Faraz Asefeh
The George Washington University School of Nursing, Washington, DC.
J Am Assoc Nurse Pract. 2019 Jun 5;31(6):364-370. doi: 10.1097/JXX.0000000000000158.
Little is known about the facilitators and barriers to the workforce transition of novice nurse practitioners (NPs) in primary care. This research aimed to identify factors contributing and detracting from a successful initial workforce transition for novice NPs in the primary care setting.
A descriptive, cross-sectional study was conducted via online survey administered to a national sample of 177 NPs who graduated from an accredited NP program and were practicing in a primary care setting for 3-12 months. Open-ended responses were analyzed using the Krippendorff content analysis method.
This study demonstrated that facilitators of the novice NP transition are the presence of mentorship and social support, finding meaning in their work, job satisfaction, and work-life balance. Barriers to the novice NP transition are lack of support and respect, role ambiguity, and workload.
More mentorship, support, role clarity, and respect are needed to facilitate the novice NP workforce transition. More research is needed on interventions that can be implemented by health care organizations to improve the facilitators of role transition identified in this study.
对于初级保健领域新手执业护士(NP)劳动力转型的促进因素和障碍了解甚少。本研究旨在确定有助于和不利于初级保健环境中新手NP成功进行初始劳动力转型的因素。
通过在线调查进行了一项描述性横断面研究,调查对象为全国范围内177名毕业于认可的NP项目并在初级保健环境中执业3至12个月的NP。使用克里彭多夫内容分析法对开放式回答进行分析。
本研究表明,新手NP转型的促进因素包括有导师指导和社会支持、在工作中找到意义、工作满意度以及工作与生活的平衡。新手NP转型的障碍包括缺乏支持和尊重、角色模糊以及工作量。
需要更多的导师指导、支持、角色明确和尊重来促进新手NP劳动力转型。需要对医疗保健组织可以实施的干预措施进行更多研究,以改善本研究中确定的角色转型促进因素。