The Effect of Nurse Residency Program on Confidence Level and Retention of Graduate Nurses
Author: Adonna Ballard
Publisher:
Published: 2012
Total Pages: 170
ISBN-13:
DOWNLOAD EBOOKPosts
Effects of Nurse Residency Programs on Nurse Confidence and Competency
Author: Janet L. Gerken
Publisher:
Published: 2018
Total Pages: 149
ISBN-13:
DOWNLOAD EBOOKNurse 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.
Graduate Nurses' Perceived Confidence in Clinical Competence
Author: Jennifer Dobbins (nurse)
Publisher:
Published: 2018
Total Pages: 104
ISBN-13:
DOWNLOAD EBOOKEvaluation of the Role of Self-efficacy as a Retention Strategy in the Implementation of a Nurse Residency Program
Author: Judith Diane Jackson
Publisher:
Published: 2020
Total Pages: 72
ISBN-13:
DOWNLOAD EBOOKNewly licensed graduate nurses are transitioning to practice with low self-efficacy and competency gaps leading to poor patient outcomes and low retention rates within this population of nurses. These low rates of retention create an environment in which newly licensed graduate nurses have failed or are delayed in their transition from novice to expert. The purpose of this study was to evaluate the impact of the implementation of the Vizient/AACN nurse residency program on the first-year retention rate of newly licensed graduate nurses within an organization in central Texas. The program was evaluated utilizing newly licensed graduate nurse pre- and postimplementation data related to retention rates of the organization and the Casey Fink Graduate Nurse Experience Survey. The study design was a quantitative approach utilizing a cross-sectional survey. A convenience sample of newly licensed graduate nurses hired from November 2017 to September 2018 was used. All 48 residents enrolled in the nurse residency program were included in the study. Data were analyzed utilizing a power analysis and a paired- samples t test. The sample size was lower than 43, indicating a low confidence level. A strong correlation was noted for a standardized NRP and self-efficacy (r = .822), but there was no significant difference identified between pretest and posttest means (p > .05). Retention rates improved by 11.65% following implementation of the NRP. Findings of this study can influence the development of standardized NRPs which could increase self-efficacy and reduce turnover rates among newly licensed graduate nurses.
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
DOWNLOAD EBOOKBackground: 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
The Future of Nursing
Author: Institute of Medicine
Publisher: National Academies Press
Published: 2011-02-08
Total Pages: 700
ISBN-13: 0309208955
DOWNLOAD EBOOKThe 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.
Impact of a Nurse Residency Program on First-year Retention Rates for New Graduate Nurses
Author: Cathern S. Velasquez
Publisher:
Published: 2012
Total Pages: 73
ISBN-13:
DOWNLOAD EBOOKNurse Residency Program
Author: Erin Ethington
Publisher:
Published: 2014
Total Pages: 0
ISBN-13:
DOWNLOAD EBOOKNew 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.
Significance of Nurse Residency Or Internship Programs on Nurse Retention, Costs, and Competence
Author: Angela D. Cowgill
Publisher:
Published: 2013
Total Pages: 0
ISBN-13:
DOWNLOAD EBOOKThe 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.
Evaluation of a Leadership Focused Graduate Nurse Development Program
Author: April L. McGrath
Publisher:
Published: 2023
Total Pages: 0
ISBN-13:
DOWNLOAD EBOOK"Nurses are leaving the profession in their first years of nursing, contributing to a global staffing crisis. The American Nurses Association (ANA) recognizes the impact of this crisis and refers to it as 'unsustainable' (ANA, 2021). Opportunity exists to enhance first-year experience and reverse the trend of nurses vacating the profession within their first year. Purpose : To determine whether a graduate nurse (GN) development residency program focused on leadership and professional growth improves GN experience, confidence, and retention compared with a more traditional skill-based GN program . . . Conclusion : First-year retention is improved with a leadership-focused GN residency program, though self-evaluated confidence remains consistent. Further research is needed to ascertain whether performance reflects stagnant confidence levels, and impact on two-to-three year retention rates" -- from Abstract.
