1. Implementation of
Nurse Residency in the
Rural Setting

2. 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

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

5. Definition

6. 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

7. 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

11. Cohort Discussions

12. Residency Project

13. 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

14. Casey-Fink Graduate Nurse Survey

15. 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

16. Outcomes

17. 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

18. Outcomes

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

20. 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?

22. Return on Investment

23. More Information http://nursing.uiowa.edu/onrp Nicole Weathers MSN, RN
Online Nurse Residency Program Manager
Lori Forneris MS, RN
Chief Clinical Officer Loring Hospital
For more information visit:
More Information