2.50
Hdl Handle:
http://hdl.handle.net/10755/623684
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Retention Benefits of a Clinical Nurse Residency Program in ED
Author(s):
MacPherson-Dias, Robin
Lead Author STTI Affiliation:
Non-member
Author Details:
Robin MacPherson-Dias, MS, BSN, RN, CEN, TCRN, CCRN
Abstract:

Poster presentation

Session G presented Saturday, September 16, 2017

Purpose: Emergency Departments RNs experience an annual turnover rate of approximately 22% which is higher than national average. New Graduate Residency programs have been shown to increase nurse retention. The objective of this study was to examine the retention benefits of a Clinical Nurse Residency (CNR) program in the Emergency Department and examine the perceived benefits, challenges, and effectiveness of an ED CNR program.

Design: Descriptive statistics were used to describe retention rates. Focus groups were utilized for qualitative analysis to obtain major themes regarding the Emergency Department CNR program.

Setting: Level 2 trauma center, STEMI recieving center, primary stroke center, annual volume > 82,000.

Participants/ Subjects: All ED CNRs between 2005 and through 2016 were included in the retention data. The comparison group included all ED RNs hired between 2005 through 2016. Focus groups included 23 prior ED CNRs.

Methods: Hire date and end date (if applicable) for all Emergency Department RN’s who started between 2005 and present was provided by Human Resources. The group separated into CNR’s and non-CNR’s. Retention rates at 1 year, 2 years, 3 years, and 5 years were calculated for ED CNR RN’s and ED non-CNR RN’s from 2005 through 2016. Frequency distribution was utilized and displayed as a percentage. For the focus groups, 4 separate focus groups were executed utilizing purposive sampling of past and present CNR’s. Open-ended questions were employed, notes were taken by the moderator, and notes were summarized for analysis.

Results/Outcomes: Retention rates for RNs who completed the ED CNR program exceeded the retention rate of non-CNR RNs by approximately 20% in all categories (1yr, 2yrs, 3yrs, and 5yrs). Themes from focus group questions: - What were the major factors that contributed to your success in the ED CNR program? Support, Education, Program length, Camaraderie; - What were the most challenging aspects of the ED CNR program? Learning to manage time and priorities, Pace and critical nature of ED, Volume of knowledge to gain; - What factors have contributed to your retention in the ED following the CNR program? Teamwork & camaraderie, coworkers "ED family", Education, Support.

Implications:
A Clinical Nurse Residency program in the ED is a cost-effective effective strategy to address nursing turnover and retention in the ED. Retention rates for ED new grad CNRs exceed the retention rates of non-CNR RN’s in ED. Participants of a structured ED CNR program feel supported and prepared for their role as an ED RN.

Keywords:
Nurse Retention; Staff Development; Emergency Department
Repository Posting Date:
5-Dec-2017
Date of Publication:
5-Dec-2017
Conference Date:
2017
Conference Name:
Emergency Nursing 2017
Conference Host:
Emergency Nurses Association
Conference Location:
St. Louis, Missouri, USA
Description:
ENA 2017: Education, Networking, Advocacy. Held at America's Center Convention Center, St. Louis, Missouri

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleRetention Benefits of a Clinical Nurse Residency Program in EDen_US
dc.contributor.authorMacPherson-Dias, Robinen
dc.contributor.departmentNon-memberen
dc.author.detailsRobin MacPherson-Dias, MS, BSN, RN, CEN, TCRN, CCRNen
dc.identifier.urihttp://hdl.handle.net/10755/623684-
dc.description.abstract<p>Poster presentation</p> <p>Session G presented Saturday, September 16, 2017</p> <p>Purpose: Emergency Departments RNs experience an annual turnover rate of approximately 22% which is higher than national average. New Graduate Residency programs have been shown to increase nurse retention. The objective of this study was to examine the retention benefits of a Clinical Nurse Residency (CNR) program in the Emergency Department and examine the perceived benefits, challenges, and effectiveness of an ED CNR program.</p> <p>Design: Descriptive statistics were used to describe retention rates. Focus groups were utilized for qualitative analysis to obtain major themes regarding the Emergency Department CNR program.</p> <p>Setting: Level 2 trauma center, STEMI recieving center, primary stroke center, annual volume &gt; 82,000.</p> <p>Participants/ Subjects: All ED CNRs between 2005 and through 2016 were included in the retention data. The comparison group included all ED RNs hired between 2005 through 2016. Focus groups included 23 prior ED CNRs.</p> <p>Methods: Hire date and end date (if applicable) for all Emergency Department RN&rsquo;s who started between 2005 and present was provided by Human Resources. The group separated into CNR&rsquo;s and non-CNR&rsquo;s. Retention rates at 1 year, 2 years, 3 years, and 5 years were calculated for ED CNR RN&rsquo;s and ED non-CNR RN&rsquo;s from 2005 through 2016. Frequency distribution was utilized and displayed as a percentage. For the focus groups, 4 separate focus groups were executed utilizing purposive sampling of past and present CNR&rsquo;s. Open-ended questions were employed, notes were taken by the moderator, and notes were summarized for analysis.</p> <p>Results/Outcomes: Retention rates for RNs who completed the ED CNR program exceeded the retention rate of non-CNR RNs by approximately 20% in all categories (1yr, 2yrs, 3yrs, and 5yrs). Themes from focus group questions: - What were the major factors that contributed to your success in the ED CNR program? Support, Education, Program length, Camaraderie; - What were the most challenging aspects of the ED CNR program? Learning to manage time and priorities, Pace and critical nature of ED, Volume of knowledge to gain; - What factors have contributed to your retention in the ED following the CNR program? Teamwork &amp; camaraderie, coworkers "ED family", Education, Support.</p> <p>Implications: <br />A Clinical Nurse Residency program in the ED is a cost-effective effective strategy to address nursing turnover and retention in the ED. Retention rates for ED new grad CNRs exceed the retention rates of non-CNR RN&rsquo;s in ED. Participants of a structured ED CNR program feel supported and prepared for their role as an ED RN.</p>en
dc.subjectNurse Retentionen
dc.subjectStaff Developmenten
dc.subjectEmergency Departmenten
dc.date.available2017-12-05T21:29:02Z-
dc.date.issued2017-12-05-
dc.date.accessioned2017-12-05T21:29:02Z-
dc.conference.date2017en
dc.conference.nameEmergency Nursing 2017en
dc.conference.hostEmergency Nurses Associationen
dc.conference.locationSt. Louis, Missouri, USAen
dc.descriptionENA 2017: Education, Networking, Advocacy. Held at America's Center Convention Center, St. Louis, Missourien
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.