Orientation program for hospital-based nurse practitioners

Mona N. Bahouth, Mary Beth Esposito-Herr

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


The transition from student to practicing clinician is often a challenging and difficult period for many nurse practitioners. Newly graduated nurse practitioners commonly describe feelings of inadequacy in assuming clinical responsibilities, lack of support by team members, unclear expectations for the orientation period, and role isolation. This article describes the formal nurse practitioner orientation program implemented at the University of Maryland Medical Center, a large urban academic medical center, to facilitate the transition of new nurse practitioners into the workforce. This comprehensive program incorporates streamlined administrative activities, baseline didactic and simulation-based critical care education, ongoing and focused peer support, access to formalized resources, and individualized clinical preceptor programs. This formalized orientation program has proven to be one of the key variables to successful integration of nurse practitioners into our acute care clinical teams.

Original languageEnglish (US)
Pages (from-to)82-90
Number of pages9
JournalAACN advanced critical care
Issue number1
StatePublished - Jan 2009
Externally publishedYes


  • Formal orientation program
  • NP orientation
  • Nurse practitioner role transition

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care


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