DNP Role Development for Doctoral Advanced Nursing Practice, Second Edition

6: THE ROLE OF THE CLINICAL EXECUTIVE ■ 169

notes that the key stakeholders in the health care organization that include the chief
medical officer (CMO), chief financial officer (CFO), chief executive officer (CEO), and
board of trustee members. The inability to think and function on a macroscopic level
will greatly limit the level of effectiveness of decision making and subsequently the
organizational success. Nurse executives exert a great deal of power from the perspec-
tive of title and capacity to influence. Nurse executives generally have the majority of

4. Information systems/
   technology and patient
   care technology for the
   improvement and
   transformation of health
   care prepares the
   graduate to:
   access, use, and evaluate
   data to alter health care
   system


5. Health promotion/
   disease prevention:
   prepares students to:

• use epidemiological,
  social, and environmental
  data to draw conclusions
  regarding health status of
  client populations (i.e.,
  families, individuals,
  groups, and communities)


• Develop and monitor
  comprehensive, holistic
  plans of care that address
  the health promotion and
  disease prevention of
  client populations

7. Clinical prevention and
   population health for
   improving the nation's
   health prepares student
   to:

• analyze epidemiological,
  biostatisticaI,
  environmental and other
  appropriate data related
  to population health


• Develop, implement, and
  evaluate interventions to
  improve health
  status/access patterns
  and/or address gaps in
  care within a community


• DNP clearly has a broader
  scope of practice


• Continues to analyze
  health endpoints of large
  data sets/make changes
  that reach beyond
  traditional boundaries


• MSN impact much more
  limited


• Both the DNP and MSN
  essentials incorporate
  principles of epidemiology
  while the DNP does also
  integrate biostatistics as a
  means to analyze and
  interpret data and identify
  trends

No specific competency

No specific MSN

competency for this

essential

Master’s Essentials Key Differences

Doctorate of Nursing

Practice Essentials

Was excluded from

VII Core Essentials but

included in III additional

Advanced Practice

Essentials: advanced

health/physical

assessment, advanced

physiology/

pathophysiology, and

advanced pharmacology

8. Advanced nursing
   practice prepares the
   graduate for direct care
   roles or an indirect
   care role

DNP essentials enhances

discussion of essentials

for doctoral advanced

nursing practice. Student

is expected to meet

competencies in either

advanced practice focus

or aggregate/systems/

organizational focus

FIGURE 6.2 (continued) Comparison of essentials of master’s education and doctorate of
nursing practice.
DNP, Doctor of Nursing Practice; EBP, evidence-based practice; MSN, master of science in nursing; QI, quality
improvement.