Module 1: Leadership and Doctorate in Nursing PracticeQUESTION #4: Research or practice in doctoral trainingMeeting the quality challenge: a new health system for the 21st century (IOM, 2001) stresses that problems with safety and quality of care exist largely because of a system that lacks adequately prepared personnel and a system that is not supportive, when in practice. In 2002, the American Association of Colleges of Nursing established a Task Force on Doctoral Practice and issued a DNP position statement calling for a transformational change in the education required for professional nurses who will practice at the highest level. more advanced. In 2008, there were 113 research-oriented doctoral (PhD) programs and 92 practice-oriented doctorates (DNP). There are plans to implement 102 additional DNP programs across the United States.PhD: The doctoral program prepares the nurse scholar to develop and direct scientific research that advances the theoretical foundations of nursing practice and delivery health care. Possess knowledge and skills in theoretical, methodological and analytical approaches that will enable you to conduct research to discover and apply knowledge in nursing and health care. DNP: Patient Health/Illness Management statusNurse practitioner-patient relationshipThe educational coaching functionProfessional role and leadershipManaging and negotiating health care delivery and outcomesMonitoring and ensuring quality of health care practiceCulturally sensitive care due to this gap , we can examine concerns about DNP that fall into three categories: education, economics, and practiceThe debateEducation: The AACN Position...... middle of article..... Argaret Flinter, vice president and clinical director of the FQHC, believes that without a practice-based institutional residency, the DNP is not able to enter and undertake an independent practice for which they are entirely responsible, its statement that residency training followed by an educational program translates academic training into safe clinical practice and provides high quality care. Recognition of the gap between research findings and their application to practice is growing. The DNP must be able to translate newly discovered relevant scientific knowledge into health care delivery and navigate the system healthcare to improve patient outcomes. the two educational paths complement each other, from research to practice, collaboration is an essential skill for any 21st century health researcher and practitioner.