Nurse Residency Research

There are many different fields to choose from while working as a Registered Nurse. “Registered nurses work in hospitals, physicians' offices, home healthcare services, and nursing care facilities. Others work in correctional facilities, schools, or serve in the military.” (bls.gov). You can also specialize in a specific type of nursing by seeking employment in that individual line of work or by taking a certification test. “The Nursing2011 Salary Survey reports that nurses certified in a specialty earn an average of $10,200 per year more than nurses who are not.” (pncb.org). If you choose to go further with your education you can continue past a bachelor’s degree and get a master’s degree becoming a nurse practitioner.

Job retention rates amongst newly graduate nurses tend to fluctuate widely. These fluctuations have many possible and combined explanations including orientation quality, level of confidence, residency programs, pay rates, mentoring programs, management support, and countless views of job satisfaction. My concept will focus on transition to practice success of new graduate nurses in relationship to their organization’s orientation process, job satisfaction, and the effects of job retention rates.

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.

When most experienced registered nurses hear the word shock, they begin to use their critical thinking skills to determine the patient’s immediate need. However, new graduate nurses in the career field are faced with a different type of shock; they are faced with transitional shock. Transitional shock is a theory created by Judy Duchscher. Her theory is based on reality shock which is a term coined by Marlene Kramer. Reality shock is when new nurses recognize clinical practice and the classroom setting are two different worlds (Hentz and Gilmore, 2011, p.134). When new graduates transition to a registered nurse position, it does not happen with ease. Over the years, there has been a rise in concern with this transition. As new graduates move in the career field, they may feel anxious and uncertain about their new responsibilities. Unfortunately, when there is a high demand of nurses, new graduate nurses are expected to begin a new job at full speed, but they are not able to handle the fast pace position they are placed in. When new graduates are expected to accomplish task they are unprepared for, it sets them up for transitional shock. To minimize transition shock for new graduates, finding a mentor, preceptor, seeking an internship or residency program may help ease the transition.

As an acute care nurse practitioner I hope to utilize my experience as an Intensive Care Unit nurse along with clinical knowledge and skills acquired through a graduate level program to provide the highest quality patient care. In my current role, I place high value on patient-family centered care and advocacy as well as commitment to lifelong learning. I have built my nursing career upon these values. I am excited to begin the journey of becoming an acute care nurse practitioner and to further my education and expand my scope of practice in the field of critical care, for which I have already developed a passion.

Booth, B. (2011). Alarming Rise of New Graduate Nurse Attrition. Journal of Practical Nursing, 61(1), 3-5.

Transitioning from nursing school to working in a hospital setting can be a challenging time for a new graduate. Due to the nursing shortage, new graduate nurses are being hired with little to no experience. This is overwhelming for new nurses, especially when they are not getting adequate support or training from the hospital. The amount of stress, pressure, and lack of training is leading to a high turnover rate for new graduate nurses. With patient acuity on the rise, new graduate nurses that are filling these vacancies in the hospitals, need to be competent nurses to provide proper and safe care to the patients.

The publication from the institute of medicine has garnered much interest since its publication in 2010 focusing on the future of nursing and the implementation of this with in the nursing community. The nursing profession has over 3 million members and is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 IOM (Institute of Medicine). One of the recommendations is that of a nurse residency program for new nurses or nurses transitioning into new clinical practice areas. The area I work in is home health and this is a growth area the need for a residency program cannot be over stated home

Nursing satisfaction has criteria for change; as documented in the Future of Nursing’s report, by the Institute of Medicine in cooperation with the Robert Wood Johnson Foundations’, Campaign for Action. (IOM, 2010) (RWFF, 2010) Both reports lay the groundwork that influences NC current nursing shortage. At the same time; to make health care more affordable, the Affordable Care Act was entered into law (ACA, 2010). Additionally, hospitals and other health care facilities are applying for, and meeting criteria for accreditation and is very clear about implementing a mandatory, entry level, BSN

The Salary of an RN is about $36.94 per hour, but the work schedule of a nurse is crazy. Nurses never really get a break especially floor nurses. I have talked to quite a few nurses and they have said that since you don’t truly get a break you tend to gain weight do to constantly eating/snacking. The education needed to be a Registered Nurse would be a Bachelor Degree which is a four year process. To be a Registered Nurse or RN you will need no training. On the job you will administer basic health care which is a temporary health coverage program for low-income, uninsured United States citizens or permanent legal residents of Contra Costa County. As an RN you will being giving patients intravenous medications. An intravenous

The PICO (problem, intervention, comparison, outcome) question developed for this problem is as follows: “For ACNPs, what is the effect of residencies and fellowships on role satisfaction compared to current on-the-job training? The hypothesis offered is that ACNPs are ill-prepared for their new roles as advanced practice nurses upon graduation, leading to dissatisfaction in job roles due to lack of post-graduate training.

The cost to train new nurses becomes so enormous for hospitals it would be much smarter to figure out why new nurses are leaving and provide tools to assist new nurses with their transition. Looking at reasons NGRN leave their new chosen profession seems simple enough find out what it is that decreases job satisfaction and fix it. One study looked at burnout in new nurses and possible causes, they looked at workplace environment, workplace incivility and empowerment.(Spence Laschinger et al., 2009) They found

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

Nurses are most likely able to influence patient satisfaction as they spend their work hours caring for patients. Patient satisfaction reflects the quality of health care and assures patient returns. It is an essential focus for many healthcare institutions. A third of Medicare reimbursements to hospitals can be affected by patient satisfaction survey scores. Health care institutions tend to focus attention on patients’ satisfaction rather than on satisfaction of their employees. This descriptive, correlational research attempts to illustrate the relationship between nurses’ job satisfaction and patients’ satisfaction by comparing patients’ satisfaction scores with nurses’ ratings of their work environment in a community hospital.

The National Health Care Association is concerned about the shortage of nurses the health care profession is projecting for the future. To learn the current degree of job satisfaction among nurses, the association has sponsored a study of hospital nurses throughout the country. As part of this study, a sample of 50 nurses was asked to indicate their degree of satisfaction in their work, their pay and their opportunities for promotion. Each of the three aspects of satisfaction was measured on a scale from 0 to 100, with larger values indicating higher degrees of satisfaction. The data collected also showed the type of hospital employing the nurses. The types of