NPs and the Integral Knowledge Base Essay
NPs and the Integral Knowledge Base Essay
NPs and the Integral Knowledge Base Essay
Write a 5-7 page paper (excluding title and reference pages) evaluating the necessity of a more comprehensive understanding of pathophysiology, pharmacology, and physical assessment skills for the role NP in contrast to the role of the RN. Analyze and integrate the impact of cultural competence and ethical decision making models on clinical reasoning, health policy and practice in regard to this more comprehensive understanding in the role of the NP.
Nurse practitioner (NP) graduates in their first year of practice have reported considerable challenges in the transition to their new role.1–3 A supportive environment and realistic professional expectations of the newly graduated NP can positively influence the transition of the new NP into primary health care (PHC) practice.2 In Ontario, there is a requirement that NPs work collaboratively with physicians in providing PHC. The professional relationship that new graduates form with family physicians is an important factor to ease the transition experienced by NPs.
A number of researchers from the United States have examined the role transition of NPs.1–6 These researchers suggest that the
increase in autonomy and the collaborative practice expectations of this new role make the shift from registered nurse to NP complex and demanding. Since 1995, the Primary Health Care Nurse Practitioner (PHCNP) program in Ontario, through a consortium of 10 university schools of nursing, has been preparing NPs to work in PHC settings. The program completed by the NP participants in this study was a 7-course certificate completed after the nursing baccalaureate that could be completed in 1 year of full-time study or longer-term part-time study. It is now in the process of being raised to the graduate level and incorporated into master’s degrees in nursing.
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Enrolment of nurses in NP programs in Ontario has now doubled to fill the need in PHC. A number of initiatives in Ontario in the past 5 years (eg, family health teams that require interprofessional practice, pilot projects to reduce emergency wait times, hospital clinics for specific populations, and PHCNPs in long-term care facilities) have increased the demand for PHCNPs. No Canadian research exists about the experiences and support requirements of NP graduates and their employers or factors that influence role transition of the PHCNP graduate during the first year of practice. This research seeks to develop an understanding of the experiences and support requirements of new PHCNP graduates.
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In this NPs and the Integral Knowledge Base paper, we examine the influence of interprofessional relationships, particularly those with family physicians; explore the factors influencing and hindering successful transition into NP practice; and recommend ways to support new NP graduates.
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