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The transition to first position as nurse practitioner.

N R Kelly1, M Mathews

  • 1Peoria Regional Program, University of Illinois at Chicago, 61656-1649, USA.

The Journal of Nursing Education
|April 28, 2001
PubMed
Summary

New nurse practitioners (NPs) face common feelings of insecurity and stress during their transition into practice. This study explored their experiences, identifying challenges and strategies for adjustment in the NP role.

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Area of Science:

  • Nursing
  • Healthcare Professional Development
  • Advanced Practice Nursing

Background:

  • The transition from registered nurse to nurse practitioner (NP) involves entering a new professional sphere.
  • The evolving NP role necessitates frequent assessment of academic preparation.
  • New NPs commonly experience insecurity and stress in their initial positions.

Purpose of the Study:

  • To understand the transitional phase for recent nurse practitioner graduates entering their first position.
  • To explore perceptions of preparation, gains, losses, barriers, facilitators, and adjustment strategies.
  • To gain insight into the lived experiences of newly graduated NPs.

Main Methods:

  • Qualitative research approach utilizing focus groups.
  • 21 recent NP graduates participated in four focus groups.
  • Credibility ensured through peer debriefing and participant verification.

Main Results:

  • Identified themes include loss of personal control, relationship changes, role isolation, and client bonding.
  • Graduates felt adequately prepared but experienced guilt and uncertainty regarding knowledge gaps.
  • NPs perceived a distinct functional difference from physicians and other nurses, necessitating professional distancing.

Conclusions:

  • The transition to the NP role presents unique challenges impacting personal and professional life.
  • Academic institutions should consider the holistic adjustment needs of NP graduates.
  • Further support is needed for NPs navigating role establishment and professional identity.

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