Graduation Year

2018

Degree Type

Open Access Capstone

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

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Department

Baccalaureate and Graduate Nursing

First Advisor

Jill Cornelison

Department Affiliation

Baccalaureate and Graduate Nursing

Second Advisor

Donna Corley

Department Affiliation

Baccalaureate and Graduate Nursing

Abstract

New graduate registered nurse (NGRN) turnover in an acute care setting is estimated between 35% - 61% nationally and is costly to an organization. Costs are estimated between $60,000 – $90,000 dollars to replace one NGRN. A smooth transition from student nurse to professional nurse is fraught with problems, including increased job stress and pressures imposed on the NGRN from a high-paced, uncertain health care environment. The purpose of this project was to design a customized nurse residency program (NRP) curriculum to increase NGRN retention. NRP curriculum elements were identified using findings from the Casey Fink Graduate Nurse Experience Survey© completed by NGRNs working at the agency. Mentorship training for nurse leaders and nurse educators supplemented the curriculum to improve self-perceptions of ability to mentor NGRNs. A pre/post-test design was used to measure differences in mean scores using the Mentoring Competency Assessment (MCA). Five of six MCA subscales demonstrated statistically significant increases post mentor training (p < .05). Findings from this pilot project suggest that transition to practice (TTP) needs of NGRNs align well with mentors’ ability to mentor. Development of NRPs with strong mentoring have value within a rural community setting.

IRB Approval Number (if applicable)

#BHL-18-1493 (Reference#014590)

Included in

Nursing Commons

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