A Competency-Based Curriculum for Critical Care Nurse Practitioners’ Transition to Practice

2018 ◽  
Vol 27 (5) ◽  
pp. 398-406
Author(s):  
R. Scott Kopf ◽  
Penni I. Watts ◽  
Eileen S. Meyer ◽  
Jacqueline A. Moss
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Practitioners ◽  
Qualitative Data ◽  
The United States ◽  
New Graduate Nurse ◽  
New Graduates ◽  
Graduate Nurse ◽  
New Graduate ◽  
Competency Based

Background Nearly one-third of new-graduate nurse practitioners report undergoing no formal orientation process, and postcertification orientation processes vary. A validated curriculum would address the need for structured training to enhance new graduates’ practice transition. Methods A competency-based practice transition curriculum for intensive care unit nurse practitioners was created using a literature review and expert panels. Competencies were established that were based on clinical categories essential to nurse practitioner practice in the intensive care unit and adapted from existing Accreditation Council for Graduate Medical Education training, aligned with the precertification nursing curriculum. Participants recruited from academic and clinical backgrounds were asked to rank curriculum items using a 4-point Likert scale. Competencies were refined on the basis of participants’ survey feedback. Results A total of 31 participants from academic medical centers and schools of nursing throughout the United States responded to the request for competency validation; 29% of participants provided qualitative data. All 9 competency topics received a mean rating greater than 3.5 and were deemed valid. Using the combined quantitative and qualitative data, a final set of competencies for nurse practitioners in the intensive care unit was developed. Conclusions The curriculum developed and validated in this study can become the basis for practice transition for novice nurse practitioners. The curriculum is adaptable and can be used for surgical and medical intensive care units. As refined, the competencies provide a validated foundation for training of new-graduate nurse practitioners in the intensive care unit.

Mentoring New Graduate Nurse Practitioners

2019 ◽  
Vol 38 (3) ◽  
pp. 151-159
Author(s):  
Colleen Moss ◽  
Joanie Jackson
Keyword(s):  
Job Satisfaction ◽  
Nurse Practitioners ◽  
Intent To Stay ◽  
The United States ◽  
Current Evidence ◽  
New Graduate Nurse ◽  
Practice Nurses ◽  
Graduate Nurse ◽  
New Graduate ◽  
Neonatal Nurse Practitioners

There is a critical shortage of neonatal nurse practitioners (NNPs) in the United States. The NNP shortage increases workload and negatively affects job satisfaction, which ultimately impacts patient safety. Therefore, it is imperative to identify strategies to improve job satisfaction and retention. Authors of current evidence supported the connection between mentoring and role transition, job satisfaction, and intent to stay. Mentorship is key to the success of new graduate nurse practitioners as they develop confidence in the nurse practitioner (NP) role. The aim of this integrative review is to examine the existing evidence regarding mentoring of advanced practice nurses and the potential impact on the NNP workforce.

Successful Transition of the New Graduate Nurse

2009 ◽  
Vol 6 (1) ◽  
Author(s):  
Donna M Romyn ◽  
Noreen Linton ◽  
Cathy Giblin ◽  
Brenda Hendrickson ◽  
Lori Houger Limacher ◽  
...  
Keyword(s):  
Staff Nurses ◽  
Theory And Practice ◽  
Work Environments ◽  
New Graduate Nurse ◽  
New Graduates ◽  
Graduate Nurse ◽  
Wide Range ◽  
New Graduate ◽  
Practice Readiness ◽  
E Mail

Reports that new nurse graduates are not sufficiently prepared to enter the workforce are of concern to educators, employers, and other stakeholders. Often, this lack of 'practice readiness' is defined in relation to an inability to 'hit the ground running' and is attributed to a 'gap' between theory and practice and the nature of current work environments. To gain a deeper understanding of the process of making the transition from student to graduate nurse, discussion groups were held across Alberta with 14 new graduates and 133 staff nurses, employers, and educators. Five additional new graduates and 34 staff nurses, employers, and educators provided input by fax or e-mail. The findings of this initiative speak to the need to examine assumptions underlying 'practice readiness' and what constitutes an effective transition to the workplace. The problems to be addressed are complex and a wide range of sustainable, evidence-based approaches are required to resolve them.

New Graduate Nurse Transition Into the Intensive Care Unit: Qualitative Insights From a Longitudinal Study—Part 1

2019 ◽  
Vol 33 (4) ◽  
pp. 428-444
Author(s):  
Brandi Vanderspank-Wright ◽  
Michelle Lalonde ◽  
Cheryl Anne Smith ◽  
Sandra Wong ◽  
Jamie Anne Bentz
Keyword(s):  
Intensive Care ◽  
Mixed Design ◽  
Graduate Nurses ◽  
New Graduate Nurses ◽  
New Graduate Nurse ◽  
Convenience Sample ◽  
Graduate Nurse ◽  
New Graduate ◽  
Life Threatening ◽  
Emotional Transition

Background and PurposePatients admitted to intensive care units (ICUs) are critically ill and suffer from life-threatening sickness of injury. To work in ICU, registered nurses require additional knowledge and skills. While practices regarding the hire of new graduate nurses (NGNs) into settings such as the ICU vary, it is common that NGNs are being hired. However, NGNs in general, are at a higher risk for turnover within the profession as compared to their more experienced colleagues. NGNs in ICU settings may be at higher risk of turnover due to the complexity of the care context. It is of particular importance that the experiences of NGNs in ICU be explored with the intent of identifying what these nurses experience but also to consider how they can be best supported during a period of transition. This manuscript reports the findings from a mixed design study that sought to understand the transition of a cohort of NGNs over a period of 2 years.MethodsThis study used both a purposive and convenience sample of NGNs. The qualitative component incorporated Thorne's (2016) interpretive description. Face-to-faceinterviews were completed.ResultsFive themes were identified: an emotional transition, a social transition, a transitioning mindset, transitioning through firsts, and transitioning with confidence. Within each theme, there is a distinct difference and elements of transition were evident. Findings demonstrate that the NGNs appeared to be more confident in their skills and in their nursing practice over time. Findings from this study provide important insight into the experiences of NGNs in ICUs.

Meeting the Needs of New Graduate Nurse Practitioners

2016 ◽  
Vol 9 (1) ◽  
pp. 88-90
Author(s):  
Danicka Le
Keyword(s):  
Nurse Practitioners ◽  
Learning Opportunities ◽  
Clinical Learning ◽  
New Graduate Nurse ◽  
Residency Programs ◽  
Graduate Nurse ◽  
Collegial Support ◽  
New Graduate ◽  
Future Of Nursing

Available evidence suggests that new graduate nurse practitioners (NPs) often feel fear, anxiety, and self-doubt when transitioning from student to licensed clinician. Completion of postgraduate NP residency programs may help to mitigate these feelings. NP residency programs provide mentors, collegial support, and additional clinical learning opportunities. However, few NP residency programs currently exist. The Institute of Medicine’s Future of Nursing report recommends increasing the number of NP residency programs. They provide an invaluable resource to new NPs by increasing their confidence in the NP role.

Supplementing Intensivist Staffing With Nurse Practitioners: Literature Review

2017 ◽  
Vol 28 (2) ◽  
pp. 111-123 ◽  
Author(s):  
Tracie White ◽  
Justin Kokiousis ◽  
Stephanie Ensminger ◽  
Maria Shirey
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
The United States ◽  
Work Hours ◽  
Evidence Based ◽  
Intensive Care Unit Team ◽  
Staffing Model

In the United States, providing health care to critically ill patients is a challenge. An increase in patients older than 65 years, a decrease in critical care physicians, and a decrease in work hours for residents cause intensivist staffing issues. In this article, use of nurse practictioners to fill the intensive care unit intensivist staffing gap is assessed and evidence-based recommendations are identified to better incorporate nurse practitioners as part of intensive care unit intensivist staffing. The literature reveals that when nurse practitioners are part of a staffing model, outcomes are either positively impacted or no different from physician outcomes. However, successfully integrating nurse practitioners into an intensive care unit team is not adequately discussed in the literature. This gap is addressed and 3 mechanisms to integrate nurse practitioners into the intensive care unit are identified: (1) use of a multidisciplinary staffing model, (2) completion of onboarding programs, and (3) evaluation of nurse practitioner productivity.

Strategies to promote the professional transition of new graduate nurse practitioners: A systematic review

Nursing Forum ◽  
2019 ◽  
Vol 54 (4) ◽  
pp. 557-564
Author(s):  
Chandra Speight ◽  
Gina Firnhaber ◽  
Elaine S. Scott ◽  
Holly Wei
Keyword(s):  
Systematic Review ◽  
Nurse Practitioners ◽  
New Graduate Nurse ◽  
Graduate Nurse ◽  
New Graduate ◽  
Professional Transition

scholarly journals Evolving oxygenation management reasoning in COVID-19

Diagnosis ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. 381-383
Author(s):  
Steven Liu ◽  
Cara Sweeney ◽  
Nalinee Srisarajivakul-Klein ◽  
Amanda Klinger ◽  
Irina Dimitrova ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
New York ◽  
New York City ◽  
Intensive Care ◽  
Initial Phase ◽  
The United States ◽  
Lessons Learned ◽  
Hypoxemic Respiratory Failure ◽  
Hospital Wards

AbstractThe initial phase of the SARS-CoV-2 pandemic in the United States saw rapidly-rising patient volumes along with shortages in personnel, equipment, and intensive care unit (ICU) beds across many New York City hospitals. As our hospital wards quickly filled with unstable, hypoxemic patients, our hospitalist group was forced to fundamentally rethink the way we triaged and managed cases of hypoxemic respiratory failure. Here, we describe the oxygenation protocol we developed and implemented in response to changing norms for acuity on inpatient wards. By reflecting on lessons learned, we re-evaluate the applicability of these oxygenation strategies in the evolving pandemic. We hope to impart to other providers the insights we gained with the challenges of management reasoning in COVID-19.

scholarly journals Healthcare-Associated Infections among Patients in a Large Burn Intensive Care Unit: Incidence and Pathogens, 2008–2012

2014 ◽  
Vol 35 (10) ◽  
pp. 1304-1306 ◽  
Author(s):  
David J. Weber ◽  
David van Duin ◽  
Lauren M. DiBiase ◽  
Charles Scott Hultman ◽  
Samuel W. Jones ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
The United States ◽  
Burn Injuries ◽  
Morbidity And Mortality ◽  
Common Source ◽  
Healthcare Associated Infections ◽  
Burn Patients ◽  
Healthcare Associated

Burn injuries are a common source of morbidity and mortality in the United States, with an estimated 450,000 burn injuries requiring medical treatment, 40,000 requiring hospitalization, and 3,400 deaths from burns annually in the United States. Patients with severe burns are at high risk for local and systemic infections. Furthermore, burn patients are immunosuppressed, as thermal injury results in less phagocytic activity and lymphokine production by macrophages. In recent years, multidrug-resistant (MDR) pathogens have become major contributors to morbidity and mortality in burn patients.Since only limited data are available on the incidence of both device- and nondevice-associated healthcare-associated infections (HAIs) in burn patients, we undertook this retrospective cohort analysis of patients admitted to our burn intensive care unit (ICU) from 2008 to 2012.

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