Nurse Residency Programs And Retention Rates

Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care

It is estimated that by the year 2020 hospital facilities will be in need of 800,000 Registered Nurses (Fulton). Many hospitals today are currently in need of nurses. Very few of them are appropriately staffed with the adequate number of staff nurses. Although there

There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster

In the traditional health care model, formal learning is not complete when a physician receives their medical degree and white coat at the end of their academic program. Medical school graduates are required to complete an accredited hospital residency program to become licensed to practice medicine, (Jolly, Erikson, & Garrison, 2013). However, acute care nurse practitioners (ACNPs) are not afforded, nor expected to complete, the same educational requirements. The current expectation that a new graduate ACNP learn their advanced nursing role “on-the-job” is unacceptable and leads to decreased job satisfaction and preparedness. In the every-changing climate of health care, the development of required residency programs for ACNPs should be maintained as a priority.

The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must

The U.S. Bureau of Labor Statistics (USBLS) estimates the need for 439,300 registered nurses (RN) from 2014 to 2024, equating to a 16% increase in employment opportunities (USBLS, 2015). Approximately 30% of new RNs leave their first jobs with less than a year of hire and 525,000 nurses are expected to retire from 2012 to 2022- a demand totaled to around 1 million jobs by 2022. This increase is attributed to retiring baby boomers, turnovers, healthcare reform, and the increasing aging population (Kiel, 2012; USBLS, 2013). Control over the retirement of baby boomers is unrealistic, however, nursing turnover can be regulated.

For years now it has been well know and documented that there is a brutal disconnect between what school prepares NGRN for and the reality they find once they begin working.(Duchscher, 2009) This stark difference found between school and reality sets new graduates (NG) up for a hard fall and the disillusionment they are under when entering the professional practice can lead them to exit nursing altogether.(Duchscher, 2009) The problem then of course becomes recruitment and retention, and the cost of training new nurses back in 2007 was recorded to be as much as 82,000 to 88,000 each.(Ulrich et al., 2010)

Historically, the nursing field is one that has consistent positive job outlooks, as there is typically a continued shortage. Healthcare is the backbone of most communities, not just for its services, but also for the jobs it provides and the economy stimulation. Jill Bernstein, author for “Changes in Health Care Financing and Organization” states, “The health care industry is a critical component of the national, and most regional and local economies of the United States” (4). The nursing field has suffered challenges due to the economic, social, and the political downturn of the U.S. Nevertheless, there is still some noticeable growth taking place and opportunities available. This shows encouraging signs for new nursing graduates.

“In 2010, the US Department of Labor Statistics (DLS) projected a 22 percent increase in the demand for RNs or 581,500 new jobs by 2018, to total a projected 1,039,000 jobs needed to be filled by 2018” (Cottingham, DiBartolo, Battistoni, and Brown, 2011, p. 250). It is imperative that strategies be implemented to improve recruitment of nurses as patient care will ultimately see the effects. Without improvements in the recruiting of new grads or seasoned nurses, organizations

In order to provide lasting solutions to the nursing shortage, we should determine whether actively recruiting mature new nurses is appropriate. Bedside nursing is an intellectually and physically demanding profession. The burnout rates and first year attrition are disturbingly high. A three year study of over three thousand American NGNs found that 37 percent intend to leave their jobs after one year (Kovner et al., 2007). Another review found that while there are many market variables, the average American NGN costs hospitals over $82,000. Thirty percent of these leave in the first year and 57 percent in the second (Twibell et al., 2012). Given the high barriers to entry, the statistics are surprising. Before we continue to invest in recruiting mature nursing students, we should determine if they are likely to persevere in practice.

The purpose of this research paper is to investigate the root causes and factors related to nurse turn over and find evidence-based solutions to decrease nurse turnover. This is a critical issue that can cripple healthcare organizations (HCO) and is complicating the nursing shortage in the United States. According to the U.S. Bureau of Labor and Statistics (2018), registered nurse (RN) job forecast summary projects a 15% growth rate from 2016 to 2026. The increase in demand for registered nurses is due to many factors, such as an aging population, shorter hospital stays, increase demand for long-term care, outpatient, and homecare needs, and changes in government healthcare reform is providing greater access to healthcare (U.S. Bureau of Labor & Statistics, 2018).

Globally, there is a declared nursing shortage. Countries across the world are scrambling to produce nursing graduates to fill the barren nursing

Hospitals and other healthcare facilities invest time and money when searching for qualified nursing personnel. This time-consuming and costly process involves position advertisement, candidate search, interview and hiring procedures, and training. The investment of hiring a new nurse exceeds that of maintaining current nurses employed. Nurse retention correlates to continued hands-on practice and improvement of clinical techniques; thus, benefiting patient care. Cabral et al. (2016) note that although finances and staffing may decrease in the future healthcare environment, providing compassionate stability and support to nurses, as it is given to patients, creates a culture of caring and fosters retention. Hopefully, effective training of

It is likely that most people have heard about the nursing shortage for years now, and perhaps they believe it’s been fixed. However, the nursing profession is experiencing a reoccurring deficiency. According to Brian Hansen, (2002), there was a nation wide shortage in 2001 of 126,000 full-time registered nurses, but the shortage will surge to 808,000 by 2020 if something isn't done. This pattern is a persisting cycle of high vacancies followed by layoffs and a high over supply of registered nurses. Various factors contribute to the lack of nurses within the health care facilities, but today’s shortages are a little different. Many feel that this scarcity is severe and long-drawn-out. The four major issues contributing to

The nursing profession will continue to experience a workforce shortage estimated at a vacancy between 300,000 - 500,000 RNs by 2025 (UHC/AACN, 2009). This shortage is mostly due to the large population of baby boomer nurses approaching retirement, currently the largest demographic of nurses are those between the ages of 50 and 60 (UHC/AACN, 2009), as well as the increasing rates of nurse turnover. Of specific concern on this front is that many new graduate nurses (NGNs) are not only leaving jobs within the first 1-2 years but may leave the profession altogether (Griffin, 2005). At a rate of 30% the