Abstract
Doctor of Nursing Practice (DNP) programs have focused on competencies needed to deliver comprehensive patient care across settings and time. Endorsed by professional nursing associations, these competencies are typically evaluated through detailed case narratives written by DNP candidates. Beyond competency metrics, the essence of comprehensive care for advanced nursing practice has not been carefully explicated. In this study, a phenomenological analysis is applied to a purposive sample of 12 DNP case narratives to identify the meaning of comprehensive care as transmitted in practice. Clinical assessment precision, diagnostic acumen, and advocacy emerge consistently but only the more audacious nurse practitioners directly challenge health system fragmentation.
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