Facilitating the Transition From New Graduate to Practicing Advanced Practice RN: A Comparison of Orientation Programs and Fellowships.

The transition from graduate education to clinical practice is a pivotal phase in the career of advanced practice RNs (APRNs). This transition is often marked by a phenomenon known as transition shock, characterized by feelings of anxiety, self-doubt, and inadequacy as new APRNs adjust to the demands of clinical practice.

Measures of Success: Making the Case for Advanced Practice-Sensitive Quality Indicators.

Description Advanced practice registered nurses (APRNs) are key health care providers in a variety of settings. Often APRNs are grouped in a collective category, along with physician assistants, and referred to collectively as advanced practice providers. As APRNs assume an increasing role in patient care management in hospital, outpatient, and community settings, such as clinics and rural practices, measuring the impact of their care on patient outcomes and quality of care becomes a necessary component of performance evaluation.

Transforming Advanced Practice RN Compensation: Strategies for Equity in Total Pay.

As the advanced practice RN (APRN) workforce rapidly expands, nursing leaders are grappling with the challenge of establishing equitable and competitive compensation models. This column explores the lessons learned by 2 pioneering APRN leaders who navigated these workforce and compensation challenges within their own healthcare organizations. By sharing their experiences building sustainable APRN infrastructure and addressing pay discrepancies, the authors provide valuable insights and strategies that can help other nursing leaders transform their APRN compensation approaches and ensure their advanced clinicians are appropriately valued and rewarded.

Advancing Nurse Practitioner proficiency and confidence: An evaluation of postgraduate training in rural and medically underserved communities.

Background: Nurse practitioners (NPs) are critical in delivering primary health care, especially in underserved and rural areas. Transitioning from academic training to practical application poses challenges, highlighting the need for structured post-licensure training (PLT).

Purpose: To address the knowledge gap regarding the impact of PLT programs on the clinical development, confidence, and care delivery of NPs using an innovative evaluative approach.

Empowering Nurses for High-Value Healthcare: A Call for Legislative and Systemic Change.

Recognizing the positive impact of clinical data outcomes and patient care experiences, coupled with the growing preference for advanced practice RNs among patients, it is imperative that nurse leaders propel legislative reforms and infrastructure support from health systems. This strategic approach is crucial for maximizing the potential of nurses in improving patient care experience and outcomes, as well as increasing accessibility to healthcare in every community.

Health System and University Leader Learning Collaboratives: Advancing Education, Regulation, and Advanced Practice Nursing Care Across the World.

This month's column proposes advanced practice nurse (APN), health system, and university leader roundtable discussions to understand and address global healthcare challenges and the evolving role of the APN. Forming international learning collaboratives focused on gaining a comprehensive understanding of the use of APNs and related education, regulatory frameworks, and models for practice can lead to greater utilization and impact to global healthcare. The "PEPPA" framework is discussed as 1 tool to enhance discussion in these collaboratives.

Health System-Academic Partnerships: Essential to Increasing the APRN Workforce.

This month's column highlights the importance of established health system academic partnerships in strengthening the advanced practice RN workforce.

Supporting Advanced Practice Nurses to Work at the Top of Their License: A Partnership With Nurse Executives.

This month's column highlights the value of nurse executive leaders in leveraging their experience, role, and partnership in empowering advanced practice RNs to work at the top of their education, clinical training, and license, optimizing the triple aim, even quadruple aim, in healthcare.

Analysis of nurse practitioner practice in US emergency departments: Evidence supporting educational preparation, credentialing, scope of practice, and outcomes.

The nurse practitioner (NP) role within emergency care has grown in recent years and now there are an estimated 25,000 NPs employed in diverse emergency care settings. Despite this significant growth and expansion of the NP within emergency care areas, challenges exist. In addition to the pervasive confusion regarding the NP role in emergency care, data and statistics detailing characteristics and outcomes of NP practice in emergency care are either lacking or misrepresented.

Nurse Practitioners Are Stepping Up to Meet Access to Primary Care Services Across the United States: A Time for Policy Change.

This month's column highlights the need for access to primary care services across the United States and how nurse practitioners (NPs) have risen to meet this need. The authors discuss the modernization of licensure laws that will remove unnecessary barriers to full and direct access to NP healthcare services.

PEARL: Keeping Focus on Practice, Education, Advocacy, Research, and Leadership for Nurse Practitioners in 2023.

This column highlights 5 key categories in which nurse practitioners continually strive for excellence: practice, education, advocacy, research, and leadership, also known as "PEARL."

Promoting Adaptation in Female Inmates to Reduce Risk of Opioid Overdose Post-Release Through HOPE.

The purpose of the project was to develop a sustainable pre-release education program to reduce the risk of opioid overdose post-release in female inmates in a rural county jail in Middle Tennessee. The project was supported and guided using Roy's adaptation model. Content analysis resulted in common themes (initiation, moral failure, ineffective strategies, supportive environment, new beginnings, and adaptive domains), identified within the pre- and post-implementation surveys.

Nurse Practitioner Leadership Essential: Ensuring a Positive Onboarding Experience for New Nurse Practitioners.

This month's column highlights the importance of a comprehensive employee onboarding program for newly hired nurse practitioners and 6 essential components for a successful program.

Encouraging and Facilitating Research Opportunities for Advanced Practice Registered Nurses: The Role of the Chief Nursing Officer.

This month's column highlights the value contribution of advanced practice registered nurses (APRNs) to research and the importance of chief nursing officer development of health system infrastructure to engage APRNs in research.

Choosing the Ideal Advanced Practice Leader for Your Organization.

This month's column highlights the attributes, competencies, and qualifications for consideration when selecting the ideal advanced practice leader, one that is collaborative and skilled in providing leadership at the executive or health systems level.

Beyond the Pandemic: Top 10 Priorities for Health System Advanced Practice Leadership.

This month's column highlights health system priorities for advanced practice leaders and advanced practice infrastructure and support.

Patients are Choosing Nurse Practitioners as Their Primary Care Provider in Many Communities Across the US.

This month's column highlights why patients are choosing to see nurse practitioners (NPs) as primary care providers, for both urgent and chronic care needs. Nurse practitioners are 1 type of advanced practice RN. Advanced practice RNs are inclusive of NPs, nurse midwives, nurse specialists, and nurse anesthetists.

Today's Advanced Practice Leader: Value Contribution to Healthcare Systems and Delivery of Accessible, High-Quality Patient Care.

This month's column highlights organizational, practice, and patient care advantages to adding advanced practice leaders to health systems' leadership teams and ideal characteristics of effective, executive advanced practice leaders.

Origin and Outcomes of Acute Care Nurse Practitioner Practice.

Acute care nurse practitioners (NPs) are educated, clinically trained, and board certified to care for acutely and critically ill patients, largely in hospital settings. Acute care NPs can positively impact patient care outcomes and are often added to acute care teams to drive optimal, reliable, efficient, and safe care, often referred to as "high value" care.

Development and testing of an advanced practice clinical advancement program within an academic medical center.

Background: Faculty advanced practice registered nurses (APRNs) and physician assistants (PAs) employed by Vanderbilt University Medical Center (VUMC) have historically participated in rank promotion tracks for recognition of professional accomplishments in education, practice, and research. However, there has not been a clinical advancement program for nonfaculty practitioners. Satisfaction, engagement, and health surveys indicated VUMC APRNs and PAs were seeking opportunities for professional growth and development.

Assessing and addressing practitioner burnout: Results from an advanced practice registered nurse health and well-being study.

Background: Numerous nursing and physician studies have reported the effects of workload, environment, and life circumstances contributing to burnout. Effects may include job dissatisfaction, poor quality of life, and associated negative patient outcomes. Although assessing clinician burnout to determine effective interventions has become a topic of great importance, there are minimal studies specific to advanced practice registered nurses (APRNs).

Nurse Practitioners and Physician Assistants in Acute and Critical Care: A Concise Review of the Literature and Data 2008-2018.

Objectives: To provide a concise review of the literature and data pertaining to the use of nurse practitioners and physician assistants, collectively called advanced practice providers, in ICU and acute care settings.

Data Sources: Detailed search strategy using the databases PubMed, Ovid MEDLINE, and the Cumulative Index of Nursing and Allied Health Literature for the time period from January 2008 to December 2018.

Study Selection: Studies addressing nurse practitioner, physician assistant, or advanced practice provider care in the ICU or acute care setting.

Workforce, Workload, and Burnout Among Intensivists and Advanced Practice Providers: A Narrative Review.

Objectives: To assess-by literature review and expert consensus-workforce, workload, and burnout considerations among intensivists and advanced practice providers.

Design: Data were synthesized from monthly expert consensus and literature review.

Setting: Workforce and Workload section workgroup of the Academic Leaders in Critical Care Medicine Task Force.