A Retrospective Study Of A Nurse Residency Program And Reports Of Job Satisfaction Organizational Commitment And Turnover
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| Author | : Kenneth Walter Dion |
| Publisher | : |
| Total Pages | : 394 |
| Release | : 2011 |
| Genre | : |
| ISBN | : |
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.
| Author | : Chineda Hill |
| Publisher | : |
| Total Pages | : 117 |
| Release | : 2019 |
| Genre | : Electronic dissertations |
| ISBN | : |
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.
| Author | : Laura J. Carr |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2013 |
| Genre | : Nursing |
| ISBN | : |
The newly graduated nurse remains at high risk for leaving the nursing profession within the first year of entering the nursing workforce. Evidence based studies have reported that some medical centers report retention rates of only 55% in their first year of employment for the newly graduated nurse. Additional evidence based practice have also reported that 31% of these nurses intend to leave the nursing profession in the first three months of employment. This continues to enhance the nursing shortage issue that places the current nursing workforce at risk for burnout which can cause errors that lead to an increase risk for patient safety. Hospitals that have adopted the nurse residency program have reported retention rates of 89% in the first year of employment (Hillman and Foster, 2011). The information provided in this paper will review the evidence based articles that have researched the success of nurse residency programs for the newly graduated nurses. Along with the success of these programs this article will propose a similar plan to implement an equally successful plan to be initiated into nurse residency programs. The goal of this type of program is to reduce the rate of turnover among the newly graduated nurse by providing them a working unit that enhances their education after graduating their nursing programs. The cost of a unit in this nature will also be reviewed along with reports of retention rates for medical centers that have implemented a program similar in nature.
| Author | : Jim Hansen |
| Publisher | : HC Pro, Inc. |
| Total Pages | : 187 |
| Release | : 2011-04-26 |
| Genre | : Medical |
| ISBN | : 1601468199 |
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
| Author | : |
| Publisher | : |
| Total Pages | : 148 |
| Release | : 2014 |
| Genre | : Nurses |
| ISBN | : |
"Challenges during the transition phase lead to high turnover rates and low job satisfaction for graduate nurses. Nurse residency programs are recommended to support graduate nurses during this professional phase. The purpose of this critical review of the literature is to identify essential components of nurse residency programs and evaluate if a standardized nurse residency program can address the needs of graduate nurses.
| Author | : |
| Publisher | : |
| Total Pages | : 1332 |
| Release | : 1988 |
| Genre | : Medicine |
| ISBN | : |
| Author | : Atalie Y. Henderson |
| Publisher | : |
| Total Pages | : 52 |
| Release | : 2022 |
| Genre | : Nurses |
| ISBN | : |
The organization that served as the study site for this project has two nurse residency programs that compete for resource allocation, space, informational materials, and human resources. The DNP project was conducted to combine the programs to eliminate waste and ensure the combined program met with the Commission on Collegiate Nursing Education standards for accreditation of entry-to-practice nurse residency programs. A literature review was used to evaluate practice themes for a formal residency program, and Benner’s novice to expert theory was chosen to guide the program development. A team of nurse educators and managers met via teleconferencing to review the curricula of both programs and compare these to the best practice literature. The teams met over several weeks and achieved consensus on the structure and process for a single best practice nurse residency program. The project had the potential to provide a developmental framework for advanced practice residency and interprofessional trainee programs. Aligning the two programs assured best evidence-based practice and conservation of resources. The goal was to improve new graduate retention within an extensive federal system. Keywords: new nurse satisfaction, BSN residency program recruitment and retention, baccalaureate nurse satisfaction, new nurse shortage, new nurse satisfaction, nurse turnover
| Author | : Erin Ethington |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2014 |
| Genre | : Evidence-based nursing |
| ISBN | : |
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 | : Azeem Jan |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2013 |
| Genre | : Employee retention |
| ISBN | : |
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.
| Author | : Andin Josipovic |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2023 |
| Genre | : Intensive care nursing |
| ISBN | : |
Poor retention is a critical issue among healthcare workers throughout the country. Decreased job satisfaction directly impacts nursing retention rates, particularly among new nurses transitioning from school to clinical practice. This MSN project introduces an enhancement to the current nurse residency program that includes clinical rotations in its educational foundation to solve job satisfaction issues among new graduate nurses. Evidence-based research indicates that clinical rotations benefit nurses early in their careers. These benefits include increased involvement in work, acquired additional skills, and enhanced job satisfaction in the workplace. This MSN project provides a clear path for implementing this unique type of residency program in nursing to be piloted at the University of Utah Hospital system in Salt Lake City. The new residency program format will be eight months and be implemented in a twenty-week timeline. The project implementation includes a project proposal, a PowerPoint presentation for staff and administration, and a lesson and assignment plan for educators in the program. Additionally, the project will provide pre- and post-surveys to test the understanding and success of project implementation and allow for future improvements and changes based on trends. The project also identifies ways to disseminate significant results and learned information to the university's stakeholders and other organizations nationwide. Providing clinical rotations to train and support new nurses can significantly impact the long-standing nurse retention crisis.
