PMID- 32649386
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR  - 20211124
IS  - 2327-6924 (Electronic)
IS  - 2327-6886 (Linking)
VI  - 33
IP  - 9
DP  - 2020 Jul 7
TI  - Development and testing of an advanced practice clinical advancement program 
      within an academic medical center.
PG  - 719-727
LID - 10.1097/JXX.0000000000000456 [doi]
AB  - BACKGROUND: Faculty advanced practice registered nurses (APRNs) and physician 
      assistants (PAs) employed by Vanderbilt University Medical Center (VUMC) have 
      historically participated in rank promotion tracks for recognition of 
      professional accomplishments in education, practice, and research. However, there 
      has not been a clinical advancement program for nonfaculty practitioners. 
      Satisfaction, engagement, and health surveys indicated VUMC APRNs and PAs were 
      seeking opportunities for professional growth and development. Many health care 
      organizations have incorporated clinical advancement programs as key recruitment 
      and retention strategies. With a growing number of nonfaculty APRNs and PAs, VUMC 
      began to explore the development, implementation, and evaluation of a clinical 
      advancement program. PURPOSE: A VUMC Clinical Advancement Task Force was created 
      to explore, develop, implement, and evaluate an advanced practice clinical 
      advancement pilot. METHODS: Two teams were selected to participate in a 6-month 
      pilot. Presurveys and postsurveys were conducted, and postpilot focus groups were 
      held with participating practitioners. A 9-square tool was developed as a rubric 
      for evaluating the practitioner's progress. Applications, leader assessments, and 
      recommendations were housed in a secure database for a selected advancement 
      committee to evaluate. RESULTS: Of 23 participants, 47% indicated satisfaction 
      with professional development opportunities, when compared with 84% postpilot. 
      Postpilot focus groups further improved the tool and the process for the program. 
      IMPLICATIONS FOR PRACTICE: Opportunities for advancement/professional development 
      positively influence APRN and PA perceptions of job satisfaction. This program 
      could be tested with other APRN and PA teams for impact on job satisfaction, 
      engagement, and retention.
CI  - Copyright (c) 2020 American Association of Nurse Practitioners.
FAU - Kapu, April N
AU  - Kapu AN
AD  - Advanced Practice, Vanderbilt University Medical Center, Nashville, Tennessee.
FAU - Card, Elizabeth
AU  - Card E
AD  - Vanderbilt University Medical Center, Nashville, Tennessee.
FAU - Jackson, Heather
AU  - Jackson H
AD  - Vanderbilt Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Kinch, Jill
AU  - Kinch J
AD  - Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University 
      Medical Center, Nashville, Tennessee.
FAU - Lupear, Buffy Krauser
AU  - Lupear BK
AD  - Advanced Practice, Vanderbilt University Medical Center, Nashville, Tennessee.
FAU - LeBar, Kiersten
AU  - LeBar K
AD  - Advanced Practice Providers, Jefferson Health, Philadelphia, Pennsylvania.
FAU - Moore, Deonna
AU  - Moore D
AD  - Transplant Center, Vanderbilt University Medical Center, Nashville, Tennessee.
FAU - Terrell, Michelle
AU  - Terrell M
AD  - Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University 
      Medical Center, Nashville, Tennessee.
FAU - Dubree, Marilyn
AU  - Dubree M
AD  - Vanderbilt University Medical Center, Nashville, Tennessee.
LA  - eng
PT  - Journal Article
DEP - 20200707
PL  - United States
TA  - J Am Assoc Nurse Pract
JT  - Journal of the American Association of Nurse Practitioners
JID - 101600770
MH  - Academic Medical Centers
MH  - *Advanced Practice Nursing
MH  - Humans
MH  - Job Satisfaction
MH  - *Physician Assistants
MH  - Surveys and Questionnaires
COIS- Competing interests: The authors report no conflicts of interest.
EDAT- 2020/07/11 06:00
MHDA- 2021/11/25 06:00
CRDT- 2020/07/11 06:00
PHST- 2019/12/31 00:00 [received]
PHST- 2020/04/28 00:00 [accepted]
PHST- 2020/07/11 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
PHST- 2020/07/11 06:00 [entrez]
AID - 01741002-202109000-00010 [pii]
AID - 10.1097/JXX.0000000000000456 [doi]
PST - epublish
SO  - J Am Assoc Nurse Pract. 2020 Jul 7;33(9):719-727. doi: 
      10.1097/JXX.0000000000000456.