A Game Changer: Adult-Geriatric Acute Care Nurse Practitioner Fellowship for the Veterans Health Administration.

IF 0.2 Q4 NURSING
Karen Scaglione, Vanessa Loyd
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Abstract

Background: Nurse practitioner (NP) fellowship programs assist the novice NP in transitioning to advanced practice while emphasizing building confidence and competence. The Veteran's Health Administration (VHA) offers an NP primary care fellowship program. The purpose of this project was to develop an acute care transition to practice fellowship program at a Midwestern VHA hospital.

Methods: A prospective, descriptive design utilizing a convenience sample of senior adult-geriatric nurse practitioner (AGNP) students during a pilot study of an acute care fellowship program. Outcome measures included evaluation of skills interpreting electrocardiograms (ECG), chest x-rays (CXR), and self-reported confidence in performing these skills over the initial 6-week period of the 12-month program.

Results: There were three participants (N = 3, 100%). There was a 33% increase in self-reported confidence of readiness to practice at completion of the pilot. However, ECG scores decreased 66% and CXR interpretation scores decreased 33%.

Implications for nursing: Despite training and targeted clinical experiences in ECG and CXR interpretations during an acute care fellowship, competence in these skills decreased while self-reported confidence increased at the end of 6 weeks. Continued education and training throughout the 12-month program is recommended to increase the novice NP's competence in these skills while transitioning to their new role.

Objective: To provide an acute care fellowship to facilitate with transition into advanced practice while increasing confidence and competence in the novice NP.

Conclusion: The novice NP may benefit from an NP fellowship program.

改变游戏规则:退伍军人健康管理局成人-老年急症护理执业护士奖学金。
背景:执业护师(NP)研究金计划帮助新手护师过渡到高级实践,同时强调建立信心和能力。退伍军人健康管理局(VHA)提供了一个初级护理护士奖学金项目。本项目的目的是在美国中西部的一家退伍军人健康管理局医院制定一项急症护理过渡到实践的研究金计划:方法:采用前瞻性、描述性设计,在急症护理研究金项目试点研究期间,对成人-老年护理执业医师(AGNP)高年级学生进行方便抽样调查。结果测量包括对心电图(ECG)、胸部 X 光片(CXR)解读技能的评估,以及在为期 12 个月的课程中最初 6 周内自我报告对执行这些技能的信心:共有三名参与者(N = 3,100%)。在试点项目结束时,自我报告的实践准备信心提高了 33%。然而,心电图得分下降了 66%,CXR 解读得分下降了 33%:对护理工作的启示:尽管在急症护理研究班期间进行了心电图和心血管造影解读方面的培训并获得了有针对性的临床经验,但在 6 周结束时,这些技能的能力有所下降,而自我报告的信心有所提高。建议在为期 12 个月的项目中持续开展教育和培训,以提高新手护士在过渡到新角色时掌握这些技能的能力:目的:提供急症护理奖学金,以促进向高级实践的过渡,同时增强新手护士的信心和能力:新手护士可能会从新手护士奖学金计划中受益。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
45
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