Outcomes of pediatric-focused advanced practice provider fellowship programs: An integrative review

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: An increased demand for pediatric-focused advanced practice providers (APPs) exists to address the health care needs of children with medical complexity. Postlicensure advanced practice fellowship programs have been developed to help improve novice provider transition to practice, reducing attrition. Objectives: The objectives of this integrative review are to (1) identify outcome measurements of pediatric-focused advanced practice fellowship programs and (2) evaluate the outcome measures to guide future implications for practice. Data sources: A systematic integrative literature review was conducted in accordance with the Preferred Reporting Items for Systemic Reviews and Meta-Analyses. PubMed, CINAHL, Embase, and Google Scholar were searched in August and September 2022. Articles met inclusion criteria if they included new graduate APPs, reported the intervention of a pediatric fellowship program, and shared outcome measurements. Studies were excluded if they did not directly report on fellowship program outcome measures. Thirteen studies met inclusion criteria and were summarized and appraised for quality using the Johns Hopkins Evidence-Based Practice Model. Conclusions: Four themes from the literature included the favorable impact of advanced practice fellowship programs on (a) job satisfaction, (b) retention, (c) clinical and professional performance, and (d) financial outcomes. Variable strategies were used to measure outcomes across programs.

Original languageEnglish (US)
Pages (from-to)504-511
Number of pages8
JournalJournal of the American Association of Nurse Practitioners
Volume36
Issue number9
DOIs
StatePublished - Aug 2 2024

Keywords

  • APP onboarding
  • Advanced practice provider fellowship
  • new graduate nurse practitioner
  • new graduate physician assistant
  • transition to practice

ASJC Scopus subject areas

  • General Nursing

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