Improving the evaluation of novice advanced practice nurse transition.

IF 1.2 4区 医学
Donna R Wyly
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引用次数: 0

Abstract

Background: Novice advanced practice registered nurses (RNs) experience decreased self-confidence, anxiety, and identity confusion in their first year of practice, which leads to poor job satisfaction and turnover. Advanced practice RN fellowship programs, developed to bridge the gap from the RN to the advanced practice role, lack standardized measures for program evaluation.

Local problem: A large Midwestern pediatric hospital's advanced practice nurse fellowship program lacks a structured program evaluation.

Methods: A quasi-experimental evidence-based improvement project was implemented to evaluate fellowship program outcomes for novice nurse practitioner transition and retention.

Interventions: All novice advanced practice RNs (APRNs) were enrolled in the site's 12-month APRN fellowship program. The transition experiences of enrollees who completed the fellowship program were assessed using the novice nurse practitioner role transition scale. In addition, role transition scores were compared for two subgroups: fellows in acute care and fellows in primary care roles. Fellowship participant retention 1 year after hire was measured.

Results: Postintervention data showed that most fellowship graduates had a positive transition experience as evidenced by at least a 4.33/6.0 mean total novice nurse practitioner role transition score. There was not a statistically significant difference between the transition scores of the acute care fellows and primary care fellows.

Conclusions: The APRN fellowship program was effective in promoting a successful role transition from RN to novice APRN. Similar APRN fellowship programs may benefit from using this tool for program evaluation.

改进对高级实习护士新手过渡的评估。
背景:新手高级执业注册护士(RNs)在执业第一年会出现自信心下降、焦虑和身份混乱等问题,从而导致工作满意度低和人员流失。高级执业注册护士奖学金项目旨在弥补注册护士与高级执业角色之间的差距,但缺乏用于项目评估的标准化措施。当地问题:中西部一家大型儿科医院的高级执业护士奖学金项目缺乏结构化的项目评估:方法:实施一项准实验性循证改进项目,以评估新手执业护士过渡和留任的奖学金项目成果:干预措施:所有高级执业护士(APRN)新手都参加了该机构为期 12 个月的高级执业护士奖学金项目。使用新手执业护士角色转换量表对完成研究金项目的学员的角色转换经历进行评估。此外,还比较了两个分组的角色转换得分:从事急症护理的研究员和从事初级护理的研究员。此外,还对受聘一年后的研究员保留率进行了测量:干预后的数据显示,大多数研究金毕业生都有积极的角色转换经历,新手护士角色转换的平均总分至少为 4.33/6.0。急症护理研究员和初级护理研究员的角色转换得分在统计学上没有显著差异:APRN 研究金项目有效地促进了从 RN 到 APRN 新手的成功角色转换。类似的 APRN 研究金项目可从使用该工具进行项目评估中获益。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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