Journal of Professional Nursing
Journal of Professional Nursing
A R T I C L E I N F O A B S T R A C T
Keywords:                                                 DNP-prepared faculty report challenges and barriers to achieving success in academic roles when criteria for
Doctor of nursing practice                                promotion includes scholarship. The purpose of this evidence-based initiative was to explore thoughtful schol
Clinical faculty                                          arship standards for DNP-prepared faculty which can be adapted and transferred across academic institutions
Promotion
                                                          with the goal of elevating faculty scholarship. Given a paucity of available research evidence, a review and
Scholarship standards
Best practices
                                                          synthesis of non-research evidence was conducted. DNP scholarship standards from high-ranking intuitions were
                                                          critically appraised, and this evidence, along with the diverse and collective expertise of the authors, was
                                                          translated into recommendations for an inclusive model of rigor for DNP-prepared faculty scholarship. A tem
                                                          plate for appraising the scholarship of DNP-prepared faculty based on strategic evaluation of impact is included.
                                                          Academic institutions may use this work to expand the fundamental level of evolving scholarship, determine
                                                          parameters, and provide clarity and support to DNP-prepared faculty as they seek to progress in rank.
Introduction                                                                                   achieving success in academic roles that require scholarship for pro
                                                                                               motion (Oermann et al., 2016; Smeltzer et al., 2015). In 2012, Nicholes
    Nurses who have earned the doctor of nursing practice degree (DNP)                         and Dyer surveyed randomly chosen PhD-trained faculty and deans of
are increasingly being hired into ranked faculty positions (primarily at                       DNP programs on the perceived feasibility of granting tenure eligibility
the assistant professor level) due to the nurse faculty shortage (American                     to nurses with DNP degrees; the consensus of those surveyed was that
Association of Colleges of Nursing [AACN], 2022). In most universities                         DNP-prepared faculty would need to meet criteria similar to that
and college institutions, such faculty are ineligible for tenure and placed                    required of PhD-trained faculty (Nicholes and Dyer, 2012). This attitude
into a non-tenure track with the primary responsibility of teaching                            continues to be pervasive in academia and has led to burnout and
(Agger et al., 2014; Oermann et al., 2016); however, as members of                             disillusion among nurses with the DNP degree, who often receive un
academia, they are required to provide service, produce scholarship, and                       equal support and resources to achieve these criteria (Fang & Bednash,
(if they teach nurse practitioner students) maintain a clinical practice                       2017). Of particular concern, some DNP-prepared nurses have reported
(Gonzales et al., 2022). Many of these non-tenure track faculty teach in                       encountering a lack of respect and feeling marginalized and under
DNP programs. If promotion is available to them, the standards applied                         valued as they attempt to integrate into the culture of academia (Bice
are often adapted from tenure-track criteria, although typically with a                        et al., 2019; Englund & Lancaster, 2021).
lesser focus on obtaining funding.                                                                 According to the American Association of Colleges of Nursing
                                                                                               (AACN), the DNP degree program offers “an alternative to research-
Background                                                                                     focused doctoral programs. DNP-prepared nurses are well-equipped to
                                                                                               fully implement the science developed by nurse researchers prepared to
    DNP-prepared faculty have reported challenges and barriers to                              PhD and research-focused nursing doctorates” (AACN, 2023). The work
  * Corresponding author.
    E-mail addresses: jdunlap1@twu.edu (J.J. Dunlap), julee.waldrop@duke.edu (J. Waldrop), Rosalie.Mainous@uky.edu (R. Mainous), zellefrow.2@osu.edu
(C. Zellefrow), beckett.107@osu.edu (C. Beckett), melnyk.15@osu.edu (B.M. Melnyk).
https://doi.org/10.1016/j.profnurs.2024.01.009
Received 3 April 2023; Received in revised form 15 January 2024; Accepted 25 January 2024
Available online 2 March 2024
8755-7223/© 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
J.J. Dunlap et al.                                                                                                        Journal of Professional Nursing 51 (2024) 58–63
of faculty prepared with the DNP degree should be devoted to practice              Table 1
scholarship, including evidence-based practice and evidence-based                  Search documentation table
practice quality improvement (Waldrop, Dunlap, 2024a).                              Database                         Results                Included         Excluded
    There has been considerable confusion surrounding the differentia
                                                                                    PubMed                           11                     1                10
tion of DNP and PhD scholarship (Jenkins et al., 2021). The AACN de                CINAHL Complete                  13                     4                 9
scribes scholarship for the nursing profession as the communication of              Nursing & Allied Health          26                     1                25
knowledge that informs clinical practice, nursing education, policy, and              Collection (ProQuest)
healthcare delivery, with the hallmark attribute of scholarship being the           Academic Search Complete         6                      0                 6
                                                                                      (EBSCOhost)
cumulative impact of the scholar’s work on the field of nursing and                 ScienceDirect                    23                     0                23
health care (AACN, 2018). This broadly inclusive description has raised             Professional Development         0                      0                 0
concerns that it could support a diminished quality of contributions; it              Collection (EBSCOhost)
has been noted, for example, that precepting students or developing                 ERIC (EBSCOhost)                 7                      0                 7
                                                                                    Google Scholar (Search Engine)   10                     10                0
evidence-based teaching strategies could constitute scholarship
                                                                                    Internet Searches                14                     14                0
(Hartjes, 2018; Ramirez et al., 2022).                                                (Gray Lit)
    This article (a) explores current standards for DNP-prepared faculty            Literature Mapping
scholarship, and (b) provides suggestions, transferable across academic             PubMed                           27 (no keyword         27                0
institutions, aimed at elevating this scholarship to increase its positive                                           searching)
                                                                                    Scopus                           2 (no keyword          2                 0
impact on academia and healthcare systems.                                                                           searching)             citation
                                                                                                                                            counting
Methods                                                                             Total                            139                    59               80
                                                                              59
J.J. Dunlap et al.                                                                                                                 Journal of Professional Nursing 51 (2024) 58–63
Table 2
Promotion criteria for scholarship – non-tenure track
  University         Rank
  Duke University    Potential for scholarship with a publication   Excellence in scholarship and leadership of       Sustained record of leadership and scholarship
    (2023)           record                                         others
  Emory University   Emerging trajectory of academic scholarship    Evidence of scholarship in area of focus          Scholarship in focused field
    (2020)
  Rush University    Clinical focused expertise                     Recognition beyond college for clinical           Regional / national/ international recognition
    (2023)                                                          expertise
  Johns Hopkins      Develops independent focused area of           Establishes and is recognized nationally for      Recognized nationally and internationally for leadership
    University (n.   scholarship; state/regional level              independent focused area of scholarship;          in focused area of scholarship; provides leadership in
    d.)                                                             national level                                    defining, promoting, and disseminating scholarly work at
                                                                                                                      a national/international level
  New York           Effective clinical practice/teaching           Excellent contributions with a local/regional     Leadership and a strong national reputation of scholarship
   University                                                       reputation of scholarship
   (2019)
  University of      Promise of productivity;                       Progress toward a record of productivity          Established record of productivity
   Iowa (n.d.)       Clinical expert                                beyond clinical service
  University of      Potential for excellence with demonstrated     Demonstrated excellence in practice scholarship   Sustained excellence and substantial contribution with
   Maryland          competence in a focused area of practice       productivity; PI or C–I on competitive external   competitive funding, publications, and leadership on
   (2020)            knowledge. Recognized as an expert in the      funding; publications and national recognition    national/international level. Mentors.
                     region.
  University of      Clinical focused expertise                     Sustained scholarship                             National recognized scholarship
    Michigan
    (2020)
  University of      Knowledge of clinical area                     Competence in scholarship                         Recognized expertise in focused area
    Washington
    (2021)
  Vanderbilt         Competence in practice focus                   Leadership activities                             Transformation of practice
    University (n.
    d.)
  The Ohio State     Evidence of developing area of scholarship     Convincing evidence of excellence and impact      Sustained, convincing records of national or international
    University       including examples of evidence-based           of high-quality scholarship program               scholarship excellence
    (2019)           practice or quality improvement
Recommendations
                                                                                                         Fig. 1. Foundational Criteria for Scholarship Impact.
   The recommendations offered herein, which may be used to evaluate
the demonstration of impact of DNP-prepared faculty scholarship, are
founded on the limited evidence base and our experiences as seasoned
                                                                                      60
J.J. Dunlap et al.                                                                                                               Journal of Professional Nursing 51 (2024) 58–63
faculty of nursing with much experience teaching in and leading DNP                        experience and consider impact on the next generation of nurse faculty.
programs. Given the current wide variance in promotion guidelines and                           A systematic structure to guide expectations of scholarship for DNP-
lack of specific standards in academia for DNP-prepared faculty, we                        prepared faculty and their collection of data to support the case for its
sought to present our recommendations in a modifiable framework                            impact is needed (Stager et al., 2022). We offer Tables 3 and 4 as tem
generic enough to be used to evaluate DNP-prepared faculty on clinical                     plates to provide guidance on how DNP-prepared faculty can demon
or tenure track lines. Given that institutional and nursing program                        strate the impact of their scholarship.
missions and resources differ considerably, institution-specific modifi                        Although not included in an example table, scholarship related to
cations across universities or programs of nursing will likely be required.                book chapters may also be very impactful. A contributed chapter in a
    We recommend aspiring to move the evaluation of faculty scholar                       textbook can be quantified based on the textbook (e.g., number of copies
ship away from a count of products and toward a consideration of the                       sold, number of programs using it, awards received). Contribution as an
impact of the work (e.g., improvement of population health outcomes,                       author or editor of a book can be evaluated in a similar way. Books and
policy change). It must be remembered that DNP-prepared individuals                        chapters have citations that are indexed (e.g., in the SCOPUS database).
should be expert at translating research evidence into clinical practice to                     Descriptions of oral and poster presentations should include the type
improve outcomes. Although h-index or impact factors are additional                        (e.g., peer-reviewed, invited, keynote), and the hosting organization and
metrics that can be used for publication impact (Broome et al., 2019), a                   its reach (local, state, regional, national, international). When available,
more holistic evaluation of the diversity of scholarly products developed                  a description of the audience and number of attendees may support the
by the engagement of DNP-prepared faculty in all areas of scholarship is                   strength of dissemination and offer additional insight on impact. Infor
optimal. Innovation also should be recognized but is rarely built into                     mation from presentations is typically available from conference orga
promotion criteria.                                                                        nizers, either automatically or by request. For example, two DNP-
    Accessing the overall impact of the faculty member’s scholarly                         prepared faculty authors of this article recently presented a live webi
contribution is important, and data must be carefully interpreted using                    nar to attendees from 21 countries. Following the webinar, the pre
thoughtful consideration. Contributions to disseminated evidence-based                     senters received access to additional viewing statistics from the hosting
practice and evidence-based quality improvement initiatives, guide                        organization via email link, which showed over 300 webinar “visits”
lines, and policies should be noted, as these are the mainstays of                         within 2 months of the presentation posting. The inclusion of presen
scholarship for DNP-prepared faculty. Historically, promotion criteria                     tation evaluation scores from attendees is another metric of quality, as
for DNP-prepared faculty have not considered the integration of                            are any special awards or distinctions that were earned, such as an
disseminated innovation efforts into academic nursing (O’Hara et al.,                      excellence in scholarship poster award.
2022), yet doing so is essential if nursing leaders are to face the chal
lenges of an evolving healthcare landscape.                                                Support
    Journal selection influences overall impact efforts. For example,
publication in a practice-focused journal may be the right choice to                           All of the above aspirations will come to naught unless DNP-prepared
target a clinically focused audience, yet practice-oriented publications                   faculty are viewed as valuable by nursing administration and supported
often have low traditional citation counts, which affects the impact even                  accordingly (Kesten et al., 2022). All faculty deserve to be treated with
of works that are frequently read and used to inform actual healthcare                     respect and not confronted with unrealistic and unsupported scholarship
transformation. Additionally, focused articles, particularly in specialty                  expectations; doing otherwise contributes to the nurse faculty shortage.
areas, generally have lower citation rates than review articles, which                     In a nationwide Delphi study, requirements for faculty development of
often establish cost or prevalence insights, making quantification of                      scholarship applicable to the DNP-prepared faculty member included
cumulative impact difficult. For example, the impact factor (represen                     having clear expectations, a dedicated leader/organizational support,
tative of number of citations and accessible to faculty on the journal                     support services (e.g., statistician, editing), active mentoring, a culture
website) of Nursing Outlook is currently 3.9 versus the Journal of Peri-                   of scholarship, and protected time/workload reduction (McPherson
Anesthesia Nursing which is 0.343 (Clarivate, 2023). In addition to                        et al., 2021).
journal impact factor and primary audience, we recommend the inclu                            We found some programs in the literature which demonstrated
sion of alternative metrics including reads, downloads, and social media                   support with external funding or for only certain types of faculty
messaging; much of this information can be obtained online from pub                       (Kleinpell et al., 2021; Meaux et al., 2022; Minnick et al., 2018); Pinto
lishers (via PubMed, CINAHL, or SCOPUS databases). Practice journals                       et al., 2021); however, we are advocating for a fundamental change in
are often more widely read by practitioners, who collectively publish                      how DNP-prepared, non-tenure track faculty are supported as scholars
less often than faculty members.                                                           with a teaching workload. We recommend the following steps toward
    It is important to note that publication lag for assistant professors                  effecting equitable administrative support for DNP-prepared faculty
who disseminate in the beginning of their appointment may render                           scholarship:
citation counts alone less meaningful as measures of cumulative impact.
Strong citation frequency may be a more reliable indicator of impact                       1. DNP doctoral programs must have buy-in from the faculty as a
measurement for candidates seeking the rank of full professor (Hack                           whole, and faculty who teach within them should be publishing
et al., 2010). Notation of a mentorship role (now being assumed                               scholars themselves.
frequently by DNP graduates) will allow evaluators to recognize
Table 3
Written Works (Disseminated)
  Citation           Authorship            Citation Index              Journal     Altmetrics                       Mentorship           Other Evidence
                                                                       Impact
                                                                       Factor or
                                                                       Book
  Include            Place in authorship   Number of traditional       Include     Number(s) of complementary       Structured or        List of works disseminated through
    full             order. For example,   citations identified in a   primary     metrics including social media   formal               nontraditional means, including
    citation         first author - last   publication index such as   audience    shares and mentions, blogs,      mentorship role      policy or white papers, which
    listing          author                Medline, Google Scholar,                mainstream media coverage        on written work      provide impact beyond academy in
                                           or Scopus                                                                                     transforming healthcare
                                                                                      61
J.J. Dunlap et al.                                                                                                              Journal of Professional Nursing 51 (2024) 58–63
Table 4
Presentations and Posters (Disseminated)
  Presentation Title/Type             Organization   Reach                     Attendance                   Peer Evaluation      Special Recognition      Notes
  Title of presentation or podium     AACN, Sigma,   Local, State, Regional,   Number of attendees with     Audience             Presentation awards      Additional impact-
    poster; keynote, invited, peer-   NONPF, etc.    National, or              specification of type of     ranking, numeric     or distinctions earned   related
    reviewed; location                               International             audience                     scores                                        information
2. Administrators must allow time within the annual workload for                        article will magnify and expand unless appropriate actions are taken.
   scholarship for faculty teaching within DNP programs.                                Considering the rapidly changing practice and higher education land
3. DNP-prepared faculty should be expected to perform the scholarship                   scapes, and the dramatic increase in DNP-prepared faculty in nursing
   of practice rather than original research.                                           programs, clearer guidelines for scholarship for DNP-prepared faculty
                                                                                        are urgently needed.
   There are several anecdotal examples of equity-informed change                           Teaching-focused institutions must be subject to standards regarding
respecting DNP-prepared faculty. The Ohio State University College of                   scholarship if they offer doctoral programs. Faculty must be academi
Nursing provides 20 % FTE for clinical faculty as well as statistical and               cally and experientially prepared to teach and support students in
editorial support for their scholarship (personal communication). At the                achieving the competencies within such programs, including clinical
University of Kentucky, all DNP-prepared faculty teaching at the                        scholarship (AACN, 2021). Scholarship differs significantly from the
doctoral level, many of whom are on a special tenure track line, receive                scholarly use of evidence to inform clinical practice (AACN, 2018). The
time in their workload for scholarship; additionally, a statistician and                delivery of doctoral-level education requires that institutions with DNP
editor are available to assist them, as are annual writing retreats for                 programs commit to the development of their DNP faculty as scholars
manuscript support (personal communication).                                            (Dunlap et al., 2023; Mainous et al., 2023); only this commitment will
                                                                                        result in graduates of DNP programs prepared to perform at the level of
Mentorship                                                                              competence their degree should ensure to produce future clinical
                                                                                        scholarship improvements. To realize a discipline-wide movement to
    Formal mentorship programs have been recommended (Cullen et al.,                    ward increased scholarship impact and help students to achieve at the
2017), with special attention paid to novice nurse educators (Calaguas,                 expected level, we encourage DNP-prepared nursing faculty to engage in
2023). Although much has been written about the importance of                           active scholarship and act as role models.
mentorship for academic faculty, limited literature exists on the out                      An urgent paradigm shift is needed to recognize and work toward
comes of mentorship for DNP-prepared faculty. One study of an internal                  elevation of DNP-prepared faculty scholarship in the current context of
3-year mentorship program for clinical non-tenure track faculty re                     nursing education (Butler, 2023). Collaborations in scholarly work will
ported improvements in scholarly production, including increases in                     benefit both DNP- and PhD-prepared faculty. We invite nursing ad
peer-reviewed publications, conference presentations, awards, and                       ministrators, DNP leaders, and nursing faculty to engage in the ongoing
grants (Shieh & Cullen, 2019). The Ohio State University College of                     work of achieving and exceeding DNP scholarship standards. Applica
Nursing has a Teaching Innovation, Excellence, and Scholarship Acad                    tion of the framework proposed in this document will differ by institu
emy that includes both DNP- and PhD-prepared faculty (personal                          tion yet could improve academic outcomes and ultimately influence
communication). A newly funded external mentorship program model                        health systems.
was recently introduced for DNP faculty at Texas Woman’s University
(TWU) with positive initial outcomes (Dunlap et al., 2023); the impact of               CRediT authorship contribution statement
the TWU model is largely supported by a grant with little institutional
financial outlay. Such programs address the need for scholarship men                       Jayne Jennings Dunlap: Conceptualization, Methodology, Project
toring with clear, time-bound goals and active engagement at set                        administration, Resources, Writing – original draft, Writing – review &
intervals.                                                                              editing, Visualization. Julee Waldrop: Conceptualization, Methodol
                                                                                        ogy, Resources, Supervision, Visualization, Writing – original draft,
Limitations                                                                             Writing – review & editing. Rosalie Mainous: Conceptualization,
                                                                                        Methodology, Project administration, Resources, Supervision, Visuali
    There is a paucity of literature to guide best practices for scholarship            zation, Writing – original draft, Writing – review & editing. Cindy
evaluation for DNP-prepared faculty in academia. Although we provide                    Zellefrow: Conceptualization, Methodology, Writing – original draft.
some evidence from nursing programs on criteria for non-tenure track                    Cindy Beckett: Methodology, Writing – original draft. Bernadette
(e.g., clinical, education, or practice track) faculty, it may not apply to             Mezurek Melnyk: Methodology, Writing – original draft, Writing –
the vast spectrum of academic institutions, each with its own unique set                review & editing.
of standards, or to those institutions with limited emphasis on faculty
scholarship. Additionally, this limited evidence is based on documents                  References
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