A Nurse Residency Model for Rural and Community Hospitals' Making a Difference in Graduate Nurse Turnover Rates

2.50
Hdl Handle:
http://hdl.handle.net/10755/595655
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Pilot/Exploratory Study
Title:
A Nurse Residency Model for Rural and Community Hospitals' Making a Difference in Graduate Nurse Turnover Rates
Author(s):
Graetz, Jacquelyn J.
Additional Author Information:
Jacquelyn J. Graetz, RN, MSN, MHA
Advisors:
Forsythe, Lydia L.; Hayhurst, Janet; Markham, Elizabeth
Degree:
DNP
Degree Year:
2016
Grantor:
Capella University
Abstract:

Vulnerability of new graduate registered nurses (NGRN) requires organizational support when transitioning to a professional role. Varner and Leeds (2012) show 83% of NGRNs are employed in hospitals, and 50% plan on changing employers within 3 years. With the United States (U.S.) in the middle of a nursing shortage caused by an aging workforce, expanding field of practice, aging clientele, decreasing enrollment of nurses due to qualified faculty shortages and limited clinical sites; there is need to offer an enhanced orientation (Booth, 2011).  Recommendations easing transition, through implementation of nurse residency programs designed to introduce new nurses to the role of a professional nurse include critical thinking, skill building, confidence building, time management, and socialization; important factors in NGRN satisfaction (Thomas, Bertram, & Allen, 2012; IOM, 2010). Rural healthcare facilities being remote often lack resources, as well have additional concerns due to cultural differences.  Being a global concern, nurse turnover has significant impact on the financial performance of health care systems (Li and Jones, 2013). Cost of turnover, estimated from $36,000 to $48,000 (Nursing Solutions, 2013), significantly impacts profit margins. In rural hospitals a greater impact occurs, due to already diminishing profit margins. In response, a model is developed for a residency program with the purpose to offer residencies in rural communities improving care. Objectives of the model include; (a) improvement of the transitional experience of new nurses to their professional roles, improvement of turnover rates, (b) ability to offer safer high quality care with stabilization of the nurse workforce, and (c) decrease training costs for the organization, offering a 12 month nursing residency programs (NRP). The “Nurse Residency Model for Rural and Community Hospital’s, making a Difference in New Nurse Turnover Rates” (NRM) offers guidelines for didactic content, clinical immersion through a preceptor, and evaluation strategies for validation.

 

 

Keywords:
Nurse Residency Program; Rural New Graduate Nurse Residency Programs
MeSH:
Preceptorship; Mentors
CINAHL Headings:
Hospitals, Rural; Hospitals, Community; Internship and Residency; Mentorship; Personnel Turnover; Personnel Turnover--Economics; New Graduate Nurses
Description:
This was a project for partial fulfillment of my DNP. It includes development of a Nurse Residency Model for rural and community hospitals with a pilot performed in a rural community, Missouri Hospital.
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2016-02-04T22:02:15Z
Date of Publication:
2016-02-04

Full metadata record

DC FieldValue Language
dc.contributor.advisorForsythe, Lydia L.en
dc.contributor.advisorHayhurst, Janeten
dc.contributor.advisorMarkham, Elizabethen
dc.contributor.authorGraetz, Jacquelyn J.en
dc.date.accessioned2016-02-04T22:02:15Zen
dc.date.available2016-02-04T22:02:15Zen
dc.date.issued2016-02-04en
dc.identifier.urihttp://hdl.handle.net/10755/595655en
dc.descriptionThis was a project for partial fulfillment of my DNP. It includes development of a Nurse Residency Model for rural and community hospitals with a pilot performed in a rural community, Missouri Hospital.en
dc.description.abstract<p>Vulnerability of new graduate registered nurses (NGRN) requires organizational support when transitioning to a professional role. Varner and Leeds (2012) show 83% of NGRNs are employed in hospitals, and 50% plan on changing employers within 3 years. With the United States (U.S.) in the middle of a nursing shortage caused by an aging workforce, expanding field of practice, aging clientele, decreasing enrollment of nurses due to qualified faculty shortages and limited clinical sites; there is need to offer an enhanced orientation (Booth, 2011).  Recommendations easing transition, through implementation of nurse residency programs designed to introduce new nurses to the role of a professional nurse include critical thinking, skill building, confidence building, time management, and socialization; important factors in NGRN satisfaction (Thomas, Bertram, & Allen, 2012; IOM, 2010). Rural healthcare facilities being remote often lack resources, as well have additional concerns due to cultural differences.  Being a global concern, nurse turnover has significant impact on the financial performance of health care systems (Li and Jones, 2013). Cost of turnover, estimated from $36,000 to $48,000 (Nursing Solutions, 2013), significantly impacts profit margins. In rural hospitals a greater impact occurs, due to already diminishing profit margins. In response, a model is developed for a residency program with the purpose to offer residencies in rural communities improving care. Objectives of the model include; (a) improvement of the transitional experience of new nurses to their professional roles, improvement of turnover rates, (b) ability to offer safer high quality care with stabilization of the nurse workforce, and (c) decrease training costs for the organization, offering a 12 month nursing residency programs (NRP). The “Nurse Residency Model for Rural and Community Hospital’s, making a Difference in New Nurse Turnover Rates” (NRM) offers guidelines for didactic content, clinical immersion through a preceptor, and evaluation strategies for validation. <strong></strong></p> <p><strong> </strong></p> <p><strong> </strong></p>en
dc.formatText-based Documenten
dc.subjectNurse Residency Programen
dc.subjectRural New Graduate Nurse Residency Programsen
dc.subject.meshPreceptorshipen
dc.subject.meshMentorsen
dc.titleA Nurse Residency Model for Rural and Community Hospitals' Making a Difference in Graduate Nurse Turnover Ratesen
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
dc.primary-author.detailsJacquelyn J. Graetz, RN, MSN, MHAen
thesis.degree.year2016en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachPilot/Exploratory Studyen
dc.subject.cinahlHospitals, Ruralen
dc.subject.cinahlHospitals, Communityen
dc.subject.cinahlInternship and Residencyen
dc.subject.cinahlMentorshipen
dc.subject.cinahlPersonnel Turnoveren
dc.subject.cinahlPersonnel Turnover--Economicsen
dc.subject.cinahlNew Graduate Nursesen
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