Abstract：
BACKGROUND: In 2011, the Institute of Medicine published a report on the future of nursing, which recommended nurse practitioner postgraduate training in the form of fellowships or residencies. Since then, the number of postgraduate programs has grown, but data is still scarce regarding their efficacy and benefits.
OBJECTIVE: The goal of this integrative review is to synthesize available literature regarding the outcomes of nurse practitioner postgraduate fellowships and/or residencies on clinical competence and perceived readiness to practice.
METHODS: CINAHL, PubMed, and citation searching were used to search relevant subject headings, MeSH headings, and keywords related to fellowships and residencies for nurse practitioners, resulting in 11 articles being included based on inclusion and exclusion criteria. Synthesis was completed using the Garrard Matrix method to identify common themes among the studies.
RESULTS: Eight quasi-experimental and three cross-sectional studies were included in this review. Programs included multiple areas of focus, including primary care, critical care, and pediatric acute care. Common themes among the studies were an increased level of preparedness, reduced turnover, and greater job satisfaction.
CONCLUSIONS: The major theme found among the studies was an increased confidence and preparedness to practice. Minor themes include increased job satisfaction and decreased intent to quit.
OBJECTIVE: The goal of this integrative review is to synthesize available literature regarding the outcomes of nurse practitioner postgraduate fellowships and/or residencies on clinical competence and perceived readiness to practice.
METHODS: CINAHL, PubMed, and citation searching were used to search relevant subject headings, MeSH headings, and keywords related to fellowships and residencies for nurse practitioners, resulting in 11 articles being included based on inclusion and exclusion criteria. Synthesis was completed using the Garrard Matrix method to identify common themes among the studies.
RESULTS: Eight quasi-experimental and three cross-sectional studies were included in this review. Programs included multiple areas of focus, including primary care, critical care, and pediatric acute care. Common themes among the studies were an increased level of preparedness, reduced turnover, and greater job satisfaction.
CONCLUSIONS: The major theme found among the studies was an increased confidence and preparedness to practice. Minor themes include increased job satisfaction and decreased intent to quit.
摘要：
背景：2011年，医学研究所发表了一份关于护理未来的报告，建议以奖学金或住院医师的形式进行执业护士研究生培训。从那以后,研究生项目的数量越来越多，但是关于它们的疗效和益处的数据仍然很少。
目的：本综合综述的目的是综合有关临床能力和感知实践准备的护士研究生奖学金和/或实习结果的现有文献。
方法：CINAHL，PubMed,引文搜索被用来搜索相关的主题词，MeSH标题,以及与执业护士研究金和住院医师相关的关键词，根据纳入和排除标准纳入了11篇文章。使用Garrard矩阵方法完成了综合，以确定研究中的共同主题。
结果：本综述包括8项准实验性研究和3项横断面研究。节目包括多个重点领域，包括初级保健，重症监护,和儿科急性护理。这些研究的共同主题是提高准备水平，减少营业额，和更高的工作满意度。
结论：研究中发现的主要主题是提高实践的信心和准备。次要主题包括提高工作满意度和减少辞职意图。
目的：本综合综述的目的是综合有关临床能力和感知实践准备的护士研究生奖学金和/或实习结果的现有文献。
方法：CINAHL，PubMed,引文搜索被用来搜索相关的主题词，MeSH标题,以及与执业护士研究金和住院医师相关的关键词，根据纳入和排除标准纳入了11篇文章。使用Garrard矩阵方法完成了综合，以确定研究中的共同主题。
结果：本综述包括8项准实验性研究和3项横断面研究。节目包括多个重点领域，包括初级保健，重症监护,和儿科急性护理。这些研究的共同主题是提高准备水平，减少营业额，和更高的工作满意度。
结论：研究中发现的主要主题是提高实践的信心和准备。次要主题包括提高工作满意度和减少辞职意图。
