My first year: what it takes to be a nurse practitioner (2024)

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[/av_textblock] [av_textblock size=” font_color=” color=” custom_class=”] The road from nurse to nurse practitioner (NP) presents new and exciting challenges, from managing complex care on a new team and oftentimes, working in a new environment. Taking this new path involves stepping outside your comfort zone to follow your passion.

In recognition of National NP Week, we spoke with NPs across our hospitals to get a look inside their journey thus far, including lessons learned and how they’re continuing to grow and develop as an NP.

It involves teamwork

As a new NP graduate, it’s important to communicate effectively with other clinicians on the care team – that includes not being afraid to ask questions and providing support to one another. Scott Snorteland, FNP-BC, from North Shore University Hospital feels a support system is crucial to a smooth transition into the role. “Without the help of my supervisor and my colleagues, I don’t know how I would have gotten through the first month. Teamwork is crucial to your role as an NP,” says Scott.

Merin Jacob, MS, ANP-C, who works in Employee Health Services (EHS) for Lenox Hill Hospital believes teamwork is most effective when you’re working with likeminded people. “Working in healthcare, we all have the same goal – to better the health of our patients and take care of each other. It’s important to put their safety and health first, and it makes it easier when you’re surrounded by those likeminded people who have the same goal in mind as you.”

Get comfortable with being uncomfortable

When you’re faced with new responsibilities and a new work environment, it can be overwhelming. However, it’s important to get past your insecurities, stay positive and be able to accept those new challenges. Meghan Billia, MS, FNP-C, who practices palliative care at Huntington Hospital found having a mentor helped her get through the first couple of months. “It’s so important to have people to go to and ask for advice or bounce ideas off of. My mentor, Nanci Berg, NP-C, was that person for me and really helped me through that transition period.”

A new challenge can also be exciting. Scott went from an RN in pediatrics at Cohen Children’s Medical Center to now working with adults as a family nurse practitioner in cardiovascular and thoracic surgery. “I knew going into this role that it was going to be challenging for me, but that’s partly why I took it. Getting out of your comfort zone and overcoming your fears is how you continue to grow.”

It’s more than clinical work, it’s about making connections

As a NP, making connections with your patients goes far beyond the bedside. You follow patients through a continuum of care – from 1:1 consults in an outpatient office to an inpatient stay, through discharge and back for follow-ups – it goes full circle. You build a sense of trust with your patients and it makes caring for them that more efficient.

Merin says working as an NP in EHS makes her feel like she’s part of a small community. “I spend time talking and building relationships with my patients because I know they may need to come back for follow-ups or new needs. You build a sense of trust with them and it’s a continuity of care outside the walls of the exam room that really makes a difference.”

Continue to grow

Every time you treat a patient, you’re faced with another opportunity to sharpen what you’ve learned. And ongoing education is crucial to being a successful advanced clinical provider. Scott, now seven weeks into his role as an NP, says he’s learned so much and is looking forward to continuing to intellectually challenge himself and advance his career.

“I’m amazed at how much I’ve learned from my first week as an NP to now. Going back to school provided me with the foundation I needed, but it always comes down to the hands-on experience. I’m still learning, and I’m OK with that because it’s how I’ll continue to reach my goals.”

Becoming an NP doesn’t just happen overnight or in orientation, recalls Tova Miller, AGACNP-BC, who practices internal medicine at Forest Hills Hospital. “It’s about understanding what you don’t know and utilizing what you do know. Being confident and continuing to learn helps you understand why we’re doing what we’re doing.”

Let your passion guide you

The hardest days can often leave the greatest impact on your career. It makes you remember why you made the choice to transition into an advanced role and challenge yourself to continue to do better.

“I feel that I’m really making a difference,” says Tova. “I make sure our patients are receiving the best patient care and it’s my goal to get them out of the hospital as soon as possible, and be safe while doing so. As an NP, I know I’m making a positive impact on peoples’ lives and it brings me happiness when I know I’ve done something to improve their quality of life.”

Making the transition is something you have to be ready for, according to Scott. “As challenging as it is some days, it’s equally rewarding. As nurse practitioners, we’re here to be role models and pave the way for higher education for other nurses. I’m excited I took this leap to advance my career and I hope others take the opportunity to do so.”[/av_textblock] [av_image src=’https://cdn-static.findly.com/wp-content/uploads/sites/689/2018/11/ACP_Series.png’ attachment=’31404′ attachment_size=’full’ align=’center’ styling=” hover=” link=’manually,https://jobs.northwell.edu/career-specialties/advanced-clinical-provider/’ target=’_blank’ caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ custom_class=”][/av_image] [av_social_share title=’Share this entry’ style=” buttons=” share_facebook=” share_twitter=” share_pinterest=” share_gplus=” share_reddit=” share_linkedin=” share_tumblr=” share_vk=” share_mail=”][/av_social_share] [av_textblock size=” font_color=” color=” custom_class=’feature-description visible-mobile hidden-desktop’]

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My first year: what it takes to be a nurse practitioner (2024)

FAQs

My first year: what it takes to be a nurse practitioner? ›

To become an NP, one must be a registered nurse (RN), hold a Bachelor of Science in Nursing (BSN), complete an NP-focused graduate master's or doctoral nursing program and successfully pass a national NP board certification exam.

How long does it take to feel comfortable as a new NP? ›

Expect to feel overwhelmed for the first several months as a new graduate. Depending on your clinical setting and practice environment, this may even last six months. The light at the end of the tunnel? You will slowly notice your stress level subsiding.

What is the easiest nurse practitioner to become? ›

The easiest nurse practitioner specialty to get into is psychiatric mental health, also called a PMHNP. Currently, there is an increased demand for PMHNPs caused by rising mental health and substance abuse concerns nationwide.

Is NP school harder than nursing school? ›

NPs have additional responsibilities that RNs don't have, so you can expect NP school to be a higher level of difficulty than RN school.

Is 40 too old to become an NP? ›

Simply put, age should not be a barrier.

Embarking on the journey to become a nurse practitioner at 40 not only opens up career paths but also offers opportunities for personal growth and fulfillment regardless of the motivation behind entering the medical field or seeking a more rewarding profession.

What is the hardest part of NP school? ›

These courses are in no particular order, and again, the name of the course may vary among programs.
  • HARDEST FNP CLASS #1: Advanced Pathophysiology. ...
  • HARDEST FNP CLASS #2: Pharmacology. ...
  • HARDEST FNP CLASS #3: Health Assessment and Clinical Skills. ...
  • HARDEST FNP CLASS #4: Graduate Statistics.

How stressful is being a NP? ›

Emotional stress

As a nurse practitioner, you will understand how fragile some patients' situations can be and that not everyone can be saved. One of the major cons of being a nurse practitioner is that death and dying will become part of your regular work life. This may lead to extreme emotional stress in some people.

What type of NP gets paid the most? ›

The 5 Highest-Paid Nurse Practitioner Specializations
  1. Home Health Nurse Practitioner.
  2. Psychiatric Mental Health Nurse Practitioner.
  3. Emergency Nurse Practitioner.
  4. Neonatal Nurse Practitioner.
  5. Occupational Health Nurse Practitioner.
Apr 29, 2024

What is the lowest pay for a nurse practitioner? ›

5 Lowest Paying Nurse Practitioner Specialties
  1. Walk-in Clinic Nurse Practitioner ($95,414) ...
  2. Internal Medicine Nurse Practitioner ($95,136) ...
  3. Obstetrics/Gynecology Nurse Practitioner (94,700) ...
  4. Oncology Nurse Practitioner ($94,018) ...
  5. Pediatric Nurse Practitioner ($93,041)

What NPs are the happiest? ›

Aesthetic nurse practitioners are one of the happiest nurse practitioner specialties because the overall stress from their job is low compared to other NP specialties.

Is it worth it to go from RN to NP? ›

According to the BLS, the median annual salary for an RN is $77,600, while an NP earns $123,780. While NPs are required to complete more schooling, which does come at a cost, becoming a nurse practitioner could be a worthwhile path.

Is becoming an NP easier than PA? ›

Is NP or PA school harder? PA and NP schools are challenging in their own ways. PA school does require more instructional and clinical hours than NP schools, but with the right study tool, you'll be okay no matter what you choose.

Is the nurse practitioner exam hard? ›

How hard is the Nurse Practitioner Board Exam? The AANP expects between 80 and 90 percent of test takers each year to pass the exam, but this number varies a lot depending on specialty.

Why become an NP and not a doctor? ›

Many duties can overlap, but a nurse practitioner's role differs from a doctor's in flexibility and scope. A nurse practitioner, for example, can often be available to patients who need immediate care sooner than from a doctor, allowing nurse practitioners to serve as a frontline of defense in helping patients.

What is the shortest time to become a nurse practitioner? ›

Most MSN programs can be finished in 2-3 years. Hypothetically, students who do not experience any unexpected obstacles could complete the path to FNP within 6-7 years by first getting an ADN, completing two years of experience, and enrolling in an RN-to-MSN program.

How old are most nurse practitioners? ›

The average age of a nurse practitioner is 43.4 years old, but the nurse practitioner age range starts between 20 and 24 years to 65 years old and over.

How long does it take to be comfortable as a new nurse? ›

While new nurses possess the clinical skills to succeed, she cautions that they “have to find the order that works best for utilizing those skills. It generally takes 1-2 years to truly find your 'flow' and feel comfortable.”

Is it normal to feel inadequate as a new nurse? ›

New nurses can feel lost and discouraged navigating their first job out of graduate school. Real-world experience and classes can help, but nothing prepares nurses for nursing in the field, where they'll experience mistakes and feelings of doubt and insecurity.

How long does new nurse anxiety last? ›

Almost all new nurses suffer from this. It is almost abnormal not to have some sort of anxiety. And great news to you — it will pass! It usually peaks at the beginning, but goes away after about a year.

Is it normal to feel overwhelmed as a new nurse? ›

It's not unusual for any new employee to feel anxious in their first few months of work, and nurses are no exception. Becoming a nurse and starting your first official nursing job is thrilling, but also overwhelming.

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