Taking charge of the challenge: factors to consider in taking your first nurse practitioner job.
OBJECTIVE
To describe factors that ensure a smooth transition from nurse practitioner (NP) student to independent NP during the first year of practice.


METHODS
Two contrasting case examples, the authors' experiences, and selected professional literature.


CONCLUSIONS
Key points to consider upon searching or taking a first NP job include patient, colleague, and clinic factors. Patient factors include mix of patient presentations, complexity of patient presentations, insurance status, and population. Colleague factors include mentorship, charting, mix of providers, and availability of providers. Perhaps most importantly, clinic factors include productivity expectations, practice mission, charting systems, on-call requirements, supervision of other staff, and teaching status. Together, these factors can largely determine whether an NP's days are satisfying or frustrating in a new job.


CONCLUSIONS
The transition from NP student to independent NP can be daunting. Although nursing schools and practice sites have responsibilities to ensure the transition is smooth, the new NP is ultimately responsible for the transition.
Szanton
Sarah L
SL
Johns Hopkins University School of Nursing, Baltimore, Maryland 21205, USA. sszanton@son.jhmi.edu
Mihaly
Lisa K
LK
Alhusen
Jeanne
J
Becker
Kathleen L
KL
D000223:Adaptation, Psychological; D002322:Career Mobility; D004526:Efficiency; D006801:Humans; D007588:Job Satisfaction; D009722:Nurse Practitioners