Nurse Practitioner Role Transition: A Concept Analysis

Barnes, Hilary

doi:10.1111/nuf.12078

Cited by 102 publications

(102 citation statements)

References 36 publications

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“…[35] our findings reflect that the Residents experienced multiple, mixed emotions as they progressed through the year. Although the residency did not specifically address their emotions, we hypothesize that the act of reflective journaling and interacting with other Residents may have facilitated their working through these emotions.…”

Section: Transition Literaturesupporting

confidence: 51%

“…Specific to the NP transition literature, our findings lend some support to Barnes' concept analysis of NP role transition, which represents the most comprehensive study of NP role transition to date, culminating in the following conceptual definition: [35] "NP role transition is a process consisting of multiple mixed emotions that occurs over time, and is a period of great personal development and learning as the NP takes on new autonomy and responsibility for patients. This process occurs as the new NP moves out of the RN role and absorbs the NP role, and is affected by personal and environmental antecedents, which can lead to a successful or unsuccessful role transition."…”

Section: Transition Literaturementioning

confidence: 77%

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Thematic elements of the postgraduate NP residency year and transition to the primary care provider role in a Federally Qualified Health Center

Flinter

Hart

2016

JNEP

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Background/Objective: Although the literature supports that nurse practitioners provide quality primary care resulting in excellent outcomes, the transition from nurse pracitioner education to practice is often difficult. Postgraduate residency programs have been suggested to help new nurse practitioners successfully transition, and studies indicate that most new nurse practitioners are interested in postgraduate residencies; however, little is known about how residencies facilitate transitioning. We sought to understand the experience of nurse practitioners in a residency program in the United States and how the program facilitated their transition to the role of primary care provider. Methods: Reflective journals of 24 Residents who completed the first primary care nurse practitioner residency in the United States were analyzed using Content Analysis. Results: Four to nine themes for each month and one theme for each yearly quarter were identified. Residents went from feeling shocked and overwhelmed to becoming confident, competent primary care providers, committed to underserved populations. Transitioning conditions (e.g., on-call experience) and specific facilitators (e.g., engaged preceptors) and stressors (e.g., managing chronic pain and reqests for opioids) that impacted their transition were also identified. Conclusions: The findings are significant as the United States addresses the shortage of primary care providers and models for postgraduate residencies and fellowships for nurse practitioners and other advanced practice registerered nurses emerge. The findings also represent the first qualitative data that reflect the experience of nurse practitioner Residents and provide rich insight into the overall experience of a one year residency, as well as facilitating and stressful factors. Organizations that are developing or refining nurse practitioner residencies or fellowships should consider these findings and discuss ways to address them with both nurse practitioner Residents and preceptors, as well as program and organizational leadership.

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Section: Transition Literaturesupporting

confidence: 51%

Section: Transition Literaturementioning

confidence: 77%

Thematic elements of the postgraduate NP residency year and transition to the primary care provider role in a Federally Qualified Health Center

Flinter

Hart

2016

JNEP

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“…This change in professional identity can lead to an individual's loss of confidence, impair role development and affect employment continuity and the decision to remain in the profession within the first year of practice (Cusson & Strange, 2008). Barnes (2014) described four defining attributes of NP role transition; absorption of the role, the shift from provider of care to prescriber of care, straddling two identities, and mixed emotions. Formal mentoring can mitigate many challenges associated with role transition and create positive work conditions that support learning and job retention (Hill & Sawatzky, 2011).…”

Section: Conceptual and Theoretical Frameworkmentioning

confidence: 99%

Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction

Bush¹,

Lowery²

2016

The Journal for Nurse Practitioners

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“…Although APN students may have felt they were at the expert level in their previous nursing role, self-assessment of history-taking skill upon transitioning to the APN role is commonly noted as novice. Beginning students' comments related to their perception of personal interview skills were consistent with Barnes (2014), in that concerns of inadequacy were voiced when considering future transition from team care provider to independent prescriber of care.…”

mentioning

confidence: 75%