[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-326757-105":59,"doc-detail-326757-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","impact-of-direct-patient-care-clinical-hours-on-np-certification-pass-rates","Impact of Direct Patient Care Clinical Hours on NP Certification Pass Rates","","Impact of direct patient care clinical (DPCC) hours on first-time NP certification pass rates is examined in response to national expectations and ongoing debate about raising required clinical hours. The background highlights current standards, persistent challenges in securing clinical sites and preceptors, and the limitation that simulation is not counted as DPCC hours. The evidence gap notes lack of individual and program-level data linking DPCC hours to certification and outcomes. The purpose is to estimate the association between DPCC hours and pass rates and domain scores after controlling for simulation, faculty-to-student ratio, and telehealth hours.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/impact-of-direct-patient-care-clinical-hours-on-np-certification-pass-rates/326757/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/impact-of-direct-patient-care-clinical-hours-on-np-certification-pass-rates/326757.png","ImageObject",300,407,{"name":92,"@type":93},"Mason","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the current national expectations for NP direct patient care clinical hours?","Question",{"text":112,"@type":113},"Standards cited include NTF Standards (2022) requiring at least 750 DPCC hours and AACN Essentials (2021) setting a minimum of 500 practice hours (direct + indirect) with additional time expected for specialty/role.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why are DPCC hours important for NP training and certification outcomes?",{"text":117,"@type":113},"The document argues DPCC hours increase exposure to authentic patient care complexity and role models, supported by learning and skill-development theories. It also notes that simulation helps learning but is not counted as DPCC hours.",{"name":119,"@type":110,"acceptedAnswer":120},"What is the study purpose regarding DPCC hours and certification?",{"text":121,"@type":113},"The purpose is to estimate the association between DPCC hours and first-time pass rates and domain scores after controlling for simulation, faculty-to-student ratio, and telehealth hours.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},326757,1790503155,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},5909887256941,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Impact of Direct Patient Care Clinical Hours on NP Certification Pass Rates  \nShannon Idzik, DNP, ANP-BC, FAAN, FAANP Associate Dean, DNP Program  \nUniversity of Maryland School of Nursing President, NONPF  \nResearch Team  \n• Bo Kyum Yang, PhD  \n• Marcy Ainslie, EdD  \n• Susan Buchholz, PhD  \n• Mary Beth Bigley, DrPH  \n• Bridgitte Gourley, DNP  \n• Kelly Grover, BSN  \nBackground  \nWhy DPCC hours matter now  \nNational expectations for NP clinical hours  \n• NTF Standards (2022): minimum 750 direct patient care clinical (DPCC) hours  \n• AACN Essentials (2021): minimum 500 practice hours (direct + indirect); additional time expected for specialty/role  \n• Yet, many accreditors/certifiers still only require 500 hours for school accreditation/applicant exam eligibility  \nChallenges  \n• Rapid growth in NP programs  \n• Increase in malpractice claims in NPs  \n• First-time pass rates have declined across several certifiers in recent years  \n• Growth in NP residencies/onboarding suggests perceived gaps in practice readiness  \nClinical education realities  \n01  \nPrograms face persistent difficulty securing clinical sites and qualified preceptors  \n02  \nLimited placement capacity can produce variability in student experiences and readiness  \n03  \nSimulation supports learning and assessment but is not counted as DPCC hours  \nBasis for DPCC hours  \n• Kolb: learning transforms experience into knowledge  \n• Bandura: modeling + feedback build self-efficacy  \n• Ericsson: deliberate practice requires goal-directed repetition with feedback  \n• Benner: progression from novice → expert with meaningful experience  \n• Miller’s Pyramid: moves from“knows” to “does”through supervised performance  \nDPCC hours = exposure to role models and authentic patient care complexity  \nEvidence gap  \nNational debate continues about raising clinical hour requirements  \nNo individual data linking DPCC hours to certification outcomes or patient outcomes  \nNo data linking DPCC hours to certification outcomes at the program level  \nDNP programs often exceed 750 hours on average and have~10% higher pass rates –is the pass rate relate to hours?  \nPurpose  \nDo more DPCC hours improve certification outcomes?  \nPurpose: Estimate association between DPCC and first-time pass rates and domain scores after controlling for simulation, faculty-to-student ratio, telehealth hours","cbCairGuNbtwK8G3","https://ap.wps.com/l/cbCairGuNbtwK8G3","pdf",898241,37,"English","# Background\n## Why DPCC hours matter now\n## Challenges\n## Clinical education realities\n# Basis for DPCC hours\n# Evidence gap\n# Purpose","[{\"question\":\"What are the current national expectations for NP direct patient care clinical hours?\",\"answer\":\"Standards cited include NTF Standards (2022) requiring at least 750 DPCC hours and AACN Essentials (2021) setting a minimum of 500 practice hours (direct + indirect) with additional time expected for specialty/role.\"},{\"question\":\"Why are DPCC hours important for NP training and certification outcomes?\",\"answer\":\"The document argues DPCC hours increase exposure to authentic patient care complexity and role models, supported by learning and skill-development theories. It also notes that simulation helps learning but is not counted as DPCC hours.\"},{\"question\":\"What is the study purpose regarding DPCC hours and certification?\",\"answer\":\"The purpose is to estimate the association between DPCC hours and first-time pass rates and domain scores after controlling for simulation, faculty-to-student ratio, and telehealth hours.\"}]","Impact of Direct Patient Care Clinical Hours on NP Certification Pass Rates | PDF",1789975262,93]