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This article discusses the external and internal stressors a novice nurse practitioner will experience in the first few years of his, or her, career. It then discusses the four phases that an NP can expect to endure as they become more confident in the field. Many stressor come from aspects of the job that include billing, referrals and even ownership of ones role as a primary care provider. This piece offers mitigation to the previous stressors with the introduction of a mentor.

Discusses challenges faced by new NP grads as they transition from student to NP.

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.

My intended area of practice is in HIV nursing. In my last post I provided a link to the competencies needed to be an advanced practice nurse in the field, and I talked a little bit about steps I'm taking to close that gap. To hopefully move me along the continuum from novice to expert. I thought this article was interesting and provided a broader approach in how nurses might use residency program for exactly that purpose. The article talks about DNPs but it is no different for the MSN prepared nurse. It seems that residencies may become more the norm in the future - and that might be good for all, new nurses and patients alike.

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.

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.

Interesting viewpoint of the history of nurse midwifery education in the US, as well as a brief history on the speciality in general.