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Show AN EVALUATION OF TRANSITION TO PRACTICE TRAINING FOR ADVANCED PRACTICE CLINICIANS Jason Tye, BSN, RN, DNP-student PURPOSE METHODS Objectives A review completed of contents of a local transition program Evaluate a local transition to practice program through development of an electronic evaluation survey RESULTS Thorough literature review was conducted 50% (33) of APC’s were not assigned a specific individual to oversee their orientation Development of an evaluation survey within REDCap Compare local survey responses with literature findings on effective transition to practice training University of Utah IRB exemption was obtained Develop recommendations to enhance the current program Survey distributed to 132 past participants of the current program, completed within the past three years (N=66) Present findings through a power point presentation to key decision makers within local transition to practice leadership Descriptive statistics used to compare survey responses Disseminate by submission to the National Nurse Practitioner Symposium Recommendations developed to enhance to the content of the current program 40 APC’s face unique challenges in role transition and often lack continued mentorship and support in the clinical setting Continued mentorship in the clinical setting builds collaboration, confidence, and improves decision making Standardized and effective transition to practice programs improve communication and role socialization, and reduce stress A lack of standardized transition to practice orientation exists for APC’s entering the workforce Committee: 42.4% (28) received contradictory information often enough to feel uncomfortable 87.9% (58) found the current program helpful to some degree in contributing to their success as an APC CONCLUSIONS/IMPLICATIONS 56.1% Number of APC’s 35 APC’s provide safe, high quality care within all disciplines Of those with an assigned individual, 45.5% (15) found their approach very helpful, 27.3% (9) slightly helpful, 15.2% (5) extremely helpful, 12.1% (4) moderately helpful How much do you feel the Transition to Practice Course helped in lowering the stress of your transition to your current APC position? BACKGROUND Nearly 26,000 Advanced Practice Clinicians (APC), including Nurse Practitioners, Physician Assistants, Nurse Midwives and Clinical Nurse Specialists completed their education and entered the workforce between 2014-2015 67% (48) Nurse Practitioners, 24% (17) Physician Assistants, 5.7% (4) Nurse Midwives, 1.4% (1) Clinical Nurse Specialist 30 25 20 High survey response rate (50%) with minimal prompting demonstrates APC interest in process of transition to practice 24.2% 15 15.2% 10 5 3% 1.5% Very Helpful Extremely Helpful 0 Not Helpful Slightly Helpful During your service specific orientation, how much do you feel you were supported in the clinical setting? Figure 1: Survey Result Findings Decreased Mentorship Support Inconsistent Orientation Process Moderately Helpful Contradictory Information in Clinical Setting Gaps in APC Orientation Decreased Support in Clinical Setting Project Chair: Dr. Clinton Child, DNP Primary Care DNP Program Director: Dr. Julie Balk, DNP, APRN, FNP-BC 6.1% 27.3% 66.7% About the Right Amount Some but not Enough Not at All A large portion of APC’s (50%) were not assigned a mentor, likely a contributing factor to contradictory information given Lack of ongoing support during the transitional period may be contributing to increased stress and dissatisfaction Recommendations Local organization’s APC Leadership should consider expansion of current course to include clearly established mentorship Simulation scenarios, which support collaboration with unit and department staff, may enhance perception of feeling supported in the clinical setting Assistant Dean for MS & DNP Programs: Dr. Pam Hardin, PhD, RN Content Expert: Deanne Williams, MS, CNM |
