Date of Award

January 2024

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

David Vlahov


For decades nurse researchers such as Patricia Benner and Margaret Flinter have focused on the challenges of role transition in nursing (Benner, 2004; Flinter, 2010). Role transition from RN to NP can be a daunting experience. Many new-to-practice nurse practitioners experience a phenomenon known as Transition Shock which is described as disproportionate feelings of anxiety and doubt that can consume personal energy during the initial period of role adjustment (Duchscher, 2009). Literature demonstrates that feelings of transition shock can be influenced by factors such as readiness for learning, unwelcoming environments, and the learning curriculum (Barnes, 2015; Duchscher, 2008; MacClellan, et. al., 2016). This project built on the past work of these nurse researchers to develop a concise workshop to address the phenomenon of transition shock. The aims of this DNP project included the following: to develop a transition shock workshop for new to practice NPs, to implement a workshop in the Fall2023/Winter 2024 and to evaluate the workshop and make recommendations for scaling and sustainability of the workshop. Outcomes of this DNP project included new to practice NPs having an improved understanding of the phenomenon of transition shock as well as understanding of skills to navigate the feelings associated with the phenomenon. This workshop has the potential to have a positive effect on the early turnover rate of new to practice nurse practitioners and to reduce associated turnover expenses within the healthcare organizations whose members attended the workshop.


This is an Open Access Thesis.

Open Access

This Article is Open Access