Writing DNP Clinical Case Narratives: Demonstrating and Evaluating Competency in Comprehensive Care

This portfolio presents intimate case study narratives, providing an in-depth account of DNP best practices for clinical practice. The book covers important topics such as the development of DNP clinical competencies, performance objectives, utilizing evidence-based practice, a DNP approach to adolescent care, caring for the chronically ill, mental health care, adult health care, and many more.

The main purpose of this book is to provide DNP faculty and students with a reliable and detailed guide to use when implementing a format to document care provided. The case narratives presented in this book differ from the traditional case study format: students delineate all aspects of the decision-making process, identify the evidence that supports the decision, discuss the robustness of the evidence, analyze the effectiveness of the clinical decision, and critically reflect on the overall case. This detailed format captures the complexity and details of clinical practice.

• Incorporates descriptive narratives that help readers understand the complex cognitive processes employed during the provision of care
  
• Presents information based on actual patient encounters that include the reasons for selecting the case, assessment, care provided, and outcomes
  
• Provides evidence for all decisions made in the portfolio, which is "leveled" according to the Oxford Centre for Evidence Based Medicine
  
• Concludes each case narrative with the DNP student's own reflection and analysis of how successfully each competency was fulfilled
  

Janice Smolowitz EdD, DNP, ANP-BC, DCC is Senior Associate Dean, Associate Professor of Clinical Nursing and Co-Director of the DNP program at Columbia University School of Nursing (CUSN).

Judy Honig EdD, DNP, CPNP ,is Associate Dean of Student Affairs, Associate Professor of Clinical Nursing, and Director of the DNP program at Columbia University School of Nursing (CUSN).

Courtney Reinisch DNP, FNP-BC, DCC is an Assistant Professor of Clinical Nursing at Columbia University School of Nursing (CUSN).