Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction

Bush, Tom; Lowery, Bobby

doi:10.1016/j.nurpra.2015.11.018

Cited by 44 publications

(51 citation statements)

References 23 publications

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“…US studies continue to add the most in terms of volume to the body of literature (Athey et al. ; Bae ; Bumbach & Weber ; Bush & Lowery ; De Milt et al. ; Faris et al.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Little is known as to whether NP/APNs' satisfaction and dissatisfaction is similar in all countries or between developed and developing nations. US studies continue to add the most in terms of volume to the body of literature (Athey et al 2015;Bae 2016;Bumbach & Weber 2014;Bush & Lowery 2016;De Milt et al 2011;Faris et al 2010;Goolsby 2011;Judge et al 2016;Pasar on 2012;Shea 2015). For instance, Shea used grounded theory to describe that NPs held holistic care as the foundation of their work.…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

An examination of advanced practice nurses’ job satisfaction internationally

Steinke

Rogers

Lehwaldt

et al. 2017

International Nursing Review

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“…US studies continue to add the most in terms of volume to the body of literature (Athey et al. ; Bae ; Bumbach & Weber ; Bush & Lowery ; De Milt et al. ; Faris et al.…”

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

An examination of advanced practice nurses’ job satisfaction internationally

Steinke

Rogers

Lehwaldt

et al. 2017

International Nursing Review

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“…CHCI's internal data tracking of all 46 of the NPs who have completed the residency as of 2015 confirms that 91% are practicing as primary care providers, and 86% are practicing in FQHCs. Although data from a recent study indicate that postgraduate NP education is associated with higher job satisfaction, [52] we do not know whether or how our study's outcomes factor into job satisfaction. Second, can we measure the NP Residents' progress objectively, particularly in terms of competency assessment?…”

Section: Resultsmentioning

confidence: 70%

Thematic elements of the postgraduate NP residency year and transition to the primary care provider role in a Federally Qualified Health Center

Flinter

Hart

2016

JNEP

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Background/Objective: Although the literature supports that nurse practitioners provide quality primary care resulting in excellent outcomes, the transition from nurse pracitioner education to practice is often difficult. Postgraduate residency programs have been suggested to help new nurse practitioners successfully transition, and studies indicate that most new nurse practitioners are interested in postgraduate residencies; however, little is known about how residencies facilitate transitioning. We sought to understand the experience of nurse practitioners in a residency program in the United States and how the program facilitated their transition to the role of primary care provider. Methods: Reflective journals of 24 Residents who completed the first primary care nurse practitioner residency in the United States were analyzed using Content Analysis. Results: Four to nine themes for each month and one theme for each yearly quarter were identified. Residents went from feeling shocked and overwhelmed to becoming confident, competent primary care providers, committed to underserved populations. Transitioning conditions (e.g., on-call experience) and specific facilitators (e.g., engaged preceptors) and stressors (e.g., managing chronic pain and reqests for opioids) that impacted their transition were also identified. Conclusions: The findings are significant as the United States addresses the shortage of primary care providers and models for postgraduate residencies and fellowships for nurse practitioners and other advanced practice registerered nurses emerge. The findings also represent the first qualitative data that reflect the experience of nurse practitioner Residents and provide rich insight into the overall experience of a one year residency, as well as facilitating and stressful factors. Organizations that are developing or refining nurse practitioner residencies or fellowships should consider these findings and discuss ways to address them with both nurse practitioner Residents and preceptors, as well as program and organizational leadership.

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“…Finally, broader studies on NP role transition may also offer tools for measuring variables of importance to the science on new graduate NPs. Previous researchers identified links between postgraduate education and NP job satisfaction using the Misener Nurse Practitioner Job Satisfaction Scale and linked a formal orientation to improved role transition among NPs using the NPRTS . Organizational support was associated with improved role transition as measured by a modified Casey‐Fink Graduate Nurse Experience Survey .…”

Section: Discussionmentioning

confidence: 99%

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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Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction

Abstract: Problem Statement: Programs to facilitate Nurse Practitioner (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.

Cited by 44 publications

References 23 publications

An examination of advanced practice nurses’ job satisfaction internationally

An examination of advanced practice nurses’ job satisfaction internationally

Thematic elements of the postgraduate NP residency year and transition to the primary care provider role in a Federally Qualified Health Center

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

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