Factors in nurse practitioner role adjustment

In a survey to determine the existence, extent and nature of an adjustment for nurse practitioners as they assumed responsibilities associated with the NP role, 135 nurse practitioners were surveyed. Results showed that 86.7 percent of respondents experiences a distinct adjustment period which averaged 5.9 months. Also, respondents rates "greater autonomy in work" as most important in the decision to seek training, and "increased skill and knowledge" as the most realistic expectation for others considering NP training. Respondents rated "uncertainty about diagnosis and treatment" and "fear of missing something" as the most descriptive of feelings in the first six months of practice. Data from this study support preparation of NP students for role transition while enrolled in a training program; suggestions for designing "role adjustment" seminars and preparing preceptors are presented.