학술논문

Nurse practitioner and physician assistant transition to practice: A scoping review of fellowships and onboarding programs.
Document Type
Article
Source
Journal of the American Association of Nurse Practitioners. Dec2023, Vol. 35 Issue 12, p776-783. 8p.
Subject
*ONLINE information services
*CINAHL database
*MEDICAL databases
*EVALUATION of human services programs
*MEDICAL information storage & retrieval systems
*HEALTH facilities
*ACADEMIC medical centers
*CONFIDENCE
*JOB qualifications
*SYSTEMATIC reviews
*PHYSICIANS' assistants
*SELF-evaluation
*TRANSITIONAL programs (Education)
*MEDICAL care
*NURSING practice
*INTERNSHIP programs
*LABOR turnover
*DESCRIPTIVE statistics
*CRITICAL care medicine
*LITERATURE reviews
*MEDLINE
*NURSE practitioners
*EMPLOYEE retention
Language
ISSN
2327-6886
Abstract
Supplemental Digital Content is Available in the Text. Background: Newly graduated nurse practitioners (NPs) and physician assistants (PAs) benefit from transition-to-practice (TTP) support to move successfully into practice. Transition-to-practice programs (i.e., onboarding programs and fellowships/residencies) hold promise for improving workforce outcomes. Purpose: The purpose of this scoping review was to describe the literature regarding NP/PA TTP programs. Methodology: Using the Joanna Briggs Institute methodology, a specific approach for systematically conducting reviews, publications from January 1990 to May 2022 were included for review if they addressed fellowships/residencies or onboarding programs for NPs or PAs. Final data extraction involved 216 articles. Results: The pace of publication increased over time, with a noticeable increase since 2015. Articles were most commonly about fellowships/residencies, NPs, and programs set in United States nonrural, acute care settings, and academic health centers. Conclusions/Implications: There is a gap in our understanding of onboarding programs and programs focusing on PAs, as well as TTP support in rural and primary care settings. In addition, there are few articles that assess TTP program outcomes such as benefits and costs. This review describes the need for more published literature in these areas. [ABSTRACT FROM AUTHOR]