Affiliation:
1. University of Missouri, Columbia, USA
2. University of Texas at Austin, USA
Abstract
Advanced practice registered nurses are successful in improving quality outcomes and filling provider care gaps in long-term care. However, little is known about the nurse’s transition to practice in this setting. A 12-month ethnography was conducted via participant-observation with nine advanced practice registered nurses in five long-term care facilities to understand practice environment influence on the nurses’ transition and on the reciprocal influence of the nurse on the practice environment. Transition was fraught with uncertainty as documented by five themes: where’s my authority, institutional acceptance, personal role fulfillment, provider relationships, and individual versus organizational care. These findings suggest that transition in this setting is complex, characterized by insecurity whether the individual is new to advanced practice or experienced. Transition in long-term care could be strengthened by formal programs that include clinical practice, reconceived mentorship for advanced practice registered nurses, and education designed to improve comfort and expertise with indirect care.
Funder
Centers for Medicare and Medicaid Services
Reference67 articles.
1. Agar M. (2004). We have met the other and we’re all nonlinear: Ethnography as a nonlinear dynamic system. Complexity, 10(2), 16–24. https://doi.org/10.1002/cplx.20054
2. Almost J., Laschinger H. K. S. (2002). Workplace empowerment, collaborative work relationships, and job strain in nurse practitioners. Journal of the American Academy of Nurse Practitioners, 14(9), 408–420. https://doi.org/10.1111/j.1745-7599.2002.tb00142.x
3. American Association of Colleges of Nursing. (2016). Adult-gerontology acute care and primary care NP competencies: 2016. Author https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Adult-Gero-NP-Comp-2016.pdf
4. American Association of Colleges of Nursing. (2020, October). DNP fact sheet. Author. https://www.aacnnursing.org/News-Information/Fact-Sheets/DNP-Fact-Sheet
5. American Association of Colleges of Nursing. (2021). APRN clinical preceptor resources guide. Author. https://www.aacnnursing.org/Education-Resources/APRN-Education/APRN-Clinical-Preceptor-Resources-Guide
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献