Introduction
This essay explores the distinct ways in which Doctor of Philosophy (PhD) and Doctor of Nursing Practice (DNP) registered nurses (RNs) apply theoretical knowledge to practice within advanced nursing roles. It compares and contrasts their approaches, focusing on their differing emphases on research and clinical application. Additionally, it predicts how my future advanced practice role, post-graduation, will reflect the theoretical foundations learned in my advanced practice nursing course. By examining these aspects, this essay aims to provide a clear understanding of how theory translates into practice across these doctoral pathways and how my academic journey will shape my professional contributions.
Comparison of PhD and DNP RN Roles in Theory Application
The PhD RN and DNP RN represent two distinct pathways for advanced nursing education, each with unique approaches to integrating theory into practice. PhD RNs primarily focus on generating new knowledge through rigorous research. Their role often centres on developing and testing theories to advance nursing science, with an emphasis on academic and research settings. For instance, a PhD RN might explore theoretical frameworks to address gaps in patient care models, contributing to the broader evidence base that informs clinical guidelines (Melnyk and Fineout-Overholt, 2019). Their application of theory is thus largely indirect, influencing practice through disseminated research findings.
In contrast, DNP RNs are trained to directly apply theoretical knowledge to improve clinical practice and patient outcomes. Their education focuses on translating evidence into actionable interventions at the point of care. A DNP RN might, for example, utilise theoretical models such as Orem’s Self-Care Theory to design patient education programmes tailored to specific populations (Clarke and Forster, 2015). Therefore, while both roles engage with theory, the PhD RN’s application is predominantly research-oriented, whereas the DNP RN prioritises practical, bedside implementation. However, it must be acknowledged that the PhD’s indirect impact on practice can be profound over time, as their research often underpins the protocols DNP RNs implement.
Contrasting Focus and Limitations
A key contrast lies in the scope and immediacy of theory application. PhD RNs may face limitations in seeing immediate clinical outcomes, as their work often requires long-term studies before influencing practice. Indeed, their focus on theoretical abstraction can sometimes distance them from day-to-day patient interactions. Conversely, DNP RNs are positioned to witness rapid results from applying theory, yet they may lack the depth of research skills to critically evaluate or generate new theoretical knowledge (Edwardson, 2010). This dichotomy highlights a complementary relationship: PhD RNs build the foundation, while DNP RNs operationalise it. Generally, both roles are essential, though their distinct priorities mean neither fully encompasses the other’s strengths.
Predicting My Advanced Practice Role
Reflecting on my studies in the theoretical foundations of advanced practice nursing, I anticipate my future role as an advanced practice nurse (APN) will mirror the DNP RN’s emphasis on direct application of theory. The course has equipped me with frameworks such as the Health Belief Model, which I intend to use in designing interventions for chronic disease management. For example, understanding patients’ perceived barriers to treatment adherence will guide tailored care plans. Furthermore, my exposure to evidence-based practice principles will ensure I critically appraise research—often produced by PhD RNs—to inform my clinical decisions (Melnyk and Fineout-Overholt, 2019). While I may not conduct original research, I see my role as a bridge between theoretical advancements and tangible patient benefits, embodying the practical focus of advanced practice nursing.
Conclusion
In summary, PhD and DNP RNs apply theory to practice in complementary yet contrasting ways, with the former prioritising research and the latter focusing on clinical translation. My analysis reveals that while PhD RNs shape the theoretical landscape, DNP RNs operationalise these insights directly at the bedside. Predicting my advanced practice role, I envision myself drawing heavily on the theoretical foundations from my course to deliver evidence-based, patient-centred care. The implications of this reflection suggest a need for continued collaboration between research and clinical roles to maximise the impact of nursing theory on health outcomes. Ultimately, my journey as an APN will strive to balance theoretical grounding with practical application, ensuring meaningful contributions to patient care.
References
- Clarke, D. and Forster, A. (2015) Improving post-stroke recovery: The role of theory in stroke rehabilitation. Clinical Rehabilitation, 29(10), pp. 939-950.
- Edwardson, S. R. (2010) Doctor of philosophy and doctor of nursing practice as complementary degrees. Journal of Professional Nursing, 26(3), pp. 137-140.
- Melnyk, B. M. and Fineout-Overholt, E. (2019) Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. 4th ed. Philadelphia: Wolters Kluwer.
