The impact of structured orientation on role transition and turnover intentions of advanced practice registered nurses
Nadege Jules, PhD, APRN, FNP-BC, Assistant Professor - Miami Dade College Medical Campus
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Background: The first year of transitioning from being an expert nurse to embracing the role as an Advanced Practice Registered Nurse (APRN) is challenging. The literature identifies a gap in APRNs transition to practice support in the new role. The impact of structured orientation on role transition and job turnover intentions of novice Advanced Practice Registered Nurses in their first APRN position is warranted and have not been addressed.
Purpose of the Study: The purpose of this nonexperimental, correlational study was to investigate the impact of structured orientation on role transition and job turnover intentions of novice Advanced Practice Registered Nurses in the United States in their first APRN position.
Theoretical Framework: Meleis’ Transitions Theory guided the study.
Methods: A quantitative, nonexperimental, cross-sectional, correlational research design was utilized to test the relationships among the major study variables. The subjects completed three surveys: a demographic questionnaire, the Nurse Practitioner Role Transition Scale (NPRTS), and the Transition Turnover Scale (TIS-6). Independent ttests, Pearson’s Product-Moment Correlation, and a simple linear regression tested the variables in the study.
Results: A two sample independent t-tests results supported that APRNs who received structured orientation would score higher on the NPRTS (t (138) = 3.017, p = .0015, ES = .57), and score lower on the TIS-6 (t (138) = -2.231, p = .0145, ES = -.42). Pearson Product-Moment correlation revealed a statistically significant negative relationship between the responses of the NPRTS and the TIS-6 (r = -.51, p <.001). A single linear regression model was significant (F (1, 138) = 49.039, p <.001) and the percentage of variation in TIS-6 scores that could be determined by the NPRTS total scores was 26% (r2 = .26).
Conclusions: The findings reinforced that structured orientation influenced role transition and turnover intentions. The progression and implementation of structured orientation for new APRNs remain stagnant. To date, only one-third of new APRNs have received structured orientation across the United States. By creating stronger support for new Advanced Practice Registered Nurses (APRNs) in their transition, APRNs can be a solution to the projected healthcare provider shortages and serve vulnerable populations.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28968305; ProQuest document ID: 2639455763. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
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