Postgraduate Nurse Practitioner Training

Bush, Tom

doi:10.1097/nna.0000000000000138

Cited by 20 publications

(8 citation statements)

References 4 publications

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“…Programs to facilitate NP transition to practice have been developed at public and private institutions across the US and there is no published evidence of their influence on NP job satisfaction, clinical competency or patient satisfaction (Bush, 2014). Advanced practice nursing degree programs provide adequate didactic information and clinical experience for entry into practice as a novice clinician.…”

Section: Problem Statement and Rationalementioning

confidence: 99%

Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction

Bush¹,

Lowery²

2016

The Journal for Nurse Practitioners

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Section: Problem Statement and Rationalementioning

confidence: 99%

Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction

Bush¹,

Lowery²

2016

The Journal for Nurse Practitioners

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“…Ineffective adjustment in professional identity can impact self-confidence, impair development of the new role, and influence decisions to remain in the job and in the profession within the first year of clinical practice for new NPs. [4] Thus, additional focused educational opportunities to supplement the training phase of their graduate education have been established to better prepare student NPs and consequently enhance this transition phase so that newly licensed NPs can deliver high-quality, safe patient care sooner after obtaining their advanced practice license. At a time when health care is rapidly evolving, it is critical that NPs are reliable, competent professionals.…”

Section: Introductionmentioning

confidence: 99%

Nurse practitioners: Developing the next generation of health care leaders through an internship program

Twine¹,

Fontenot²,

Sam³

2017

JNEP

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The current health care environment demands competent providers who possess advanced knowledge and skills necessary to care for an increasingly acute patient population. Nurse Practitioners (NPs) are uniquely positioned to meet the challenges of today's health care climate because they blend their ability to treat illness with a strong emphasis on patient safety and outcomes while providing patient-and family-centered care. The role of the NP requires sophisticated clinical and critical thinking skills that foster the ability to synthesize theoretical, scientific, and contemporary clinical knowledge for the assessment and management of both healthy and illness states. It is crucial that NPs possess advanced skills to provide safe and effective patient care outcomes. The literature suggests that there is a transition period after graduation for novice NPs. Developing additional focused educational opportunities to supplement the training phase of their graduate education can better prepare student NPs and consequently enhance this transition phase. As a result, newly licensed NPs can deliver high-quality, safe patient care sooner after obtaining their advanced practice license. At a time when health care reform is rapidly evolving, it is critical that NPs are reliable, competent professionals. Houston Methodist Hospital created an employment-based educational opportunity for elite graduate NP students: Leading Education and Advancing Professionals (LEAP). This 12-month program is a structured evidence-based internship program that incorporates didactic training, clinical rotations, and simulation. Students are provided hands-on training that features interdisciplinary and collaborative care model components from experienced Houston Methodist NPs. The goal is to help develop the next generation of health care providers in which the expectation is to lead and not follow in meeting today's health care challenges. The aim of this article is to present an overview of the LEAP program.

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“…Ensuring public safety has traditionally been met in medicine and nursing through the development of accredited, evidence-based training methods and subspecialty certifications (American Nurses Credentialing Center [ANCC], 2017; Styles, Schumann, Bickford, & White, 2008;Ziem, 1977). Development of evidence-based postgraduate NP specialty training and evaluation methods ensuring patient safety has not kept pace with the increased demands for ONP care as well as subspecialty NP practice in general (Benham, & Geier, 2014;Bush, 2014;Day, Boden, Knott, O'Rourke, & Yang, 2016;Sciacca, & Reville, 2016). Additionally, the utilization of subspecialty NPs has grown faster than the NP profession's ability to standardize and regulate subspecialty NP practices through the certification and accreditation process (Coombs, 2015).…”

Section: Statement Of the Problemmentioning

confidence: 99%

“…Fairman's historical analysis included an examination of the healthcare provider environment that included the context in which the NP movement emerged, how large social and political movements influenced it, and how it contributed to the changing understanding of what constituted medical care. While much is known about the 50-year evolution and utilization of the NP role (Fairman, 2008) and the reported effectiveness of APRN's roles in providing high quality and cost effective patient care (Donald et al, 2015;Newhouse, Stanik-Hutt et al, 2011), there is limited information about ONP utilization or levels of preparedness and competencies required of the ONP to provide quality, safe, and competent care (Benham & Geier, 2014;Day et al, 2016;Bush, 2014;Sciacca, & Reville, 2016). To highlight this point, the National Association of Orthopedic Nurses' (NAON; 2017) current strategic plan identifies development of APRN competencies as an objective to be accomplished between 2018 and 2019.…”

Section: Department Of Health and Human Services Health Resources Anmentioning

confidence: 99%

“…Sciacca and Reville's findings identified a need for consensus on definitions, theoretical frameworks, methods for evaluating and assessing capabilities, and competencies of PTP graduates. Bush (2014) suggested a gap in the literature existed in identifying models to guide the transition and development of NPs into new roles and clinical setting. Further, Bush suggested nurse executives be a part of the solution by "standardizing the content of programs, objectives and clinical outcomes across hospital settings" (p. 626).…”

Section: Competencies and Competency-assessment Measures Formentioning

confidence: 99%

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Orthopedic Nurse Practitioner as a Subspecialty: A Case Study

Palmer¹

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Purpose:The overall purpose of this study was to describe the ONP role by exploring how and why NPs are utilized in orthopedic health care settings. Two problems associated with the evolving ONP role were addressed: the concomitant decrease in the supply of and increased demand for orthopedic patient care services and the nursing profession's unmet challenge to keep pace with that increased demand and protection of the public and nursing profession through credentialing of ONPs and programs providing certification and training for ONPs. Approach:This study employed a single-embedded case study research approach to answer the research questions and interpret the results through analysis of interview data, participant observations, and document surveys. Findings and Conclusions: The analysis of the ONP role through the lens of Style's conceptual model, Nursing as a Social System, and the PEPPA-Plus framework revealed the ONP role lacks the maturity required for long-term sustainability, thereby threatening the viability of the role. Highly specialized knowledge and skill are required for the ONP role and currently the means for supplying adequately trained and/or experienced ONP job applicants is ineffective. The development of the ONP role is contingent upon trusting professional relationships with individuals or groups of orthopedic surgeons, a necessary component of the ONP role. The highly specialized ONP role varies significantly from the general NP role in which it emerged suggesting new methods for training and evaluation may be indicated. Lastly, environmental conditions contribute to the decisions by orthopedic surgeons and health care organizations to employ ONPs. This study identified environmental conditions consistent with those in both Style's and the PEPPA-Plus models suggesting these models are useful frameworks for ONP-role analysis.

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Postgraduate Nurse Practitioner Training

Cited by 20 publications

References 4 publications

Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction

Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction

Nurse practitioners: Developing the next generation of health care leaders through an internship program

Orthopedic Nurse Practitioner as a Subspecialty: A Case Study

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