Nurse practitioner and physician assistant transition to practice: A scoping review of fellowships and onboarding programs

Author:

Morgan Perri12,Barnes Hilary3,Batchelder Heather R.1ORCID,Tuttle Brandi4,Faraz Covelli Asefeh5,Everett Christine26,Jackson George L.12789,Anglin Lorraine1,Ortiz Pate Nathalie10,Dieter Patricia1,Bludorn Janelle1

Affiliation:

1. Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina,

2. Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina,

3. School of Nursing, Widener University, Chester, Pennsylvania,

4. Medical Center Library and Archives, Duke University, Durham, North Carolina,

5. School of Nursing, George Washington University, Washington, District of Columbia,

6. Physician Associate Program, Medical College of Wisconsin, Milwaukee, Wisconsin,

7. Division of General Internal Medicine, Duke University School of Medicine, Durham, North Carolina,

8. Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Medical Center, Durham, North Carolina,

9. Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas

10. College of Pharmacy & Health Sciences, Campbell University, Buies Creek, North Carolina. JAANP and JAAPA have arranged to publish this article simultaneously in the December 2023 issues. Although the two articles have minor style differences, they are essentially the same.

Abstract

ABSTRACT Background: Newly graduated nurse practitioners (NPs) and physician assistants (PAs) benefit from transition-to-practice (TTP) support to move successfully into practice. Transition-to-practice programs (i.e., onboarding programs and fellowships/residencies) hold promise for improving workforce outcomes. Purpose: The purpose of this scoping review was to describe the literature regarding NP/PA TTP programs. Methodology: Using the Joanna Briggs Institute methodology, a specific approach for systematically conducting reviews, publications from January 1990 to May 2022 were included for review if they addressed fellowships/residencies or onboarding programs for NPs or PAs. Final data extraction involved 216 articles. Results: The pace of publication increased over time, with a noticeable increase since 2015. Articles were most commonly about fellowships/residencies, NPs, and programs set in United States nonrural, acute care settings, and academic health centers. Conclusions/Implications: There is a gap in our understanding of onboarding programs and programs focusing on PAs, as well as TTP support in rural and primary care settings. In addition, there are few articles that assess TTP program outcomes such as benefits and costs. This review describes the need for more published literature in these areas.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine,General Nursing,General Medicine,General Nursing

Reference29 articles.

1. Emerging practices in onboarding programs for PAs: Strategies for onboarding;Anglin;Journal of the American Academy of PAs,2021

2. Nurse practitioner role transition: A concept analysis;Barnes;Nursing Forum,2015

3. Rural and nonrural primary care physician practices increasingly rely on nurse practitioners;Barnes;Health Affairs,2018

4. Transition to practice programs for newly graduated advanced practice registered nurses and physician assistants: A scoping review protocol;Batchelder;JBI Evidence Synthesis,2022

5. Investing in a 21st century health workforce: A call for accountability;Beck;Health Affairs Blog

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