230 ■ II: ROLES FOR DOCTORAL ADVANCED NURSING PRACTICE
needs of patients and family. This method is especially important in patients with com-
plex needs. One study showed that an IPT managing vulnerable older adults (mean
age: 80.9 years) were able to reduce the expected length of stay by 1.03 days and the inci-
dence of complications, lower than the control group (Borenstein et al., 2015). Further
research is greatly needed to evaluate the outcomes using IPT to demonstrate the effec-
tiveness and cost saving of the collaboration.
The significant challenge, as noted in this chapter, seems unsurmountable. An
example experienced in practice is a large hospice group has two different software sys-
tems, one for inpatients and a different system for outpatients in the same organization.
These systems do not communicate. This creates repetitive, time- consuming extra work
that results in not only information errors that may lead to an adverse event but also
takes away time with patients and families. Finally, we now have had many graduates
of DNP programs across the country. A presentation of what our DNP clinical scholars
have achieved thus far would be welcome information of nursing’s clinical scholar-
ship success, to date, and the implications for the future. According to a RAND faculty
survey (2014) the DNP has shown value added to practice and the Institute of Medicine
agrees (Auerbach et al., 2014). Future research needs to focus not only on the outcomes
of DNP scholars but also the value added.
■ REFERENCES
American Association of Colleges of Nursing. (2004). Position statement on the practice doctorate in
nursing. Washington, DC. Retrieved from http://www.aacn.nche.edu/publications/position/
DNPpositionstatement.pdf
Auerbach, D., Martsolf, G., Pearson, M. L., Taylor, E. A., Zaydman, M., Muchow, A.,... Dower, C.
(2014). The DNP by 2015: A study of the institutional, political, and professional issues that facilitate or
impede establishing a post-baccalaureate doctor of nursing practice program. The RAND Corporation.
Retrieved from http://www.aacn.nche.edu/dnp/DNP-Study.pdf
Auerbach, D. I., Martsolf, G., Pearson, M. L., Taylor, E. A., Zaydman, M., Muchow, A.,... Dower, C.
(2015). A study of the institutional, political, and professional issues that facilitate or impede establishing
a post-baccalaureate doctor of nursing practice program. Santa Monica, CA: Rand Health Division/
American Association of Colleges of Nursing.
Borenstein, J. E., Aronow, H. U., Bolton, L. B., Dimalanta, M. I., Chan, E., Palmer, K.,... Braunstein,
G. D. (2015). Identification and team-based interprofessional management of hospitalized vulner-
able older adults. Nursing Outlook, 64 (2), 137–145.
Grose, C. (2013). Beyond skills training revisited: The clinical education spiral. Clinical Law Review,
19 (2), 489–515.