Doctoral-prepared nurses in the Veterans Health Administration: A cross-sectional survey

Rugs, Deborah; Barrett, Blake; Chavez, Margeaux; Cowan, Linda; Melillo, Christine; Sullivan, Sheila Cox; Engstrom, Christine; Rugen, Kathryn Wirtz; Toyinbo, Peter; Powell‐Cope, Gail

doi:10.1016/j.profnurs.2019.06.008

Cited by 6 publications

(27 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As underlined by Rugs et al, (2020), the engagement in clinical activities depends on the doctoral degree features: nurses with DNP are more visible in the clinical settings than those with a PhD.…”

Section: Discussionmentioning

confidence: 99%

“…Of 10 studies, four were based on a qualitative approach using semistructured interviews (Andreassen & Christensen, 2018;Moghadam et al, 2017;van Oostveen et al, 2017;Orton et al, 2019), three were cross-sectional studies (Rugs et al, 2020;Sørensen et al, 2019;Udlis & Mancuso, 2015), two (Beeber et al, 2019;Trusson et al, 2019) applied mixed-methods methodology, and one used collective case Two out of ten studies focused on nurses possessing a DNP degree (Beeber et al, 2019;Udlis & Mancuso, 2015), one focused on all doctoral degrees, DNP included (Rugs et al, 2020) while the majority were on nurses with a PhD. The characteristics of included studies with the main findings relevant to the study aims are available in Table 1.…”

Section: Studies Characteristicsmentioning

confidence: 99%

“…Furthermore, they have been reported to see themselves as leaders in nursing practice, in research, and in conducting nursing procedures (Orton et al, 2019 Rugs et al, (2020). Moreover, one responsibility often assigned to RNs with a doctorate is to teach nursing students both in the classroom and in the clinical setting.…”

Section: Doctoral-educated Nurses As Clinical Leadersmentioning

confidence: 99%

“…On the side of research productivity, 25.3% of 929 surveyed doctoral-prepared nurses by Rugs et al, (2020) Indeed, when PhD nurses work outside a clinical area, their research is more theoretically focussed and difficult to implement in practice (Andreassen & Christensen, 2018).…”

Section: Doctoral-educated Nurses Working In Clinical Areas Outcomesmentioning

confidence: 99%

See 3 more Smart Citations

The role of doctoral‐educated nurses in the clinical setting: Findings from a scoping review

Dobrowolska

Chruściel²,

Maciejewski

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives: To map and summarise published studies on the career opportunities and roles of doctoral-educated (PhD and DNP) nurses in the clinical setting; to collate actions as proposed in the literature to promote career opportunities and roles for PhD and DNP nurses in the clinical setting.Background: To improve healthcare outcomes and strengthen leadership in nursing practice, there is the need to place nurses with a doctorate in clinical settings.However, available evidence has never been summarised to map the state of the science in this field. Design: A scoping review, in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for scoping reviews statement (PRISMA-ScR). Methods: An electronic database of literature was searched by accessing CINAHL Complete and Medline (on EBSCO Host) and SCOPUS to identify studies published between January 2009-December 2019. A thematic analysis was performed by identifying emerging patterns in the research questions. Results: Ten studies were found with three types of clinical engagement: (a) a practice influencer/developer; (b) a clinical leader; and (c) a clinical teacher for students. Working in clinical areas, doctoral-educated nurses might influence several outcomes at the patient, research, staff and organisational levels.Conclusions: Clinical roles for doctoral-educated nurses are still uncommon. However, in the last ten years, a debate has started to identify the possible careers in clinical settings, the needs and the challenges encountered while developing clinical academic roles, as well as the outcomes and actions that should be undertaken.Relevance to clinical practice: Academic nursing bodies, working with professional bodies and healthcare institutions at different levels, are called on to develop career frameworks, allowing the opportunity for doctoral-educated nurses to be involved in clinical practice and to influence its quality and performance; this might in turn lead to an increase in the quality of research.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Studies Characteristicsmentioning

confidence: 99%

Section: Doctoral-educated Nurses As Clinical Leadersmentioning

confidence: 99%

Section: Doctoral-educated Nurses Working In Clinical Areas Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

The role of doctoral‐educated nurses in the clinical setting: Findings from a scoping review

Dobrowolska

Chruściel²,

Maciejewski

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…There are other roles in nursing that include research and care‐development, for example, advanced nurse practitioners or co‐joint positions between a healthcare facility and a university. However, there are few research‐educated RN clinician‐scientists with a PhD degree in many countries, although outstanding examples exist on the opposite end of the spectrum for high‐ranked institutions (Rugs et al, 2020). There has also been a decline in the number of physicians in the role of clinician‐scientist (Blish, 2018; Weggemans et al, 2019; Yin et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Is It Possible for Registered Nurses and Physicians to Combine Research and Clinical Work to Facilitate Evidence‐Based Practice?

Orton

Nilsén

Follin

et al. 2020

Worldviews Ev Based Nurs

View full text Add to dashboard Cite

Background Evidence‐based patient care requires clinicians to make decisions based on the best available evidence and researchers to provide new scientific knowledge. Clinician‐scientists (i.e., registered nurses [RNs] and physicians with a PhD) make important contributions to health care; yet, their roles are not fully understood, supported, or recognized by healthcare leaders. Only a few studies have addressed the factors that enable RNs and physicians to simultaneously pursue both clinical work and research after earning a PhD. Aim To explore what factors have a bearing on the ability of RNs and physicians to pursue research and clinical work simultaneously after earning a PhD. Methods The study used a qualitative design based on open‐ended, in‐depth interviews. Data were analyzed using conventional content analysis. Results Analysis of the data yielded a broad range of factors that RNs and physicians perceived to either facilitate or hinder continued research while simultaneously undertaking clinical work. Most of the perceived barriers were due to factors external to the individual. Several factors applied to both professions yet differed in impact. Factors mentioned as fundamental to continued research were financial support and allocated time for research. Maintenance of a good relationship with academia and support from management were also considered to be important. In addition, personal factors, such as motivation to pursue a research career after obtaining a PhD, were influential. Linking Evidence to Action A supportive infrastructure is important for enabling clinician‐scientists to pursue research after earning a PhD. Creating favorable conditions for RNs and physicians to combine research with clinical work can facilitate evidence‐based practice. This information can be used for interventions aimed at improving the conditions for clinician‐scientists.

show abstract

An evaluation of the Veterans Health Administration National Nursing Education Initiative

et al. 2021

View full text Add to dashboard Cite

Doctoral-prepared nurses in the Veterans Health Administration: A cross-sectional survey

Cited by 6 publications

References 6 publications

The role of doctoral‐educated nurses in the clinical setting: Findings from a scoping review

The role of doctoral‐educated nurses in the clinical setting: Findings from a scoping review

Is It Possible for Registered Nurses and Physicians to Combine Research and Clinical Work to Facilitate Evidence‐Based Practice?

An evaluation of the Veterans Health Administration National Nursing Education Initiative

Contact Info

Product

Resources

About