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The purpose of this hermeneutic phenomenology (van Manen, 1990) was to gain insight into the meaning and lived experience of nurse practitioners (NP) with at least one year of work experience regarding their initial transition from new graduate to hospital-based practitioner. This study provided information regarding NP hospital-based transition experience that had not been revealed in the nursing literature. The meaning of transitioning into hospital-based practice was discovered through analysis of nurse practitioner letters and interviews in this phenomenological study. Six themes emerged from this research including: Going from expert RN to novice NP; system integration; "Don't Give Up"; Learning "On the Fly"; They Don't Understand my NP Role; and Succeeding Through Collaboration. Master's prepared, board-certified NPs in North Carolina (NC) with between one and three years of NP practice experience in a hospital setting comprised the population of interest for this study. Twelve participants were purposefully sampled from nine hospitals in NC. Individual, voice-recorded, in-depth, open-ended telephone interviews were conducted with each participant. The majority of the participants indicated a timeframe that ranged from six to 18 months regarding how long it took them to feel more comfortable in their NP role, the lack of comfort was most intense during the first nine months of practice. Participants confronted multiple obstacles and challenges as new NPs. These challenges included navigating and negotiating a new health care provider role; becoming integrated into a hospital system in what was a new role for them and sometimes for the system; learning how to function effectively as a NP while simultaneously working to re-establish themselves as proficient clinicians with a newly expanded practice scope; building key relationships; and educating physicians, hospital leaders, clinical staff, patients, and families about the NP role. This new knowledge demonstrates that although the transition to hospital-based practice for the new NP graduate is individually unique, there are important dimensions of the experience which are universal and should be considered by new NPs, employing hospitals and staff, physicians, and educators. This information can be used to help ensure an ideal transition occurs for the new hospital-based NP.
This book is designed to help APN students and new APNs understand the process of role transition through the exploration of the Concept Analyses for APN Role Transition and Professional Identity. APN role transition from a generalist nurse to a graduate prepared Advanced Practice Nurse (APN) can be a challenging and emotional as the APN student progresses through graduate education, clinical experiences and during the first year of APN clinical practice. Precise steps that individuals can take to gain an in-depth understanding of the development of APN professional Identity through the personal process of role transition are provided. Role transition is complex, this book provides knowledge and skills on four levels of role transition based on the facilitators and barriers of macro, meso, micro, and personal levels. A critical aspect of role transition is gaining a personal insight of one’s identity as person and as professional nurse. Professional identity changes significantly through the graduate education process and first year of clinical practice. This book emphasizes personal introspection and forethought to augment successful APN role transition and personal growth through a series of questions to guide personal thoughts while setting plans for the future as an APN. This unique book allows readers to gain the skills to help them progress through role transition to APN practice through the development of their professional identity by providing activities with journal space within the book. In addition, precise steps for developing a personal role transition plan include a framework to identify personal values, visions, mission, and goal statements. As the reader completes the activities provided throughout the book, they will have a valuable personal resource as they understand their role transition from generalist nurse to the APN role. An enhanced understanding of this role transition will result in a higher of degree of success in defining their personal and professional identity. This volume is intended for students in APN programs, new graduates, nurses changing roles where there is role transition confusion, and APNs seeking to understand their professional identity and /or gain insights into the multiple facets of the APN role.
This research used a qualitative and descriptive phenomenology approach to investigate the firsthand experience of newly certified psychiatric mental health nurse practitioners as they adjusted to their professional duties throughout a timeframe of three months to one year. The lived experiences and perspectives shared by novice psychiatric nurse practitioners provided valuable insights into the phenomenon of role transition. Ten novice psychiatric mental health nurse practitioners participated in this research using a purposive sample. Novice psychiatric mental health nurse practitioners shared their experiences via interviews utilizing an open-ended, face-to-face method with audio and video recordings. The data was then analyzed and categorized into themes using qualitative coding techniques. The research was guided by Meleis transition theory, which explains how individuals transcend from one phase of life to another. The qualitative data analysis approach developed by Colaizzi (as quoted in Creswell, 2013) was used to examine transcripts, identify recurring themes, generate individual statements, and build written structural statements to synthesize the essential aspects and meanings of role transition experiences.
Role Development for the Nurse Practitioner, Third Edition is an integral text that guides students in their transition from the role of registered nurse to nurse practitioner.
Authored by expert simulation researchers, educators, nurse practitioner faculty, and clinicians, A Practical Guide for Nurse Practitioner Faculty Using Simulation in Competency-Based Education looks at topics related to simulation design, development, and implementation for nurse practitioner and other graduate-level nursing programs.
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