Communication, leadership and organizational support facilitate successful transition into practice for nurse practitioners in the emergency department

Abstract

Background: Postgraduate programs, specialized academic programs, and national health organizations such as the Institute of Medicine (IOM) have identified and begun addressing the gap in knowledge, skills, and factors for successful transition into practice. Purpose: The purpose of this study is to examine the relationships and differences among the personal and community resources that promote successful transition for nurse practitioners (NP) who practice in the emergency department (ED) and the skills or procedures they find difficult to perform independently. Methods: A descriptive, correlational, comparative study design was conducted using an online survey administered to a convenience sample of NPs with 6 months to 5 years of experience as an NP. Results: Findings from this study identified factors associated with successful and unsuccessful transition into practice and help support positive outcomes for health care institutions, ED patients, and NPs practicing in this specialty area. Implications for practice: Support in transition recognizes recommendations set by health care organizations in promoting professional development, safe clinical practice, job satisfaction, and retention. Further study will provide clarity in financial gains and improved patient health outcomes during a time in which complex disease processes and provider shortages continue to weigh heavily on society.

Effect of Positive Workplace Gossip on Employee Silence: Psychological Safety as Mediator and Promotion-Focused as Moderator

“…Therefore, positive workplace gossip can effectively inhibit indifferent silence due to any negative attitudes towards the organization. Finally, positive workplace gossip of the organization enhances the positive interaction between members, such as effective communication, as well as mutual respect and support [38,39]. This promotes the harmonious interpersonal relationship among members [5], thus reducing defensive silence.…”

Promoción De Transiciones De Rol Exitosas De Enfermero a Enfermero De Práctica Avanzada

“…Los obstáculos extrínsecos más citados por los EPAs novatos fueron la negatividad de los compañeros o la falta de comprensión del rol de EPA [34][35] . Luchar por identificarse como enfermero avanzado en el nuevo rol mientras se intenta fusionar los roles de médico y de enfermero conlleva a límites poco claros y confusión de identidad 9 .…”

“…Luchar por identificarse como enfermero avanzado en el nuevo rol mientras se intenta fusionar los roles de médico y de enfermero conlleva a límites poco claros y confusión de identidad 9 . Una mayor comprensión por parte de colegas y empleadores en lo que se refiere a la transición ininterrumpida de roles de los nuevos EPAs puede facilitar relaciones más positivas y menos críticas a medida que los EPAs crecen y asumen sus nuevas responsabilidades 5,30,[35][36] .…”

Facilitating Successful Role Transitions From Registered Nurse to Nurse Practitioner

“…The most frequently cited extrinsic obstacles reported by novice NPs were colleagues' negativity or lack of understanding of the NP role [34][35] . Struggling to identify as an advanced nurse in the new role while trying to merge the roles of nursing and medicine results in unclear boundaries and identity confusion 9 .…”

“…Struggling to identify as an advanced nurse in the new role while trying to merge the roles of nursing and medicine results in unclear boundaries and identity confusion 9 . Greater understanding by colleagues and employers regarding the continued role transition of new NPs may facilitate more positive relationships and less criticism as NPs continue to grow and assume their new responsibilities 5,30,[35][36] .…”