Announcer: Welcome to the Doing Your DNP podcast from Premier Health.
Holly Hall, EdD, RN, MSHA: Hello, I am doctor Holly Hall. Welcome to the Nursing evidence based Research Council's podcast, doing your DNP project at Premier. I will be today's interviewer. I am a nurse researcher with Premier Health and an adjunct research chair. I have over thirty five years in nursing and various clinical and leadership roles. I am absolutely thrilled today to be joined by Doctor Gail Crump and Gail, I will let you introduce yourself please.
Gail Crump DNP, APRN, FNP-C, CNRN: Hi, my name is Gail Crump. I am a nurse practitioner family nurse practitioner. I have been, here in various levels at Mayor Health for thirty five years. I am also the manager of the Clinical Neuroscience Institute (APP) for the neurology side. And, also I have a dementia clinic.
Holly Hall, EdD: Great, great. Okay. Today's purpose, for the audience is the, the podcast is to provide guidance for all prenatal health nursing service employees and students from other healthcare systems and universities seeking knowledge on the DNP and other doctoral programs while working on projects. Students learn to build strong collaborative partnerships with stakeholders and mentors. Objectives for the podcast is that we're going to discuss the issues of project variability and then explain the DNP project fundamentals to help eliminate ambiguity and confusion and broaden the student's understanding of the project's significance.
Holly Hall, EdD: So first we will start with, Gail is the expert and I will ask Gail, certain questions. So, Gail, are you ready for this?
Gail Crump, DNP: Yes, I'm ready today for the challenge.
Holly Hall, EdD: All right. And I call you Gail. But you are Dr. Crump.
Gail Crump, DNP: So, yeah, Gail is fine.
Holly Hall, EdD: Why did you make the decision to pursue a DNP?
Gail Crump, DNP: Well, I wanted to achieve a final degree, but I wanted something that was compatible with my direction and my career. I was already in management and I thought that I was not going to leave clinical practice. So I wanted something to support what my professional journey would look like. And that would be for a DNP.
Holly Hall, EdD: Okay. What were some other considerations in pursuing your DNP?
Gail Crump, DNP: I knew that I did not want a PhD and I was not interested in leaving the clinical realm and going into pure research. I was interested in staying within management. So I wanted to stay focused in clinical and leadership. And so when I looked through the various DNP programs, I was looking for one that mirrored my professional journey and providing that final degree.
Holly Hall, EdD: And was that strictly based on a virtual school or on site. Was that a consideration of yours?
Gail Crump, DNP: Well, because of my professional involvement in my current role, I elected to do virtual. And you know, doing clinicals and in management, your time is pretty involved. So I know I would not have enough time to dedicate to travel to a brick and mortar school. So virtual fit better in my time frame to accomplish my degree.
Holly Hall, EdD: Very good. Prior to pursuing your DNP, did you have a topic in mind?
Gail Crump, DNP: Yes. Like I said, I'm in neurology for many, many years, actually thirty five years in neurology. And so I was very much so interested in the stroke patient population. He worked extensively with stroke patients and the stroke service for many years. And so I was kind of concerned about the education process. And I knew Premier had started a new type of education process for their patients, which was utilizing videos. I wanted to see if adding new technology to existing practices of education here at Premier would make a difference.
Holly Hall, EdD: Okay. So you had an idea for your topic. And so you continued through until it was time to actually start working on your DNP project. So did you decide if it was going to be a QI or an EBP project? And this is a two prompt but you’ll probably have this in your response anyway. Did you full understand the difference between a QI and EBP project in research.
Gail Crump, DNP: I’ll just answer the latter part of the question first. You know, you can look at it and, and think you totally understand it, but and then put it into practice or how you implement or how you go about looking into evidence based or looking into QI. The nurse scientists that was afforded to me through the research center. The nursing research center here at Premier Health helped me understand the difference when looking at my peacock question and what my project would involve. And it's just a little bit of both because if you're looking at evidence based, it's about developing, it's not about developing a new knowledge or validating existing knowledge. It's more about translating the evidence and applying it to clinical decision making. Whereas QI where you use a lot of systematic data that guides your approach to improve a process or its outcomes.
Holly Hall, EdD: Was that a challenging process to navigate?
Gail Crump, DNP: Yes, it was, I had it, but I've had so many variables that I was asked the question, when do when you want to graduate because you know you can. When you're looking at a QI, you can pull it in so much data and so many variables that are, look at the big scheme of things are not that important. So you, when you work it on your peacock question, you have to kind of, this is the time to kind of drill down on those important key things that you want to accomplish. What are you looking for? What are the outcomes and what are these variables and will impact your outcome the most?
Holly Hall, EdD: Okay. All right. You'll, you have been an employee of Premier for some years. And therefore you are connected to resources and familiar with processes at Premier. What guidance would you give a student not employed by Premier?
Gail Crump, DNP: I know what you're trying to ask. I think that's a excellent question. I'm excited about our nursing evidence based research council that we have here at Premier. And I would suggest that a new nurse considering doing a project here at Premier Health get in contact with the clinical research center where you can meet our nurse scientists and nurse researcher, which they are excellent in helping you navigate through this, through your project.
Holly Hall, EdD: Okay. And you say the, um, that there's the, the nursing evidence based research council. I'm not sure if they were meeting when you went through the process, But we now meet every Thursday, the third Thursday of the month. And then we, it's from twelve to one, and students can always attend the meeting. It's virtual and it is on site. So to get to be able to collaborate with others and get insight and information and the research council is a, is a really valuable resource for students to navigate through the DNP process.
Gail Crump, DNP: Yes. And, I just want to throw one thing out there that I know we're working on an algorithm to be able to share at a later date, what this process looked like and how it's going to work. And I think it's, it's excellent that the nursing evidence based research council have designed a project for the DNP student.
Holly Hall, EdD: Okay. And this is a perfect time, I think, for me to interject that at the end of the of this podcast, we will share with the students, the contact information and the other resources necessary for them to be able to contact myself and also the neuroscientists. Okay. All right. Moving along, I think this is really significant for me. It is. Were there any challenges between your expectations, your academic faculty expectations and Premier Health’s expectations?
Gail Crump, DNP: There were a couple and starting with your own line and what impacts your timeline? One thing was the city training with the university. Most universities have their own education that they want you to achieve in order to prepare you to do research and understand certain principles around research. And that is protected health information. How to protect the client that's involved in your research. But you'll end up having to satisfy two different entities, the university and the place where you want to do your research yourself, the IRB. How to navigate the IRB. A lot of universities have a guidebook that students can use to help you through the whole process. So if they don't, then it can be a difficult process. But here, at Premier, we are afforded a nurse scientist and a nurse researcher that can help you through this process. So that was a couple of things that was challenging for me. Also when developing my Peacock question and making sure that it satisfied the university's suppression of QI and evidence based and making sure that the type of research that I wanted to do, or the project that I wanted to work on at Premier was that it could be accomplished, is what I'm what I'm trying to say, because at the university level. They're just excited about your project just as much as you are. So you may design something that cannot be accomplished at that facility. So you'll keep going back with a lot of revisions. You seem to come up with a project that the facility will accept that you can do there. And it meets the university standards for QI and evidence based practice.
Holly Hall, EdD: Okay.
Announcer: Thank you for listening. For additional resources, The Nursing Evidence Based Practice and Research Committee (NEBPRC) meets the third Thursday of the month at twelve noon via Teams and at various sites. Email doctor Pat O'Malley at pomalley@PremierHealth.com, for an email link and location. The NEBPRC welcomes and encourages your membership. Need a consultation? Want assistance with a EBP project? Email us to set up an appointment. Patricia O'Malley at pomalley@PremierHealth.com or Holly Hall at hhall@PremierHealth.com. Stay tuned for the next episode.
