Nurses' perceptions of nurse residency: Identifying barriers to implementation

Saturday, 16 November 2013

Heather N. Wierzbinski-Cross, BSN
Patient Resource Services, Reid Hospital, Richmond, IN
Kristin L. Ward, BSN
Patient Resource Services, Conifer Health Solutions at Reid Hospital, Richmond, IN
Stephanie L. Nicholson, BSN
Oncology, Reid Hospital, Richmond, IN

Learning Objective 1: Describe perceptions of staff nurses and nursing administrators in acute care regarding the value and feasibility of nursing residency for orientation of new graduate nurses.

Learning Objective 2: Identify the barriers, perceived by acute care staff and administrators, toward implementing a nurse residency program in the acute care setting.

New nurse graduates are often ill prepared to transition to practice, resulting in high turnover rates, which is costly to hospitals.  Despite evidence in the literature supporting nurse residency success in new graduate nurse preparation, decreased turnover rates, and positive financial impact on health care organizations, limited numbers of hospitals offer nurse residency orientation programs.  The purpose of this proposed study is to gain insight into the perceptions of staff nurses and nursing administrators regarding nursing residency programs for new graduates.  The perceptions of interest for the study include the value, feasibility, and barriers to implementing a nurse residency orientation program in the acute care setting. 

The anticipated method for this study includes surveying staff nurses and nurse managers at four local acute care hospitals regarding their perceptions of a nurse residency program. Anticipated findings include barriers of lack of qualified preceptors, immediate staffing demand, and negative perceptions related to implementation cost, cost per patient day, and return on investment.