title: Taking charge of the challenge: factors to consider in taking your first nurse practitioner job.
abstract: 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.
authors.affiliation: Johns Hopkins University School of Nursing, Baltimore, Maryland 21205, USA. sszanton@son.jhmi.edu
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Szanton
authors.forename: Lisa K
authors.initials: LK
authors.lastname: Mihaly
authors.forename: Jeanne
authors.initials: J
authors.lastname: Alhusen
authors.forename: Kathleen L
authors.initials: KL
authors.lastname: Becker
mesh_terms: D000223:Adaptation, Psychological; D002322:Career Mobility; D004526:Efficiency; D006801:Humans; D007588:Job Satisfaction; D009722:Nurse Practitioners