View Document


Factors Predicting NewNurse Practitioners’ Pursuit of Residency and Whether Residency Predicts the Role Transition of New Nurse Practitioners
Department: Nursing
ResourceLengthWidthThickness
Paper000
Specimen Elements
Pocatello
Unknown to Unknown
M C. Henesh
Idaho State University
Dissertation
No
5/21/2020
digital
City: Pocatello
Doctorate
Purpose:The purpose of this study was to explore role transition experience and related predictors of transition success for adult-gerontology nurse practitioner (AGNP) and family nurse practitioner (FNP) who selected direct entry-to-practice or a postgraduate nurse practitioner residency (NPR).Background:Little is known about the impact of NPRs on the role transition of novice nurse practitioners (NP), but what is known is this role transition is challenging and often results in NPsfeeling frustrated and overwhelmed.Benner’s Novice to Expert Theory and Mezirow’s Transformative Learning Theory guided this study.This study is the first to identify predictor variables regarding seeking or not seeking a residency, and if completing an NPR predicts easier role transition.Methods:A convenience sample of 612 AGNPs and FNPS, referred to as primacy care nurse practitioners (PCNP), who graduated from accredited NP programs between 2007 and 2018 were recruited from targeted social media platforms. Emails were sent to directors of postgraduate NPR programs to bolster NPR respondents. Respondents completed an online survey containing quantitative and qualitative components. Role transition was measured with TheNurse Practitioner Role Transition Scaleand a visual analogue scale containing 14 predictor variables, analyzed using descriptive and nonparametric statistics. Open-ended responses were analyzedandtriangulated with quantitative findings adding to understand role transition.Results:Significant factors were identified predicting one as less or more likely to participate in an NPR. Factors include desire to gain experience and confidence, desire for specialty training, xviiirecognition of a new and challenging role for NPs, and increasing marketability. Factors predicting PCNPs less likely to participate include NPR not discussed during NP program, geographical limitations, and current family or financial obligations. Completion of a postgraduate NPR program did not predict an easier transition. Four themes from qualitative data indicated factors that aid or hinder transition: People resources, educational learning materials, geographical links and financial means.Discussion: Contrary to published literature, this study demonstrated role transition was not eased by participation in an NPR. The qualitative findings mirrored other studies, reflecting NPR participant experience increased confidence and competence. Future studies could broaden the inclusion criteria to include more NP concentrations.Keywords:role transition, hindering factors, motivating factors, nurse practitioner residency, nurse practitioner fellowship, primary care

Factors Predicting NewNurse Practitioners’ Pursuit of Residency and Whether Residency Predicts the Role Transition of New Nurse Practitioners

Necessary Documents

Paper

Document

Information
Paper -Document

2008 - 2016 Informatics Research Institute (IRI)
Version 0.6.1.5 | beta | 6 April 2016

Other Projects