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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]"

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.

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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A great example from another state (Ohio). This is a large literature review research study they conducted in an effort to influence policy change and broaden APRN scope of practice in the state.

The researchers in this article focused on analyzing what kind of economic impact that giving APRNs full scope of practice in North Carolina would have. They calculated the impact by first projecting the increase in APRN graduates choosing to work in the state after full scope would be awarded. Projections of the increase in demand for providers due to both the ACA and an aging population were also taken into consideration. The findings in this analysis were that giving APRNs full scope of practice in the state would benefit the economy with increased output, employment, and tax revenue all while decreasing provider shortages. The state could save upwards of $495 million in gross product annually.

Hopefully, results such as these will give other states with more restrictive policies incentive to change their practice guidelines.

This 2015 article, written in the Journal of Pediatric Health Care, discusses the critical importance of intervening and advocating for APRNs to have full practice authority as opposed to the current varying state-by-state practice laws. The author explains the primary reasons for states retaining restrictions on APRN practice are outdated and include lack of awareness of the current scope of practice of APRNs and organized medicine's persistent opposition to expanding the authority of other providers to practice and receive the full amount for their rendered services. The author supports her argument by including the IOM Committee's view; removing APRN practice restrictions would assist in addressing health care access, high-quality care, and an overall healthier population.

This is a toolkit from the American Association of Nurse Practitioners that APRNs can use to stay connected to legislative efforts that impact their profession. "Policy" can be a very overwhelming idea, particularly to someone who does not have experience with that realm of healthcare, so the AANP breaks it down for you. There are issue briefs on things like Full Practice Authority and Prescription Drug Monitoring Programs. These briefs give you the bullet points on why the policy is good or bad for our patients and evidence supporting that position. There's other resources as well that can help you find your legislators, find out about federal and state legislation, and get connected to legislative advocacy initiatives in your state. Participating in the legislative process is a really important way that APRNs can advocate for our patients, and this resource will support you in engaging with it.

This 2016 article provides a brief overview of progress made in expanding APRN scope of practice to utilize a practitioner's education to the fullest extent. Although the removal of barriers to scope of practice is progressing, there is still much work ahead. This article recommends that to meet our goals, we must encourage other HCPs, policy makers, etc. that investing in our profession, i.e. becoming stakeholders, is a necessity to optimize health care practice.

This systematic literature search article is in two parts: deinition and application of telehealth for APRNs and describes an approach for telehealth training for APRNs. APRNs can utilize telehealth technologies to improve patient access to care with cost-saving measures, collaborate with other disciplines, and remote patient monitoring. Students need to become competent and skilled with the evolving technologies and regulations to improve patient outcomes with limited resources to healthcare.

This is a handy article for a quick and dirty explanation of the differences in scope, education, etc. between APRNs and PAs. I'm asked questions like this a lot by curious family members as well as patients.

On several occasions, we get asked, "So what exactly is the difference between an NP and a PA?" This article is very recent and does a really nice job of breaking down the key differences between an NP and a PA on a deeper level.

This article does a great job defining the role, education, and scope of the APRN compared to Physician Assistants. This is a great resource to be able understand the distinction for ourselves and to use to educate others about our unique role in health care as APRNs.

I found this article very interesting. It talks about the current challenges in midwifery in regards to legislation, reimbursement, physician restrictions, and many other restricting factors. It also discusses the challenges of the education required to become an APRN.