执照前实习项目和护士住院医师项目对新毕业护士的职业发展成果及留职率的影响。

The effects of a prelicensure extern program and nurse residency program on new graduate outcomes and retention.

作者信息

Friday Laura, Zoller James S, Hollerbach Ann D, Jones Katherine, Knofczynski Greg

机构信息

Laura Friday, DHA, MSN, RN, is Executive Director of Medical/Surgical and Behavioral Services, Memorial Health University Medical Center, Savannah, Georgia. James S. Zoller, PhD, MHA, is Professor Chair, Department of Healthcare Leadership & Management, Medical University of South Carolina. Ann D. Hollerbach, PhD, RN, is Associate Professor, College of Nursing, Medical University of South Carolina. Katherine Jones, PharmD, is Medication Safety Pharmacist, Memorial Health University Medical Center, Savannah, Georgia. Greg Knofczynski, PhD, MS, is Associate Professor, Mathematics, Armstrong State University, Savannah, Georgia.

出版信息

J Nurses Prof Dev. 2015 May-Jun;31(3):151-7. doi: 10.1097/NND.0000000000000158.

DOI:10.1097/NND.0000000000000158

PMID:25993454

Abstract

Organizations are looking to new graduate nurses to fill expected staffing shortages over the next decade. Creative and effective onboarding programs will determine the success or failure of these graduates as they transition from student to professional nurse. This longitudinal quantitative study with repeated measures used the Casey-Fink Graduate Nurse Experience Survey to investigate the effects of offering a prelicensure extern program and postlicensure residency program on new graduate nurses and organizational outcomes versus a residency program alone. Compared with the nurse residency program alone, the combination of extern program and nurse residency program improved neither the transition factors most important to new nurse graduates during their first year of practice nor a measure important to organizations, retention rates. The additional cost of providing an extern program should be closely evaluated when making financially responsible decisions.

摘要

各机构期望新毕业护士来填补未来十年预计出现的人员短缺。富有创意且有效的入职培训计划将决定这些毕业生从学生转变为专业护士的成败。这项采用重复测量的纵向定量研究使用凯西 - 芬克毕业护士体验调查，来探究提供执照前实习计划和执照后住院医师培训计划相对于仅提供住院医师培训计划，对新毕业护士和组织成果的影响。与仅提供护士住院医师培训计划相比，实习计划与护士住院医师培训计划相结合，既没有改善新毕业护士在执业第一年对其最重要的过渡因素，也没有改善对机构很重要的一项指标，即留用率。在做出财务责任决策时，应仔细评估提供实习计划的额外成本。