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The author figures out the challenges in interdisciplinary teamwork among healthcare providers. These challenges are worth attention if we hope to do well in interdisciplinary teamwork.

This article discusses how interdisciplinary teamwork is experienced at three levels: healthcare professionals, patients, and healthcare organizations.

The points made by the author - reaching decisions collectively, making sure everyone is committed to the same purpose and goal, full participation, understanding the work of other disciplines - can be applied in any type of teamwork setting for successful outcomes. However, with healthcare the author points out that effective teamwork can lead to decreasing health care costs, improved patient safety, and decreasing workload through shared responsibilities. All areas that can allow for better patient care and more efficient use of time and financial resources.

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

The article discusses the challenges that newly graduated primary care nurse practitioners are facing during their first year of practice and also discuss how to overcome them.

Interdisciplinary Teamwork article

Interdisciplinary team work is a complex process in which different types of staff work together to share expertise, knowledge, and skills to impact on patient care. Despite increasing emphasis on interdisciplinary team work over the past decade, in particular the growth of interdisciplinary education [ 1], there is little evidence as to the most effective way of delivering interdisciplinary team work [ 2].

Interdisciplinary team work is a complex process in which different types of staff work together to share expertise, knowledge, and skills to impact on patient care. Despite increasing emphasis on interdisciplinary team work over the past decade, in particular the growth of interdisciplinary education [ 1], there is little evidence as to the most effective way of delivering interdisciplinary team work [ 2].

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.

This article discusses the challenges in standardizing the APRN scope and practice in order to increase the mobility between states for practicing APRNs. It also would increase access to APRN care nationwide. After the signing of the Affordable Care Act, there was an increase in care provided and the need for nurse practitioners increased with that.The Federal Trade Commission found that mandatory physician supervision for nurse practitioners led to higher costs and reduced quality of care.

New advance practice nurses can use these tips to help them face the challenges of their new positions.

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This article discusses the challenge that educators have in assessing competency in APRN students, particularly with simulation.

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.

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

Interesting (and very truthful) article on the transition into FNP and the multiple factors/challenges that come along with it..i.e. support system, surrounding environment, how an individual copes, etc. It discusses how exciting the graduate school experience can be, yet how simultaneously it can be very intimidating to enter into the "real world" of being an APRN.

J Am Acad Nurse Pract. 2010 Jul;22(7):356-60. doi: 10.1111/j.1745-7599.2010.00522.x. This is a useful article written by one of my former professors at Johns Hopkins. I think it provides great insight into transitioning process of becoming an APRN. This article outlines the important areas in which to consider when accepting and working at your first job as an APRN. It compliments the panel today very well.

J Am Acad Nurse Pract. 2010 Jul;22(7):356-60. doi: 10.1111/j.1745-7599.2010.00522.x.

challenges with interdisciplinary teamwork in hospitals and way to improve it

This article discusses the importance of teamwork in hospitals and provides key elements for highly functioning teams.

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]"

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.

The transition of newly graduated nurse practitioners (NPs) into practice can be challenging for the employer and the NPs. A new-graduate residency model for NPs along with evaluative criteria is presented from a primary care setting. Residency models are of benefit for new-graduate NPs to ease the transition to practice and promote patient care quality, and nurse retention, and satisfaction.

This is an excellent overview of NP history and practice changes written by Arlene W. Keeling PhD, RN, FAAN. It includes a historical narrative for the NP role that includes key figures (Lillian Wald, Mary Breckenridge, Loretta Ford) with seminal legislation, challenges to the practice, and future implications.