Retention of New Graduate RN Response Discussion
Retention of New Graduate RN Response Discussion
Review of Literature Retention of New Graduate RNs Ingrid M. Guzman Ramos, RN St Petersburg College Leadership Theory NUR 4835 Dr. Patricia Thielemann September 19, 2021 By the end of this presentation, the audience will be able to: Understand new graduates RNs opinions about retention Objectives Identify benefits and disadvantages of retention of new graduate RNs Describe methods to reduce retention of new graduate RNs Identify ways new graduates RNs retention can be improved Identify strategies new graduates RN can be help psychosocially Introduction Currently, in the United States, the turnover rate for new graduate registered nurses is increasing, which negatively affects the reduction of resources in hospitals settings and affects the incidence of healthcare and patient-adverse events (Koneri et al., 2021). This presentation provides an overview of five articles from professional sources related to the retention of new graduate RNs. Review of Literature The purpose of this presentation is to provide nurse managers with information about newly graduate registered nurse’s turnovers. This information will be provided by reviewing five articles related to retention of new graduate RNs. Review of Literature: The Journal of Nursing Administration ✓The article “Newly Licensed RN Retention: Hospital and Nurse Characteristics” (Blegen et al., 2017) suggests an increase in the demand for new graduate registered nurses (RN) for the following years, which will harm the nurse shortage. Newly licensed RNs (NLRNs). The loss of nurses affects the quality of care provided to patients and the costs to institutions. ✓Studies for this review were found by the National Council of State Boards of Nursing (NCSBN) published between 2007 and 2016. Retention of New Graduate RN Response Discussion
Articles were approved by the Western Institutional Review Board. Review of Literature: International Journal of Environmental Research and Public Health ✓The article “Effects of an Adaptive Education Program on the Learning, Mental Health and Work Intentions of New Graduate Nurses” (Chen et al., 2021) suggest newly graduate registered nurses (RN) are at higher risk for developing psychological distress when compared to regular people (Chen et al., 2021). ✓Nurses may have an intention to leave their job due to stress, which can affect their mental health (Chen et al., 2021). Review of Literature: Nurse Education Today ✓The article “The Impact of Nurse Residency Programs in the United States on Improving Retention and Satisfaction of New Nurse Hires: An evidence-based literature review” (Eckerson, 2018) suggests when nurses transition from a student to nurse role can be difficult, as it can be a stressful and challenging transition (Eckerson, 2018). ✓To successfully prepare new graduate nurses for independent practice, finding among existing evidence-based literature suggests that they should be involved in a minimum of 10–15 months of residency programs (Eckerson, 2018). Review of Literature: A Business Strategy to Retain New Graduate Nurses ✓The article “Touchpoints: A Business Strategy to Retain New Graduate Nurses” (Koneri et al., 2021) Indicates that for every single nurse, the average cost of turnover can range from 33,000 to 56,000 dollars which can cause hospitals to lose between 3.6 to 6.1 million dollars yearly. ✓Nursing turnover is a significant problem in the United States and a worldwide issue that affects healthcare organizations. Review of Literature: Nursing Administration Quarterly ✓The article “Nurse Leaders’ Assumptions and Attitudes Toward Residency Programs for New Graduate Nurses. Nursing Administration Quarterly” (Trepanier et al., 2021) suggests that new graduates nurses are not appropriately trained to care for critically ill patients. ✓ Residency programs have been important to help organizations reduce turnover among new graduates registered nurses (Trepanier et al., 2021) . Review of Literature: Synthesis ✓Take away for leaders/managers in a healthcare setting ✓How does retention of new graduate RNs impact leadership as well as the management of healthcare agencies. ✓Making a difference in their approach to management ✓How can a nurse manager use the information reviewed in this presentation to manage the issue of retention of new graduate RNs in their specific management setting Conclusion The retention of a new graduate registered nurse is a worldwide issue. Turnover is a problem that can be reduced by understanding how new graduate nurses are affected physically and mentally when transitioning from a classroom to a working setting. To provide safe, competent care to each patient nurses, must be prepared physically and mentally. Retention of New Graduate RN Response Discussion
The priority of each nurse should always be providing the best care possible for their patients, and they can not do so if they feel unprepared and not confident with the skills they have. References Blegen, M. A., Spector, N., Lynn, M. R., Barnsteiner, J., & Ulrich, B. T. (2017). Newly Licensed RN Retention: Hospital and Nurse Characteristics. JONA: The Journal of Nursing Administration, 47(10), 508–514. https://doi.org/10.1097/NNA.0000000000000523 Chen, S. F., Fang, Y. W., Wang, M. H., & Wang, T. F. (2021). Effects of an Adaptive Education Program on the Learning, Mental Health and Work Intentions of New Graduate Nurses. International journal of environmental research and public health, 18(11), 5891. https://doi.org/10.3390/ijerph18115891 Eckerson, C. M. (2018). The impact of nurse residency programs in the United States on improving retention and satisfaction of new nurse hires: An evidence-based literature review. Nurse Education Today, 71, 84–90. https://doi.org/10.1016/j.nedt.2018.09.003 Koneri, L., Green, A., & Gilder, R. E. (2021). Touchpoints: A Business Strategy to Retain New Graduate Nurses. The Journal of nursing administration, 51(7-8), 401–408. https://doi.org/10.1097/NNA.0000000000001036 Laschinger, H. K., Wong, C., Read, E., Cummings, G., Leiter, M., Macphee, M., Regan, S., Rhéaume-Brüning, A., Ritchie, J., Burkoski, V., Grinspun, D., Gurnham, M. E., Huckstep, S., Jeffs, L., Macdonald-Rencz, S., Ruffolo, M., Shamian, J., Wolff, A., Young-Ritchie, C., & Wood, K. (2018). Predictors of new graduate nurses’ health over the first 4 years of practice. Nursing open, 6(2), 245–259. https://doi.org/10.1002/nop2.231 Trepanier, Sylvain, DNP, RN, CENP, FAONL, Yoder-Wise, Patricia, EdD, RN, NEA-BC, ANEF, et al. (2021). Nurse Leaders’ Assumptions and Attitudes Toward Residency Programs for New Graduate Nurses. Nursing Administration Quarterly, 45, 26-34. https://doi.org/10.1097/NAQ.0000000000000442
