Hillman Associates, LLC and Laney Graduate School, Emory University.
PCI Government Services.
J Am Assoc Nurse Pract. 2024 Aug 1;36(8):437-445. doi: 10.1097/JXX.0000000000000988.
With the rise in nurse practitioner (NP) residency programs, evaluations have largely focused on retention and competency completion for residents. There is a need for expanded evaluation to ensure the sustainability of NP residency programs, to ensure timely adaptations to address resident satisfaction, and to solidify a long-term pathway of NPs well prepared for rural practice. We created a family nurse practitioner (FNP) residency program with a comprehensive evaluation framework to prepare residents for practice in rural settings. The evaluation framework was developed through collaborative engagement of an external evaluation team, program leadership, and clinical site representatives. The evaluation framework of the FNP residency program combined resident assessment and holistic program evaluation, using a rapid continuous quality improvement (QI) approach. The evaluation considered three distinct perspectives: the resident, the peer coach, and the clinical site. The rapid continuous QI approach allowed program leadership to respond swiftly to programmatic challenges, improve the residency program in response to residents' reported experiences, and emphasize sustainability for continued program impact, while assessing residents' learning and performance. The program's data-driven evaluation approach has demonstrated its success in meeting the goals of the Health Resources and Services Administration funding by increasing the number of primary care providers in rural settings. The program's expansion and continued success have further validated the efficacy of this evaluation framework in assessing, improving, and ensuring the sustainability of APRN residency programs. This article calls for the adoption of similar evaluation strategies in future residency programs to promote their long-term success and impact in rural health care settings.
随着护士从业者（NP）住院医师培训计划的兴起，评估主要集中在住院医师的保留和能力完成上。需要扩大评估范围，以确保 NP 住院医师培训计划的可持续性，确保及时适应以解决住院医师的满意度问题，并巩固长期的途径，使 NP 为农村实践做好充分准备。我们创建了一个家庭执业护士（FNP）住院医师培训计划，并建立了一个综合评估框架，以准备居民在农村环境中进行实践。该评估框架是通过外部评估团队、项目领导和临床站点代表的协作参与制定的。FNP 住院医师培训计划的评估框架结合了居民评估和整体项目评估，采用快速持续质量改进（QI）方法。评估考虑了三个不同的角度：居民、同行教练和临床站点。快速持续 QI 方法使项目领导能够迅速应对项目挑战，根据居民报告的经验改进住院医师培训计划，并强调可持续性，以持续产生项目影响，同时评估居民的学习和表现。该计划的数据驱动评估方法已经证明，通过增加农村地区的初级保健提供者数量，成功实现了卫生资源和服务管理局资助的目标。该计划的扩展和持续成功进一步验证了该评估框架在评估、改进和确保 APRN 住院医师培训计划可持续性方面的有效性。本文呼吁在未来的住院医师培训计划中采用类似的评估策略，以促进其在农村医疗保健环境中的长期成功和影响。
