Campbell University, College of Pharmacy and Health Sciences, Physician Assistant Program, Buies Creek, North Carolina.
Widener University, School of Nursing, Chester, Pennsylvania.
J Am Assoc Nurse Pract. 2023 Feb 1;35(2):122-129. doi: 10.1097/JXX.0000000000000823.
Many new graduate primary care physician assistants (PAs) and nurse practitioners (NPs) can experience stress and difficulty as they transition to practice. Feelings of anxiety and role ambiguity are common and can lead to costly turnover, impact care continuity, and place patients at risk for poor clinical outcomes. Onboarding, the process of helping new hires adjust to social and performance aspects of their new job and has the potential to ease transition to practice for PAs and NPs. Recent research has linked PA/NP onboarding programs to increased engagement, decreased turnover, and higher clinical productivity.
To describe new graduate PA and NP perspectives of onboarding programs they completed in their first primary care position.
Thirteen semistructured interviews were conducted with new graduate PAs and NPs who participated in onboarding programs. Interviews were transcribed and then analyzed using an inductive coding methodology.
Analyses revealed nine thematic concepts that are described within two frameworks. Structural components include improving competence, training on the electronic health record, promoting mentorship, orienting to organizational dynamics, tailoring ramp-up of patient scheduling, clarifying expectations, and providing clear organizational support. Psychosocial factors include creating comfort and building self-confidence.
Understanding participants' experiences with onboarding programs is essential for ensuring successful transition to practice for new graduate PAs and NPs.
These findings are beneficial to the health care workforce. Administrators can incorporate these findings into existing and future programs, and new graduate PAs and NPs can negotiate for the inclusion of these components in their first position.
许多新毕业的初级保健医生助理（PA）和护士从业者（NP）在过渡到实践时可能会感到压力和困难。焦虑和角色模糊感是常见的，可能导致昂贵的人员流动，影响护理连续性，并使患者面临不良临床结果的风险。入职，即帮助新员工适应新工作的社交和绩效方面的过程，有可能缓解 PA 和 NP 向实践的过渡。最近的研究将 PA/NP 入职计划与更高的参与度、降低的人员流动率和更高的临床生产力联系起来。
描述新毕业的 PA 和 NP 对他们在第一个初级保健岗位上完成的入职计划的看法。
对参加入职计划的新毕业 PA 和 NP 进行了 13 次半结构化访谈。访谈记录被转录，然后使用归纳编码方法进行分析。
分析显示了九个主题概念，这些概念在两个框架内进行了描述。结构组成部分包括提高能力、电子病历培训、促进指导、适应组织动态、调整患者预约时间、明确期望以及提供明确的组织支持。心理社会因素包括创造舒适感和建立自信。
了解参与者对入职计划的体验对于确保新毕业的 PA 和 NP 成功过渡到实践至关重要。
这些发现对医疗保健劳动力具有重要意义。管理人员可以将这些发现纳入现有和未来的计划中，新毕业的 PA 和 NP 可以协商在其第一个职位中纳入这些组成部分。
