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As NP we need to advocate for ourselves in everyday life As well As the political arena because politics is where our profession will achieve the most success. With supportive policy backing up our practice our future is limitless.

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

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].

This article touches on a topic of particular interest to me, specifically how APRN's can help fill a critical shortage of primary care providers in HIV medicine. The article validates that APRN's (NP's) are more than capable of providing high quality care to those living with HIV. Moreover, we are well positioned to fill the provider shortage that is only expected to grow over the next decade and beyond.

As NPs, many of us who have not practiced As nurses, it might be difficult to get your foot in the door of that first job. This is a personal strategy that I came up with to try and help mitigate that for myself, I'm obviously hoping that it works! For those of us who know where we want to work, for me that's in HIV medicine, I think it's important to develop the competencies that your employer will be looking for when you walk in the door. This article does a nice job of laying those out for entry level NPs looking to get into HIV medicine. What I'm trying to do is add As many of these skills to my resume while I'm attending school. My hope is that will give me an edge over NPs that I'm competing with who may not have been in the specialty specific time. If you can identify your desired areAs of practice then its just a matter of looking for opportunities to add to your skillset. Look for faculty that have a shared interest, see if you can work on a research project with them. Look for nursing organizations in that specialty. There are two HIV specific organizations for APRNs looking to get into HIV medicine (ANAC and AAHIV). Join them and start networking. Take As much CNE As you can in your specialty topic - much of its free and can be done online at your own pace.

Literature review regarding initial use of NP in the ICU. Briefly discusses origination in mid '90's of certifying body for ACNP as well as their role and how it has changed.

For fifty years, health care teams have been a misunderstood, undervalued, and neglected part of health care. Yet, as Drinka and Clark make clear, well functioning interdisciplinary health care teams (IHCTs) have the potential to help the health care system face its demons--financial constraints and comprehensive error-free care. Because of misunderstandings, administrators, funders, and policy makers keep the potential for interdisciplinary teams hidden. IHCTs have characteristics and problems that are unique to health care settings and the health providers who work in them. Drinka and Clark present a groundbreaking attempt to develop a comprehensive framework for IHCTs.

This article discusses APRNs working in Title X Family Planning Clinics, what lead them to practice in these clinics, and why they remain practicing in these clinics as new opportunities for APRNs arise. APRNs are described by the authors as 'critical safety nets', as they play a major role in reproductive health services and provide care to vulnerable populations and rural communities. The findings of this study, which collected data through an online survey, can and will be used during policy change decisions to improve APRN satisfaction and retention.

The examination of inter-professional relationships and the effect these have on teams and teamwork is extensive. In much of the literature, concepts have been studied separately, and so the linkages to contexts and the broader socio-historical background were notable for their absence. The picture of teams, their work and process is skewed, as emphasis on one topic is often at the expense of another. Conceptual rigour is required if we are to understand what we are talking about.

The examination of inter-professional relationships and the effect these have on teams and teamwork is extensive. In much of the literature, concepts have been studied separately, and so the linkages to contexts and the broader socio-historical background were notable for their absence. The picture of teams, their work and process is skewed, as emphasis on one topic is often at the expense of another. Conceptual rigour is required if we are to understand what we are talking about.

From this article, it acknowledges the importance of inter-professional collaboration. At the end of the residency program, NPs held a stronger appreciation for the roles of other health care professionals as well as the benefit from getting feedback from different specialties. NP fellows learned from each other's strengths and weakness and how to function as a team.

Meant to share this when we did our timelines. This was cited as a pinnacle article for the NP profession. It demonstrates that NPs give just as effective care as physicians in a primary care setting when given equal authority and responsibility. Research from JAMA - Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians - A Randomized Trial - ContextStudies have suggested that the quality of primary care delivered by nurse practitioners is equal to that of physicians.

Landmark article showing primary care from NP vs MD was not different.

I really liked this article because it focused on crisis resource management in Emergency Medicine. Seven perceived barriers to effective team performance in the ED were listed with the number one barrier being communication between disciplines. Further, of 81 (nurses, physicians, and residents) 100% felt that effective communication and effective leadership were very important team management skills that could effect the outcome of a resuscitation. Additionally, the number one contributing factor to adverse resuscitation outcomes was poor communication (96.2% out of 79 participants). Though other barriers and contributing factors to adverse outcomes were identified, communication was reported as the most contributory. Coming from an emergency room myself, I totally love the aspect of interdisciplinary collaboration. In resuscitation you are working with the physician, the nurses, the techs, pharmacy, the lab, the radiology department--and following a successful resuscitation, you are collaborating with the intensivist/pulmonolgist, cardiologist, and potentially other specialists, as well as the ICU staff members. The patient is relying on effective communication and collaboration to obtain the best outcome possible. And this communication and collaboration is not the sole responsibility of the provider, but EVERYONE on the team!

This article is about how important it is to articulate your role as a nurse. I love how they explain articulating your role as a nursing competency. I think this is a great article for this class as we learn what the APRN role is and how to articulate it to our inter professional teams. Nurse Educ Pract. 2013 Nov;13(6):519-23. doi: 10.1016/j.nepr.2013.02.014. Epub 2013 Mar 18.

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.