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In acute care settings that hire new graduate nurses of different educational backgrounds, does having a new graduate transition or residency program versus a traditional preceptorship create better prepared nurses and increase the retention rate within the first year of nursing? Research shows the initiation of new graduate programs help transition the new graduates from a novice and new nurse to a competent and confident nurse by the end of their first year of nursing by addressing their specific needs and by offering support (Philips, Kenny, Esterman, and Smith, 2014). Memorial Hospital currently does not have a new graduate residency and could highly benefit from implementing a new graduate residency program. The programs entails a specific and structured orientation with a manager approved preceptor, monthly meetings with the group of new graduates and the clinical educator, and self-evaluations for the new graduates to see their transition and improve their confidence month to month. Similar such programs improve retention of new graduate nurses and improve the employee satisfaction (Squires, 2002). By improving the retention rate the organization can also save money that would be lost by training an employee and then having them quit soon thereafter. The estimated cost of the program for twenty five new graduates including their preceptors is around $111,600, and with the average cost of training a new graduate nurse being
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.
Abstract: This project was conducted to examine learning needs, satisfaction, and turnover intention before and after completion of the Nurse Residency Program for new graduate nurses hired at the University of California (UC) San Diego Medical Center. Research has shown the necessity and importance of the implementation of a nurse residency program, not only for new graduate nurses, but for the healthcare institution as well. A convenience sample of new graduate nurses participating in the Cohort Eight Nurse Residency Program were surveyed before the start and following a 6 month program. The data suggests that after participating in the 6 month long Nurse Residency Program, new graduate nurses were apt to be more knowledgeable on skill acquisition, more satisfied in UC San Diego Medical Center with fewer uncertainties in their professional practice, and their turnover intention had decreased from the presurvey results.
An Australian text designed to address the key area of clinical reasoning in nursing practice. Using a series of authentic scenarios, Clinical Reasoning guides students through the clinical reasoning process while challenging them to think critically about the nursing care they provide. With scenarios adapted from real clinical situations that occurred in healthcare and community settings, this edition continues to address the core principles for the provision of quality care and the prevention of adverse patient outcomes.
Aimed at college and university students in all major fields of study, this book covers everything one needs to know about how to apply successfully to graduate school in North America.
This book elucidates the intricacies and obscurities of graduate enrollment management, allowing scholars and professionals to advance research and practice in the field. Masterfully drawing upon scholarly and applied literatures pertaining to graduate admissions, marketing, strategic planning, and more, chapters present original empirical research and practical case studies that offer readers plentiful strategies, models, and frameworks for approaching graduate enrollment management at their own institutions. This guidebook positions higher education leaders, scholars, and graduate enrollment professionals to effectively address challenges that inhibit the work of increasing equity in graduate education and improving graduate student outcomes.
Graduate schools have faced attrition rates of approximately 50 percent for the past 40 years. They have tried to address the problem by focusing on student characteristics and by assuming that if they could make better, more informed admissions decisions, attrition rates would drop. Yet high attrition rates persist and may in fact be increasing. Leaving the Ivory Tower thus turns the issue around and asks what is wrong with the structure and process of graduate education. Based on hard evidence drawn from a survey of 816 completers and noncompleters and on interviews with noncompleters, high- and low-Ph.D productive faculty and Directors of Graduate study, this book locates the root cause of attrition in the social structure and cultural organization of graduate education.
" Despite the evidence supporting the benefits of Nurse Residency Programs, anecdotal evidence suggested that the curriculum does not provide a focus on the lack of confidence new graduate nurses have transitioning into practice, nor does it provide resources to enhance confidence development. This evidence-based change project included new graduate nurses who were enrolled in a transition to practice, Nurse Residency Program (NRP) cohort. The participants engaged in a quality improvement project that provided confidence building exercises and resources to increase inter-professional confidence as an addendum to their current NRP curriculum. A confidence building curriculum addendum project was implemented during months five and six of their twelve month program. The data to measure the outcomes of this evidence-based change project was collected using the Casey-Fink Graduate Nurse Experience Survey as a pretest/posttest. New graduate nurse residency participants (N=10) showed a limited overall improvement in their confidence/comfort level post intervention. One area of noted increase was having less difficulty organizing patient care needs (mean increase 24.14%). The survey results suggest numerous possibilities for improvement of new graduate nurses transitioning into practice-such as confidence building initiatives, to include seasoned nursing staff education on the importance of their role in the onboarding of new graduate nurses. Key words: Nurse; New graduate; Transition to Practice Program; Confidence; Inter-professional; Nurse Residency Program; Evidenced-based practice; Change project. " -- Abstract
Bioterrorism, drug-resistant disease, transmission of disease by global travel . . . there's no shortage of challenges facing America's public health officials. Men and women preparing to enter the field require state-of-the-art training to meet these increasing threats to the public health. But are the programs they rely on provide the high caliber professional training they require? Who Will Keep the Public Healthy? provides an overview of the past, present, and future of public health education, assessing its readiness to provide the training and education needed to prepare men and women to face 21st century challenges. Advocating an ecological approach to public health, the Institute of Medicine examines the role of public health schools and degree-granting programs, medical schools, nursing schools, and government agencies, as well as other institutions that foster public health education and leadership. Specific recommendations address the content of public health education, qualifications for faculty, availability of supervised practice, opportunities for cross-disciplinary research and education, cooperation with government agencies, and government funding for education. Eight areas of critical importance to public health education in the 21st century are examined in depth: informatics, genomics, communication, cultural competence, community-based participatory research, global health, policy and law, and public health ethics. The book also includes a discussion of the policy implications of its ecological framework.