Download or read book Conceptualization of Factors that Have Meaning for Newly Licensed Registered Nurses Completing Nurse Residency Programs in Acute Care Settings written by Beverly Dianne Rowland and published by . This book was released on 2016 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Attributes of Nurse Residency Programs Influencing the Newly Licensed Registered Nurse written by Christina Louise Kiger and published by . This book was released on 2020 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book What Effects Do Nurse Residency Programs Have on the Transition of Newly Licensed Nurses Into the Practice Environment During the First Year of Practice written by Jennifer A. Ochs and published by . This book was released on 2014 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book What are the Essential Components of Nurse Residency Programs that Contribute to Positive Outcomes for Newly Licensed Registered Nurses in Their Transition Into Professional Practice During Their First Year of Practice written by Abbey Fritschler and published by . This book was released on 2013 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse residency programs are evidenced based structures and processes that support newly licensed nurses' successful transition from student to professional nurse during the first year of practice. Nurse residency programs are endorsed by the American Association of Colleges of Nursing (AACN), the National League for Nursing (NLN), and the Institute of Medicine (IOM). The purpose of this literature review is to identify the essential components of successful nurse residency programs and associated nurse outcomes post completion. The review identified the five essential program components that lead to positive outcomes of increased retention, competency, and job satisfaction. The five essentials are a nurturing learning environment, supportive leadership, having a mentor or preceptor, peer support systems, and an increase in clinical time for skill mastery. Implications for nursing education and recommendation re presented.
Download or read book A Description of U S Post graduation Nurse Residency Programs and Patient Outcomes They May Affect written by James Stephen Barnett and published by . This book was released on 2012 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Transforming the Journey for Newly Licensed Registered Nurses A Community Based Transition to Practice Program in Ambulatory Care Settings written by Cathryn A Halford (DNP) and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book A Retrospective Study of a Nurse Residency Program and Reports of Job Satisfaction Organizational Commitment and Turnover written by Kenneth Walter Dion and published by . This book was released on 2011 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aging population in the United States and greater access to healthcare due to recent legislative reforms will result in an increased demand for registered nurses. However, meeting this demand will challenge healthcare organizations due to an aging nursing workforce that will be retiring, a lack of new nurses entering the profession due to lack of employment opportunities related to the current macro-economic environment, and the lack of capacity to produce nursing graduates. Furthermore, reported turnover rates of newly graduated registered nurses range from 18 to 60% during the first year of employment. Healthcare organizations implementing structured nurse residency programs have reported success in stemming the tide of new graduate turnover. However, there is a lack of empirical evidence in the nurse residency literature regarding variables that have been shown to decrease turnover of registered nurses. The purpose of this study was to examine the outcome variables of job satisfaction, organizational commitment, and turnover among newly graduated nurse residents in Magnet, Magnet Aspiring, and Non-Magnet Hospital work environments across the US. A descriptive correlational retrospective secondary analysis was completed examining the outcome variables in a sample of 628 newly graduated nurses completing a structured nurse residency program between January 1, 2007 and December 31st, 2009 in general acute care hospitals. The findings from this study demonstrated the difference between job satisfaction at two months, six months, and 12 months among nurse residents in the different work environments. Furthermore, the influence of the residency program on organizational commitment in the context of differing work environments is reported. Moreover, turnover rates following the completion of the nurse residency were found to be lower than the national average for newly graduated nurses. Finally, the relationships between the outcome variables are explicated. The findings of this study will assist in informing healthcare executive's decision making when considering interventions to decrease turnover of newly graduated nurses.
Download or read book Registered Nurses Job Satisfaction and Intent to Stay Following Participation in Or Completion of a Nurse Residency Program at an Urban Eastern North Dakota Acute Care Setting written by Carol Jean Roth and published by . This book was released on 2015 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to describe and correlate job satisfaction and intent to stay, among registered nurses who had completed or were currently participating in a nurse residency program while working at an acute care setting in eastern urban North Dakota with a nurse residency program. This study surveyed a sample of registered nurses (N = 12) who had completed or were currently participating in a nurse residency program at the acute care setting. The nurses were asked to self-report their level of job satisfaction utilizing the McCloskey/Mueller Satisfaction Scale (MMSS) and intent to remain employed at this facility with their response to one survey question. The two theoretical models utilized in this study were Maslow's Hierarchy of Needs and the Hildegard E. Peplau Theory of Interpersonal Relations. The outcomes of this study indicate that the Nurse Residency Program is successful in keeping nurses employed at the setting, improving the transition from school to work environments, and providing ongoing support for the new graduate.
Download or read book Implementing a Nurse Residency Transition to Practice Program at a Veterans Hospital written by Marcia Lysaght and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Newly licensed registered nurses enter the workforce unprepared to transition to practice and are expected to perform competently in highly complex healthcare settings. Gaps between the student role and practice, result in newly licensed registered nurses feeling ill prepared to transition to practice, leading to high turnover rates. Transition to practice programs assist the newly licensed registered nurse to adapt to the practice setting and develop competence and confidence. Evidence supports the benefits of these program, but there are significant variations in length and pedagogy. A Post Baccalaureate Nurse Residency Program one year in length, modeled after the Commission on Collegiate Nursing Education entry-to-practice nurse residency program, implemented at a large, complex, integrated federal healthcare system. Online surveys to current and former participants of a nurse residency program from 2015 -2017, to assess competence and confidence level, job satisfaction, retention, and assessment of program components and effectiveness. Findings from participants of a 1-year post-baccalaureate nurse residency program revealed significant improvement in competence and confidence scores, increased job satisfaction, and 100 percent remained employed at the medical center one year after program completion. Nurse residency programs have shown to be effective in newly licensed registered nurses transitioning to practice, and positively impacts, job satisfaction, competence, confidence in practice, and retention.
Download or read book Outcome Comparison of an Evidence based Nurse Residency Program to Other Orientation Models written by Debra A. Harrison and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this evidence-based project was to compare one-year outcomes for newly licensed Registered Nurses (NLRNs) in three organizations within the same healthcare system. All three have lower than nationally reported turnover and strategies for NLRN retention. Only one is using a Nurse Residency Program (NRP). NRPs are recognized as an effective strategy to retain newly licensed registered nurses (NLRNs) in their first year of employment (Institute of Medicine [IOM], 2010; The Advisory Board, 2007; Spector, 2007). The Commission on Collegiate Nursing Education (CCNE) (2008) defines an NRP as a series of learning sessions and work experiences that occur continuously over a 12-month period designed to assist NLRNs as they transition into their first professional nursing role. This cross-sectional, descriptive study utilized the Casey-Fink Graduate Nurse Experience Survey and intent to stay questions to collect data on NLRNs at one year post hire. Results indicated no statistically significant differences between the three sites and the subscales of the survey. There was a trend of a more positive score for professional satisfaction with Site A. Turnover was also similar between sites and lower than the reported 10% average, with Site A at 2%, Site B at 5%, and Site C at 4%. There was a statistically significant difference between Site A and C in the intent to stay in their current position, with Site A longer than Site C. The study supports the literature and evidence that a NRP is an effective strategy to decrease first year turnover. Further study is needed related to the effectiveness of the components of the NRP, length of time for mentorship, and the impact of accumulation of cohorts.
Download or read book Clinical competency comfort confidence and job satisfaction of newly licensed registered nurses completing a residency program written by Jimmy Hall and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nurse Residency Program Builder written by Jim Hansen and published by HC Pro, Inc.. This book was released on 2011-04-26 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this comprehensive resource, nursing staff development expert Jim Hansen, MSN, RN-BC, provides instruction and tools to plan, justify, and structure a nurse residency program that develops and retains new nurses through their first year
Download or read book Nurse Residency Program written by Erin Ethington and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book A Study of a Nursing Residency Program s Effectiveness in Attracting Orienting and Retaining Nurses written by Nancy Fisher and published by . This book was released on 2006 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing residency programs are a tool used by hospitals to attract and retain new nursing employees. They were developed to ease the transition of a graduate nurse into the roles expected of a registered nurse in an acute care setting. In 2000, a hospital system in Washington state implemented a residency program for eligible new employees hired into the medical, surgical, and orthopedic units of two hospitals owned and perated by the system. This project evaluates the impact of this residency program in attracting and retaining new nursing employees. The study also explores the value of a registered nurse in the acute care setting and the effectiveness of preceptors in the orientation process. Methods used in this study include Likert Scale surveys that focus on the orientee's perception of preceptror support throughout the orientation process. Data supplied from the Human Resource Department was used in examining the effects of the program on retention rates. The results of the project suggest that residency programs may attract new nurses to health care facilities and bolster their self-confidence in the patient-care setting.
Download or read book Exploring New Nurses Perceptions of a Nurse Residency Program written by Chineda Hill and published by . This book was released on 2019 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care facilities across the United States have implemented innovative approaches such as nurse residency programs to facilitate a successful transition to practice for new nurses. Many nurse residency programs evaluate their effectiveness by assessing critical thinking abilities, retention, return on investment, and job satisfaction. Evaluations are conducted using surveys and focus groups. However, there is a void in the literature that examines the effectiveness of a new nurse residency program from the participants' perspective; particularly asking the resident how the nurse residency program has advanced them to become a more competent professional. The theoretical model framing this investigation is Patricia Benner's novice to expert theory. The purpose of this qualitative case study is to understand participants' perceptions of a nurse residency program, specifically looking at how the program transitioned them from advanced beginner to competent nurse professional. The study sample included eight participants employed in a health care facility located in the southeastern United States. Open-ended research questions were designed to elicit the new nurses' perceptions of the effectiveness of a nurse residency program. Data collection was conducted using interviews and audio recordings. Emerging themes indicated that pre-experiences and expectations, leadership and professional development, stress and coping, supportive cohort, program improvements, and reflection on confidence and competency were fundamental elements for an effective nurse residency program. One recommendation from this study was for pre-residency assessment tools to be given to residents for customization to better facilitate the transition of new nurses to a competent professional.
Download or read book Measuring Critical Thinking in Newly Licensed Registered Nurses written by Carreen Webb Rush and published by . This book was released on 2017 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: A national conversation is stirring in the United States about mandating residency programs of newly-licensed nurses as findings indicate that newly-licensed registered nurses are not prepared to make appropriate patient care decisions. Even with many commercial instruments available on the market for outcome measurements, accurately assessing the development of critical thinking (CT) remains elusive and difficult. The purpose of the non-experimental, quantitative research study was to 1) assess the development and progression of CT in the newly-licensed registered nurses (NLRN) orientation program participants; 2) investigate differences in the development and progression of CT between the NLRN orientation program participants and the population involved in the development of the Watson-Glaser Critical Thinking Appraisal (WGCTA); 3) assess for differences in the development of critical thinking (in participants) as it relates age and degree status; and 4) determine if there are differences in CT between cohort WGCTA scores of those participants in the original versus the revised version of the NLRN orientation. The NLRN orientation used for the study, known as the Span Program, offers curriculum that is based on Patricia Benner's landmark nurse "novice to expert" theory (1982, p. 402). The "novice to expert" theory supports the Experiential Learning Theory (ELT) conceptual framework by David Kolb (1984), which is implemented throughout the study. Data analysis utilized the SPSS version 22.0 software to calculate both descriptive and inferential statistics. The researcher was not able to conclusively establish concrete relationships with the aggregate WGCTA-FS scores of the dissertation participants and the introduction or intervention of the Span Program of orientation. The PI was not able to establish significant differences between the WGCTA-FS charter study (i.e., post development short form of the WGCTA) group and the dissertation study. With respect to whether degree status or age has any influence or correlation to WGCTA-FS outcomes, the researcher was able to conduct analysis that suggested a positive correlation with greater probability between degree status and WGCTA-FS scores but there is no statistical significance between WGCTA-FS scores and age. Findings by the PI indicated that there was no differences in critical thinking between the original 2015 Span Program participants and revised 2016 orientation program participants for NLRNs at the host institution. It was the hope of the researcher that the study produced results that can make a difference in how nurse educators measure CT future NLRN orientation programs.
