Christen Hunt, DNP, FNP-C, CPNP-AC
Vizient Associate Vice President, Clinical Team Insights
In the dynamic landscape of healthcare, the demand for skilled and qualified healthcare professionals is on the
rise. The U.S. Census Bureau projects a substantial job growth for nurse practitioners (NPs) and physician
assistants (PAs) between 2021-2031, with a staggering 46% increase for NPs and 28% growth for PAs. As these
professionals play an increasingly crucial role in bridging healthcare gaps, the need for effective transition to
practice programs is paramount.
Expanding roles and shifting scopes
Over the years, the role and scope of practice for NPs and PAs have expanded significantly. The evolution of their
responsibilities is a testament to the dynamic nature of the healthcare industry. However, this expansion brings
about new challenges, especially for new graduates entering the workforce. Academic institutions report that these
graduates are competent and "practice ready," but they often harbor uncertainties about applying the knowledge in
what we refer to as the "art of medicine."
The missing link — transition to practice programs
Transition to practice programs have long been a staple in the healthcare industry, offering a structured pathway
for new graduates to acclimate to the demands of their profession. Residencies or postgraduate transition to
practice programs are common in many healthcare fields but are not the case for NPs and PAs. The absence of such
programs leaves these professionals navigating the complexities of their roles independently, which can be a
daunting task given the rapid changes in healthcare delivery. This gap in the system poses a challenge not only to
the individual practitioners but also to the healthcare organizations that rely on them to bridge the widening
healthcare delivery gap.
The imperative for support
For NPs and PAs to effectively fill the healthcare gap and meet the growing demand for their services,
organizations must recognize the need for targeted support and take proactive steps to support their success.
Transition to practice programs can serve as a bridge, offering these professionals the guidance and mentorship
necessary to navigate the nuances of their administrative and regulatory aspects of their roles. This is not just
about filling a gap in training but ensuring that these professionals can thrive in an environment where
adaptability and continuous learning are key.
These programs can include mentorship initiatives, ongoing professional development and exposure to
interdisciplinary collaboration. By providing a structured framework for learning and growth, healthcare
organizations can empower NPs and PAs to thrive in their roles and contribute meaningfully to patient care.
Key components of transition to practice programs
- Mentorship and preceptorship: Providing new graduates with experienced mentors and
preceptors
can significantly enhance their transition to practice. This not only helps them gain practical insights into
their roles, but also fosters a sense of community and support.
- Clinical simulation and case-based learning: Incorporating simulated patient scenarios
and
case-based learning into transition programs allows NPs and PAs to develop critical decision-making skills in a
controlled environment before facing real-world challenges.
- Interprofessional collaboration: NPs and PAs often work alongside various healthcare
professionals. Integrating interprofessional collaboration into transition programs helps them understand their
role within the broader healthcare team and fosters effective communication.
- Continuous professional development: The healthcare landscape is ever-changing.
Transition to
practice programs should include opportunities for ongoing professional development, ensuring that NPs and PAs
stay abreast of the latest advancements in their field and identify opportunities to improve.
As the healthcare industry continues to grapple with a shortage of providers, it is imperative for organizations to
invest in the success of their NPs and PAs. The future of healthcare relies heavily on their success. These programs
are not just an investment in the professional development of individuals but also a strategic move to ensure the
highest quality of patient care and the overall well-being of the communities they serve. The time is now to bridge
the gap and pave the way for the next generation of healthcare leaders.
Learn about
Vizient's Advanced Practice Advising and Transition to Practice capabilities.
Author
Christen Hunt
serves as a Vizient subject matter expert in clinical workforce optimization while engaging
with members to assist them in interpreting and utilizing data to optimize the entire clinical
workforce. As a
strong advocate of advanced practice, she collaborates with research colleagues across the nation to
provide
evidence-based solutions addressing difficult questions surrounding advanced practice deployment.