Establishing Organizational Support for Nurse Practitioner/Physician Assistant Transition to Practice Programs

Erickson, Christie Ehle; Steen, Debra; French-Baker, Karla; Ash, Laurel

doi:10.1016/j.nurpra.2020.11.018

Cited by 11 publications

(17 citation statements)

References 10 publications

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“…Pittman et al (2021) interviewed CHC leaders and found higher productivity among PAs and NPs in CHCs that offered dedicated time for onboarding and structured education programs. Also, Erickson et al (2021) published a description of a primary care onboarding program that demonstrated positive outcomes among PAs and NPs, including increased engagement, decreased turnover, and higher clinical productivity. The growing evidence of positive outcomes from onboarding has revealed the paucity of data describing which specific onboarding program strategies have been successful.…”

Section: Introductionmentioning

confidence: 99%

“…A successful onboarding program also has the potential to help new hires find meaning in their work, improve role clarity, self-efficacy, and perceived fit (Bauer, 2021). Within health care organizations, several researchers have found initial positive outcomes from implementation of their onboarding programs (Chaney et al, 2021; Erickson et al, 2021). Pittman et al (2021) interviewed CHC leaders and found higher productivity among PAs and NPs in CHCs that offered dedicated time for onboarding and structured education programs.…”

Section: Introductionmentioning

confidence: 99%

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Physician assistant and nurse practitioner onboarding in primary care: The participant perspective

Pate

Barnes

Batchelder

et al. 2023

J Am Assoc Nurse Pract

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Background: Many new graduate primary care physician assistants (PAs) and nurse practitioners (NPs) can experience stress and difficulty as they transition to practice. Feelings of anxiety and role ambiguity are common and can lead to costly turnover, impact care continuity, and place patients at risk for poor clinical outcomes. Onboarding, the process of helping new hires adjust to social and performance aspects of their new job and has the potential to ease transition to practice for PAs and NPs. Recent research has linked PA/NP onboarding programs to increased engagement, decreased turnover, and higher clinical productivity. Purpose: To describe new graduate PA and NP perspectives of onboarding programs they completed in their first primary care position. Methodology: Thirteen semistructured interviews were conducted with new graduate PAs and NPs who participated in onboarding programs. Interviews were transcribed and then analyzed using an inductive coding methodology. Results: Analyses revealed nine thematic concepts that are described within two frameworks. Structural components include improving competence, training on the electronic health record, promoting mentorship, orienting to organizational dynamics, tailoring ramp-up of patient scheduling, clarifying expectations, and providing clear organizational support. Psychosocial factors include creating comfort and building self-confidence. Conclusion: Understanding participants' experiences with onboarding programs is essential for ensuring successful transition to practice for new graduate PAs and NPs. Implications: These findings are beneficial to the health care workforce. Administrators can incorporate these findings into existing and future programs, and new graduate PAs and NPs can negotiate for the inclusion of these components in their first position.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physician assistant and nurse practitioner onboarding in primary care: The participant perspective

Pate

Barnes

Batchelder

et al. 2023

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

show abstract

“…17 Also, Erickson and colleagues published a description of a primary care onboarding program that demonstrated positive outcomes among PAs and NPs, including increased engagement, reduced turnover, and higher clinical productivity. 16 The growing evidence of positive outcomes from onboarding has revealed the paucity of data describing which specifi c onboarding program strategies have been successful. This study aims to describe these strategies from the participant perspective.…”

mentioning

confidence: 99%

“…Pittman and colleagues interviewed CHC leaders and found higher productivity among PAs and NPs in CHCs that offered dedicated time for onboarding and structured education programs 17. Also, Erickson and colleagues published a description of a primary care onboarding program that demonstrated positive outcomes among PAs and NPs, including increased engagement, reduced turnover, and higher clinical productivity 16. The growing evidence of positive outcomes from onboarding has revealed the paucity of data describing which specific onboarding program strategies have been successful.…”

mentioning

confidence: 99%

“…A successful onboarding program also has the potential to help new hires find meaning in their work and improve role clarity, self-efficacy, and perceived fit 14. Several researchers have found initial positive outcomes from healthcare organizations' implementation of onboarding programs 15,16. Pittman and colleagues interviewed CHC leaders and found higher productivity among PAs and NPs in CHCs that offered dedicated time for onboarding and structured education programs 17.…”

mentioning

confidence: 99%

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PA and NP onboarding in primary care

Pate

Barnes²,

Batchelder³

et al. 2023

Jaapa

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Objective:To describe new graduate physician associate/assistant (PA) and NP perspectives of onboarding programs in their first primary care position.Methods:Thirteen semistructured interviews were conducted with new graduate PAs and NPs who participated in onboarding programs. Interviews were transcribed and then analyzed using an inductive coding methodology.Results:Analyses revealed nine thematic concepts that are described in two frameworks. Structural components are improving competence, training on the electronic health record (EHR), promoting mentorship, orienting to organizational dynamics, tailoring ramp-up of patient scheduling, clarifying expectations, and providing clear organizational support. Psychosocial factors are creating comfort and building self-confidence.Discussion:The results describe and delineate important components for onboarding that administrators can incorporate into existing and future programs.Conclusion:Understanding participants' experiences with onboarding programs is essential for ensuring successful transition to practice for new graduate PAs and NPs.

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Virtual prenatal care: A systematic review of pregnant women's and healthcare professionals' experiences, needs, and preferences for quality care

Ghimire¹,

Martínez²,

Hartvigsen³

et al. 2023

International Journal of Medical Informatics

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Establishing Organizational Support for Nurse Practitioner/Physician Assistant Transition to Practice Programs

Cited by 11 publications

References 10 publications

Physician assistant and nurse practitioner onboarding in primary care: The participant perspective

Physician assistant and nurse practitioner onboarding in primary care: The participant perspective

PA and NP onboarding in primary care

Virtual prenatal care: A systematic review of pregnant women's and healthcare professionals' experiences, needs, and preferences for quality care

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