In acute care settings that hire new graduate nurses of different educational backgrounds, does having a new graduate transition or residency program versus a traditional preceptorship create better prepared nurses and increase the retention rate within the first year of nursing? Research shows the initiation of new graduate programs help transition the new graduates from a novice and new nurse to a competent and confident nurse by the end of their first year of nursing by addressing their specific needs and by offering support (Philips, Kenny, Esterman, and Smith, 2014). Memorial Hospital currently does not have a new graduate residency and could highly benefit from implementing a new graduate residency program. The programs entails a specific and structured orientation with a manager approved preceptor, monthly meetings with the group of new graduates and the clinical educator, and self-evaluations for the new graduates to see their transition and improve their confidence month to month. Similar such programs improve retention of new graduate nurses and improve the employee satisfaction (Squires, 2002). By improving the retention rate the organization can also save money that would be lost by training an employee and then having them quit soon thereafter. The estimated cost of the program for twenty five new graduates including their preceptors is around $111,600, and with the average cost of training a new graduate nurse being

The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Abstract: This project was conducted to examine learning needs, satisfaction, and turnover intention before and after completion of the Nurse Residency Program for new graduate nurses hired at the University of California (UC) San Diego Medical Center. Research has shown the necessity and importance of the implementation of a nurse residency program, not only for new graduate nurses, but for the healthcare institution as well. A convenience sample of new graduate nurses participating in the Cohort Eight Nurse Residency Program were surveyed before the start and following a 6 month program. The data suggests that after participating in the 6 month long Nurse Residency Program, new graduate nurses were apt to be more knowledgeable on skill acquisition, more satisfied in UC San Diego Medical Center with fewer uncertainties in their professional practice, and their turnover intention had decreased from the presurvey results.

Aimed at college and university students in all major fields of study, this book covers everything one needs to know about how to apply successfully to graduate school in North America.

Graduate schools have faced attrition rates of approximately 50 percent for the past 40 years. They have tried to address the problem by focusing on student characteristics and by assuming that if they could make better, more informed admissions decisions, attrition rates would drop. Yet high attrition rates persist and may in fact be increasing. Leaving the Ivory Tower thus turns the issue around and asks what is wrong with the structure and process of graduate education. Based on hard evidence drawn from a survey of 816 completers and noncompleters and on interviews with noncompleters, high- and low-Ph.D productive faculty and Directors of Graduate study, this book locates the root cause of attrition in the social structure and cultural organization of graduate education.

An Australian text designed to address the key area of clinical reasoning in nursing practice. Using a series of authentic scenarios, Clinical Reasoning guides students through the clinical reasoning process while challenging them to think critically about the nursing care they provide. With scenarios adapted from real clinical situations that occurred in healthcare and community settings, this edition continues to address the core principles for the provision of quality care and the prevention of adverse patient outcomes.