Longitudinal Outcomes of an Institutionally Developed Nurse Residency Program

Cline, Debbie; Frentz, Kelly La; Fellman, Bryan; Summers, Barbara L.; Brassil, Kelly

doi:10.1097/nna.0000000000000500

Cited by 47 publications

(42 citation statements)

References 14 publications

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“…At the 6‐month postintervention time point, nurse residents had been employed in the organization for approximately 9 months. The literature shows a decline in job satisfaction for new nurses between months 6 and 12 in their first year (Cline, La Frentz, Fellman, Summers, & Brassil, ; Edwards et al, ; Goode et al, ). However, in this study, the intervention group scored significantly better than the control group, and a large effect size was noted.…”

Section: Discussionmentioning

confidence: 99%

The MINDBODYSTRONG Intervention for New Nurse Residents: 6‐Month Effects on Mental Health Outcomes, Healthy Lifestyle Behaviors, and Job Satisfaction

Sampson

Melnyk

Hoying

2019

Worldviews Ev Based Nurs

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Background In 2017, the National Academy of Medicine convened its Action Collaborative for Clinician Well‐being and Resilience in an effort to stem the epidemic levels of burnout, depression, and suicide among healthcare clinicians. Nurses report higher rates of substance abuse, depression, and suicide than the national average. Newly licensed registered nurses (NLRNs) report high levels of burnout and stress. Suboptimal health in nurses is linked to medical errors. Few studies address the mental health and lifestyle behaviors of NLRNs or provide evidence‐based solutions to improve these outcomes. Aims This study evaluated the 6‐month effects of the MINDBODYSTRONG for Healthcare Professionals program on the mental health, healthy lifestyle behaviors, and job satisfaction of NLRNs participating in a nurse residency program. Methods A two‐group randomized controlled trial was conducted with 89 NLRNs at a large, Midwestern academic medical center. The intervention group received eight 30– to 35‐min weekly sessions as part of the MINDBODYSTRONG program, a cognitive behavioral skill‐building program incorporating strategies to improve mental and physical health. The control group acted as the attention control group receiving eight weekly 30– to 35‐min debriefing sessions as part of the normal nurse residency program. Results Data were collected at baseline, immediately postintervention, 3 months postintervention, and 6 months postintervention. The intervention group scored better on mental health outcomes, healthy lifestyle behaviors, and job satisfaction at 6 months postintervention than the control group. Significant improvements were found for depressive symptoms and job satisfaction; there were moderate to large positive effects for the MINDBODYSTRONG program on all variables. Linking Evidence to Action The MINDBODYSTRONG program sustained its positive effects across time and has excellent potential as an evidence‐based intervention for improving the mental health, healthy lifestyle behaviors, and job satisfaction in NLRNs.

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Section: Discussionmentioning

confidence: 99%

The MINDBODYSTRONG Intervention for New Nurse Residents: 6‐Month Effects on Mental Health Outcomes, Healthy Lifestyle Behaviors, and Job Satisfaction

Sampson

Melnyk

Hoying

2019

Worldviews Ev Based Nurs

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“…The Casey-Fink Graduate Nurse Experience Survey -Revised (Casey & Fink, 2006) was used to assess the new graduate nurses' experience of entry into the workplace and their transition experience into the professional nurse role. The tool has been used to assess aspects of the transition experience on new graduate nurses conducted elsewhere (e.g., Cline et al, 2017). In this study, only Section IV of the tool was adopted.…”

Section: Methodsmentioning

confidence: 99%

Perceived Competence and Transition Experience of New Graduate Filipino Nurses

Ubas-Sumagasyay

Oducado

2020

Jurnal Keperawatan Indonesia

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Recruitment and hiring of new graduate nurses is seen as a potential strategy to mitigate the problem of nurse shortage. However, previous studies disclosed that new graduate nurses are inadequately prepared to enter practice and experience transition difficulties. This study aimed to determine the perceived competence and transition experience of new graduate Filipino nurses. Seventy-nine conveniently chosen new graduate nurses were surveyed in this descriptive cross-sectional research. Self-administered instruments were used to gather data. Descriptive statistics, Mann–Whitney U test, and Kruskal–Wallis test were the statistical tools employed. Results indicated that new graduate nurses had a high level of self-reported fundamental nursing skills (M= 7.99) and core competence (M= 8.16), although areas needing improvement were identified. There were no significant differences in the perceived competence based on the length of experience, year graduated, area of assignment, sex, type of school graduated, CPD participation, and hospital bed capacity (p> .05). The major difficulty experienced by new graduates during their transition was related to changes in role expectations (72.2%). Majority expressed the need for increased support during their transition (83.5%). The most satisfying aspects of their working environment were ongoing learning (81%) and peer support (74.7%), while the least satisfying was the negative nursing work environment (55.7%). New graduate nurses are equipped with the necessary nursing skills and core competencies. However, there are still gaps and areas needing improvement that should be addressed and supported to assist them in their transition to the world of professional nursing practice. Follow up, feedback, mentoring, and preceptorship are beneficial to enhance the competencies of new graduate nurses and facilitate their successful transition into the nursing workforce. AbstrakPersepsi Kompetensi dan Pengalaman Transisi Perawat Lulusan Baru Filipina. Rekrutmen dan perekrutan perawat lulusan baru dipandang sebagai strategi potensial untuk mengurangi masalah kekurangan perawat. Namun, penelitian sebelumnya mengungkapkan bahwa perawat lulusan baru tidak cukup siap untuk memasuki praktik dan mengalami kesulitan transisi. Penelitian ini bertujuan untuk menentukan persepsi kompetensi dan pengalaman transisi perawat lulusan baru Filipina. Tujuh puluh sembilan perawat lulusan baru yang dipilih dengan mudah disurvei dalam penelitian cross-sectional deskriptif ini. Instrumen yang dikelola sendiri digunakan untuk mengumpulkan data. Statistik deskriptif, uji Mann-Whitney U, dan uji Kruskal-Wallis adalah alat statistik yang digunakan. Hasil menunjukkan bahwa perawat lulusan baru memiliki tingkat tinggi keterampilan keperawatan fundamental yang dilaporkan sendiri (M= 7,99) dan kompetensi inti (M= 8,16), meskipun bidang yang perlu perbaikan diidentifikasi. Tidak ada perbedaan signifikan dalam kompetensi yang dirasakan berdasarkan lama pengalaman, tahun lulus, bidang tugas, jenis kelamin, jenis sekolah yang lulus, partisipasi CPD, dan kapasitas tempat tidur rumah sakit (p> 0,05). Kesulitan utama yang dialami oleh lulusan baru selama transisi mereka terkait dengan perubahan dalam ekspektasi peran (72,2%). Mayoritas menyatakan perlunya peningkatan dukungan selama masa transisi mereka (83,5%). Aspek yang paling memuaskan dari lingkungan kerja mereka adalah pembelajaran berkelanjutan (81%) dan dukungan sebaya (74,7%), sedangkan yang paling tidak memuaskan adalah lingkungan kerja keperawatan negatif (55,7%). Perawat lulusan baru dilengkapi dengan keterampilan keperawatan dan kompetensi inti yang diperlukan. Namun, masih ada kesenjangan dan bidang yang perlu diperbaiki yang harus ditangani dan didukung untuk membantu mereka dalam transisi mereka ke dunia praktik keperawatan profesional. Tindak lanjut, umpan balik, pendampingan, dan pelatihan guru bermanfaat untuk meningkatkan kompetensi perawat lulusan baru dan memfasilitasi keberhasilan transisi mereka menjadi tenaga kerja keperawatan.Kata kunci: penilaian kompetensi, perawat lulusan baru, keterampilan keperawatan, pengalaman transisi

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“…Orientation has evolved into intensive one-year residency programs designed to develop clinical reasoning and clinical nursing judgment skills; improve confidence, resiliency, and attrition rates; and to decrease healthcare errors (Concilio, Lockhart, Oermann, Kronk, & Schreiber, 2019). Financial strains related to nursing residency program implementation are exacerbated by the need to achieve and document compliance with new regulations on residencies set forth by the NCSBN and the Commission on Collegiate Nursing Education (CCNE) (Cline, La Frentz, Fellman, Summers, & Brassil, 2017). Despite their strain on an already struggling healthcare system, the argument for these residency programs contrast the benefits of improved competency and retention rates against the cost (Cline et al, 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

Do Predictor Exams Really Predict Readiness for Professional Nursing Practice?

Victor

Chavez

Podlesney

2021

Clinical Simulation in Nursing

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Background: The use of written or computer-based examinations to assess readiness to for entry into professional nursing practice assumes a relationship between cognitive assessment and clinical nursing judgment, but there is no evidence to support this. Methods: This quantitative, correlational study used historical data from a school of nursing database to conduct a retrospective analysis to examine the relationships between NCLEX-RNÒ predictor exams, clinical reasoning, clinical nursing judgment, and simulation performance at the end of a baccalaureate nursing program. Results: The results did not show a positive relationship between critical thinking and clinical reasoning, clinical nursing judgment or simulation performance. Conclusions: Consistent with other studies, the lack of a relationship demonstrates that readiness to take and pass the NCLEX-RNÒ is not adequate for evaluation of readiness for entry into professional nursing practice.

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Longitudinal Outcomes of an Institutionally Developed Nurse Residency Program

Cited by 47 publications

References 14 publications

The MINDBODYSTRONG Intervention for New Nurse Residents: 6‐Month Effects on Mental Health Outcomes, Healthy Lifestyle Behaviors, and Job Satisfaction

The MINDBODYSTRONG Intervention for New Nurse Residents: 6‐Month Effects on Mental Health Outcomes, Healthy Lifestyle Behaviors, and Job Satisfaction

Perceived Competence and Transition Experience of New Graduate Filipino Nurses

Do Predictor Exams Really Predict Readiness for Professional Nursing Practice?

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