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

Transforming the Journey for Newly Licensed Registered Nurses: A Community Based Transition-to-Practice Program in Ambulatory Care Settings
Author: Cathryn A Halford (DNP)
Publisher:
Total Pages:
Release: 2013
Genre:
ISBN:

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.

The Future of Nursing

The Future of Nursing
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 700
Release: 2011-02-08
Genre: Medical
ISBN: 0309208955

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.

Conceptualization of Factors that Have Meaning for Newly Licensed Registered Nurses Completing Nurse Residency Programs in Acute Care Settings

Conceptualization of Factors that Have Meaning for Newly Licensed Registered Nurses Completing Nurse Residency Programs in Acute Care Settings
Author: Beverly Dianne Rowland
Publisher:
Total Pages: 382
Release: 2016
Genre:
ISBN:

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.

The Future of the Nursing Workforce in the United States

The Future of the Nursing Workforce in the United States
Author: Peter Buerhaus
Publisher: Jones & Bartlett Publishers
Total Pages: 329
Release: 2009-10-06
Genre: Business & Economics
ISBN: 0763756849

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.

The Attributes of Nurse Residency Programs Influencing the Newly Licensed Registered Nurse

The Attributes of Nurse Residency Programs Influencing the Newly Licensed Registered Nurse
Author: Christina Louise Kiger
Publisher:
Total Pages: 260
Release: 2020
Genre:
ISBN:

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.

Practice Transition Accreditation Program 2016 Application Manual

Practice Transition Accreditation Program 2016 Application Manual
Author: American Nurses Center
Publisher:
Total Pages: 58
Release: 2016-01-21
Genre:
ISBN: 9781523631506

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.

The Future of Primary Care

The Future of Primary Care
Author: Jonathan Showstack
Publisher: Jossey-Bass
Total Pages: 356
Release: 2004-04-26
Genre: Medical
ISBN:

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.

LPN to RN Transitions

LPN to RN Transitions
Author: Nicki Harrington
Publisher: Lippincott Williams & Wilkins
Total Pages: 468
Release: 2008-01-01
Genre: Medical
ISBN: 9780781767576

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®.

Assessing Progress on the Institute of Medicine Report The Future of Nursing

Assessing Progress on the Institute of Medicine Report The Future of Nursing
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 221
Release: 2016-03-22
Genre: Medical
ISBN: 0309380316

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.

Self-Care for New and Student Nurses, Second Edition

Self-Care for New and Student Nurses, Second Edition
Author: Dorrie K. Fontaine
Publisher: Sigma Theta Tau
Total Pages: 477
Release: 2024-08-20
Genre: Medical
ISBN: 1646481704

“The authors have created a brilliant, reader-centric, practical, powerful, and evidence-based guide designed for new and student nurses, yet effective for preceptors and faculty alike. Imagine a resource so engaging and effective you turn to it time and time again to inform and support your whole-person well-being.” –Teri Pipe, PhD, RN Richard E. Sinaiko Professor in Health Care Leadership School of Nursing Core Faculty, Center for Healthy Minds Distinguished Fellow, National Academies of Practice University of Wisconsin-Madison “This extraordinary book will be the voice in the ear of every young nurse who reads it throughout their career, sustaining them through the hard times and providing what it takes to be the skillful, compassionate nurses they dreamed of being.” –Bonnie Barnes, FAAN Doctor of Humane Letters (h.c) Co-founder, The DAISY Foundation “This is an astonishingly rich and relevant text that truly should be required in every nursing program. If widely adopted, this text has the potential to transform the profession.” –Mary Jo Kreitzer, PhD, RN, FAAN Director, Earl E. Bakken Center for Spirituality & Healing Professor, University of Minnesota School of Nursing As a nursing student, you’re taught to expect a variety of challenges while caring for your patients and juggling competing priorities as you begin your career. And, though you may know better, your personal well-being can become the last thing you consider in your hectic student or new-nurse life. This second edition of Self-Care for New and Student Nurses equips you to confidently face stressors now and in the future. No matter where you are in your nursing career, this book offers you multiple strategies to prioritize your own mental, physical, and emotional health. Authors Dorrie K. Fontaine, Tim Cunningham, and Natalie May showcase a group of strong contributors whose valuable tips and exercises will help you: · Find joy and a sense of mattering at work · Manage anxiety, loneliness, and depression · Address imposter syndrome, practice self-compassion, and thrive during clinicals · Cope and seek help with racial tensions, substance abuse, suicide risks, and other traumas · Spot the stressors that lead to burnout · Prioritize sleep, exercise, and nutrition · Build a toolkit of self-care techniques, including in-the-moment practices for an ideal workday · Develop a resilient mindset · Establish boundaries TABLE OF CONTENTS Section 1: Fundamentals Chapter 1: The Fundamentals of Stress, Burnout, and Self-Care Chapter 2: The Fundamentals of Resilience, Growth, and Wisdom Chapter 3: Developing a Resilient Mindset Using Appreciative Practices Section II: The Mind of a Nurse Chapter 4: Self-Care, Communal Care, and Resilience Among Underrepresented Minoritized Nursing Professionals and Students Chapter 5: Self-Care for LGBTQIA+ Nursing Students Chapter 6: Racial Trauma and Healing Chapter 7: Narrative Practices Chapter 8: Self-Care and Systemic Change: What You Need to Know Chapter 9: Strengths-Based Self-Care: Good Enough, Strong Enough, Wise Enough Section III: The Body and Spirit of a Nurse Chapter 10: Reclaiming, Recalling, and Remembering: Spirituality and Self-Care Chapter 11: Sleep, Exercise, and Nutrition: Self-Care the Kaizen Way Chapter 12: Reflections on Self-Care and Your Clinical Practice Section IV: The Transition to Nursing Practice Chapter 13: Supportive Professional Relationships: Nurse Residency Programs, Preceptors, and Mentors Chapter 14: Healthy Work Environment: How to Choose One for Your First Job Chapter 15: Self-Care for Humanitarian Aid Workers Section V: The Heart of a Nurse Chapter 16: Mattering: Creating a Rich Work Life Chapter 17: Integrating a Life That Works With a Life That Counts Chapter 18: Providing Compassionate Care and Addressing Unmet Social Needs Can Reduce Your Burnout Chapter 19: Showing Up With Grit and Grace: How to Lead Under Pressure as a Nurse Clinician and Leader Chapter 20: Coaching Yourself When Things Are Hard