Effect of an APRN Fellowship Program on Job Satisfaction and Retention
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Transition from the role of registered nurse to APRN can be stressful and frustrating as the novice navigates the first year of being a provider. Role confusion, uncertainty, lack of support, and self-doubt are a few obstacles that an APRN faces during the first year, possibly leading to job dissatisfaction or leaving the profession. Results indicate that with the increasing complexity of healthcare and rising patient acuity, transition-to-practice programs are needed to bridge the gap between graduation and professional practice as an APRN. The Institute of Medicine recommends APRN postgraduate training to provide valuable mentorship and the development of clinical skills. The purpose of the project was to determine how an APRN fellowship program affects job satisfaction and retention after the first year of practice as a provider. The Misener Nurse Practitioner Job Satisfaction Scale was administered to a convenience sample of nine novice APRNs two to six months after completing the APRN fellowship program at a large Midwestern children’s hospital. Job satisfaction scores ranged from minimally satisfied to very satisfied, and the retention rate at one year after graduation from the program was 100%. Development of an APRN fellowship program can improve the transition experience for novice APRNs, increasing job satisfaction and retention.
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