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Advanced Practice Nurse and Physician Assistant Orientation Program: A Critical Piece in the Onboarding Process

      Highlights

      • Lack of a formal advanced practice provider (APP) orientation and onboarding has been found to contribute to APP dissatisfaction and high turnover rates.
      • An evaluation of an APP orientation process was obtained through online surveys and completed at 3 time periods: 1, 3, and 6 months from the start date.
      • By using the Plan-Do-Seek-Ask quality improvement methodology, identification of contributing factors to an unsatisfactory APP orientation were identified.
      • By streamlining the APP orientation process, APPs were set up for success and sooner acclimated to the organization’s culture and values.

      Abstract

      Advanced practice providers (APPs) are an integral part of the health care team. Historically at our institution, the practice of APP orientation was limited compared with other provider staff orientation. This lack of formal orientation and onboarding was found to contribute to APP dissatisfaction and high turnover rates. Improvements in these processes began with the formation of an APP Subcommittee and orientation/onboarding task force. We describe an APP orientation process that improved the perception of APP orientation.

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      Biography

      All authors are from the Mayo Clinic Jacksonville, Jacksonville, FL. Ami Crek, APRN, DNP, is with the Department of Hospital Internal Medicine, Advanced Care at Home.

      Biography

      Amanda Stanton, MHS, PA-C, is with the Department of Gynecologic Surgery.

      Biography

      Belinda Bradley Monning, DNP, ACNP-BC, is with the Department of Hospital Internal Medicine and Advanced Care at Home.

      Biography

      Anastasia J. Whitman, APRN, DNP, is with the Department of Hospital Internal Medicine.

      Biography

      Amanda Chaney, APRN, DNP, is with the Department of Transplant and is chair of the Advanced Practice Provider Subcommittee.