Postbaccalaureate Nurse Residency 1-Year Outcomes

Abstract

The authors document the 1-year outcomes of the postbaccalaureate residency program jointly developed and implemented by the University Health-System Consortium and the American Association of Colleges of Nursing. Data on 2 cohorts of residents (n = 679) in 12 sites across the country are presented. The 1-year termination rate was 12%, after those lost to the program because of National Council Licensure Examination failure, serious illness, or death were eliminated from the analysis. Additional analyses using data collected at entry to the program, 6 months, and 1 year using 3 instruments, the Casey-Fink Graduate Nurse Experience Survey, the Gerber's Control Over Nursing Practice Scale, and the McCloskey Mueller Satisfaction Scale, are presented and discussed.

Perceptions of Professional Practice and Work Environment of New Graduates in a Nurse Residency Program

“…This study adds to the growing body of evidence that demonstrates the efficacy of transition to practice programs (Beecroft et al, 2007;Beyea, von Reyn, & Slattery, 2007;Fink, Krugman, Casey & Goode, 2008;Goode et al, 2009;Salt, Cummings, & Profetto-McGrath, 2008;Williams, Goode, Krsek, Bednash & Lynn, 2007). In this study it was apparent that nurses who were fully invested in the program had better outcomes than those who were not.…”

The effectiveness of strategies and interventions that aim to assist the transition from student to newly qualified nurse.

“…A turnover rate of 8% was reported, full details reported in Beecroft et al Williams et al 26 conducted a longitudinal, descriptive study to evaluate one year outcomes of a Post-Baccalaureate Nurse residency. A total of 679 nurse residents from 2 cohorts: alpha (n=486) and beta (n=193) who completed the programme were included in the study.…”

“…Altier and Kresk, 53 carried out a prospective, longitudinal study to evaluate the effect of a one year post baccalaureate nurse residency program, using a standardised curriculum, upon job satisfaction and retention of (n=316) baccalaureate-prepared graduates in their first year of employment. Although not specifically stated this study pilot tested the residency programme reported by 26,[54][55][56] . There was an overall response rate of 35%, with 111 out of 316 having complete data at both baseline and follow up which was included in the analysis.…”

“…These range from formal approaches such as graduate programmes 20 , extern programmes [21][22][23] , residency programmes [24][25][26] , orientation programmes [27][28][29][30][31] and nurse internships 32,33 . The more informal approaches reported include mentoring 34 , lecturer practitioner support 35 , preceptorship [36][37][38] , clinical practice facilitators 39 and peer support 40 .…”

New RN residency program to improve clinical competency, confidence, and socialization skills of novice nurses

“…[25][26][27][28] An internship program of Children's Memorial Hospital in Chicago that included classroom and skills lab learning, precepted orientation, professional transitioning sessions, and clinical learning exchanges contributed to increasing nursing recruitment and retention, significant cost savings, and increasing nursing satisfaction. [29,30] In another study of one-year outcomes of a post-baccalaureate residency program, Williams and colleagues [31] found that participants' job satisfaction improved on study variables such as, professional opportunities and control-responsibility at 12 months. Bratt and colleagues [12] also claimed that perceptions of the work environment particularly job satisfaction and job stress were found to be most influential.…”