Mentoring New Graduate Nurse Practitioners.

There is a critical shortage of neonatal nurse practitioners (NNPs) in the United States. The NNP shortage increases workload and negatively affects job satisfaction, which ultimately impacts patient safety. Therefore, it is imperative to identify strategies to improve job satisfaction and retention. Authors of current evidence supported the connection between mentoring and role transition, job satisfaction, and intent to stay. Mentorship is key to the success of new graduate nurse practitioners as they develop confidence in the nurse practitioner (NP) role. The aim of this integrative review is to examine the existing evidence regarding mentoring of advanced practice nurses and the potential impact on the NNP workforce.

Explaining Student Interest and Confidence in Providing Care for Older Adults: The Role of Demographics and Life Experiences.

America's aging population needs interprofessional health care providers committed to providing high-quality, patient-centered care. Considering the often negative attitudes held by health care students about older adults and the impact that can have on their care, it is important to explore factors that influence student attitudes and desire to provide geriatric care. Five hundred seventy-two students pursuing nursing, physical therapy, athletic training, dietetics, and social work degrees were surveyed. Students reported demographic factors, amount of contact with older adults, how rewarding that contact had been, and confidence and interest in working with older adults. Higher levels of confidence were associated with gender, studying nursing or physical therapy, and being older. Overall, confidence and interest were positively correlated with (a) positive attitudes toward aging, (b) contact frequency, and (c) quality experiences with older adults. Therefore, confident students with an interest in working with the geriatric population upon graduation have more exposure and more rewarding experiences with older adults before entering their program. [Journal of Gerontological Nursing, 43(3), 13-18.].

Breast is BEST: Increasing Health-Care Provider Knowledge and Confidence.

BACKGROUND: Breastfeeding is recognized as the ideal source of nutrition for infants. However, several barriers to successful breastfeeding have been identified. Possibly one of the most significant barriers is the lack of health-care provider-related support and promotion of breastfeeding. OBJECTIVE: The purpose of this study was to recognize the barriers to breastfeeding, ways health-care providers can assist patients in overcoming those barriers, and increase breastfeeding knowledge and confidence of health-care providers to better promote and manage breastfeeding clients. METHODS: Study participants included: physicians, advanced practice nurses, and nurses. The American Academy of Pediatrics (AAP) Breastfeeding Residency Curriculum was utilized in the study, and participants were also educated on and encouraged to apply ACOG's Perinatal Practice Guidelines. RESULTS: There was an overall increase of 19.2% in health-care provider knowledge scores and a 23% increase in confidence scores. There was also a 15.6% increase in documentation of early prenatal breastfeeding counseling. CONCLUSIONS: The results and significance of the study provide evidence that once health-care providers are knowledgeable and confident in promoting breastfeeding, clients will be better equipped to successfully breastfeed. IMPLICATIONS FOR NURSING: Breastfeeding success rates among mothers can be greatly improved through active support from health-care providers.