1. Doctor of Nursing Practice A Vision of What Could Be…. Tukea L. Talbert, RN, DNP

2. Educational Preparation ADN (1985) KY Wesleyan College BSN (1990) UK College of Nursing MSN (1994) UK College of Nursing DNP (2005) UK College of Nursing

3. Professional Background Orthopedic/Trauma staff RN Patient Care Manager (1991) –General Medical Surgical –Developed & managed trauma step-down(’93) –Developed & managed geriatric (’94) –BMT/Hematology Onc unit (’97 to present)

4. Professional Aspirations To serve in leadership/executive level at a major healthcare organization To impact change that results in sustained quality improvement w/ pt.care/outcomes To influence pt outcomes by ensuring best practices based on evidence To make a difference in healthcare by leading effectively through others

5. Educational Objectives (Why DNP?) Desired to enhance leadership repertoire To develop administrative skill sets (financial management/dev. of healthcare programs) To better understand & integrate clinical expertise & administrative skills to impact pt outcomes

6. DNP Integration of Practice & Leadership Research utilization vs Research Production Focuses on leadership development through theory, theory application, & diverse experiences (clinical mentors) Focuses on the reality of implementing research in the clinical setting—not just conducting

7. Why DNP? Visionary program that prepares nurse leaders to be effective in today’s dynamic & chaotic healthcare milieu Jobes & Steinbinder (1996): “The new executive leadership roles require astute financial skills as well as expert executive administrative skills”

8. Benefits of DNP Education New connection between ordinary events Continually & critically analyzing and questioning the efficiency of the status quo Constantly asking, “What if?”

9. Benefits of DNP Education Well rounded approach to education –Biostatistics, epidemiology, research critiques, literature review, strength of evidence –Identification of vulnerable populations & specific needs of population –Formative & summative evaluation of programs –Cognates with other colleges in the University

10. Benefits of DNP Education Leadership development through theory, mentorship, & clinical residency Clinical residency/mentor experiences (Dartmouth Hitchcock Med. Center & MD Anderson) Karlene Kerfoot (1998): “Management can be taught—leadership must be experienced to be learned…”

11. Benefits of DNP Education Political insight to healthcare & healthcare policy development Leadership philosophy Maintained passion for pts/pt care & frontline care providers

12. Closing Remarks “A leader must work through others to accomplish the work, but the leader is only as good as the people who are providing the care….” (Karleen Kerfoot, 2001)