Effects of Nurse Residency Programs on Nurse Confidence and Competency

Effects of Nurse Residency Programs on Nurse Confidence and Competency

Author: Janet L. Gerken

Publisher:

Published: 2018

Total Pages: 149

ISBN-13:

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Nurse Residency Programs (NRPs) were introduced to address the gap that exists between entry-level nurses' skill proficiency, confidence, critical thinking ability, comfort, and to improve the graduate nurses' ability to offer safe and competent care. However, there is only a small amount of literature to support that NPRs help entry-level nurses in developing confidence and competence. This Direct Practice Improvement Project was developed to assess the impact of NRPs on the confidence and competency of entry-level nurses. Benner's novice to expert theory and Duchscher's organizational theory of learning and experiential learning, served as the theoretical framework for this project. The quantitative project used a pretest/posttest design to determine whether or not the participation in an NRP was directly related to improved confidence in practice and improved competence, as measured by self-reported medication errors. The project was based on a case study of the Vizient/ American Association of Colleges of Nursing (AACN). Nurse Residency Program. It employed the convenience sampling method, and all the 26 nurse residents in the program were selected to participate in the project (N=26). The Wilcoxon Signed-Rank Test demonstrated a significant increase in the number of new nurse graduates with improved confidence, after the participation in the residency program (p= 0.05). The project was inconclusive concerning improvement in competence, as measured by medication errors, due to the non-existence of errors at the point of entry. Practical implications for practice include the incorporation of nurse residency program into the undergraduate curricula, and the adoption programs that are at least three months long.


The Future of Nursing

The Future of Nursing

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-02-08

Total Pages: 700

ISBN-13: 0309208955

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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.


What Effects Do Nurse Residency Programs Have on the Transition of Newly Licensed Nurses Into the Practice Environment During the First Year of Practice?

What Effects Do Nurse Residency Programs Have on the Transition of Newly Licensed Nurses Into the Practice Environment During the First Year of Practice?

Author: Jennifer A. Ochs

Publisher:

Published: 2014

Total Pages: 66

ISBN-13:

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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.


Self-reported Confidence Levels and Satisfaction by New Graduate Nurses Practicing Independently in a Nurse Residency Program

Self-reported Confidence Levels and Satisfaction by New Graduate Nurses Practicing Independently in a Nurse Residency Program

Author: Kaitlynn Boswell

Publisher:

Published: 2014

Total Pages:

ISBN-13: 9781321210774

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Background: The current challenges in retaining and maintaining confident and satisfied new graduate nurses are attributed to three primary factors: lack of competence, lack of self-confidence and lack of peer support (Twibell et all, 2012). There has been a call for nurse residency programs to supplement the transition from student nurse to working nurse. Objective: The purpose of this study was to determine if new graduate nurses enrolled in the University of California Davis' Nurse Residency program reported satisfaction with their current job and to determine their level of confidence with specific nursing situations and tasks. Setting and Participants: The Casey Fink Graduate Nurse Survey was distributed to 39 new graduate nurses in the 16th week of the residency program. Methods: This study utilized quantitative data collected from the Casey-Fink Graduate Nurse Experience Survey. Descriptive and inferential statistics were then utilized to analyze the data. Results: Participants with an orientation over 8 weeks were more likely to feel they would be able to complete their patient assignment on time (p


Exploring New Nurses' Perceptions of a Nurse Residency Program

Exploring New Nurses' Perceptions of a Nurse Residency Program

Author: Chineda Hill

Publisher:

Published: 2019

Total Pages: 117

ISBN-13:

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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.


Influences on Transition to Practice Outcomes Among New Nurses

Influences on Transition to Practice Outcomes Among New Nurses

Author: Felecia S. Williams

Publisher:

Published: 2013

Total Pages: 119

ISBN-13:

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This research explored the investigation of influences on transition to practice outcomes among new graduate nurses in a nurse residency program. The study participants consisted of 641 nurse residents from the Versant RN RegistryTM from 2010-2011. They represented 84 facilities in 14 states across the United States. A descriptive correlational design was utilized to gain insight on the impact mentoring and debriefing had on gains in competence and confidence, the degree of comfort in assuming a staff nurse role at the end of the residency, and job satisfaction. A secondary data analysis was conducted using the Versant RN Nurse ResidencyTM database. Frequencies and percentages, chi-square analysis, and independent t-tests were applied to the data set. The study results showed mentoring and debriefing as positive influences on gains in competence and confidence, comfort in assuming a staff nurse role at the end of the nurse residency, and job satisfaction. The results were moderated by nursing educational preparation and previous healthcare experience. Bachelor-prepared new graduate nurses and nurses with previous healthcare experience related a higher degree of comfort in assuming a staff nurse role at the end of the nurse residency. Future research should include expanded analysis of the new outcome variable of degree of comfort in assuming a staff nurse role at the end of nurse residency programs. Continued evaluation of the effectiveness of mentoring circles would also contribute to the nursing literature with regard to economic feasibility. Key words: transition-to-practice, new graduate nurse, mentoring, debriefing, nurse residency.


Nurse Residency Program Builder

Nurse Residency Program Builder

Author: Jim Hansen

Publisher: HC Pro, Inc.

Published: 2011-04-26

Total Pages: 187

ISBN-13: 1601468199

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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


A Study of a Nursing Residency Program's Effectiveness in Attracting, Orienting, and Retaining Nurses

A Study of a Nursing Residency Program's Effectiveness in Attracting, Orienting, and Retaining Nurses

Author: Nancy Fisher

Publisher:

Published: 2006

Total Pages: 30

ISBN-13:

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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.