Implementation of Nurse Residency in the Rural Setting.

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Presentation transcript:

Implementation of Nurse Residency in the Rural Setting

Objectives Discuss what constitutes a residency program At the end of this session, attendees will be able to... Discuss what constitutes a residency program Demonstrate how nurse residency programs have been implemented in rural facilities Objectives

Research Findings Fewer errors Fewer negative safety practices Improved retention Increased job satisfaction Increase confidence & competence Fewer errors Fewer negative safety practices Research Findings

Definition

NCSBN Recommendations Formalized Supported by all administrative leadership At least 6 months in length Preceptorship integrated into the program Cover the following: Safety, teamwork, evidence-based practice, communication, informatics, quality improvement, clinical reasoning, and patient-centered care Include specialty knowledge Allow time for application to practice Reflection sharing NCSBN Recommendations

Options 2 National Programs Hospital Grown Programs State Initiatives University Health System Consortium/American Association of Colleges of Nursing (UHC/AACN) Residency Program TM Versant Nurse Residency Program TM Hospital Grown Programs State Initiatives Wisconsin Maryland New Jersey Iowa Others Options

Cohort Discussions

Residency Project

Modules Completed Online Option 2 Online Discussion with Cohort; Project mentored by Online Program Manager Face-to-Face Discussion within Facility; Project mentored by In-house expert

Casey-Fink Graduate Nurse Survey

Online Option Unit managers act as on-site coordinators 11 residents in last 24 months Completion of online modules before monthly webinar Monthly live webinar- cohort discussion with other new grads across the nation IONRP manager coaches resident through project completion 18% Turnover rate (state avg 14%) Online Option

Outcomes

Blended Option Onboarding process- celebration Unit-based educators as residency coordinators 55 residents in last 18 months Cohort sizes from 5-25 90 minute monthly discussion groups Modules completed before discussion groups Coached through project completion 7% Turnover rate (state avg 14%) Blended Option

Outcomes

Keys to Success Facility Support Resident engagement Quality/EBP projects Consultation Site-specific goals Keys to Success

Best fit for you? 1 3 2 1=Highest 2=Middle 3=Least Cost per Resident Flexibility In-House Resources Project Required Resources Provided Standard-ization Stand Alone 1 3 Blended 2 Online 1=Highest 2=Middle 3=Least Best fit for you?

Return on Investment

More Information http://nursing.uiowa.edu/onrp Nicole Weathers MSN, RN Online Nurse Residency Program Manager 319-384-1676 nicole-weathers@uiowa.edu Lori Forneris MS, RN Chief Clinical Officer Loring Hospital 712-662-6323 lforneris@loringhosp.org For more information visit: http://nursing.uiowa.edu/onrp More Information