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 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 Professional Evidence based Proposal written by Alain Valles and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using an interactive nurse residency framework for the primary orientation method for new graduate, newly licensed nurses instead of no, or traditional orientation methods results in higher job satisfaction, reduced turnover, reduced medical errors, higher patient satisfaction, and better patient outcomes. Evidenced-based research demonstrates with support from the Institute of Medicine (IOM) that interactive new graduate nurse residency orientation is the most effective and preferred orientation method. This evidence-based proposal will provide a detailed description of this problem with a proposed solution and will include an implementation plan as well as an evaluation plan for the integration of nurse residency orientation.
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 The Future of the Nursing Workforce in the United States written by Peter Buerhaus and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
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 Nurse Residency Program written by Cynthia A. Cappel and published by . This book was released on 2016 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Reality Shock why Nurses Leave Nursing written by Marlene Kramer and published by Mosby. This book was released on 1974 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nurse Residency Programs written by Kimberly Johnson and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Download or read book Professional Research Project written by Azeem Jan and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The profession of nursing is facing a huge crisis. The number of experienced nurses is shrinking and the supply of new graduate nurses is becoming abundant in number. Consequently, the new graduate nurses are the largest source for hiring. However, the new graduates are so psychologically challenged to their particular roles that almost half of them change their employer in less than 12 months of their first job and manyL quit the profession altogether according to several researched studies. As a result, there is high turnover rate, low retention rate, low confidence and competency skills, poor job satisfaction, and poor patient outcome. Hospitals and acute care facilities are struggling to find a solution to these issues. Studies have shown that new graduate residency program is the solution to these problems. Nurse residency program will be implemented with appropriate planning and measurable goals. The length of the program will be one year. Reports will be run for preprogram statistics. The program will be interactive with didactic classroom sessions and clinical component that will increase the opportunity for mastering competency skills. Preceptors will provide appropriate feedback to the graduates. Evaluation of the program will be continuous. Post program numbers will be run for statistics and comparative analysis. Once the success has been ascertained by positive results and consistency after several times, the data will be disseminated to the greater nursing community which may include national and global nursing communities. Various media resources, such as but not limited to published journals and articles, will be used to disseminate information.
Download or read book The Incorporation of Evidence based Simulated Activities in an Existing Nurse Residency Program written by Wendy Partin Thompson and published by . This book was released on 2018 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: As new graduate nurses are challenged with caring for patients with complex disease processes, nurse residency programs are designed to ease the transition into practice. A community based hospital, in the southern United States has recently implemented such a program. However, the organization continues to have problems with nursing turnover. This problem is especially evident in nurses with less than one year of clinical experience. Research has shown that nurse residency programs without simulative activities eliminate vital critical thinking activities which prepare novice nurses for clinical practice. The purpose of this project was to design evidence-based simulative activities to increase self-efficacy in new graduate Registered Nurses (RNs). A sample of 15 nurse residents received the education interventions and completed a pre and posttest designed to measure self-efficacy. The average pre-intervention test indicated that the new nurse graduates lacked confidence, critical thinking, and remaining calm in dealing with complex clinical situations. After the intervention, the average post-intervention test indicated that the new nurse graduates showed a statistically significant increase in problem-solving skills, clinical confidence in decision-making, confidence in patient education, handling unexpected results, remaining calm in complex situations, and finding solutions to clinical problems. As a result, the organization plans to add simulative activities permanently to the residency program.
Download or read book Evidence Based Practice in Nursing Healthcare written by Bernadette Mazurek Melnyk and published by Lippincott Williams & Wilkins. This book was released on 2018-10-17 with total page 1211 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice, 4th Edition Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN and Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN Enhance your clinical decision-making capabilities and improve patient outcomes through evidence-based practice. Develop the skills and knowledge you need to make evidence-based practice (EBP) an integral part of your clinical decision-making and everyday nursing practice with this proven, approachable text. Written in a straightforward, conversational style, Evidence-Based Practice in Nursing & Healthcare delivers real-world examples and meaningful strategies in every chapter to help you confidently meet today’s clinical challenges and ensure positive patient outcomes. NEW! Making Connections: An EBP Exemplar opens each unit, immersing you in an unfolding case study of EBP in real-life practice. NEW! Chapters reflect the most current implications of EBP on health policy and the context, content, and outcomes of implementing EBP competencies in clinical and academic settings. NEW! Learning objectives and EBP Terms to Learn at both the unit and chapter levels help you study efficiently and stay focused on essential concepts and vocabulary. Making EBP Real features continue to end each unit with real-world examples that demonstrate the principles of EBP applied. EBP Fast Facts reinforce key points at a glance. Clinical Scenarios clarify the EBP process and enhance your rapid appraisal capabilities.
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 Transition to Professional Nursing Practice written by Rob Burton and published by SAGE. This book was released on 2020-09-30 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides final year nursing students with comprehensive guidance on how to make the leap from student to registered nurse, helping you to master the skills needed to progress from supervised to professional practice. Packed with key information, theory and advice, this book covers essential topics such as leadership and management, decision-making, professional development, assessment, law and ethics. It also provides you with an insightful overview of global nursing, exploring the issues of nurse migration and outlining the specific requirements for registering as a nurse in countries outside of the UK. To further support your learning, the book includes engaging activities that encourage you to use critical reflection, real-life example scenarios to help improve your decision-making, and references to the author’s personal experiences of professional development.
Download or read book The Effect of a New Graduate Registered Nurse Residency Program on Retention written by Virginia L. Bradley and published by . This book was released on 2017 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Significance of Nurse Residency Or Internship Programs on Nurse Retention Costs and Competence written by Angela D. Cowgill and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
