NP role transition ToolKit

Welcome to the NP role transition toolkit.

This toolkit reviews the phases of role transition from Brown and Olshansky's "From Limbo to Legitimacy" theoretical model. Each phase will have an video and list of evidence based resources for you to access. These resources are aimed at providing you with the information you need during each phase to help answer your questions and ease your role transition. The goal of this toolkit is to help ease and facilitate your role transition, while ultimatley improving patient outcomes!

Theoretical model citation: Brown, M-A., & Olshansky, E. F. (1997). From limbo to legitimacy: A theoretical model of the transition to primary care nurse practitioner role. Nursing Research. 46 (1), 46-51.

Laying the Foundation

First phase of role transtion to NP, about the first month after graduation.

Recuperating from school resources:

Websites: ANA self-care information: “Healthy Nurse, Healthy Nation”

American Psychiatric Nurses Association: “Self-care tip sheet for nurses”

Article: Bal, D. (2021). Self-care for nurses. Nurse Journal. https://nursejournal.org/resources/self-care-for-nurses/

Video: The burned out NP: Talking with a self-care stratigist

Certification Article: Certification Article: Hoffman, J. (2015). Certification Basics.

Negotiating the bureaucracy:

Numbers, Numbers, Numbers!

NPI number website

NPI number information

DEA number information

DEA application form

State scope of practice:

Article: AANP (2021) Issues at a Glance: Full practice authority.

Website:Individual state scope of practice information from the AANP. Limited information without membership available here.

Much more information on scope of practice available when AANP member. AANP Website

Map of practice environments

Links to individual states

Podcast: AANP podcast: NP Pulse: The voice of the Nurse Practitioner. Full practice authority episode 14

Top 10 NP podcasts

Looking for a Job:

Article on residency programs: Wiltse Nicely, Kelly L. PhD, RN; Fairman, Julie PhD, RN Postgraduate Nurse Practitioner Residency Programs, Academic Medicine: June 2015 - Volume 90 - Issue 6 - p 707-709

doi: 10.1097/ACM.0000000000000567 https://journals.lww.com/academicmedicine/fulltext/2015/06000/postgraduate_nurse_practitioner_residency.9.aspx

Resources:

AANP Student resources link (Starting your NP Career) and transitioning to nurse practitioner videos *requires a membership, EXCELLENT resources*

AANP has role transition videos available to members. EXCELLENT resources from experienced NPs!

Podcasts: (available where you listen to podcasts)

Burned out NP: Podcast Episode 1: New nurse Practitioner survival guide: my top 3 tips

Burned out NP: Interview, Contract, Job Search Tips: Red flags

Website: Information on resumes and cover letters: Resume RX: Grab the new graduate survival guide

Video: Real World NP: video interview with a nurse lawyer

Worrying:

Article referenced in video regarding Dr. Meleis transition theory: Meleis, A. I. (2015). Transitions theory. In M. Smith & M. Parker (Eds.), Nursing theories and nursing practice (4th ed., pp. 361–380). FA Davis Co.

Certification exam:

Certification Article: Certification Article: Hoffman, J. (2015). Certification Basics.

Websites: NP national examination exam reviews (not an all inclusive list)

Fitzgerald Health Education Associates

Advanced Practice Education Associates

Barkley and Associates

Latrina Walden Exam Solutions

Resources: AANP student resource center: as a student member they have resources for you as you transition to practice. These are excellent and highly recommended.

Podcast: NP business matters podcast

Website: Contract negotiations for nurse practitioners

Website: Pompilio, E. (2019). Contract negotiations for Healthcare Professionals

Clinician business tips: Clinician business tips

Videos:Carolyn Buppert, a NP AND attorney who is familiar with employment contracts. Has a series of videos on youtube that give great information on employment contracts. Link to video.

Launching

Second phase of role transtion to NP, about the 3-6 month after graduation.

Feeling like an impostor

Website/VLOG: Real world NP blog about impostor syndrome

Article: Huffstutler, S.Y. & Varnell, G. (2006). The Impostor Phenomena in New Nurse Practitioner Graduates.

Podcast: Becoming a stress-free nurse practitioner: Combating impostor syndrome (episode 23)

Articles referenced in video:

Heitz LJ, Steiner SH, & Burman ME. (2004). RN to FNP: a qualitative study of role transition. Journal of Nursing Education, 43(9), 416–420. https://doi-org.arbor.idm.oclc.org/10.3928/01484834-20040901-08

Murphy, K., & Mortimore, G. (2020). Overcoming the challenges of role transition for trainee advanced clinical practitioners. Gastrointestinal Nursing, 18(5), 35–41. https://doi-org.arbor.idm.oclc.org/10.12968/gasn.2020.18.5.35

Sherman, R. O. (2013). Imposter syndrome: When you feel like you’re faking it. American Nurse Today, 8(5), 57–58.

Confronting Anxiety:

Video: The burned out NP: Talking with a self-care strategist

Real world NP: Real world NP: How to manage Nurse Practitioner stress, burn out and compassion fatigue:

Podcast: Becoming a stress-free nurse practitioner: Managing Anxiety as a new NP (episode 32), Shifting negative self-talk (episode 34)

Getting through the day and battling time:

Article: Hoffman, J. New NP survival guide. Basics for new NP Practice

Website: Real world NP: Ultimate Resource guide for the new NP

Burned out Nurse Practitioner: 7 tips to save HOURS on charting

Video: Real World NP: Time-saving Tips for New Nurse Practitioners

Podcast: Becoming a stress-free nurse practitioner: 1 Year as a Nurse Practitioner (episode 8)

Podcast: NP Business Matters: Getting paid (episode 34)

Meeting the Challenge

Third phase of role transition according to Brown and Olshansky's theoretical framework "From Limbo to Legitimacy" called meeting the challenge.

Increasing Competence:

Website: The AANP has a wonderful CE center aimed at providing education to the practicing NP.

Articles: NP educator Dr. Hoffman has created a survival guide for new NPs. This guide is a compilation of articles accessed from the links below.

Clinical tips for new NPs

Clinical tricks

Clinical pearls

Podcasts:

AANP’s podcast has great episodes on clinical content. AANP podcast: NP Pulse: The voice of the Nurse Practitioner. Great episodes on clinical content

VLOG: Real World NP has multiple videos with clinical content and interviews with specialty NPs

See the “Mobile Apps for New Nurse Practitioners” presentation for information on point of care references you can add to your smart devices.

Acknowledging system problems

Article: Mentoring: A vital link in nurse practitioner development

VLOG: Real world NP: What does new NP mentorship look like? (She does private mentoring as well)

Some NP’s offer private consulting:

Tom Davis Consulting

Real world NP

State NP associations: many have mentorship available. If you are a Michigan NP, check out the Michigan Council of Nurse Practitioners MICNP Connect page!

Billing resources

Video: Real World NP: Billing and Coding for new nurse practitioners

Article: Buppart, C, 2020. How to bill for nurse practitioner services.

Resource: You may want a quick reference for billing. This is a nice resource!

APEA billing and coding quick reference

The AANP has members only information in the practice section of their website on billing and coding. They also have a statement on "incident to".

Broadening the Perspective

Last phase from Brown and Olshansky's "From Limbo to Legitimacy" theoretical model called Broadening the Perspective.

Developing System Savvy

Website: AMA EdHub: Electronic Health Record Optimization: Strategies to help organizations maximize benefits and minimize burdens.

Networking:

Article: Goolsby MJ, Knestrick JM. (2017) Effective professional networking. Journal of the American Association of Nurse Practitioners., 29(8):441-445. doi: 10.1002/2327-6924.12484. Epub 2017 Jun 13. PMID: 28608520. https://pubmed.ncbi.nlm.nih.gov/28608520/

Web Article:

Hamlin, K., (2021) Professional Networking in Nursing. Nurse Journal.

Website: AANP (2019). The Importance of NP Networking: How to get involved.

Affirming oneself

Self-care resources from Laying the Foundation video

Article: Bishop C. S. (2012). Advanced practitioners are not mid-level providers. Journal of the advanced practitioner in oncology, 3(5), 287–288. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093350/

Website: AANP position statement on terms

Web article: by Kevin MD: Stop calling nurse practitioners mid-level providers.

Upping the Ante

Joining NP associations:

Articles:

Goolsby, M. J. & DuBois, J. C. (2017). Professional organization membership. Journal of the American Association of Nurse Practitioners, 29 (8), 434-440. doi: 10.1002/2327-6924.12483.

Berg, J. & Ruppert, S. (2019). Fostering promotion and protection of the professional nurse practitioner role: A call to action. Journal of the American Association of Nurse Practitioners, 31 (1), 3-5. doi: 10.1097/JXX.0000000000000180.

Website: AANP: Why join AANP?

Blog: Nurse Practitioner associations: everything you need to know.

Podcast: AANP podcast: NP leadership (episodes 37-41)

Professional Associations:

AANP (American Association of Nurse Practitioners often referred to as the American Academy of Nurse Practitioners)

NAPNAP: Pediatric Nurse Practitioner Association

GAPNA: Gerontological Advanced Practice Nurses Association

NPWH: Nurse Practitioners in Women’s Health

NONPF: National Organization of Nurse Practitioner Faculty

AAENP: American Academy of Emergency Nurse Practitioners

ANPB: Association of Nurse Practitioners in Business

NADNP: National Academy of Dermatology Nurse Practitioners

State NP associations: This website has links to every state’s association.

DNP information:

Article: National Academy of Medicine (Formerly the Institute of Medicine)., The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (2021). Free Download. Page 195 quote from presentation

Website: American Association of Colleges of Nursing: DNP Fact Sheet

Precepting information:

National Organization of Nurse Practitioner Faculty: Preceptor Portal and Preceptor FAQs