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Program evaluation shows improved confidence and high job retention in primary care nurse practitioners, suggesting residencies foster effective transitions into practice.
Nurse practitioner (NP) residencies support transition to practice and improve retention. We describe outcomes of a primary care NP residency across four cohorts (2020 to 2024) at the Veterans Health Administration-VA Boston Healthcare System (VA-BHS). Evaluated outcomes include clinical competence, confidence in practice, employment, and retention. All 10 residents achieved competence and significantly greater confidence at graduation compared with 1 month after starting the program ( p < .0001). VA-BHS offered eight residents employment, retaining five of the six hired (83%) 1 year postgraduation. The robust confidence, competence, and retention of graduates uphold evidence that residencies support successful NP transition into practice.
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Croke et al. (2026) studied this question.
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