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Nursing Retention Through Residency Programs

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Nursing Retention through Residency Programs: A Literature Review
Shannon G. Stone, MSN, RN, CCRN, SCRN
Texas Tech University Health Sciences Center School of Nursing

In partial fulfillment of the requirements of
NURS6330 Evidence Based Inquiry I
Jeannette Crenshaw, DNP, RN, LCCE, FACCE, IBCLC, NEA-BC, FAAN
September 27, 2015

Nursing Retention through Residency Programs: A Literature Review
A great cause for concern in today’s healthcare system is the shortage of nurses. The shortage of nurses will continue as society lives longer, albeit sicker, as technology advances. The chasm that exists between healthcare demand, available nurses and mid-level practitioner must be narrowed. Without a solution, healthcare disparities
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Literature Synthesis Over 12,000 journal articles were synthesized throughout the multiple searches. Limiting the research to 2015, there were just under 1,000 articles to look through for literature. Choosing to pick articles from multiple topics, new nursing residency programs were chosen in predominance. There was one article that focused specifically on the PICOT question discussing the difference in attrition rates when integrating a new nurse residency program versus continued use of a facility’s orientation program.
Nursing Retention An identified area in which healthcare managers are failing consistent effectiveness is in the retention of their nursing staff. With the need of nurses shaping the way many healthcare managers look at their staff, often it is the veteran nurse persuaded in staying. While in some settings this is truly beneficial, in others the cliché of nurses eating their young instills fear into new graduates; this fear and the lack of support ultimately leads to their exit (Rush, Adamack, Gordon, & Janke, 2014). With the associated costs of nursing attrition meeting rates of nearly $186,000 per registered nurse, it is imperative we institute nursing residency programs immediately and continually retaining staff and protecting healthcare institutions’ sustainability (Cubit, K.A. & Ryan, B., 2011; Lee, Tzeng, Lin, & Yeh, 2009).
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