Supporting the Adult Patient
DNP ADULT-GERONTOLOGICAL PRIMARY CARE NURSE PRACTITIONER
Become a DNP-prepared adult-gerontological primary care nurse practitioner all while taking advantage of resources found only at Johns Hopkins. You will learn to diagnose and manage acute and chronic primary health problems in adult patients; you’ll enhance your skills in physical and psychosocial assessment, clinical decision-making, and health promotion and disease prevention. In addition to your NP training, the DNP provides you with the skills needed to develop, evaluate, advocate, and provide leaderships to transform health care at the organizational or system level.
Earn your DNP online, with the added benefit of course immersions. In immersions, you’ll practice advanced clinical skills with standardized patients in the simulation center at the School of Nursing, and, for select opportunities, with interprofessional teams at Johns Hopkins Medicine. You’ll enhance your relationship with Johns Hopkins’ internationally acclaimed faculty who have broad experience in advanced clinical practice, leadership, and patient safety, and build up your network with the other emerging leaders among your cohort and alumni.
Be practice ready by graduation through our immersive learning approach, and get the professional development guidance you need to emerge as a nursing leader. Our faculty have identified superb mentors and will work with you to identify DNP projects that build upon work currently being done at Johns Hopkins and partner institutions. We’ll evaluate your academic performance using RIME, an innovative clinical competency model.
Path to Your Destination
DNP Adult-Gerontological Primary Care NP students will prepare to provide complete, advanced care for adults across a wide range of primary care needs and will be able to:
- Assist adult patients in maintaining and promoting their health
- Advocate for underserved adult individuals and groups
- Write prescriptions and order diagnostic tests
- Demonstrate organizational and systems leadership for quality and safety in health care systems
- Develop, evaluate, advocate, and provide leadership for health care policy that shapes health care financing, regulation, access, and delivery
Students have options that facilitate flexible learning. Stay where you are, complete coursework online, and travel to Baltimore for onsite course immersions, or move to Baltimore and immerse yourself in the Johns Hopkins community (we call this the online local experience). If you choose to live in Baltimore, you’ll complete coursework online and faculty will work with you to set up clinical learning experiences within the Johns Hopkins network of partners, including settings such as Henderson Hopkins (a JHU community partnership school), the House of Ruth (a Baltimore domestic violence center), or in a Johns Hopkins Health System hospital or practice.
Students will be prepared to take the Adult-Gerontology Primary Care Nurse Practitioner exam through the American Nurses Credentialing Center or through the American Academy of Nurse Practitioners.
Check out the chart to see the online availability of the track that best fits your career goals.
DNP Final Project
DNP graduates remain in practice, leading cross-professional teams in the improvement and provision of informed quality healthcare. The knowledge, skills, and abilities to conduct such work is developed across the program and applied in the conduct of the DNP final project. The DNP final project is the student’s original work that establishes them as a Hopkins Nursing clinical scholar.
View the recording of the DNP Advanced Practice Track virtual information session.
DNP Advanced Practice Roles: Clinical Nurse Specialist and Nurse Practitioner.
NP and CNS Role ComparisonWhat are the differences between a Nurse Practitioner and Clinical Nurse Specialist?
View Other DNP Tracks
Would you like to learn more about the other DNP Advanced Practice tracks?
There are more opportunities than you can possibly ever take advantage of.
When Anthony Pho was working 12- to 16-hour days managing engineers at Microsoft in California, his best friend was hospitalized. After watching a nurse care for his friend, "I just didn't see myself being fulfilled in high-tech anymore," says Pho. Soon after, he packed his bags, headed to Baltimore, and completed his accelerated baccalaureate degree.
- Bachelor of Science in Nursing Degree or an entry-level nursing master's degree from an ACEN or CCNE accredited college or university or an equivalent degree from a comparable foreign institution
- Scholastic GPA of at least 3.0 on a 4.0 scale
- Applicants must submit evidence of current nursing license. Online students must have or obtain RN license from an authorized state.
- One year of full-time RN experience preferred
- Three letters of recommendation (both academic and professional references; check FAQs for detailed guidance on completing this requirement)
- Official Transcripts (from all previous colleges/universities)
- Current Resume /CV (check FAQs for detailed guidance on completing this requirement)
- Goal statement
- GRE scores are accepted but not required
- Interview with faculty (if moved forward by admissions committee)
- TOEFL or IELTS if English is not your native language
Information for applicants with international education
Undergraduate Statistics Take at Hopkins Nursing. Course must be completed at a regionally accredited college or university with a letter grade of B or better. Grade of B- will not be accepted.
For greatest flexibility in the clinical placement and DNP project process, it is strongly recommended that DNP Advanced Practice students obtain Maryland RN licensure (or licensure from a compact state) before beginning clinical coursework or DNP Project coursework.
STATE-SPECIFIC INFORMATION FOR ONLINE PROGRAMS
Students currently cannot conduct clinical activities in Louisiana, New York and Oregon. For more information, please contact an admissions representative. Students should be aware of additional state-specific information for online programs.
This program does not qualify for F-1 or J-1 student sponsorship. Legal Permanent Residents and non-immigrants who are otherwise physically present in the U.S. and in a status that allows for full or part-time study, may pursue this program.
Transfer of Credits
Transfer of credit is granted on an individual basis. Please see the transfer of credit policy and complete the form to make a request.
This program is offered in the online with course immersions format.
Program may be completed in 71 credits and provides 960 clinical hours and 160 DNP practicum hours.
Please note below the semesters in which an onsite visit is required.
Plan of Study
For Current Students Admitted Fall 2023 and prior, please reference your Plan of Study.
3 Year Plan
Fall I (10 Credits)
- Advanced Physiology/Pathophysiology I (2)
- Clinical Pharmacology I (2)
- Health Promotion and Risk Reduction Across the Lifespan (2)
- Biostatistics for Evidence-Based Practice (2)
- Advanced Nursing Health Policy (2)
Spring I (8 Credits)
- Advanced Physiology/Pathophysiology II (2)
- Clinical Pharmacology II (2)
- Organizational and Systems Leadership for Quality Care (2)
- Diagnostics Skills and Procedures for APN (2)
Summer I (8 Credits)
- Advanced Health Assessment and Measurement (3)
- The Research Process and Its Application to Evidence-Based Practice (2)
- Clinical Reasoning I: Common Acute Illness (3)
Fall II (7.5 credits, 200 clinical hours)
- Health Finance (2)
- Clinical Reasoning II: Chronic Illnesses in Adult/Geriatric Health (3)
- Clinical Practicum I: Adult-Gerontological Nurse Practitioner (2.5, 200cl)
Spring II (9.5 credits, 200 clinical hours)
- Clinical Reasoning III: Clinical Management for the Primary Care Nurse Practitioner in Acute Complex Issues from Adolescence to Aging and Issues in Gender Health (3)
- Problem Discovery (2)
- Nursing Inquiry for EBP (2)
- Clinical Practicum II: Adult-Gerontological Nurse Practitioner (2.5, 200cl)
Summer II (9 credits, 200 clinical hours, 80 project practicum hours)
- Project Advancement (3, 80PPR)
- Translating Evidence into Practice (2)
- Clinical Practicum III: Adult-Gerontological Nurse Practitioner (2, 200cl)
- Analysis and Evaluation of Individual & Population Health (2)
Fall III (9.5 credits, 200 clinical hours, 80 project practicum hours)
- Health Information Systems and Patient Care Technology (2)
- Project Application (2, 80PPR)
- Clinical Reasoning II: Clinical Management for the Primary Care Nurse Practitioner in Acute Complex Issues from Adolescence to Aging and Issues in Gender Health (3)
- Clinical Practicum IV: Adult-Gerontological Nurse Practitioner (2.5, 200cl)
Spring III (9.5 credits, 200 clinical hours)
- Clinical Data Management (2)
- Project Evaluation and Dissemination (2)
- Clinical Reasoning IV: Complex Chronic Illness (3)
- Clinical Practicum V: Adult-Gerontological Nurse Practitioner (2.5, 200cl)
* Curriculum, credit hours, and sequencing are subject to change.
** Up to 16 credits can be applied from the JHSON MSN (Entry into Nursing) Program to the DNP Advanced Practice Track.
***A minimum of 1000 practice hours is required for DNP.
Tuition & Other Costs
View the costs for the Doctor of Nursing Practice (DNP) Adult-Gerontological Primary Care Nurse Practitioner.
Frequently Asked Questions
What is a DNP?
The DNP is a doctoral degree focused on the clinical practice of nursing. The degree represents the highest academic preparation for nursing practice. The DNP curriculum focuses on the knowledge needed to provide comprehensive direct care across settings. It can be conferred in conjunction with any specialty in advanced practice.
What academic preparation is preferred in a DNP Advanced Practice candidate?
A strong foundation in courses such as anatomy and physiology, microbiology, pharmacology, and physical assessment with a grade of B or above is one key to success.
What is the program of study?
The curricular content will enable the graduate to make complex diagnoses, provide evidence-based treatment modalities, utilize sophisticated informatics and decision-making technology, and assimilate in-depth knowledge of biophysical, psychosocial, behavioral and clinical sciences.
How is this different from current APN practice?
The expanded competencies of the Doctor of Nursing Practice enable graduates to independently provide complex care across all settings including ambulatory, acute, community and home settings. For example, the expanded curriculum will focus on the utilization of evidence-based decision-making to admit and co-manage hospitalized patients, to provide advice and treatment initiated over the phone, and to initiate specialist referrals and evaluate the subsequent advice and initiate and participate in co-management.
How long will it take?
There is only a 3-year plan option. A part time plan of study is not available.
Can I work while in the program?
The DNP Advanced Practice Track is completed over a 4-year period. Students who are enrolled in the 4-year plan may be able to work in the first year as a Registered Nurse in settings that offer flexible scheduling. As students begin to take specialized courses that prepare them for the respective role (i.e., NP or CNS), they will be engaged in settings to learn their future role and in which the DNP Scholarly Project is situated. Hence, it will be challenging to maintain employment that is not flexible beyond the first year.
How does the DNP differ from the PhD or other research doctorates?
The DNP, or clinical doctorate, prepares the graduate to practice independently with the most complex patients, in any setting where the patient requires care, utilizing complicated informatics and evidence-based decision-making. Research doctorates prepare graduates to initiate and conduct sophisticated research projects, serving as the principal investigator.
How many credits can I transfer?
The school accepts up to six credits of transfer from outside the Johns Hopkins University School of Nursing. Once admitted into the program you can request to transfer credits by completing the transfer of graduate credit form.
What academic terms do students attend?
The School of Nursing follows the regular academic schedule (prospective students should note that these courses are not self-paced). Students are enrolled for the fall, spring, and summer terms. Prospective students should refer to the plans of study found on the curriculum pages for each specialty.
What is the cost per credit hour?
Please visit School of Nursing’s Tuition and Fees page for the current program costs.
How are courses delivered?
For students admitted to the DNP Nurse Practitioner tracks, please note that while this is an on-campus program, many of the courses and course content will be delivered in an online format. Please refer to the course schedule for the upcoming semester for specific course delivery information.
How will I get clinical experience if I don’t have experience working as a RN?
The DNP program requires a minimum of 1000 practice hours. The majority of these hours will be in the clinical practicum where you will apply what you learn in the theory courses to gain the competence required for your particular specialty. The balance of the practice hours are devoted to the DNP practicum which focuses on the DNP Scholarly Project. Ideally, you will have one-year of RN experience before starting the first specialty clinical.
How many students are in a class?
Many of the core courses will be taken by all DNP Advanced Practice students at the same time. This could be as many as 60 students. However, the track specialty courses will be taken with only students in that specific specialty. In clinical courses, there is a ratio of 1 to 6 students per clinical instructor with each student assigned to a preceptor.
Do we attend the same classes with our cohort?
Students in the same specialty and the same plan of study will move through as a cohort.
If I have a specific area that I would like to focus in, for example oncology, are there additional electives I can take or other opportunities where I could gain more insight and experience in that particular area?
It is possible for students to negotiate a clinical site within their area of interest, but these cannot be guaranteed. The DNP Scholarly Project could allow students to identify a problem within a specific area and bring that together with the specialty role.
How are clinical sites for clinical practicum determined?
Clinical practicum experiences are determined by the student’s advanced practice focus area, student interest, site and preceptor availability, and the student’s programmatic needs. The student will work collaboratively with the specialty Track Coordinator and the Clinical Placement Team to request sites and preceptors, with final approval by the Track Coordinator. There will be an orientation to an electronic software system where the student will take responsibility to complete requests and upload appropriate documentation. Students will be working with the Clinical Placement Team from the time they enter the program until they graduate. The Clinical Placement Team will be a part of advising sessions, orientation and immersions. The student is encouraged to work collaboratively and proactively with the team on an all-hands approach for optimal preceptor opportunities. Unauthorized states for clinicals include LA, NY and OR.
What is included in a DNP Project?
The American Association of Colleges of Nursing requires that all DNP Projects should:
- Focus on a change that impacts healthcare outcomes either through direct or indirect care.
- Have a systems (micro-, meso-, or macro- level) or population/aggregate focus.
- Demonstrate implementation in the appropriate arena or area of practice.
- Include a plan for sustainability (e.g. financial, systems or political realities, not only theoretical abstractions).
- Include an evaluation of processes and/or outcomes (formative or summative). DNP Projects should be designed so that processes and/or outcomes will be evaluated to guide practice and policy. Clinical significance is as important in guiding practice as statistical significance is in evaluating research.
- Provide a foundation for future practice scholarship.
What is the process for the DNP practicum?
There are four DNP Scholarly Project courses that sequentially reflect the stages of evidence based practice quality improvement and have incorporated DNP practicum hours: Problem Discovery, Project Advancement, Project Application, and Project Evaluation and Dissemination. The DNP Scholarly Project is situated in the clinical setting where the student will carry it out. As the project is a quality improvement focus, key stakeholders in the practice setting are necessary to identify clinical problems they want to address and for which they want to partner with a student or team of students. See your plan of study for the number of practicum hours associated with each course associated with the DNP Scholarly Project.
Who should I ask to complete my letters of recommendation?
- At least one letter should come from a recent or current direct supervisor/manager (the person who is responsible for your performance evaluation)
- At least one letter should come from an academic faculty member who can speak to your ability to successfully complete a demanding graduate level academic and clinical program.
- The third letter can come from a second academic faculty member or an individual in a leadership position who can speak to your clinical abilities.
- Personal references from colleagues, friends, or family members do not meet the requirement.
- If you are unable to provide one of the reference letters above, please upload a statement of explanation to your application.
What information should I include in my resume/CV?Please include the following information in your resume or CV:
- Work experience (include dates, sites and locations; paid and unpaid; any residency participation)
- Education Background
- Scholarly activities (research, presentations, publications, honors, awards)
- Professional activities (leadership, certifications, professional organization membership, service on committees)
- Community Service/Volunteerism
Scholarships & Grants
Grants are awards based on financial need that do not have to be repaid. Many students also benefit from scholarships and awards based on merit.
Many students will avail themselves of loans to help finance their School of Nursing education. If necessary, we encourage you to borrow only what is absolutely essential to cover your educational costs.
Many students locate part-time employment to help pay education expenses. Numerous positions are available on campus and within various community based organizations. These jobs provide students with opportunities to gain practical work experience. Most positions are funded through the Federal Work-Study Program.
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