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Perceptions of acute care nurse residencies: Perspectives from one state
Author(s) -
Cadmus Edna,
Wurmser Teri
Publication year - 2019
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12807
Subject(s) - preceptor , nursing , curriculum , acute care , focus group , medicine , nurse education , health care , nursing management , medical education , psychology , pedagogy , business , marketing , economics , economic growth
Aim To describe how new nurses transition into practice in acute care settings. Background The Institute of Medicine (2010) landmark report, Future of Nursing: Leading Change, Advancing Health recommends implementing nurse residency programs. However, not all organizations in the state have offered them. Evaluation of the effectiveness of them has been weak. Method A qualitative study using content analysis was conducted. Six focus groups were held 19 educators, 21 nurse residents and 10 chief nursing officers. Co‐investigators reviewed the data separately and then met to analyse common categories to gain consensus. Results Five major categories were identified: pre‐residency, program structure, preceptor, resident support and evaluation with additional sub‐categories. Although the participants agreed that a residency program was important, the results showed an incongruence between what was needed and what was provided. Conclusion An adequate supply of nurses for the future in health care systems is needed. Addressing transition to practice models can be one strategy that assists with retention of the new graduate. Implications for Nursing Management Nurse leaders need to evaluate the effectiveness of their current nurse residency programs. Standardizing curricula and data collection can improve measurement of outcomes.