College of Science and Health Theses and Dissertations

Date of Award

Winter 3-20-2020

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Shannon Simonovich, PhD, RN

Second Advisor

Deborah Dillon, ENP, APRN, ACNP-BC, CCRN, CHFN

Third Advisor

Jessica Bishop-Royse PhD


Background and purpose: Post-graduate programs, specialized academic programs, and national health organizations like the Institute of Medicine (IOM) have identified and begun addressing the gap in knowledge, skills and factors for successful transition into practice. The purpose of this study is to examine the relationships and differences among the personal and community resources which promote successful transition for Nurse Practitioners (NP) that practice in the Emergency Department (ED) and the skills or procedures they find difficult to perform independently.

Methods: A descriptive, correlational-comparative study design was conducted using an online survey administered to a convenience sample of NPs with 6 months to 5 years of experience as a NP.

Conclusion: Findings from this study identified the variable factors associated with successful transition and failures into practice and enforce possibility of positive outcomes for healthcare institutions, ED patients and NPs practicing in this specialty area.

Implications for practice: Literature demonstrates transition as a key concept in nursing. The scope of practice for NPs encompasses a greater reach in terms accountability and responsibility. To date, there is limited data addressing the NPs perception of the transitional experience and factors related to successful transition in specialty practice. Support in transition recognizes recommendations set by healthcare organizations in promoting professional development, safe clinical practice, job satisfaction, and retention. Further study provides clarity in financial gains and improved patient health outcomes during a time in which complex disease processes and provider shortages continue to weigh heavily on society.

SLP Collection


Included in

Nursing Commons