Role Anaylsis

Transition into the CRNP role The transition of a nurse generalist to an advanced practice role such as a nurse practitioner can be quite challenging due to job stress, unreasonable workloads or work environments, lack of organizational support, and poor nurse-physician relations. During the first few months of practice, this phase can be the most challenging for new nurse graduates in attempt to build confidence, adapt to new culture, meet demanding expectations, and develop autonomous decision making. This time of transition also grants unavoidable stressors to the new graduate. These stressors being, the new environment and interactions with members of the disciplinary team, reliance on others, interruptions, and perceived lack of experience or support. orientation programs provided by facilities for new graduates practitioners prove to be beneficial in addressing these issues. The increase in autonomy and collaborative practice expectations of the APN role are two chief factors making the transition difficult (Solowiej, Upton, and Upton, 2009).
As described by Morrow (2009), the transition from novice to expert practitioner takes place in stages that build from one another; stages of novice, advanced beginner, competent, proficient and expert. New graduate nurses carry a strong theoretical knowledge base reinforced by knowledge-informed practice in which intuition, life experience and past experience facilitates the decision making as one transition from novice to advanced beginner and beyond. Solowiej, Upton, and Upton (2010) describe perceptions and experiences of newly qualified graduates and the need of mentor support during the transition of student to the advanced practice role. Confidence in clinical decision making and preparedness for practice plays a vital role with in the first year of practice. Having resources for continuing education, updated valuable treatment data, and evidence-based practice information, is imperative to not only safe

References: Anderson, A. R., & O’Grady, E. T. (2009). The primary care nurse practitioner. In C. Anderson, & S. Clark (Eds.), Advanced Practice Nurse: An Integrative Approach (pp. 380-400). St.Louis, MO: Saunders-Elsevier. Cartwright, C Link, D. G. (2009). The teaching-coaching role of the APN. Journal of Perinatal and Neonatal Nursing, 23, 279-283. Lowe, G., Plummer, V., O’Brien, A.P. and Boyd, L. (2012). Time to clarify-the value of advanced practice nursing roles in health care. Journal of Advanced Nursing, 68, 677-685. http://dx.doi.org/10.1111/j.1365-2648.2011.05790.x Morrow, S