":"Elijah Grant","doi":"10.1891/JDNP-2025-0093","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0093","url":null,"abstract":"","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}