Scaffolding Approaches to Post MSN DNP Curriculum

Background: The AACN recommendations for the DNP as the minimum requirement for entry into NP practice by 2015 prompted the development of both post MSN DNP programs for NPs and post BSN programs designed to for initial preparation for advanced practice. DNP curricula must be examined to verify achievement of DNP competencies while simultaneously meeting the needs of post MSN and post BSN students.

Courses must be presented as part of an integrated knowledge and skill development experience. Additional courses are needed to refresh or expand knowledge beyond the MSN practice level. Courses must also reflect the expert to novice to expert progression of most post MSN DNP students.

Purpose: This presentation will describe course and curricular activities that promote development of DNP competencies for post MSN students culminating in  residency and meaningful DNP projects. Strategies to recruit, retain, and graduate post MSN DNP students, will be examined. Program choices that support students in refreshing their perspective, expanding and building on existing knowledge, and developing techniques to capitalize on their experiences will be presented. A scaffolding  approach that builds on existing competencies and clinical experiences, adds nurse practitioner knowledge and skills, and culminates with the broader vision expected of the seasoned NP with a DNP will be described.

Curriculum Design: Techniques that help students open their minds to new aspects of clinical practice, including health policy, ethics, and the development, use, and dissemination of the knowledge which supports practice will be reviewed. The exemplar will be the use of epidemiology, clinical management, concepts, and evidence-based practice courses to support ongoing clinical learning, regardless of the focus of the student’s practice, and help students consider how they can and should redesign care.  This includes content on examination of existing literature, application of that knowledge to their own practices and development of projects that are both meaningful and relevant to DNP practice.

Implications: Successful post MSN DNP programs must recognize the clinical and knowledge foundation that seasoned NPs bring to their subsequent education and design course activities to build the requisite skills for DNP practice as they progress through the program.