The Effect of Nurse Residency Program Completion on Work Readiness of New Graduate Nurses Transitioning Into Professional Practice PDF Download
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Author: Suzanne Mullings-Carter
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: Suzanne Mullings-Carter
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: Cristy Mullinix
Publisher:
ISBN:
Category : Nurse practitioners
Languages : en
Pages : 0
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A nurse residency program (NRP) was developed to transition the graduate registered nurse (GRN) into clinical practice beyond the academic role. This quasi-experiment project examined new graduate nurses and how an NRP was implemented to assist them in transitioning from scholarly practice into the clinical practice role. Sixteen recent baccalaureate-prepared nurses participated in the program. Each participant agreed to enter the program as a part of their employment process with the facility. During this time, the graduate was supported by a seasoned mentor assisting them in developing critical thinking, improving communication skills, and applying clinical skills during real patient scenarios. The graduate met monthly with the program cohort for one hour to review evidence-based practices, clinical scenarios, and to participate in the didactic discussion. The topics included addressing the roles of the nurse: fatigue- countermeasures related to shift work, nursing documentation, skin assessment, lab interpretation, respiratory system and equipment review, evidence-based practices, and delegation. A paired sample t-test was used to compare pre- and post-test survey results using a questionnaire established by the project hospital. Data analysis identified NRP impacted participants’ responses to questions related to anticipated growth and development of skills, collaborative clinical care, application of knowledge in evidence-based practices, and expansion of knowledge and comfort levels when working in different areas of the facility.
Author: Janelle Schwittay
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Category : Nursing
Languages : en
Pages : 0
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"New graduate nurse residency programs' primary function is to provide new graduates with clinical experience and bridge the gap between student and competent registered nurse (Walsh, 2018). While the focus of these programs is on teaching new graduates, a gap in practice has been identified when it comes to the education of the nurses that are training these new graduates. The purpose of this program evaluation was to increase preceptor feelings of preparedness for the precepting role, as well as increase preceptor education attendance rates to at least 50% of eligible nurses. This was a program evaluation with a pre-/post-test design that evaluated the impact of preceptor education in 10 registered nurses. Participants submitted surveys to evaluate their feelings of support and preparedness for their educator roles before and after the educational presentation. There was a statistically significant increase in post-education scores (M=11.2, SD=2.15) when compared to pre-education scores (M=6.6, SD=2.8); t(9) = -5.81, p=0.00025597. Furthermore, 100% of respondents had a higher total score on the post-survey than the pre-survey with a mean difference of +4.6 points +/-2.5 (SD), indicating that they felt more supported and prepared to act as preceptors after the education. By offering a preceptor education curriculum that is easily accessible, organizations will see increased attendance rates and therefore higher feelings of support and preparedness from nurse preceptors. These preceptors will then be able to teach and empower new RNs on their journey to practice, offering a smoother and safer transition to professional independence, and decreasing burnout rates and turnover costs to the healthcare organization (Trepanier et al., 2012)"--Abstract.
Author: Erin Ethington
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 0
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New graduate nurses encounter "transition shock" when they enter the workplace, especially in acute care settings such as hospitals. New graduate nurses have a difficult time transitioning into the work environment because they are unprepared by their academic training for the realities they will face and they often don't have the proper support in place to guide them through the transition. This leads to a high attrition rate of up to 30% within the first 18 months of employment which costs hospitals and health care facilities. High nurse turnover of new graduate nurses who aren't prepared for the complexities of clinical practice affect the quality of care provided. Patient outcomes are negatively affected because it often leaves hospitals dealing with a shortage of experienced nurses, which they compensate for by having high patient to nurse ratios. New graduate nurses must develop the necessary critical thinking skills to handle higher acuity patients and difficult situations, develop confidence in their clinical skills, and adapt to peer relationships. One solution to the "transition shock" that new graduate nurses face is the implementation of nurse residency programs. Nurse residency programs are shown to help new graduates have a better transition into the workplace and increase nurse retention. This paper discusses the problem of new graduate nurse turnover, the benefits of nurse residency programs, and the numerous research studies which have been done showing the success of nurse residency programs on new nurse graduate retention and job satisfaction. It also discusses how to implement a nurse residency program and monitor and evaluate its success.
Author: Felecia S. Williams
Publisher:
ISBN:
Category :
Languages : en
Pages : 119
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This research explored the investigation of influences on transition to practice outcomes among new graduate nurses in a nurse residency program. The study participants consisted of 641 nurse residents from the Versant RN RegistryTM from 2010-2011. They represented 84 facilities in 14 states across the United States. A descriptive correlational design was utilized to gain insight on the impact mentoring and debriefing had on gains in competence and confidence, the degree of comfort in assuming a staff nurse role at the end of the residency, and job satisfaction. A secondary data analysis was conducted using the Versant RN Nurse ResidencyTM database. Frequencies and percentages, chi-square analysis, and independent t-tests were applied to the data set. The study results showed mentoring and debriefing as positive influences on gains in competence and confidence, comfort in assuming a staff nurse role at the end of the nurse residency, and job satisfaction. The results were moderated by nursing educational preparation and previous healthcare experience. Bachelor-prepared new graduate nurses and nurses with previous healthcare experience related a higher degree of comfort in assuming a staff nurse role at the end of the nurse residency. Future research should include expanded analysis of the new outcome variable of degree of comfort in assuming a staff nurse role at the end of nurse residency programs. Continued evaluation of the effectiveness of mentoring circles would also contribute to the nursing literature with regard to economic feasibility. Key words: transition-to-practice, new graduate nurse, mentoring, debriefing, nurse residency.
Author: Tracy Levett-Jones
Publisher:
ISBN: 9781488616396
Category : Medical logic
Languages : en
Pages : 344
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An Australian text designed to address the key area of clinical reasoning in nursing practice. Using a series of authentic scenarios, Clinical Reasoning guides students through the clinical reasoning process while challenging them to think critically about the nursing care they provide. With scenarios adapted from real clinical situations that occurred in healthcare and community settings, this edition continues to address the core principles for the provision of quality care and the prevention of adverse patient outcomes.
Author: Cathryn A Halford (DNP)
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ISBN:
Category :
Languages : en
Pages :
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Abstract In response to the job shortage for newly licensed registered nurses (RNs), transition to practice and residency programs have been established in many areas of the country including the San Francisco Bay Area. The programs were designed as demonstration projects to assist new graduates by increasing their competence, confidence, and skills, and their employability. Evidence from new graduate programs suggests that the programs provide an important bridge that is necessary for the critical transition from classroom to clinical practice and from newly licensed RN to qualified nursing professional. The University of San Francisco (USF) Transition-To-Practice (nurse residency) program in ambulatory care described in this manuscript was developed and implemented as an innovative and alternative approach to traditional residency programs that has proven successful in increasing the employability of new RN graduates. The program provides a strategy that will enhance newly licensed nurses transition from the academic environment to the professional environment. Transition-to-practice (nurse residency programs) reflect an organizational commitment to support new nurses as they mature into competent professionals. The recent Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health (2010) predicts that in the near future nursing care will be provided less in traditional hospital settings and will instead occur in the community. Therefore it is important to expand transition programs outside of the acute care setting. Community based programs will prepare new nurses for successful practice in ambulatory care settings who will then be ready for the expected transformation of nuring care into the community. The benefits of transition-to-practice (nurse residency) programs include newly licensed RNs who will gain valuable experience in community settings and improved patient care that is an important investment in the future of healthcare.
Author: Jennifer A. Ochs
Publisher:
ISBN:
Category : Evidence-based nursing
Languages : en
Pages : 66
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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: Virginia L. Bradley
Publisher:
ISBN:
Category : Nurses
Languages : en
Pages : 74
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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: Tiffani Marie Wise
Publisher:
ISBN:
Category : Generation Y.
Languages : en
Pages : 80
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Book Description
Despite the growing nursing shortage and the dire need for a full nursing workforce, attrition rates among new graduate nurses (NGNs) continues to be of concern. One answer to the nursing shortage includes the next generation of nursing graduates: millennials. It is vital that nursing administrators and educators collaborate to develop a transition-to-practice process that meets the unique needs of millennial NGNs to increase job satisfaction, thereby increasing intent to stay in the profession. The MSPM was implemented in an NGN medical-surgical residency as a means of maintaining job satisfaction, perceptions of support, and intent to stay, among NGNs. A mixed-methods study evaluated the perceptions of NGNs throughout their preceptorship experience in the nurse residency program. Over a 3-month period, participants completed an anonymous survey and participated in focus groups. Study results indicated the preceptorship is an influential factor in the successful transition to practice of NGNs; however, it does not have a major impact on job satisfaction, perceptions of support, and intent to stay. Focus groups and survey results supported the literature by revealing important implications for consideration in supporting and retaining the millennial nurse workforce.
