Why DNP/PHD should be a Requirement to be a Faculty Member at a Nursing Schoo
DNP Role Assignment Part I
My Title: Why DNP/PHD should be a Requirement to be a Faculty Member at a Nursing School
The purpose of this assignment is evaluate a current or new role relative to a DNP prepared nurse. The emphasis will be on the skills that a DNP prepared nurse brings to the role. What are the differences coming from a DNP perspective? What skills will a DNP prepared nurse have that a MSN prepared RN would not.
Please attached detailed instructions.
Please use the attached RUBRIC to make sure all aspects are covered
WEEK 3
TOPIC: DNP Role Assignment Paper Part I
Title of my Paper: Why DNP/PHD should be a Requirement to be a Faculty Member at a Nursing School
The purpose of this assignment is evaluate a current or new role relative to a DNP prepared nurse. The emphasis will be on the skills that a DNP prepared nurse brings to the role. What are the differences coming from a DNP perspective? What skills will a DNP prepared nurse have that a MSN prepared RN would not.
The Role Paper will be completed in 2 parts. Part I will focus on a description of the role and what the DNP/MSN nurse will bring to the role. A SWOT analysis will also be done for Part I. Part 2 will consist of a PEST analysis and the next steps in moving the role to a DNP level. References will be completed for both parts of the paper. The final paper will include both part 1 and part 2.
Below is an outline of the items for which you will be responsible throughout the module.
1. Read chapter 8 and 9 from Zaccagnini, M., & Pechacek, J. (2021). The doctor of nursing practice essentials. (4th Ed.). Burlington, MA: Jones & Bartlett Learning.
2. National Academies of Sciences, Engineering, and Medicine. 2021. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982 Links to an external site. . Chapter 4- The role of nurses in improving health care access and quality, p. 99-126, Links to an external site.
3. Chapter 5- The role of Nurses in Improving Health Equity Links to an external site. pp 127-146
4. Review the module lecture materials.
5. Submit Assignment DNP Roles.- SWOT Analysis
6. No discussion this week
sample DNP 802 Role Development DNP Role SWOT Analysis part 1-1.doc (ATTACHED)
Student Sample (with permission) Parts 1 and 2: DNP_SWOT_Analysis_Part 1 and 2 Student Sample Spring 2019.docx Download DNP_SWOT_Analysis_Part 1 and 2 Student Sample Spring 2019.docx
See the following reference for an example of a DNP Role SWOT Analysis, Table 10-6, pp. 362-363 in 4th Edition of Zaccagnini and Pecheck
2013 DNP DNP project. A feasibility and cost analysis on a nurse practitioner managed endoscopy service.pdf Download 2013 DNP DNP project. A feasibility and cost analysis on a nurse practitioner managed endoscopy service.pdf
Areas to address in Part 1: In 10-12 pages, not including the references.
· Clear description of the specific DNP role of interest, why chosen
· Identifies if there is a gap in this role currently, why it is needed
· Differentiates b/w MSN and DNP in the role- what are the differences from a DNP perspective
· Conducts a SWOT analysis, with references for findings
PLEASE NOTE :
1. You must use Turnitin- and review your similarity score. No plagiarism.
2. About 10-12 References within the last 5 years
3. Must use and the following references:
a. Read chapter 8 and 9 from Zaccagnini, M., & Pechacek, J. (2021). The doctor of nursing practice essentials. (4th Ed.). Burlington, MA: Jones & Bartlett Learning.
b. National Academies of Sciences, Engineering, and Medicine. 2021. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982 Links to an external site. . Chapter 4- The role of nurses in improving health care access and quality, p. 99-126, Links to an external site.
c. Chapter 5- The role of Nurses in Improving Health Equity Links to an external site. pp 127-146
4. Please provide in-text citations for all references
5. Please use the attached RUBRIC to make sure you cover every aspect of the instructions
,[removed],
WESTERN UNIVERSITY OF HEALTH SCIENCES
Pomona, California
DNP PROJECT: A FEASIBILITY AND COST ANALYSIS ON
A NURSE PRACTITIONER MANAGED ENDOSCOPY SERVICE
A dissertation submitted to the
College of Graduate Nursing
in partial fulfillment of the requirements for the degree
Doctor of Nursing Practice
Jocylane Mateo Dinsay
College of Graduate Nursing
October 2013
All rights reserved
INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted.
In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed,
a note will indicate the deletion.
Microform Edition © ProQuest LLC. All rights reserved. This work is protected against
unauthorized copying under Title 17, United States Code
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P.O. Box 1346 Ann Arbor, MI 48106 – 1346
UMI 3615267
Published by ProQuest LLC (2014). Copyright in the Dissertation held by the Author.
UMI Number: 3615267
WESTERN UNIVERSITY OF HEALTH SCIENCES
DNP PROJECT: A FEASIBILITY AND COST ANALYSIS ON
A NURSE PRACTITIONER MANAGED ENDOSCOPY SERVICE
by
Jocylane Mateo Dinsay
has been approved by the
College of Graduate Nursing
in partial fulfillment of the requirements
for the degree
Doctor of Nursing Practice
________________________________________________________
Rod Hicks, PhD, RN, FNP-BC, FAANP, FAAN
Assistant Director, DNP Program
Committee Chair
_______________________________________________________
Kathy A. Baker, PhD, RN, ACNS-BC, FAAN
Committee Member
________________________________________________________
Nancy Schlossberg, BSN, RN, CGRN
Committee Member
________________________________________________________
Janet (Jan) Boller, Ph.D., R.N.
Director, DNP Program
____________________________________________________
Karen Hanford, EdD, FNP,
Dean, College of Graduate Nursing
iii
ACKNOWLEDGEMENTS
I would like to express my gratitude to Dr. Rod Hicks, my committee chair, for
his unselfish dedication and guidance in the completion of this project. A special thank
you to Dr. Kathy Baker and Nancy Schlossberg, my committee members, for their
willingness to share their knowledge, expertise, and precious time to assist me.
In addition, I want to thank my family for their patience and support throughout this DNP
program. Last but not the least, I am grateful to the LORD above for all the blessings and
making all of this possible.
iv
ABSTRACT
DNP PROJECT: A FEASIBILITY AND COST ANALYSIS ON
A NURSE PRACTITIONER MANAGED ENDOSCOPY SERVICE
By Jocylane Mateo Dinsay, DNP
PROBLEM STATEMENT: In spite of multiple studies that demonstrate nurse
endoscopists (nurses and nurse practitioners) can perform both sigmoidoscopies and
colonoscopies safely, accurately, and effectively, the utilization of nurse practitioners in
colonoscopy is very minimal. In Southern California, there remains opposition to nurse
practitioners independently performing colonoscopies.
PURPOSE: The purpose of this study was to assess the feasibility and cost analysis of a
nurse practitioner colonoscopy practice in a Health Maintenance Organization (HMO)
setting.
SIGNIFICANCE: Assessment of the feasibility and cost analysis of a nurse practitioner
colonoscopy practice in a HMO setting identified potential cost savings with the use of a
nurse practitioner. Knowledge of the potential cost savings of a NP colonoscopy practice
will allow stakeholders to potentially increase the use of a NP. Allowing nurse
practitioners to perform colonoscopies will help increase the number of providers,
improve capacity and access, as well as address the important public health issue of
colorectal cancer (CRC) screening. Allowing nurse practitioners to perform
colonoscopies will help solve the problem of capacity. The increase in screening
colonoscopies will potentially allow for early detection of CRC and decrease mortality
and morbidity.
v
METHODS: A modified business plan was used to analyze the feasibility and
cost analysis of incorporating a nurse practitioner colonoscopy practice in an HMO
setting. The business plan included a financial assessment and a SWOT analysis.
FINDINGS: There is a big gap between the number of patients needing
colonoscopies and the number of patients having colonoscopies for the last 3 years
studied. Less than 10% of the HMO members between the age of 49 to 75 years old were
screened. When colonoscopy is done in-house by a nurse practitioner, there is possible
cost saving of 59% per case. A loss of $108 per case was projected for cases done outside
the facility. Employing a nurse practitioner to perform colonoscopy is a feasible and cost
effective way to provide quality and safe colonoscopies. A nurse practitioner working in
collaboration with gastroenterologists will improve capacity, increase access for patients,
and increase the CRC screening rate.
vi
TABLE OF CONTENTS
Page
ACKNOWLEDGEMENTS ………………………………………………. iii
ABSTRACT ……………………………………………………………………………………… iv
LIST OF TABLES………………………………………………………… ix
LIST OF FIGURES………………………………………………………. .. x
CHAPTER I
PROSPECTUS ……………………………………………………………………………… 1
Problem Statement …………………………………………………………………….. 3
Purpose Statement ……………………………………………………. 3
Significance…………………………………………………………… 3
Methods ………………………………………………………………. 4
Background……………………………………………………………. 4
Factors Influencing Rates of CRC Screening…………………………. 7
Barriers to Colorectal Cancer Screening……………………………… 9
General Barriers to Nurse Practitioner Practice ……………………… 14
Nurse Endoscopist ……………………………………………………. 15
Flexible Sigmoidoscopy………………………………………………………………. 15
Colonoscopy …………………………………………………………… 19
Affordable Care Act and Institute of Medicine Recommendation #1…. 21
Limitations……………………………………………………………… 22
Conclusion……………………………………………………………… 22
vii
CHAPTER II
BUSINESS DATA………………………………………………………………………… 24
1.0 Overview of the Business Case
1.1 Products and Services…………………………………………… 24
.. 1.2 The Financing ………………………………………………… 24
1.3 Mission Statement ……………………………………………… 24
1.4 Management Team ……………………………………………… 25
1.5 Sales Forecast …………………………………………………… 25
1.6 Expansion Plan …………………………………………………. 25
2.0 Company and Financing Summary
2.1 Required Funds ………………………………………………… 25
2.2 Investor Equity ………………………………………………… . 30
2.3 Management Equity …………………………………………… . 31
2.4 Exit Strategy ……………………………………………………. 31
3.0 Products and Services
3.1 Medical Services ……………………………………………… .. 31
4.0 Strategic and Market Analysis ……………………………………… 31
5.0 Marketing Plan
5.1 Pricing ………………………………………………………… .. 34
6.0 Profit and Loss ……………………………………………………… 38
PEST Analysis …………………………………………………………………………….. 42
SWOT Analysis ………………………………………………………… 43
Evaluation ……………………………………………………………… 44
viii
CHAPTER III
DNP REFLECTION…………………………………………………… . 46
REFERENCES …………………………………………………………….. 50
ix
LIST OF TABLES
Table Page
1. Advantages of Different Screening Methods ………………………………………………. 5
2. Disadvantages of Different Screening Methods ………………………………………….. 6
3. Barriers for Colorectal Cancer Screening …………………………………………………… 11
4. Basic Equipment and Current Prices Needed for a Single Room …………………… 26
5. Cost of Colonoscopy for 4 hour Clinic ………………………………………………………. 27
6. Proposed Staffing with Nurse Practitioner …………………………………………………. 28
7. Weekend 8 hour Clinic …………………………………………………………………………… 29
8. Total of 20 Colonoscopies = Proposed Staffing with Nurse Practitioner ………… 30
9. Comparison of Colon Cancer Screening Rates ………………………………… 33
10. Medicare Reimbursement ……………………………………………………. 34
11. Number of Colonoscopies Completed Outside………………………………. . 35
12. Cost per Colonoscopy, Reimbursement and Profit…………………………… 39
13. PEST Analysis of Nurse Managed Endoscopy Service………………………. 42
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