ISSN: 2642-6250
Authors: Abigail Mitchell-DHED, MSN*, MBA, RN; Jason Kiszka-DNP, FNP-BC; Monica Wideman- DNO, FNP-BC
Background: The demand for primary care providers is expected to continue to grow more rapidly with increased retirement among current providers and the population growing older with complex health care needs. Advanced practice registered nurses must be able to successfully develop in their role and have a smooth transition from Registered Nurse to Advanced Practice Registered Nurse. Design: To examine factors related to role transition for the APRN, a mini rapid review. Methods: An extensive review of the literature was conducted using the following key words: nurse practitioner student, novice, graduate, role transition, job satisfaction, quality of care, residency, fellowship, and orientation. CINHAL, EBSCO and Medline databases were used. Searches were conducted from 2019-2023. Assessed the studies for selection, risk of bias, and extraction of data. Publications were eliminated based on the following exclusion criteria: the research utilized small sample sizes or new data was available, or the peer review process was limited. 47 non-duplicated articles were initially reviewed. After initial review of the title and abstract, 38 articles remained. Of the remaining 38 articles, 29 articles were excluded during the data extraction. The 12 remaining articles were included in this literature rapid review. Conclusion: Nursing Students entering APPRN programs are often younger in age and have fewer years of registered nurse experience compared with cohorts in the past ten years. Higher Education Nursing Programs need to be aware and the importance of post-graduate residencies and expanded orientation programs for novice professionals. APRN need to be aware that competency impacts quality care that can impact financials.
Keywords: Registered Nurse; Advanced Nurse; Roles of the APRN; Nursing and Role Transition
