Expanding a Transition-to-Practice Program Into a Rural Residency

Barnacle, Mykell; Steen, Debra; Peltier, Allison; Saarinen, Heidi; Gross, Dean; Erickson, Christie Ehle; Hohman, Adam; Bohnsack, Dani

doi:10.1016/j.nurpra.2021.04.005

Cited by 4 publications

(28 citation statements)

References 14 publications

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“…Existing literature demonstrates the benefits of work environments that facilitate professional collaboration to enhance job satisfaction and retention rates (Spetz et al, 2017). Previous evidence supports that relationships with specialists are particularly vital for rural clinicians while acknowledging that networking opportunities are often limited (Barnacle et al, 2021). Rural NP participants in this study indicated a desire for more networking opportunities.…”

Section: Discussionmentioning

confidence: 59%

“…Current literature demonstrates that rural NPs commonly experience feelings of isolation and anxiety. Such feelings are often related to the remoteness of their rural location where they frequently serve as the only health care provider in the community, managing both primary care https://doi.org/10.14574/ojrnhc.v24i1.753 and emergency situations (Barnacle et al, 2021;Spetz et al, 2017). Rural NP participants in this study identified similar challenges due to seclusion and the added responsibility of being the sole provider.…”

Section: Discussionmentioning

confidence: 81%

“…There are programs and residencies aimed at encouraging rural NP practice and supporting the transition from education to practice (Barnacle et al, 2021;Gibson et al, 2021). Additional research should be undertaken to examine existing programs, determine their efficacy, compare outcomes, and establish best practice.…”

Section: Discussionmentioning

confidence: 99%

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Rural Nurse Practitioner Workforce Issues: Rural RNs as Potential Untapped Resource

Prengaman,

Roux

2024

OJRNHC

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The aim of this study was to examine rural nurse practitioner (NP) workforce issues and explore practicing rural registered nurses (RNs) as a potential untapped resource to address the rural primary care provider shortage. Sample:A purposeful and snowball sample of rural RNs, rural nurse practitioners, critical access hospital (CAH) administrators, and rural community residents from diverse geographical areas of Idaho, a rural, Western state, was utilized as the source of data.Methods: Twenty qualitative, semi-structured interviews were conducted, recorded, and transcribed verbatim. Transcript content was then analyzed for major thematic identification.Findings: Four major themes were identified through the data analysis process. "Need exists", "Money matters", "Relationships", and "It's just you" were the four major themes illustrated throughout the interview transcripts. Conclusions:Knowledge achieved from this study may be utilized to enhance supports and address barriers cited by rural RNs when considering pursuit of advanced degrees. Likewise, those factors identified by nurse practitioners as positive and challenging aspects of rural practice may

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 81%

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Rural Nurse Practitioner Workforce Issues: Rural RNs as Potential Untapped Resource

Prengaman,

Roux

2024

OJRNHC

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“…Concerns about resources in the community and referral outside of it may also discourage APRNs from taking positions in rural communities or inhibit their retention within them. For those with limited experience in independent practice and those without structured residency programs, building confidence and expertise in rural community practice may be challenging 17-20. Although research exploring the most effective means of supporting the APRN's transition to rural practice is limited, several factors that influence recruitment to and retention of APRNs in rural communities have been identified; such factors include completion of at least one educational clinical experience in a rural setting, a strong professional network or mentor, and job satisfaction 21…”

Section: The Triad Of Challengesmentioning

confidence: 99%

Designing an impactful APRN residency program for rural communities

Stiesmeyer,

Lundin,

Galves

et al. 2024

The Nurse Practitioner

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The largest healthcare system in New Mexico, in collaboration with the University of New Mexico College of Nursing, identified an opportunity to increase and retain the number of family practice NPs and certified nurse midwives in rural communities by creating an immersive 1-year rural residency program for newly graduated advanced practice registered nurses (APRNs). This article describes the journey to design this program and build its infrastructure with the aim of addressing the needs of both APRNs during their transition to practice and patients in rural areas, while providing a return on the healthcare system's business investment. Program results are also reported. Program funding was provided by a Health Resources and Services Administration grant, the Presbyterian Healthcare Services executive team, and the Presbyterian Healthcare Foundation.

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“…Horner (2017) used two definitions on mentoring: (1) "it is a dynamic relationship between a mentor and a mentee to encourage personal development and give back to a profession" (Hayes, 2005) and ( 2) "it is a process designed to bridge the gap between the educational process and the real-world experience" (Barker, 2006). Leung et al (2012) used the definition of mentoring by the Canadian Nurses Association Hooge et al, 2022;Horner, 2017;Leung et al, 2012;Moss, 2022).…”

Section: Referencesmentioning

confidence: 99%

Characteristics and effectiveness of mentoring programmes for specialized and advanced practice nurses: A systematic review

Vlerick,

Kinnaer,

Delbaere

et al. 2023

Journal of Advanced Nursing

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Aims(1) To identify, evaluate and summarize evidence about the objectives and characteristics of mentoring programmes for specialized nurses (SNs) or nurse navigators (NNs) and advanced practice nurses (APNs) and (2) to identify the effectiveness of these programmes.DesignA systematic review based on PRISMA guidelines.Data SourcesFrom November 2022 until 7 December 2022, four databases were searched: PubMed, EMBASE, CINAHL and The Cochrane Library.Review MethodsStudy selection was performed independently by two researchers. Disagreements were discussed until consensus was reached. Data extraction was undertaken for included studies. Data synthesis was conducted using narrative analysis. Quality appraisal was performed using the Critical Appraisal Skill Programme (CASP) and Mixed Methods Appraisal Tool (MMAT).ResultsTwelve articles were included, all of which focused on mentoring programmes for APNs. Different forms of mentorship (e.g. (in)formal mentorship, work shadowing, workshops) were reported. Studies reported positive outcomes on job retention (n = 5), job satisfaction (n = 6), skills improvement (n = 7), satisfaction with the programme (n = 7) and confidence improvement (n = 4) among participants of mentoring programmes.ConclusionThere is a lack of uniformity and consistency in various elements of mentoring programmes. Further research is needed to develop mentoring programmes for both APNs and SNs/NNs in a systematic and theoretically underpinned manner. It is necessary to establish a thorough evaluation methodology, preferably using a mixed methods design that includes both a qualitative process evaluation and a comprehensive outcome evaluation using validated questionnaires, taking into account the NN/APN, the interprofessional team and organizational level.ImpactThe synthesis of evidence may be useful to organizations developing and implementing mentoring programmes for both SN/NN and APN. The development of a mentoring programme for nursing experts should be considered a complex intervention that requires theoretical frameworks and contextual considerations.No Patient or Public ContributionNot applicable, as no patients or public were involved.

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Expanding a Transition-to-Practice Program Into a Rural Residency

Cited by 4 publications

References 14 publications

Rural Nurse Practitioner Workforce Issues: Rural RNs as Potential Untapped Resource

Rural Nurse Practitioner Workforce Issues: Rural RNs as Potential Untapped Resource

Designing an impactful APRN residency program for rural communities

Characteristics and effectiveness of mentoring programmes for specialized and advanced practice nurses: A systematic review

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