All authors are affiliated with the University of Alabama at Birmingham (UAB), Birmingham, Alabama. R. Scott Kopf is a nurse practitioner for pulmonary and critical care, UAB Hospital. Penni I. Watts is an assistant professor and director of clinical simulation, UAB School of Nursing. Eileen S. Meyer is a nurse practitioner and assistant director of advanced practice providers, UAB Hospital. Jacqueline A. Moss is a professor and associate dean for technology and innovation, UAB School of Nursing.
Am J Crit Care. 2018 Sep;27(5):398-406. doi: 10.4037/ajcc2018101.
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.
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.
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.
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.
近三分之一的新毕业护士从业者报告没有经历过正式的入职培训，而认证后的入职培训过程也各不相同。一个经过验证的课程将满足对结构化培训的需求，以促进新毕业生的实践过渡。
使用文献回顾和专家小组的方法，为重症监护室护士从业者创建了基于能力的实践过渡课程。确定了基于重症监护实践中对护士从业者至关重要的临床类别以及从现有的研究生医学教育培训和认证机构认证的护理课程中改编的能力，与预认证护理课程保持一致。从学术和临床背景中招募的参与者被要求使用 4 分李克特量表对课程项目进行排名。根据参与者的调查反馈，对能力进行了细化。
共有 31 名来自美国学术医疗中心和护理学校的参与者对能力验证的请求做出了回应，其中 29%的参与者提供了定性数据。所有 9 个能力主题的平均评分均大于 3.5，被认为是有效的。利用综合的定量和定性数据，开发出了一套重症监护室护士从业者的最终能力。
本研究中开发和验证的课程可以成为新手护士从业者实践过渡的基础。该课程具有适应性，可以用于外科和内科重症监护室。经过细化，这些能力为重症监护室新毕业护士从业者的培训提供了经过验证的基础。
