Impact of a Nurse Residency Program on First-year Retention Rates for New Graduate Nurses PDF Download
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Author: Cathern S. Velasquez
Publisher:
ISBN:
Category : Academic medical centers
Languages : en
Pages : 73
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Book Description
Author: Cathern S. Velasquez
Publisher:
ISBN:
Category : Academic medical centers
Languages : en
Pages : 73
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309208955
Category : Medical
Languages : en
Pages : 700
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Book Description
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: Judith Diane Jackson
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 72
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Book Description
Newly licensed graduate nurses are transitioning to practice with low self-efficacy and competency gaps leading to poor patient outcomes and low retention rates within this population of nurses. These low rates of retention create an environment in which newly licensed graduate nurses have failed or are delayed in their transition from novice to expert. The purpose of this study was to evaluate the impact of the implementation of the Vizient/AACN nurse residency program on the first-year retention rate of newly licensed graduate nurses within an organization in central Texas. The program was evaluated utilizing newly licensed graduate nurse pre- and postimplementation data related to retention rates of the organization and the Casey Fink Graduate Nurse Experience Survey. The study design was a quantitative approach utilizing a cross-sectional survey. A convenience sample of newly licensed graduate nurses hired from November 2017 to September 2018 was used. All 48 residents enrolled in the nurse residency program were included in the study. Data were analyzed utilizing a power analysis and a paired- samples t test. The sample size was lower than 43, indicating a low confidence level. A strong correlation was noted for a standardized NRP and self-efficacy (r = .822), but there was no significant difference identified between pretest and posttest means (p > .05). Retention rates improved by 11.65% following implementation of the NRP. Findings of this study can influence the development of standardized NRPs which could increase self-efficacy and reduce turnover rates among newly licensed graduate nurses.
Author: Kimberly Johnson
Publisher:
ISBN:
Category : Nursing
Languages : en
Pages : 0
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Book Description
The problem of new graduate registered nurse turnover is one that continues to be looming over hospitals throughout the United States. Decreased competency, lack of loyalty to employment providers, and diminished retention rates have prompted studies to determine what can be done. Research in this area has indicated that the use of one-year nurse residency programs can make a positive difference over the use of traditional nurse orientation in the retention of new graduate registered nurses. Implementation of a program like the University Health System Consortium (UHC)/American Association of Colleges of Nursing (AACN) Residency Program instead of the traditional nurse orientation for new graduate nurses, can better prepare nurses to take on the future of health care.
Author: Laura J. Carr
Publisher:
ISBN:
Category : Nursing
Languages : en
Pages : 0
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Book Description
The newly graduated nurse remains at high risk for leaving the nursing profession within the first year of entering the nursing workforce. Evidence based studies have reported that some medical centers report retention rates of only 55% in their first year of employment for the newly graduated nurse. Additional evidence based practice have also reported that 31% of these nurses intend to leave the nursing profession in the first three months of employment. This continues to enhance the nursing shortage issue that places the current nursing workforce at risk for burnout which can cause errors that lead to an increase risk for patient safety. Hospitals that have adopted the nurse residency program have reported retention rates of 89% in the first year of employment (Hillman and Foster, 2011). The information provided in this paper will review the evidence based articles that have researched the success of nurse residency programs for the newly graduated nurses. Along with the success of these programs this article will propose a similar plan to implement an equally successful plan to be initiated into nurse residency programs. The goal of this type of program is to reduce the rate of turnover among the newly graduated nurse by providing them a working unit that enhances their education after graduating their nursing programs. The cost of a unit in this nature will also be reviewed along with reports of retention rates for medical centers that have implemented a program similar in nature.
Author: Virginia L. Bradley
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 74
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Book Description
New graduate registered nurse residency programs are being adopted as best practice by many organizations. The purpose of this thesis was to evaluate the effectiveness of two different types of programs implemented at an organization to see which produced the largest amount of retention. One group was hired directly into a nursing unit or area where orientation began. Another group was hired into a practice area and rotated through three different areas prior to being matched to a unit or area and then completing orientation. Dr. Patricia Benner's Novice to Expert Framework was used to guide this study because successful residency programs should expound onto the new graduate registered nurses educational base and should offer a variety of experiences to assist with moving towards the stage of expert nurse. Retention data was collected retrospectively and included 12 months of retention data for the two cohort groups being compared. Comparison of this data showed a 4.5% increase in retention from one to another. Further comparison of this data showed that the difference in length of service at 12 months between these two cohort groups was not statistically significant (p=.285). Further comparisons of independent hospitals and practice areas also showed no statistically significant differences in overall length of service at 12 months.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 123
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Book Description
Author: Angela D. Cowgill
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 0
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Book Description
The problem addressed in this project pertains to new graduate nurses and their transition to practice needs as well as the costs facilities must endure when these new nurses leave their job prematurely. According to the Arizona Nurses Association, more than 50% of all new graduate nurses leave their first job and sometimes nursing altogether because of decreased orientation time and the shock that exists when they transition from student to professional nurse (AzNA, 2009). New graduate nurse turnover costs facilities $49,000 to $92,000 per nurse (Trepanier, Early, Ulrich, and Cherry, 2012). This impacts patient care as it interferes with staffing on units, continuity of care, and loss of staff productivity. The solution presented in the project is to institute nurse residency or internship programs in most facilities which will help to transition new nurses from student to competent and confident professional nurses who can provide safe, evidence-based care. This solution is based on results seen in extensive research from both quantitative and qualitative research studies. This solution will decrease the costs related to nursing turnover. This project details what needs to happen to implement a nurse residency program as well as how it will be evaluated and how the information will be disseminated to key stakeholders and other healthcare professionals.
Author: Jennifer A. Ochs
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 66
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Book Description
Purpose: The purpose of this review is to compare current research on nurse residency programs and determine to what degree they assist the positive transition of new graduate nurses during the first year of practice. Design: An integrative literature review was conducted of research studies on nurse residency programs in acute care settings. Kramer's Reality Shock Theory guided this review. Methods: Research published in the U.S. between 2007-2013, was obtained from electronic data searches using the key works "new graduate nurses", "novice nurse", "reality shock", and "nurse residency programs." Outcomes were compared and synthesized into major themes. Findings: Major themes include an increase in competency, satisfaction, peer support, confidence, commitment to the profession, and retention of nurses who completed yearlong residency programs. Organizational cost savings was also found. Conclusions/Relevance: The findings support previous research recommendations that the ideal length of nurse residency programs is one year; and the essential program components include preceptors or mentors and didactic education. This study findings show advance evidence of the important effects that nurse residency programs have on new graduate nurses' transition into practice, including a reduction in reality shock.
Author: Andin Josipovic
Publisher:
ISBN:
Category : Intensive care nursing
Languages : en
Pages : 0
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Book Description
Poor retention is a critical issue among healthcare workers throughout the country. Decreased job satisfaction directly impacts nursing retention rates, particularly among new nurses transitioning from school to clinical practice. This MSN project introduces an enhancement to the current nurse residency program that includes clinical rotations in its educational foundation to solve job satisfaction issues among new graduate nurses. Evidence-based research indicates that clinical rotations benefit nurses early in their careers. These benefits include increased involvement in work, acquired additional skills, and enhanced job satisfaction in the workplace. This MSN project provides a clear path for implementing this unique type of residency program in nursing to be piloted at the University of Utah Hospital system in Salt Lake City. The new residency program format will be eight months and be implemented in a twenty-week timeline. The project implementation includes a project proposal, a PowerPoint presentation for staff and administration, and a lesson and assignment plan for educators in the program. Additionally, the project will provide pre- and post-surveys to test the understanding and success of project implementation and allow for future improvements and changes based on trends. The project also identifies ways to disseminate significant results and learned information to the university's stakeholders and other organizations nationwide. Providing clinical rotations to train and support new nurses can significantly impact the long-standing nurse retention crisis.
