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Evaluation of the Veterans Affairs Boston Healthcare System Primary Care Nurse Practitioner Residency Program
Bethany A Croke1, Chizoba C Nwosu, Patricia C Underwood
1About the Authors Bethany A. Croke, DNP, FNP-BC, is assistant professor of the practice, Boston College, William F. Connell School of Nursing, Chestnut Hill, MA. Chizoba C. Nwosu, PhD, APRN, FNP-BC, is associate chief nurse, Academic Affiliations/Operations/NP Residencies, VA Boston Healthcare System, Boston, MA. Patricia C. Underwood, PhD, FNP-BC, is assistant professor, Boston College, William F. Connell School of Nursing, and endocrine nurse practitioner, Veterans Health Administration, Bedford, MA. Karen Tepper, DNP, ANP-BC, HHCNS-BC, is director, Veterans Integrated Service Network (VISN)1 Clinical Contact Center, APRN Practice Lead VISN 1, VA New England Healthcare System. Amelia Colman is undergraduate research fellow, Boston College, William F. Connell School of Nursing. Erin Shea, PhD, APRN, FNP-BC, is director, Primary Care Nurse Practitioner Residency, VA Boston Healthcare System.
Abstract:
Nurse practitioner (NP) residencies support transition to practice and improve retention. We describe outcomes of a primary care NP residency across four cohorts (2020 to 2024) at the Veterans Health Administration-VA Boston Healthcare System (VA-BHS). Evaluated outcomes include clinical competence, confidence in practice, employment, and retention. All 10 residents achieved competence and significantly greater confidence at graduation compared with 1 month after starting the program (p < .0001). VA-BHS offered eight residents employment, retaining five of the six hired (83%) 1 year postgraduation. The robust confidence, competence, and retention of graduates uphold evidence that residencies support successful NP transition into practice.
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