Nurse Residency Report

The concept of nurse residency programs is not by any means a new concept. Programs have been grounded on Benner’s theory of novice to expert. Benner established the notation that nurses develop skills and understanding of job skills over time through an education also with hands on experiences. She noted a nurse passes through five levels of proficiency: novice, advanced beginner, competent, proficient, and expert and was generally reached only after years of gaining experience as a practicing nurse. A nurse residency can facilitate new nurse graduates to transition smoothly through the levels and sometimes even more quickly. As a new graduate a nurse residency program is very appealing, not only does it help mentor you through novice period but also helps develop competent nurses for the organization.

I am writing to state my keen interest in the New Graduate Nurse Residency Program that you advertised on the employment opportunities of your website. I will be graduating in May 2016 from Northwest Mississippi Community College with an Associates Degree in Nursing. I anticipate taking the NCLEX-RN state board exam in June 2016. I believe that my educational background and work experience will be greatly beneficial to your facility.

Healthcare systems and the way safe, quality health care is delivered are continually changing to better serve patients and communities. Professional nursing practice is a large component in the healthcare system today. Back in the 1960s, professional nursing leaders tried to adopt the bachelor degree programs as the only educational track to become a registered nurse (Creasia & Friberg, 2011). Due to nursing shortages and demands this motive did not hold fast. Individuals entering the nursing profession today must first decide which educational pathway to take to become a Registered Nurse (RN).

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.

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)

My nurse preceptor today was Patricia. Patricia was an amazing preceptor with an immense amount of knowledge. I enjoyed Patricia’s passion for knowledge. She just finished her DNP. She spoke to me about how she also held two bachelors degrees and a masters in nursing. She was very caring of her patient and showed compassion to not only the patient but the family as well. I don’t think I would have done anything differently because she was a great patient advocate, caring healthcare professional, and great at time management. I was fortunate to have worked with her today in the CICU. We had a 1:1 assignment, a 67 year old male who had a STEMI. Ultimately, he ended up needing an intra-aortic balloon pump (IABP) to assist his heart. This was placed 8/31.

If nursing had only one basic entry type into the profession, it would make the process much simpler for students, professors, and potential hiring entities. That said, however, the nurses who are already practicing proficiently at their current levels should be grandfathered into the change. A significant number of nurses, this author included, have worked for twenty-plus years in a variety of specialties and areas. Each one brings to the table unique experiences. Unfortunately, most hospitals that currently employ registered nurses are now requiring those nurses to get the BSN degree, despite many years of skilled and dedicated service.

To the Vanderbilt Nurse Residency Program admissions staff, As a senior nursing student at the University of New Hampshire expected to graduate in May, I am writing to express my sincere interest in the Nurse Residency Program at Vanderbilt Medical Center. Through my research and communication with current residences, I have been attracted to the opportunities Vanderbilt can provide me with as I begin my career as a nurse. While the fascinating field of nursing is ever evolving, my ultimate goals as a lifelong nurse remain stable. I intend to not only work towards my highest potential, but to do so with compassion. My practices have taught me that the world of nursing is not solely based on skills or classroom knowledge but rather, nursing is all encompassing involving many innate qualities.

The nursing profession continues to argue whether a nurse who holds a BSN is desirable to the Associates-Degree-prepared nurse. This has been a topic of debate since 1965, when the American Nurses Association published an opinion paper advocating for the baccalaureate degree to be the minimal standard for entry-level nurses. While some say that the level of education isn’t relevant once you orient a nurse to a certain setting, others disagree and assert that the baccalaureate degree prepared nurses demonstrate higher levels of skill in communication, delegation, assessment, teaching and supervision. Most agree, however, that each degree program provides a different level of preparation and

The residency program should be offered by an institution after completion of an advance practice in a new clinical practice area. While it anticipates that it will take a few years to build the educational capacity needed to achieve this goal, the committee maintains that it is bold, achievable, and necessary to move the nursing workforce to an expanded set of competencies, especially in the domains of community and public health, leadership, systems improvement and change, research and health policy (IOM report, 2010).

Even in management, critical thinking is essential to having an effective organization. “Nurse managers who are adept at using critical thinking and have the “habits of mind” of a critical thinker are in a good position to assume a leadership role and create the changes that will achieve positive outcomes in health care organizations” (Zori, & Morrison, 2009 p.79).

The impact of The Institute of Medicine Report (IOM) 2010 has a major influence on nursing education. The first issue addressed in the report is an increased emphasis on public and community nursing. In the past, only nurses holding a bachelors degree were experienced and trained in community and public health, and the IOM wants to change that. One particular area of change is that now associate degree nurses are being trained in these areas in order be able to transition into these fields more smoothly and directly from nursing school. Another area that is

Evaluating nurse residency programs proves difficult other than the raw scores of retention rates that healthcare organizations possess. Since the start of the UHC program in 2002, retention rates at a local hospital rose from eighty-eight percent in 2004 to above ninety-five percent by 2014 (Van Champ and Chappy, 2017). Other than retention rates, most nurses are provided a feedback survey once the residency program is completed. On the surveys, nurses are asked to score their job satisfaction utilizing four different methods for scoring. According to an article written by Lin, Viscardi, and Mchugh (2014), the four methods used included “McCloskey-Mueller Satisfaction Survey (MMSS), the Halfer-Graf Job/Work Environment Nursing Satisfaction

Why was the study done? This study was done to find evidence on positive outcome related to bedside nursing report.

I am Song V Thao. I am interested in the VA Post Baccalaureate Nurse Residency Trainee Program because I am ambitious to make a real difference and a positive change to people’s lives, especially those who have served for our country. I was born and raised in a refugee camp in Thailand, a crowded place where many refugees lived in poverty without quality healthcare. Growing up as a Hmong woman, I have raised my children through both Hmong traditional healing practices and the western healthcare system. I learned that our society lacks healthcare professionals who would understand both the western healthcare system, and other traditional healing systems. In my community, many people have different perspectives on the western medical practices,