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These are the Adult Gero Acute Care NP competencies that were developed by the National Organization of Nurse Practitioner Faculties (NONPF) in 2012. Interesting that these were only developed 3 years ago!

This article made me reflect on why I first pursued an advanced nursing degree, which will certainly be a question that we are asked throughout our careers.

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.

How to have a successful orientation to optimize transition into the inpatient setting. Focus is on Trauma NP in this article.

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.

This article describes the orientation process used in a pediatric cardiac center for APNs to increase confidence in skills, knowledge of role, mentorship, and NP retention during the first year of practice.

Brief paper from a recent Sigma Theta Tau Nursing Research Congress. The emphasis is on mentoring to fill the gap of little to no NP orientation for new grads.

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 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.

The American Association of Nurse Practitioners (AANP) is the largest and only full-service national professional membership organization for nurse practitioners (NPs) of all specialties.

Barriers to NP practice - emergence of NP role 

GA NP Scope of practice. It's a blog, but it spells out supervision laws nicely.

Systematic review of literature on the impact of Nurse Practitioners in Emergency Departments. Limited evidence of high quality. Most high quality evidence conducted in English speaking countries outside the U.S. Evidence suggests NPs in EDs associated with quality care, improved patient satisfaction, reduced wait times. Insufficient evidence related to cost-effectiveness. #BecomingAPRN16

This is a link to a visualization of NP scope of practice in each state. Our skillset remains the same in each state, yet our autonomy is variable!

This article discusses the Pros and Cons of using APRNs in both outpatient and inpatient settings. One of the positives is that there are more jobs for the APRN and now APRN's can specialize much like physicians. The downside to that is that there are not as many NPs doing primary care, which is leaving a gap.

Interactive NP Scope of Practice guide that offers a snapshot of each state's scope of practice laws. Shows how nurse practitioner (NP) scope of practice laws vary from state-to-state.

Discussion of progress and barriers to expanded SOP for NPs, including physician's arguments for mandatory physician oversight.