Transforming the Journey for Newly Licensed Registered Nurses: A Community Based Transition-to-Practice Program in Ambulatory Care Settings PDF Download
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Author: Cathryn A Halford (DNP)
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
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: Cathryn A Halford (DNP)
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
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: 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: Beverly Dianne Rowland
Publisher:
ISBN:
Category :
Languages : en
Pages : 382
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Book Description
Nurse residency programs (NRPs) have been identified as a means to promote transitioning of new nurses into the professional nursing role. Questions have arisen related to which elements within those programs are most meaningful to the development of new nurses. As the nursing shortage drives the need for quick transition and development of nurses to meet workforce needs, nursing must identify what is meaningful to nurses in their transition to practice. The purpose of this multi-site study was to explicate meaning from the experiences of newly licensed registered nurses (NLRNs) who have just completed NRPs. The research question was "What factors have meaning for NLRNs who have experienced transition to practice in nurse residency programs in acute care settings?" Semi-structured interviews were used to collect data from six NLRNs from three different NRPs after completion of their programs. Using interpretative phenomenological analysis, themes and variations within those themes were derived from the descriptive narratives provided from participant interviews. Overarching themes identified were Relationships, Reflection, Active Learning, Resources and Organizational Systems. Findings have implications for practice and education as the nursing profession strives to find ways to transform nurses in an effective and efficient manner.
Author: Christina Louise Kiger
Publisher:
ISBN:
Category :
Languages : en
Pages : 260
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Book Description
New nurses report feeling unprepared, incompetent, and highly stressed, contributing to first-year turnover rates of 25% in some healthcare organizations. Turnover, combined with a preparation-practice gap, has alerted advocacy organizations and researchers to recommend the development of nurse residency programs. Nurse residency programs are a post-graduate training period where new nurses receive enhanced clinical education in the healthcare setting. While highly variable in structure and attributes, programs usually include educational sessions, clinical immersion, and role socialization opportunities. Evidence supports that new nurses participating in nurse residency programs experience positive outcomes, including increased confidence, competence, and decreased turnover rates. Despite this, only half of the hospitals nationwide have implemented a program with most designed around a single health system mission. This dissertation study aimed to identify the attributes of nurse residency programs influencing the newly licensed registered nurse. An integrative review of the literature and evolutionary concept analysis was completed to examine the state of the science of nurse residency programs. Findings revealed a lack of conceptual and theoretical design and variability among program structures, creating a gap in the literature about the attributes of programs that are most influencing new nurses. Based on the literature's noted gaps, a qualitative description study was conducted. Purposive sampling strategies were used to recruit nurses who recently completed varied program models across the United States. New nurses reported the attributes of programs and described how those positively and negatively influenced the transition to practice experience. The overarching themes revealed that new nurses need a cadre of highly supportive individuals across the clinical and educational continuum who espouse astute interpersonal and communication skills. New nurses desire engaging activities with intra and interprofessional team members for clinical skill application, knowledge advancement, and role socialization. New nurses need the structure of meetings at times and in a sequence conducive to learning; and for preceptorship experiences to be facilitated by trained preceptors, on a unit, and of a length that supports confidence for autonomous practice. Future research will include the development and testing of an evaluation tool based on the findings from this study.
Author: Jonathan Showstack
Publisher: Jossey-Bass
ISBN:
Category : Medical
Languages : en
Pages : 356
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Book Description
The Future of Primary Care explores the organization and delivery of primary care to address the needs of our future population. Expert contributors include Barbara Starfield, Dana Gelb Safran, Bernard Lo, and Gordon Moore. They explore topics such as Current dilemmas and threats to primary care from both the clinician’s and patient’s point of view The impact of the self-care and alternative care movements The importance of improved information technologies Individual elements of primary care and the relative value of each element Primary care’s contribution to the overall health of our population Assessing alternative sites and circumstances where primary care may be provided The specialist and nurse as primary care providers The role of primary care in chronic illness management, care for the elderly, long-term and home care Exploring recommendations for the future The Future of Primary Care offers a self-critical and constructive analysis of primary care that is perfect for scholars, faculty, and students who are interested in public health services and policy.
Author: American Nurses Center
Publisher:
ISBN: 9781523631506
Category :
Languages : en
Pages : 58
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Book Description
The American Nurses Credentialing Center (ANCC) Practice Transition Accreditation Program(tm) (PTAP) sets the global standard for residency or fellowship programs that transition registered nurses (RNs) and advance practice registered nurses (APRNs) into new practice settings. The criteria outlined in this Practice Transition Accreditation Program Application Manual provide a road map for organizations to develop new residency or fellowship programs, or to evaluate the quality of their existing programs. Programs that meet PTAP criteria exhibit excellence in the domains of Program Leadership, Organizational Enculturation, Development and Design, Practice-Based Learning, Nursing Professional Development, and Quality Outcomes. Whether you educate nurses at initial entry, at re-entry, or between clinical settings, achieving accreditation lets potential residents or fellows know that your program delivers high-quality curriculum and evaluation of learner performance.
Author: Nicki Harrington
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781767576
Category : Medical
Languages : en
Pages : 468
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Book Description
Now in its Third Edition, this book meets the needs of practical/vocational nurses and nursing faculty, as they work together to smooth the transition from the LPN to the RN role. The text provides interactive student exercises and strategies to "socialize" the LPN nurse/student into an RN program, taking into consideration its philosophy and curricular framework. This Third Edition includes an expanded chapter on communication and a new chapter on the NCLEX®.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309380316
Category : Medical
Languages : en
Pages : 221
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Book Description
Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.
Author: Deborah Dillon
Publisher: McGraw Hill Professional
ISBN: 1260452387
Category : Medical
Languages : en
Pages : 197
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Book Description
An expert guide to the complex, yet vital transition from student to employed nursing practitioner The transition from nursing school graduate to professional nursing practitioner can be stressful and confusing. Unlike educational programs, life doesn’t provide a set syllabus. After graduation, what steps do you need to take? How do you get certified? Where should you apply for work? Successful Transition to Practice is a much-needed guide to help you navigate the path from new graduate to the certification and on-boarding process and successful employment. Successful Transition to Practice walks you through the most confusing aspects of transitioning, from studies to full-time work, including applying for licensure, what to expect in an interview, insurance needs, hospital credentialing and more. Filled with expert advice, illuminating examples, and essential information, this important resource provides a framework to help you complete the transition to nurse practitioner with confidence. The book includes valuable information on: Planning for graduation Getting board certified Applying for state Licensure How to ace a job interview Employment contracts Negotiating salaries Malpractice insurance Hospital credentialing and privileging Billing and coding Full practice authority, and more
Author: Lisa D. Kirkland
Publisher:
ISBN:
Category : Intensive care nursing
Languages : en
Pages : 185
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Book Description
Most newly licensed registered nurses go to work in acute care hospitals, which means they enter an increasingly complex healthcare environment where they experience staffing shortages, high nurse-patient ratios, and workplace violence. The purpose of this study is to attempt to understand the experiences of newly licensed registered nurses who have endured the early years of bedside hospital nursing and continue to work in their first nursing job. The existential phenomenological philosophy of Merleau-Ponty serves as the guiding framework for this qualitative research study. Following IRB approval, criterion and snowball sampling were used to recruit newly licensed registered nurses who graduated between May 2012 and May 2013. An open-ended unstructured interview format was used to collect data from nine nurses willing to be interviewed about their clinical experiences. Participants ranged in age from 24 to 43 years, represented day and night shifts, and included acute and critical care settings from five different health systems across the state of Tennessee. Data were analyzed by the researcher and the Interpretive Research Group at the University of Tennessee using the Thomas-Pollio existential phenomenological approach. All transcripts were read and analyzed for meaning units and global themes which were used to develop a thematic structure. The researcher, research group, and willing study participants agreed upon the final thematic structure. Five figural themes emerged from the data: 1) I found the perfect fit; 2) We're a pretty cohesive group; 3) It's about caring for the patients; 4) I've learned a lot; and 5) Knowing I make a difference. Study rigor was maintained by bracketing, data saturation, interdisciplinary review, member checking, and the use of direct quotes to support findings. This research has implications for nursing education and clinical practice. Findings are applicable to student nurses, newly licensed registered nurses, nurse educators, clinical preceptors, nurse managers, and hospital administrators.
