School of Nursing, University of Delaware, Newark, Delaware.
School of Nursing, The George Washington University, Washington, District of Columbia.
J Am Assoc Nurse Pract. 2021 Feb 18;34(1):79-88. doi: 10.1097/JXX.0000000000000566.
Novice nurse practitioner role transition (NNPRT) can be described as stressful and turbulent, leading to decreased job satisfaction and increased intent to leave. No published instrument exists to measure NNPRT. Thus, researchers, educators, and administrators are limited in their ability to measure the concept and therefore understand the factors that lead to a successful, or unsuccessful, role transition experience. An instrument with evidence of validity and reliability is needed to conduct large-scale and systematic examinations of NNPRT.
The purpose of this study was to develop and examine the initial factor structure of a novel instrument that measures NNPRT.
Initial item development was guided by concept analysis, literature review, and qualitative data. Face and content validity were established from expert review. Using pilot data from 89 novice nurse practitioners (NPs), an exploratory factor analysis (EFA) was conducted to examine the instrument's internal factor structure.
The NNPRT Scale includes 40 items that measure an individual's perception of their role transition experience. The EFA revealed a five-factor structure: organizational alignment, mentorship, sense of purpose, perceived competence and self-confidence, and compensation.
In an evolving health care system, provider well-being is at the center of workforce, educational, and organizational conversations. Understanding how to optimize the workforce and prepare NPs for health care delivery is increasingly important. The NNPRT Scale will allow for large-scale examinations of the factors that influence NP role transition, as well as assess interventions to prepare and support novice NPs' transitions.
新手护士从业者角色转变（NNPRT）可能是充满压力和动荡的，这会导致工作满意度降低和离职意愿增加。目前没有用于衡量 NNPRT 的已发表工具。因此，研究人员、教育工作者和管理人员在衡量这一概念的能力方面受到限制，因此无法理解导致角色转变成功或失败的因素。需要有一种具有有效性和可靠性证据的工具来对 NNPRT 进行大规模和系统的检查。
本研究的目的是开发和检验一种衡量 NNPRT 的新工具的初始因素结构。
初始项目的开发以概念分析、文献回顾和定性数据为指导。通过专家评审建立了表面和内容效度。使用 89 名新手护士从业者（NPs）的试点数据进行探索性因素分析（EFA），以检验工具的内部因素结构。
NNPRT 量表包含 40 个项目，用于衡量个体对其角色转变体验的感知。EFA 显示出五个因素结构：组织一致性、指导、使命感、感知能力和自信、以及薪酬。
在不断发展的医疗保健系统中，提供者的幸福感是劳动力、教育和组织对话的核心。了解如何优化劳动力并为 NPs 做好医疗服务准备变得越来越重要。NNPRT 量表将允许对影响 NP 角色转变的因素进行大规模检查，并评估干预措施，以准备和支持新手 NPs 的转变。
