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The purpose of this hermeneutic phenomenology (van Manen, 1990) was to gain insight into the meaning and lived experience of nurse practitioners (NP) with at least one year of work experience regarding their initial transition from new graduate to hospital-based practitioner. This study provided information regarding NP hospital-based transition experience that had not been revealed in the nursing literature. The meaning of transitioning into hospital-based practice was discovered through analysis of nurse practitioner letters and interviews in this phenomenological study. Six themes emerged from this research including: Going from expert RN to novice NP; system integration; "Don't Give Up"; Learning "On the Fly"; They Don't Understand my NP Role; and Succeeding Through Collaboration.   Master's prepared, board-certified NPs in North Carolina (NC) with between one and three years of NP practice experience in a hospital setting comprised the population of interest for this study. Twelve participants were purposefully sampled from nine hospitals in NC. Individual, voice-recorded, in-depth, open-ended telephone interviews were conducted with each participant.   The majority of the participants indicated a timeframe that ranged from six to 18 months regarding how long it took them to feel more comfortable in their NP role, the lack of comfort was most intense during the first nine months of practice. Participants confronted multiple obstacles and challenges as new NPs. These challenges included navigating and negotiating a new health care provider role; becoming integrated into a hospital system in what was a new role for them and sometimes for the system; learning how to function effectively as a NP while simultaneously working to re-establish themselves as proficient clinicians with a newly expanded practice scope; building key relationships; and educating physicians, hospital leaders, clinical staff, patients, and families about the NP

The role of APRNs continues to expand when current gaps in patient care management and outcomes are identified. Central Arkansas Veteran Healthcare System created the role of Abnormal Radiology Findings APRN with the aim of improving patient outcomes by decreasing the length of time between abnormal radiology findings and decrease of care for our veterans. During the year of research since the advent of this position, the days until decision dropped on average from 38 to 7 demonstrating the efficacy of the role and the ways APRN are well placed within the health care system to provide patient-centered care.

Interesting article on transitioning in the APRN role

This article examines the stressors associated with transitioning into the role of a Nurse Practitioner and benefits of mentorship throughout that transition.

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This article describes feeling like a fraud once in a new role as an advanced practice nurse. It also speaks to how this is a normal feeling and suggests different ways to cope with these feelings to make the transition easier.

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This study reviewed the struggles new APRNs were having when transitioning to new healthcare providers. It discussed the benefits of a formal residency program for new APRNs and used the benefits the programs provided for new MDs to support the findings that these formal residencies could provide for new APRNs.

This articles takes about the importance of a structured residency program for new nurse practitioners. A structured residency program helps to the NP to get acclimated in the new role of being a provider and ensures patients are receiving quality care.

Describes how new advanced practice providers feel as they make the transition from being a student. There's a period called the "impostor phenomenon" where they feel they are not really an advanced practitioner, but simply appear to be one.

This article is about how important it is to articulate your role as a nurse. I love how they explain articulating your role as a nursing competency. I think this is a great article for this class as we learn what the APRN role is and how to articulate it to our inter professional teams. Nurse Educ Pract. 2013 Nov;13(6):519-23. doi: 10.1016/j.nepr.2013.02.014. Epub 2013 Mar 18.

This article looked at the factors that affect the role transition from student to NP. It found a positive relationship when the individual received formal orientation. The study found no difference in those who had prior RN experience and those who did not.

This article discusses the transition from RN to an APRN

This article examines the factors that come into play when transitioning from the RN to APRN role.

A recent study of 352 NP conference goers found that NPs who received a formal/structured orientation reported a better role transition experience than those who did not. Interestingly, RN experience was not a significant factor.

This is a nice synopsis of key moments in history that have triggered the growth and development of the NP role in the US.

practical tips for new APRNs and vivid description of the first days of new APRNs

This article recognizes the need for specialized training of new grad NPs as they transition from their role of student to practitioner.

Here's a JONA article discussing the CNO and Leadership's role in encouraging APRN Fellowships and new grad NP educational opportunities, along with the positive outcomes associated with employing these practices. J Nurs Adm. 2014 Dec;44(12):625-7. doi: 10.1097/NNA.0000000000000138.