The Transformational Journey of Nurse Practitioners in Acute-Care Settings

This study explored the nature of the lived experience of being nurse practitioners (NPs) in acute-care settings in Canadian teaching hospitals using hermeneutic phenomenological inquiry guided by van Manen's approach. A total of 26 NPs were interviewed. Data analysis revealed that NPs experienced a transformational journey as they searched for being more, the overarching phenomenon that best characterizes their overall experience, which occurred in the context of being pioneers. Five themes emerged: being called to be more-being more connected, in control, visible, challenged, and able to make more of a difference; being adrift-being disconnected, uncertain, lost, and staying afloat; being an acute-care NP-being competent, confident, comfortable, committed, connected, and content; being pulled to be more-being a wearer of two hats; and being more-being an advanced practitioner. The NP journey reveals the complex, largely invisible experience of being an acute-care NP.