Transition to Practice in Ambulatory Care Nursing

Fritz, Elizabeth

doi:10.1097/nnd.0000000000000376

Cited by 3 publications

(8 citation statements)

References 1 publication

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“…Nurses and other clinical staff working in AC settings need the same access to NPD support as hospital-based nurses (Moorer & Kirkley, 2019), yet it is unknown whether NPD practitioners provide the same level of support to nurses in the AC practice setting. There is very little literature about the practice of NPD in outpatient settings, but the sources that tangentially mention this issue (Fritz, 2017a;Moorer & Kirkley, 2019;Warren & Harper, 2017) hint at distinct differences that require adjustments in NPD practice, including a different mix of staff skill levels, different workflows, and different challenges faced in patient care. Research to delineate the NPD role was primarily conducted with hospital-based NPD practitioners (Warren & Harper, 2017).…”

Section: Problem Statementmentioning

confidence: 99%

“…Ambulatory care is a growing nursing specialty practiced in non-acute care settings, including telehealth and virtual patient care environments (American Academy of Ambulatory Care Nursing, 2020). In contrast to the illness focus of acute care nursing (Mason, 2016), AC nursing focuses heavily on prevention, wellness, management of chronic conditions, and population health (Fritz, 2017a;Jessie & Swan, 2017). In her 2016 article, Allen reported that patient care was shifting from inpatient to outpatient settings, thus increasing the need for highly skilled and supported nurses in ambulatory care settings.…”

Section: Ambulatory Care Nursingmentioning

confidence: 99%

“…While nurse residency programs traditionally were reserved for new graduate nurses, recent literature has documented a trend toward expanding residencies to practice transition for experienced nurses who are changing specialties (Warren & Harper, 2017), including entering AC (Fritz, 2017a;Moorer & Kirkley, 2019).…”

Section: Role Developmentmentioning

confidence: 99%

“…Although recent literature indicates NPD practice is expanding in AC, both in numbers of NPD practitioners (Harper, Aucoin, & Warren, 2016) and in scope (Fritz, 2017a), the nuances of how NPD practitioners work in the AC practice setting remain unclear (Fritz, 2018). The lack of literature on NPD practice in AC makes this topic suitable for study using a descriptive phenomenological approach.…”

Section: Significance To Nursing Practicementioning

confidence: 99%

“…Such changes in the environment of AC nursing contribute to an increased need for NPD support (Fritz, 2017a;Moorer & Kirkley, 2019).…”

Section: Chapter 1: Introductionmentioning

confidence: 99%

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Nursing professional development in ambulatory care: what is it?

Fritz¹

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Nursing professional development (NPD) practitioners play an important role in ensuring the quality and safety of nursing care and in guiding nurses through practice transitions. In recent years, an increasing number of NPD practitioners have been employed in ambulatory care settings, yet little is known about how the ambulatory practice setting affects or is affected by NPD practice. The aim of this descriptive phenomenology was to describe how the NPD role is experienced in the ambulatory care setting. Nine NPD practitioners working in ambulatory care were interviewed. Data were analyzed using Priest's method for descriptive phenomenology. Three themes emerged: Features of the ambulatory care setting that affect NPD practice; same, but different; and these are my people. The findings provide a rich description of NPD practice in ambulatory care, with implications for NPD practitioners in ambulatory care and the organizations that employ them. Results from this project will be used to design future research on optimizing NPD practice to improve nursing care in ambulatory settings

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