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The Online Journal of Issues in Nursing ANA Home About OJIN FAQs Author Guidelines Featured Authors Editorial Staff Board Contact Us Site Map What's New New Postings Journal Recognition OJIN News Journal Topics Care Coordination Cornerstone Documents in Healthcare Emotional Health: Strategies for Nurses Healthy Nurses: Perspectives on Caring for Ourselves APRN Roles Opportunities and Challenges Societal Violence: What is Our Response? Healthcare and Quality: Perspectives from Nursing Delivering Nursing Care: Current Factors to Consider Patient and Visitor Violence More... Columns Cochrane Review Briefs Informatics Legislative Ethics Information Resources Keynotes of Note Table of Contents Vol 21 2016 Vol 20 2015 Vol 19 2014 Vol 18 2013 Vol 17 2012 Vol 16 - 2011 Vol 15 - 2010 Vol 14 - 2009 Vol. 13 - 2008 More... Letters to the Editor Continuing Ed ANA Home Login » ANA OJIN About Logo OJIN is a peer-reviewed, online publication that addresses current topics affecting nursing practice, research, education, and the wider health care sector. Find Out More... Announcements Permission to Reprint OJIN Articles Planning a conference or class? Call for OJIN Manuscripts on a previous topics... Benefit for Members Members have access to current topic Send a Letter to the Editor on any OJIN column or article... More... Letter to the Editor Since the introduction of the Health Insurance Portability and Accountability Act (HIPAA) in 1996, nurses have become the frontline

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 reviewed several different studies on interdisciplinary care and looked for ways that we can improve on health care and implement better teamwork. What I found most interesting is that the article talks about how educating staff on the benefits of teamwork is seriously lacking. Two issues are emerging in health care as clinicians face the complexities of current patient care: the need for specialized health professionals, and the need for these professionals to collaborate. Interdisciplinary health care teams with members from many professions answer the call by working together, collaborating and communicating closely to optimize patient care.

This article finds two emerging issues that must be addressed to optimize patient care: "the need for specialized health professionals, and the need for these professionals to collaborate." In nursing we talk a lot about "continuity of care" and that a seamless transition between PCPs, specialists, in-patient, and out-patient services is not only good-practice but vital for thorough health care delivery and improving long term outcomes.

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]"

Great article by John Iglehart, Founding Editor, Health Affairs Population aging and recent coverage expansions have fueled concerns about physician shortages in primary care, leading several influential groups to recommend that nurse practitioners take on a larger role. The ACA promotes nurse practitioners as an integral part of the future workforce, and emerging care settings, such as retail clinics, rely heavily on nurse practitioners.