Meeting the Needs of New-Graduate Nurse Practitioners A Model to Support Transition
Family Nurse Practitioner Residency Director (Dr Olmedo), Family Health Center of Worcester Inc, Massachusetts.The Journal of nursing administration (Impact Factor: 1.27). 11/2013; 43(11):603-10. DOI: 10.1097/01.NNA.0000434506.77052.d2
The transition of newly graduated nurse practitioners (NPs) into practice can be challenging for the employer and the NPs. A new-graduate residency model for NPs along with evaluative criteria is presented from a primary care setting. Residency models are of benefit for new-graduate NPs to ease the transition to practice and promote patient care quality, and nurse retention, and satisfaction.
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ABSTRACT: Background General surgery residency training has changed with adoption of the 80-hour work week, patient expectations and the malpractice environment, resulting in decreased resident autonomy during the chief resident year. There is significant concern that graduating residents are not prepared for independent surgical practice. Study Design Two online surveys were developed, one for “Young Surgeons” (ACS Fellows ≤ 45 years) and one for “Older Surgeons” (ACS Fellows > 45 years). The surveys were distributed by email to 2939 “Young” and 9800 “Older” surgeons. The last question was open-ended with a request to provide comments. A qualitative and quantitative analysis of all comments was performed. Results The response rate was 9.6% (282 of 2939) of young and 10% (978 of 9800) of older surgeons. The majority of “Young” surgeons [94% (58.7% strongly agree, 34.9% agree)] stated they had adequate surgical training and were prepared for transition to the surgery attending role [91% (49.6% strongly agree, 41.1% agree)]. In contrast, significantly less “Older” surgeons felt that there was adequate surgical training [59% (18.7% strongly agree, 40.2% agree)] or adequate preparation for transition to the surgery attending role [53% (16.93% strongly agree, 36.13% agree)]. The two groups’ responses were significantly different, χ2 test of association (3) = 15.73, p = .0012. “Older” surgeons focused significantly more on residency issues (60% versus 42%, respectively), while “Young” surgeons focused significantly more on business and practice issues (30% versus 14%, respectively). Conclusions Young and older surgeons’ perceptions of general surgery residents’ readiness to practice independently after completion of general surgery residency differ significantly. Future work should focus on determination of specific efforts to improve the transition to independent surgery practice for the general surgery resident.
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ABSTRACT: The transition from registered nurse (RN) to nurse practitioner (NP) is often a stressful career change. Data are lacking on the factors affecting NP role transition. This study examined the relationships between NP role transition, prior RN experience, and a formal orientation. From a sample of 352 NPs, only a formal orientation contributed significantly to the regression model, indicating a positive relationship with NP role transition (β = 6.24, P < .001). Knowledge of the factors that explain NP role transition is important to inform the discipline how best to support NPs during entry into practice.
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