Year
2012
Season
Fall
Paper Type
Doctoral Project
College
Brooks College of Health
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
NACO controlled Corporate Body
University of North Florida. School of Nursing
First Advisor
Dr. Lillia Loriz
Second Advisor
Dr. Pamela Chally
Third Advisor
Dr. Carol Ledbetter
Department Chair
Dr. Lillia Loriz
College Dean
Dr. Pamela Chally
Abstract
The purpose of this evidence-based project was to compare one-year outcomes for newly licensed Registered Nurses (NLRNs) in three organizations within the same healthcare system. All three have lower than nationally reported turnover and strategies for NLRN retention. Only one is using a Nurse Residency Program (NRP).
NRPs are recognized as an effective strategy to retain newly licensed registered nurses (NLRNs) in their first year of employment (Institute of Medicine [IOM], 2010; The Advisory Board, 2007; Spector, 2007). The Commission on Collegiate Nursing Education (CCNE) (2008) defines an NRP as a series of learning sessions and work experiences that occur continuously over a 12-month period designed to assist NLRNs as they transition into their first professional nursing role.
This cross-sectional, descriptive study utilized the Casey-Fink Graduate Nurse Experience Survey and intent to stay questions to collect data on NLRNs at one year post hire. Results indicated no statistically significant differences between the three sites and the subscales of the survey. There was a trend of a more positive score for professional satisfaction with Site A. Turnover was also similar between sites and lower than the reported 10% average, with Site A at 2%, Site B at 5%, and Site C at 4%. There was a statistically significant difference between Site A and C in the intent to stay in their current position, with Site A longer than Site C.
The study supports the literature and evidence that a NRP is an effective strategy to decrease first year turnover. Further study is needed related to the effectiveness of the components of the NRP, length of time for mentorship, and the impact of accumulation of cohorts.
Suggested Citation
Harrison, Debra A., "Outcome Comparison of an Evidence-Based Nurse Residency Program to Other Orientation Models" (2012). UNF Graduate Theses and Dissertations. 410.
https://digitalcommons.unf.edu/etd/410