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With mentorship being a key to addressing several issues at a large community medical center, the leadership of the institution engaged with students of a Clinical Nurse Leader (CNL) Program to conduct a thorough assessment. This paper addresses the charge for a standardized and formalized evidence-based approach to a nurse mentorship program to address key areas that enhance not only the work environment but also the quality of care. These key areas include the 1) promotion of professional development and engagement via 2) acquisition of skills necessary to achieve nursing competence, 3) address lateral violence, 4) increase in staff retention rates and 5) increase in job satisfaction. A systematic needs assessment was conducted, along with a literature review, to inform a recommendation for the development of a formalized mentorship program that would coincide with an already in place new grad residency program for newly licensed registered nurses (NLRN) at the large community medical center. The root cause analysis indicated that individuals that were hired into the new grad residency left their position within twelve months at a significant rate. As such, the outcomes of the literature review and needs assessment indicated that a formalized mentorship structure would help not only with creating a more healthy work environment but also create significant cost savings for the institution. While the program was not implemented at the institution, evaluation tools are proposed for the appropriate ongoing assessment and growth of the quality improvement project.
Low retention rates, especially of newly licensed registered nurses (NLRN), translates to a significant financial burden to medical centers due to costs associated with training the new nurse. The nursing leadership at a large community medical center that is currently experiencing an upward trend in turnover rates aims to increase the retention of newly licensed registered nurses through a formal mentorship program. To assess and validate mentorship program needs, the EL-MSN CNL team focused this quality improvement project on conducting a literature review and needs assessment that included key informant interviews, a general survey for registered nurses, and a focus group. A total of nine nursing leadership staff from the medical center participated in the key informant interviews, 141 registered nurses from the medical center completed the general survey, and three registered nurses that had participated in the New Graduate Training Program participated in the focus group. Results from the needs assessment validated the need for a formal mentorship program at this medical center, with over 90 percent of all survey participants stating that mentorship was important or very important in their nursing practice. Additionally, over 50 percent of survey participants would be willing to mentor a NLRN on their specific unit. The needs assessment also informed concrete recommendations to develop a formalized mentorship program that meets the needs of the medical center. The recommendations include introducing a culture of mentorship, integrating the formal mentorship program with the clinical ladder progression, and incentivizing participation. The evaluation plan of the formalized mentorship program includes two surveys that will serve a dual purpose to evaluate the New Graduate Training Program and formal mentorship program. A third survey that will evaluate participant satisfaction with the formal mentorship program. In addition to assessing and validating the needs for a formal mentorship program at this medical center, this quality improvement project highlights areas of potential impact of mentorship on promoting professional development and engagement of the newly licensed registered nurse, increasing nursing competence, addressing lateral violence, increasing retention rates, and increasing job satisfaction.
Retention, competency, job satisfaction, and lateral violence are issues facing the nursing workforce, especially newly licensed registered nurses (NLRNs). The United States is facing a nursing shortage; therefore it is important to develop strategies to retain qualified registered nurses (RNs). The Master of Science in Nursing/Clinical Nurse Leader (MSN/CNL) student team conducted a literature review on how to address these issues. A mentorship program is the proposed intervention to assist novice nurses during their transition into the nursing role. The student team performed a needs assessment through surveys and interviews to gain valuable data on the medical center. The assessment informed recommendations for implementation and evaluation of a mentorship program. Results showed that positive responses for a mentorship program from both staff nurses and nursing leadership. Common themes emerged and assisted in the development of the recommendations for the medical center.
The purpose of this project is to help increase retention of newly licensed registered nurses (NLRN) at a large community medical center. The medical center loses approximately 20 NLRNs per year which is costly for the medical center. The loss of NLRN can be attributed to decreased job satisfaction, poor nursing competence and lateral violence between the nursing staff. Evidence shows that mentorship is a proven, evidence-based approach to solving these issues and more (Hodgson & Scanlan, 2013). Not only can mentorship help increase retention, address lateral violence, increase job satisfaction and nursing competence but, it can also help enhance NLRN nurses0́9 professional and personal growth. A mentor can help guide the mentee into becoming more involved in the community medical center as well as promote professional development by encouraging the mentee into achieving higher levels of education and reaching for loftier career goals. The emotional support provided by the mentor helps to increase the confidence of the NLRN by bridging the gaps between preceptorship and patient care. Literature shows that mentorship creates more unity within the unit thus increasing nursing competence which then leads to increased patient care (Jewell, 2013). The large medical center is interested in all of these factors and thus requested a formalized, standard, evidence-based nurse mentorship program to be implemented on all floors of the hospital. The Entry-level MSN CNL (EL-MSN CNL) student team conducted a quality improvement project to address these needs by developing a formalized mentorship program for newly licensed registered nurses at a large community medical center.
The nursing profession is currently experiencing a shortage. Despite the need for nurses, there is a high percentage of new nurses who leave their first place of employment before reaching the first year of hire. Mentorship is a tool that has been highly written about, but not widely utilized. Mentorship was found to be helpful in four key areas: retention rates, job satisfaction, lateral violence, and job competency. This project0́9s purpose was to inform on the development of a formalized nurse mentorship program. Data collected from two open-ended questionnaires and a survey found that a large community medical center could benefit from a standardized mentorship program. Based on this assessment data, recommendations for implementation and evaluation were created for this facility0́9s needs.
Nursing Leadership & Management, Fourth Edition provides a comprehensive look at the knowledge and skills required to lead and manage at every level of nursing, emphasizing the crucial role nurses play in patient safety and the delivery of quality health care. Presented in three units, readers are introduced to a conceptual framework that highlights nursing leadership and management responsibilities for patient-centered care delivery to the patient, to the community, to the agency, and to the self. This valuable new edition: Includes new and up-to-date information from national and state health care and nursing organizations, as well as new chapters on the historical context of nursing leadership and management and the organization of patient care in high reliability health care organizations Explores each of the six Quality and Safety in Nursing (QSEN) competencies: Patient-Centered Care, Teamwork and Collaboration, Evidence-based Practice (EBP), Quality Improvement (QI), Safety, and Informatics Provides review questions for all chapters to help students prepare for course exams and NCLEX state board exams Features contributions from experts in the field, with perspectives from bedside nurses, faculty, directors of nursing, nursing historians, physicians, lawyers, psychologists and more Nursing Leadership & Management, Fourth Edition provides a strong foundation for evidence-based, high-quality health care for undergraduate nursing students, working nurses, managers, educators, and clinical specialists.
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.
Make a smooth transition from nursing school into the practice setting with Nursing Today, 11th Edition! With this book, you will gain a solid understanding of the issues and trends that affect the nursing profession. Not only will you graduate with patient care skills, but you will advance your career with insights into writing a resume, interviewing, finding a job, and obtaining specialty certifications. This edition takes a deeper look into topics such as workplace bullying, conflict management, cultural and spiritual awareness, and the new question types found on the Next Generation NCLEX® examination. Written by well-known nursing educators JoAnn Zerwekh and Ashley Zerwekh Garneau, this easy-to-read text prepares you for success on the NCLEX-RN® exam and in professional nursing practice. Thorough coverage prepares you for a professional career with an introduction to historical and present-day nursing as well as legal, ethical, political, and workplace issues. Learning objectives, humorous cartoons, and a pithy quote introduce the content in each chapter. Critical Thinking boxes ask you to apply your knowledge to the practice setting. Coverage of QSEN competencies addresses effective communication, team building, evidence-based practice, patient safety, and quality assurance. Tips for transitioning into the workplace are included in chapters such as NCLEX-RN® Exam and the New Graduate, Employment Considerations: Opportunities, Resumes, and Interviewing; and Mentorship, Preceptorship, and Nurse Residency Programs. Career advancement tools include time management, communication and delegation, how to write an effective resume, interviewing tips, guidelines for using social media, attaining certification in a nursing specialty, and self-care strategies. Evidence-Based Practice boxes summarize practice Issues, implications for nursing practice, and the references for the evidence. Research for Best Practice boxes highlight the research evidence that supports clinical practice.
The purpose of this integrative review is to identify commonalties of mentor program success demonstrated by registered nurse retention to support DNP leaders seeking to address the nursing shortage by retaining newly licensed and experienced registered nurses. Mentor programs offer nurse leaders a low-cost solution with a high return on investment to address nurse retention. The United States is facing a tremendous nursing shortage compounded by multiple factors, including an unprecedented global pandemic. An aging population is leaving the profession while the new generation of nurses struggle to find their niche. Registered nurses make up the largest sector of health care workers. Retaining newly licensed nurses is essential to the future of health care and the nursing profession. Nurse leaders need proven solutions that are easily identifiable to tackle the monumental nursing shortage on the horizon.
Transformative Learning Theory offers a uniquely inclusive methodology across all levels of nursing education for educators and students focused on common nursing arenas and situations. This is the only book to present practical, innovative strategies for novice and experienced nurse educators to apply Transformative Learning Theory in various curricula, courses, and learning situations. Geared for adult and returning students, the text addresses common learning issues from both learner and teacher perspectives, enabling educators and students to apply Transformative Learning to evaluate their own authentic transformation throughout their careers. Key Features: Offers a uniquely inclusive theory and methodology "Transformative Learning Theory" across degree levels for educators and students Includes practical learning strategies and activities for a broad nursing curriculum Addresses the needs of novice nurse educators with clinical, but limited pedagogical, expertise and experienced nurse educators seeking new frameworks and techniques Provides direct application for classroom, online, or hybrid learning environments Covers all aspects of simulation Designed for graduate nursing education courses