An acute care practice site reported 75% turnover of novice nurse practitioners (NPs),
which indicated a gap in the transition from student to practitioner within the first year of
clinical practice. This gap can leave novice NPs unprepared to manage patients
effectively and contribute to high turnover. The practice-focused question addressed
whether an evidence-based staff development program for novice NPs at an acute care
site could be developed. The purpose of this project was to create a framework based on
evidence to transition novice NPs successfully into practice. Benner's skill-acquisition
in-nursing theory informed this project. Evidence was obtained by searching electronic
databases, reviewing professional organization websites, and consulting with experts.
The search revealed journal articles, best-practice guidelines, and useful insights from
experts. The Elkins literature review matrix was used to organize, summarize, and weigh
the evidence. A summary of consultations with experts was used. Commonalities within
the evidence included guided clinical experiences and nonclinical activities such as (a)
formal didactic sessions, (b) professional development, and (c) quality improvement.
Outcomes include recommendations for a 12-month postgraduate development program
framework and educational content. Recommendations were also provided for formative
and summative evaluations. The implications of this project for social change include
effective preparation of novice NPs and stabilization of the NP workforce at the project
site.
| Identifer | oai:union.ndltd.org:waldenu.edu/oai:scholarworks.waldenu.edu:dissertations-7681 |
| Date | 01 January 2019 |
| Creators | Berglund, Carolyn |
| Publisher | ScholarWorks |
| Source Sets | Walden University |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | Walden Dissertations and Doctoral Studies |
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