‘Navigating the uncharted waters’- Transition experiences of novice advanced practice nurses in China: A qualitative study

Background Transitioning to the role of advanced practice nurses is dynamic and challenging. Deeply exploring the transition experience and developing corresponding intervention strategies can make the transition smoother. China's development of advanced practice nursing remains at a nascent stage, exhibiting localized characteristics. However, limited knowledge exists regarding experiences, feelings, and challenges of advanced practice nurses in the region. This study aims to explore the transition experiences of novice advanced practice nurses in China. Methods A descriptive qualitative design was used. Twenty-three advanced practice nurses was recruited using purposive sampling technique. Semi-structured and face-to-face interviews were conducted to collect the data, and the thematic analysis was used to analyse the data. Results “Navigating the uncharted waters” was the overarching theme, which linked four themes: (1) being constrained by the practical environment; (2) reconstructing professional identity; (3) bearing multiple burdens; and (4) steering my own course. Furthermore, distinctive characteristics were identified among Chinese advanced practice nurses, specifically the phenomenon of "disguise" in their work practice and a strong aspiration for a graduate degree. Conclusions This study reveals that the role transition for advanced practice nurses is a complex and demanding process, profoundly shaped by the practical environment. The findings further highlight the importance of adaptive copingbehaviours, particularly personal resilience and proactive learning. Healthcare institutions, nursing organizations, and national policymakers should offer strong support by enhancing educational programs and developing transition plans, thereby creating a positive environment for advanced practice nurses. Trial registration Our study does not report healthcare interventions on human participants. Clinical trial number: not applicable.