Journal article
Advanced Practice Registered Nurse Transition to Practice in the Long-Term Care Setting: An Ethnography
Global qualitative nursing research, Vol.9, pp.233339362211087-23333936221108701
2022
DOI: 10.1177/23333936221108701
PMCID: PMC9272163
PMID: 35832603
Abstract
Advanced practice registered nurses are successful in improving quality outcomes and filling provider care gaps in long-term care. However, little is known about the nurse's transition to practice in this setting. A 12-month ethnography was conducted via participant-observation with nine advanced practice registered nurses in five long-term care facilities to understand practice environment influence on the nurses' transition and on the reciprocal influence of the nurse on the practice environment. Transition was fraught with uncertainty as documented by five themes: where's my authority, institutional acceptance, personal role fulfillment, provider relationships, and individual versus organizational care. These findings suggest that transition in this setting is complex, characterized by insecurity whether the individual is new to advanced practice or experienced. Transition in long-term care could be strengthened by formal programs that include clinical practice, reconceived mentorship for advanced practice registered nurses, and education designed to improve comfort and expertise with indirect care.
Details
- Title: Subtitle
- Advanced Practice Registered Nurse Transition to Practice in the Long-Term Care Setting: An Ethnography
- Creators
- Alisha Harvey Johnson - University of MissouriTracie Culp Harrison - The University of Texas at Austin
- Resource Type
- Journal article
- Publication Details
- Global qualitative nursing research, Vol.9, pp.233339362211087-23333936221108701
- Publisher
- Sage
- DOI
- 10.1177/23333936221108701
- PMID
- 35832603
- PMCID
- PMC9272163
- ISSN
- 2333-3936
- eISSN
- 2333-3936
- Number of pages
- 13
- Grant note
- TX-0418-TXCHHS-021 / Texas Department of Health and Human Services at the University of Texas at Austin, School of Nursing Centers for Medicare and Medicaid Services TX-0418-TXCHHS-021 / Center for Excellence in Aging Services and LongTerm Care center at the University of Texas at Austin, School of Nursing
- Language
- English
- Date published
- 2022
- Academic Unit
- Nursing
- Record Identifier
- 9984696564502771
Metrics
12 Record Views