The practice ready Doctor of Nursing Practice-prepared nurse: A call to action.

More than two decades after the inception of the Doctor of Nursing Practice (DNP) degree, confusion persists about the competencies that DNP-prepared nurses bring to practice. Despite growth in programs nationwide, DNP projects often lack methodological rigor, resulting in variable outcomes and unclear stakeholder value.To ensure consistency, programs must adopt a competency-based approach that prepares nurses to lead evidence-based practice/quality improvement, program evaluation, and policy analysis initiatives.The Mountain Model provides a clear framework aligned with national standards to differentiate DNP-prepared practice from that of MSN- and PhD-prepared nurses.Faculty must be equipped to mentor students in high-impact projects and reevaluate curricula to support skill development relevant to practice. Without bold curricular and faculty development reforms, the DNP graduate's value will remain questioned.Nursing programs must prioritize clarity, accountability, and competency in preparing nurse leaders to transform healthcare.

Duke Scholars

Author Julee Briscoe Waldrop School of Nursing