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American Journal of Critical Care. 2006;15: 359
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Nursing Practice and Advanced Degrees

I read with interest your editorial ("Doctor of Nursing Practice—MRI or Total Body Scan?") about the proposed doctorate in nursing practice (DNP) program (July 2005: 278–281). A clinical nurse specialist (CNS) at the end of a 50-year career, I started as a diploma nurse, obtained a bachelor of science in nursing (BSN), and finally earned a master of science in nursing. I too had feelings initially of being disenfranchised and concerned about the quality of education that was being provided in the academic setting and felt "punished" because I had to practically start over to obtain my BSN. Why don’t we learn from our past "mistakes" and look at what is good for the public and the entire healthcare system? We made a mistake 40 years ago that has caused much dissension in our profession, and we should recognize that we need to move deliberately now to avoid repeating the past.

As an advanced practice nurse (CNS), I can see the value of building on my practice degree to the next level—that of a doctorate! You mentioned a natural progression through the system, and that is the way it needs to be. We are not all at the same stage of professional development, and we need to practice a while at each level as we grow and recognize the strengths of academic degrees versus clinical experience and then decide what is best for us. I am completely opposed to jumping from a BSN level to the doctorate level without taking the opportunity to "hone" your skills first.

Jane M. Campbell, MSN, RN, APRN, BC
Chapel Hill, NC





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