Public and Rural Health Specialist
DNP Essential III:
Clinical Scholarship and Analytical Methods for Evidence-Based Practice
1. Use analytic methods to critically appraise existing literature and other evidence to determine and implement the best evidence for practice.
2. Design and implement processes to evaluate outcomes of practice, practice patterns, and systems of care within a practice setting, health care organization, or community against national benchmarks to determine variances in practice outcomes and population trends.
3. Design, direct, and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care.
4. Apply relevant findings to develop practice guidelines and improve practice and the practice environment.
5. Use information technology and research methods appropriately to:
• collect appropriate and accurate data to generate evidence for nursing practice
• inform and guide the design of databases that generate meaningful evidence for nursing practice
• analyze data from practice
• design evidence-based interventions
• predict and analyze outcomes
• examine patterns of behavior and outcomes
• identify gaps in evidence for practice
6. Function as a practice specialist/consultant in collaborative knowledge-generating research.
7. Disseminate findings from evidence-based practice and research to improve healthcare outcomes
(AACN, 2006)

Photo: Evidence from the Fish-to-Schools Program in Prince Willilam Sound that delivers fresh seafood to students.
Exemplar 1: Evidence Table
The evidence table uses analysis to thoroughly review research and literature that relates to the PICOT question: For Itinerant Public Health Nurses (PHNs) in the State of Alaska, how does participation in a professional development series impact capacity building and confidence to provide public health services in remote communities?
Exemplar 2: DNP Data Tables
The data tables provide information on Itinerant Public Health Nurses as a unit of analysis, and describe sources of data, criteria of inclusion and exclusion, and timelines related to the DNP evaluation project. The outcome variable information is an example of collecting, organizing, and analyzing data to enhance clinical practice.
Exemplar 3: Evaluating the Juneau Douglas High School (JDHS) School-Based Teen Health Clinic
Gamelia, et al., (2023), describe a variety of
interventions that can reduce risk factors for STI infections and teen pregnancy by employing school-based health clinics (SBHC). This evaluation reviews the current SBHC model at JDHS and provides formative and outcome evaluation questions to guide the future practice model and effective interventions.
References
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American Association of Colleges of Nursing. (AACN). (2006). The essentials of doctoral education for advanced nursing practice [PDF]. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf​
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Gamelia, E., Anies, Widjanarko, B., & Shaluhiyah, Z. (2023). Systematic review: risk sexual
behavior, sexually transmitted infections, and adolescent pregnancy prevention interventions.
Journal of public health in Africa, 14(12), 2672. https://doi.org/10.4081/jphia.2023.2672
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