HSR22-132: Evolution of an Advanced Practice Provider (APP) Clinical Advancement Program (CAP): From Development and Implementation to Present

Authors: Jennifer Browning MS, APRN-CNP1 and Lisa Parks MS, APRN-CNP1
View More View Less
  • 1 The Ohio State University Wexner Medical Center, James Cancer Hospital and Solove Research Institute, Columbus, OH

Background: APP turnover has shown to cost approximately 25% of the clinician’s annual salary. Implementation of an APP advancement program in a hospital setting can help by increasing retention and decreasing turnover, improving quality outcomes and the stability of the healthcare system. Lack of opportunity for professional advancement is one reason that APPs report decreased job satisfaction, retention, and an increased incidence of burnout. In order to address these issues, the Ohio State University Wexner Medical Center (OSUWMC) and the James Cancer Hospital developed an APP CAP program which was implemented in 2016. The theoretical framework for development of the Clinical Advancement Program is based on the Dreyfus Model of Skill Acquisition. P. Benner (1984) adapted the Dreyfus model to develop the Model of Clinical Competence. This model includes five stages for professional development: novice, advanced beginner, competent, proficient, and expert. It takes into account the incremental development of clinical decision making skills through critical thinking and performance, based on experience and education. It also provides a basis for clinical knowledge development and career progression. Purpose: The purpose of this project is to track the progression of enrollment in the James APP CAP. Of those participants in the APP CAP, the number of proficient and expert practitioners are recorded. Methods: With the support of APP leadership, a committee was established to educate, recruit, and review applicant’s professional portfolios. Co-chairs guide the committee with members providing mentorship of new applicants and review of applications. Results: The James APPs numbers participating in the CAP has increased by 40% over the past 4 years. In the initial year, all APPs in the CAP were promoted to proficient. Promotion to expert in the program has increased to 11 expert APPs in 2020 from the 4 experts in 2017. Implications for Practice Organizational commitment in an APP CAP is essential for the success of the program. The APP CAP provides structure and processes supportive of clinical excellence. APP CAP is a tool for professional development providing mentorship, knowledge translation, and leadership leading to job recognition and satisfaction. This program can lead to APP retention and recruitment. Promotion in the APP CAP could drive higher quality and consistency of healthcare while reducing costs.

Corresponding Author: Jennifer Browning, MS, APRN-CNP
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 86 86 4
PDF Downloads 0 0 0
EPUB Downloads 0 0 0