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Book The Lived Experience of Transition to Practice for the New Graduate Licensed Practical Nurse Working in Long Term Care

Download or read book The Lived Experience of Transition to Practice for the New Graduate Licensed Practical Nurse Working in Long Term Care written by Julie Savage Jones and published by . This book was released on 2016 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the past decade, the role of licensed practical nurse (LPN) has been a topic of discussion among the National League for Nursing (NLN) and the National Council for State Boards of Nursing (NCSBN). The NLN recently called for nurse educators to examine the LPN role in the current healthcare system. Transition to practice issues experienced by the new graduate licensed practical nurse (NGLPN) are important issues that reflect nursing education. This study explores the lived experience of transition to practice for the NGLPN working in the long-term care (LTC) setting. The study will open the conversation about NGLPN transition to practice among practical nursing educators and nursing administrators of LTC facilities. Van Manen's and Benner's use of interpretive phenomenology informed the study design. The researcher interviewed three new graduate LPNs, graduating from one school in a state community college practical nursing program. The graduates were interviewed three times for no more than 60 minutes each in an effort to learn about experiences of transition to practice in long-term care. Themes that emerged from the negative experiences include intimidating, disrupting behaviors, death and dying. Subthemes that emerged from the intimidating and disruptive behaviors include integrity, human dignity, and self-determination. The subtheme unprepared emerged from the death and dying theme. Themes that emerged from the positive experiences are relationships and feeling supported. Caring emerged as a subtheme of relationships. Personal growth and human flourishing (HF) emerged as a theme of the positive and negative experience.

Book Nurse Residency Program Builder

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

Book Clinical Reasoning

Download or read book Clinical Reasoning written by Tracy Levett-Jones and published by . This book was released on 2017-09-08 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Book Transition

    Book Details:
  • Author : Julia Churchill Tiffany
  • Publisher :
  • Release : 1990
  • ISBN :
  • Pages : 216 pages

Download or read book Transition written by Julia Churchill Tiffany and published by . This book was released on 1990 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Nurse Residency Program

Download or read book Nurse Residency Program written by Cristy Mullinix and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Book Reality Shock  why Nurses Leave Nursing

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:

Book The Effect of a New Graduate Registered Nurse Residency Program on Retention

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.

Book Nurse Residency Program

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.

Book Perceptions of New Graduate and New to specialty Nurses Following Completion of a Labor and Delivery Nurse Residency Program

Download or read book Perceptions of New Graduate and New to specialty Nurses Following Completion of a Labor and Delivery Nurse Residency Program written by Cassandra Rose Zinke and published by . This book was released on 2021 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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

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.

Book Transforming the Journey for Newly Licensed Registered Nurses  A Community Based Transition to Practice Program in Ambulatory Care Settings

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.

Book A Retrospective Study of a Nurse Residency Program and Reports of Job Satisfaction  Organizational Commitment  and Turnover

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.

Book Transitions

    Book Details:
  • Author : Julia Churchill Tiffany
  • Publisher :
  • Release : 1990
  • ISBN :
  • Pages : 105 pages

Download or read book Transitions written by Julia Churchill Tiffany and published by . This book was released on 1990 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Incorporation of Evidence based Simulated Activities in an Existing Nurse Residency Program

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.

Book New Graduate Nurse Transition to Practice Program to Increase Inter professional Confidence

Download or read book New Graduate Nurse Transition to Practice Program to Increase Inter professional Confidence written by Tinnikka Angel Robertson-Jones and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Despite the evidence supporting the benefits of Nurse Residency Programs, anecdotal evidence suggested that the curriculum does not provide a focus on the lack of confidence new graduate nurses have transitioning into practice, nor does it provide resources to enhance confidence development. This evidence-based change project included new graduate nurses who were enrolled in a transition to practice, Nurse Residency Program (NRP) cohort. The participants engaged in a quality improvement project that provided confidence building exercises and resources to increase inter-professional confidence as an addendum to their current NRP curriculum. A confidence building curriculum addendum project was implemented during months five and six of their twelve month program. The data to measure the outcomes of this evidence-based change project was collected using the Casey-Fink Graduate Nurse Experience Survey as a pretest/posttest. New graduate nurse residency participants (N=10) showed a limited overall improvement in their confidence/comfort level post intervention. One area of noted increase was having less difficulty organizing patient care needs (mean increase 24.14%). The survey results suggest numerous possibilities for improvement of new graduate nurses transitioning into practice-such as confidence building initiatives, to include seasoned nursing staff education on the importance of their role in the onboarding of new graduate nurses. Key words: Nurse; New graduate; Transition to Practice Program; Confidence; Inter-professional; Nurse Residency Program; Evidenced-based practice; Change project. " -- Abstract