Evaluation of Veterans Affairs primary care nurse practitioner residency: Achievement of competencies

Rugen, Kathryn Wirtz; Dolansky, Mary A.; Dulay, Maya; King, Samuel; Harada, Nancy D.

doi:10.1016/j.outlook.2017.06.004

Cited by 32 publications

(40 citation statements)

References 14 publications

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“…Table details the characteristics of the included studies. Four articles representing three studies examined fellowship program interventions and one considered a webinar intervention . Sample sizes ranged from 7 to 36 .…”

Section: Resultsmentioning

confidence: 99%

“…Four articles representing three studies examined fellowship program interventions and one considered a webinar intervention . Sample sizes ranged from 7 to 36 . Two studies implemented the intervention at single sites while one study described in two articles implemented the intervention at multiple sites.…”

Section: Resultsmentioning

confidence: 99%

“…Four articles described three fellowship program interventions. Three studies focused on fellowship programs for new graduate NPs in primary care settings. Fellowship programs were designed to transition new graduate NPs from academic settings into their professional roles.…”

Section: Resultsmentioning

confidence: 99%

“…Nurse practitioners’ perceptions were identified via content analysis of reflective journals, open‐ended survey questions, and semi‐structured interviews . Rugen et al, however, developed a competency measurement tool and had both new NPs and their mentors rate the NP's competence at the beginning of the program, after 6 months, and at the program's conclusion. Both NPs and their mentors rated competencies as improving overtime in seven competency domains: clinical, leadership, interprofessional team collaboration, patient‐centered care, shared decision‐making, sustained relationships, and performance improvement.…”

Section: Resultsmentioning

confidence: 99%

“…25 Sample sizes ranged from 7 24 to 36. 22,23 Two studies implemented the intervention at single sites 10,24 while one study described in two | 559 articles 22,23 implemented the intervention at multiple sites. Practice environments included six Veterans Administration (VA) primary care sites and one primary care federally qualified health care center.…”

Section: Resultsmentioning

confidence: 99%

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Strategies to promote the professional transition of new graduate nurse practitioners: A systematic review

et al. 2019

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New graduate nurse practitioner (NP) postgraduate support programs and interventions have proliferated, sparking controversy. The Institute of Medicine/National Academy of Medicine recommends residency programs for new graduate NPs; however, the NP community debates whether new graduate NPs need additional training and whether such training compromises patient access to care. This systematic review aimed to synthesize evidence regarding the effectiveness of interventions and strategies to promote the professional transition of new graduate NPs. Interventions identified in the current literature included fellowship programs and a webinar. Strategies included mentorship, experiential learning, interprofessional training, and professional socialization. The studies reviewed primarily evaluated NPs’ perceptions of the interventions’ effects on their professional transitions. The findings from this systematic review highlight challenges in evidencing postgraduate support programs. The small number of available studies underscores a critical problem for the NP community: additional evidence is needed to inform whether and how to support new graduate NPs as they transition to practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Strategies to promote the professional transition of new graduate nurse practitioners: A systematic review

et al. 2019

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Core Curriculum to Facilitate the Expansion of a Rheumatology Practice to Include Nurse Practitioners and Physician Assistants

Smith

Bolster

Slusher

et al. 2018

Arthritis Care & Research

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Exploring a pilot alcohol and other drug (AOD) nurse practitioner mentoring program: Empirical research mixed methods

Searby,

Burr,

Blums

et al. 2024

Nursing Open

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AimTo explore the effectiveness and acceptability of a pilot mentoring program for alcohol and other drug (AOD) nurse practitioners (also known globally as addiction nurse practitioners).DesignMixed method evaluation.MethodsTwo‐phase evaluation comprising survey (demographics, pre‐ and post‐program perceived competency and confidence) with 15 participants completing the pre survey and 10 participants completing the post survey, and qualitative interviews after the program with 10 participants.ResultsThe quantitative results indicate statistically significant increases in some domains of perceived competence and confidence in treatment. Qualitative findings indicate that participants valued peer support and mentoring from experienced nurse practitioners. Where formal residency or internship programs for nurse practitioners do not exist, informal mentoring programs may address issues inherent in nurse practitioner transition that may impact retention. We recommend further exploration of mentoring programs with larger sample sizes to determine if self‐reported clinical improvements are noted.Implications for Profession and/or Patient CareNurse practitioners are a vital part of the healthcare system; their advanced skills and knowledge place them in an ideal position to address prescriber shortages and access to care for populations underserved by healthcare. However, literature indicates that they are often underutilised, and transition to autonomous practice remains a challenge. Our exploration of a pilot mentoring program for nurse practitioners shows that their knowledge and perceived skills are high, yet peer assistance is valued in transitioning from advanced practice registered nurse to autonomous nurse practitioner. We recommend further trialling and evaluation of nurse practitioner mentoring programs to both increase supply of nurse practitioners and provide greater access to quality healthcare for underserved populations.ImpactWhat problem did the study address?The ability of nurse practitioners to offer advanced practice interventions such as diagnosis and medication management potentially provides a solution to healthcare resource shortages. However, current literature indicates that advanced nurses transitioning to nurse practitioner roles suffer transition shock, leading to burnout and poor retention.What were the main findings?Although this pilot mentoring program shows significant improvements in survey responses on confidence and capability, qualitative data shows that neophyte nurse practitioners value peer support and mentoring from more experienced practitioners. Participants described maintaining ongoing connections with both mentors and fellow mentees, which aided transition to the role of autonomous nurse practitioner.Where and on whom will the research have an impact?The results of this pilot mentoring program indicate that there is benefit to these programs for neophyte nurse practitioners in many specialties. This paper indicates that mentoring programs for nurse practitioners may provide a community of practice and may have a positive impact on transition shock.Reporting MethodGood Reporting of a Mixed Methods Study (GRAMMS) checklist.Patient or Public ContributionNo patient or public contribution.

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Evaluation of Veterans Affairs primary care nurse practitioner residency: Achievement of competencies

Cited by 32 publications

References 14 publications

Strategies to promote the professional transition of new graduate nurse practitioners: A systematic review

Strategies to promote the professional transition of new graduate nurse practitioners: A systematic review

Core Curriculum to Facilitate the Expansion of a Rheumatology Practice to Include Nurse Practitioners and Physician Assistants

Exploring a pilot alcohol and other drug (AOD) nurse practitioner mentoring program: Empirical research mixed methods

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