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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

Talks about the emotional roller coaster than transitioning can cause but also recognizes that there are resources and they need to be utilized.

This article looks at the evidence to describe what goes on when RNs transition to become FNPs. Transition begins during school- students should be aware of the challenges present in transition and be prepared for them. J Prof Nurs. 2013 Nov-Dec;29(6):350-8. doi: 10.1016/j.profnurs.2012.10.011.

Is the transition from RN to APRN that begins during the start of school. How students struggle with balancing academics, life, and other demands. This article shows how nursing faculty can aid and mentor students successfully in their transition into practice.

Is the transition from RN to APRN that begins during the start of school. How students struggle with balancing academics, life, and other demands. This article shows how nursing faculty can aid and mentor students successfully in their transition into practice.

Exploring the transition from registered nurse to family nurse practitioner.

The following is the abstract as stated by the author: "Purpose: To describe factors that ensure a smooth transition from nurse practitioner (NP) student to independent NP during the first year of practice. Data sources: Two contrasting case examples, the authors' experiences, and selected professional literature. Conclusions: Key points to consider upon searching or taking a first NP job include patient, colleague, and clinic factors. Patient factors include mix of patient presentations, complexity of patient presentations, insurance status, and population. Colleague factors include mentorship, charting, mix of providers, and availability of providers. Perhaps most importantly, clinic factors include productivity expectations, practice mission, charting systems, on-call requirements, supervision of other staff, and teaching status. Together, these factors can largely determine whether an NP's days are satisfying or frustrating in a new job. Implications for practice: The transition from NP student to independent NP can be daunting. Although nursing schools and practice sites have responsibilities to ensure the transition is smooth, the new NP is ultimately responsible for the transition. [ABSTRACT FROM AUTHOR]"

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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Is the transition from RN to APRN that begins during the start of school. How students struggle with balancing academics, life, and other demands. This article shows how nursing faculty can aid and mentor students successfully in their transition into practice.

This article reviews the importance and benefits of having a real strong and supportive mentor during that transition from student ARPN to practitioner. This is a hard time for many to adjust to and having a mentor is a key element for new practitioners to safely make the transition and to maximize their learning.

There is limited information available regarding the transition from registered nurse (RN) to family nurse practitioner (FNP). Several authors described this transition as taking place in 4 stages, and others described it as a 2-phase process.

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.

Great study using the stages from novice to expert highlighting the challenges that RNs face when transitioning to being a FNP.

This article discusses the stressors that a novice NP may face in providing quality care. Many programs provide adequate content and clinical exposure, but mentorship may be an effective strategy for novice NPs to transition into the role of a competent healthcare provider.

Exploring the Factors that Influence Nurse Practitioner Role Transition

An interesting article about an APRN fellowship. It is a yearlong program that has classroom sessions, simulations, and peer-to-peer support networks. The program is aimed at facilitating the APRN transition and reducing burnout. It seems to have some good results!

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.

This article discusses the transition from student to an NP's first job. Patterns identified included isolation, loss of relationships, changes in professional relationships, and loss of control. Positive aspects of the transition included gains in personal satisfaction and a professional network.

This article explores the process of transitioning from an RN to a FNP.