title: Attaining role confirmation in nurse practitioner practice.
abstract: Although nurse practitioners (NPs) as a collective group have reached the stage of role confirmation, in new settings they must transition through several phases of role development. The role confirmation issues for a team of NPs who were hired to work in a large academic teaching hospital in the Southeastern part of the United States are explored over a 3-year period. Characteristics of the organization and strategies that the NPs implemented over time impacted favorably on the evolution of the NP role in that setting. The NPs gained prescriptive privileges, independent practice, and market-place salaries. Effective negotiation and marketing strategies enhanced both personal and professional development.
authors.affiliation: Veterans Affairs Medical Center, Augusta, GA 30904, USA. jandrews@msn.com
authors.forename: J
authors.initials: J
authors.lastname: Andrews
authors.forename: C
authors.initials: C
authors.lastname: Hanson
authors.forename: S
authors.initials: S
authors.lastname: Maule
authors.forename: M
authors.initials: M
authors.lastname: Snelling
mesh_terms: D000046:Academic Medical Centers; D003406:Credentialing / Q000458:organization & administration*; D003659:Decision Making, Organizational; D011307:Drug Prescriptions; D006801:Humans; D007587:Job Description; D008389:Marketing of Health Services; D008504:Medical Staff Privileges / Q000458:organization & administration*; D009722:Nurse Practitioners / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D018024:Peer Review, Health Care; D011320:Primary Health Care / Q000458:organization & administration*; D017009:Professional Autonomy; D012456:Salaries and Fringe Benefits