RESUMO
This study examined differences in newly licensed nurses' role transition experiences while enrolled in a nurse residency program before and during the pandemic. The Casey-Fink Graduate Nurse Experience Survey measured baseline, 6-month, and 12-month program outcomes. The prepandemic cohort had higher subscale scores at baseline. Both cohort groups showed significant increases in role confidence, patient safety, communication/leadership, and job satisfaction. Despite the pandemic, nurse residency program completion rates remained stable. Implications for nursing professional development practitioners are presented.
Assuntos
Internato e Residência , Papel do Profissional de Enfermagem , Humanos , Pandemias , Comunicação , Satisfação no EmpregoRESUMO
PURPOSE/OBJECTIVES: The acute care division of a tertiary medical center experienced a 167% increase in catheter-associated urinary tract infections, with 2 inpatient surgical units accounting for 67% of infections. A quality improvement project was implemented to address the infection rates on the 2 inpatient surgical units. The aim was to reduce catheter-associated urinary tract infection rates by 75% in the acute care inpatient surgical units. DESCRIPTION OF THE PROJECT/PROGRAM: A survey identified educational needs of staff, with response data informing the development of a quick response code containing resources for prevention of catheter-associated urinary tract infections. Champions rounded on patients and audited maintenance bundle adherence. Educational handouts were disseminated to increase compliance with bundle interventions. Outcome and process measures were tracked on a monthly basis. OUTCOME: Infection rates decreased from 1.29 to 0.64 per 1000 indwelling urinary catheter days, catheter utilization increased 14%, and maintenance bundle compliance was 67%. CONCLUSION: The project enhanced quality care through the standardization of preventive practices and education. The data reflect a positive effect on catheter-associated urinary tract infection rates from increased awareness of the nurse's role in the prevention process.
Assuntos
Infecções Relacionadas a Cateter , Infecção Hospitalar , Infecções Urinárias , Humanos , Cateterismo Urinário/efeitos adversos , Infecções Relacionadas a Cateter/epidemiologia , Infecções Relacionadas a Cateter/prevenção & controle , Infecções Urinárias/epidemiologia , Infecções Urinárias/prevenção & controle , Cateteres Urinários , Papel do Profissional de Enfermagem , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controleRESUMO
New nurse retention in hospitals is a national problem with significant patient safety and financial implications. This project was designed to determine retention and program completion rates of nurses who participated in a residency program. Factors influencing retention of nurses were explored using the Casey-Fink Nurse Retention Survey. Results revealed nurses' value supportive work environments, recognition, and seek mentorship for professional development. Designing nurse retention strategies is critical for organizations to prevent unnecessary turnover.
Assuntos
Educação de Pós-Graduação em Enfermagem , Internato e Residência , Enfermeiras e Enfermeiros , Humanos , Reorganização de Recursos Humanos , Inquéritos e Questionários , Satisfação no Emprego , Hospitais de EnsinoRESUMO
Nursing professional development practitioners are critical to nurse residency program (NRP) development, implementation, and evaluation. Conducting a program evaluation provides an opportunity to collect and analyze data on identified goals and outcome measures and determine if the program components need to modified or changed. Health care organizations need a systematic process for evaluating NRPs to ensure effectiveness of program delivery, provide evidence to demonstrate program value to the organization, report achievement of program outcomes, and for continuous quality improvement. With the growing importance of offering high-quality NRPs, nurses in professional development must critically consider the type of data required to demonstrate program value and use the best tools to collect outcome data. This article discusses a variety of data collection tools that can be selected to measure NRP outcomes. [J Contin Educ Nurs. 2022;53(9):389-392.].
Assuntos
Internato e Residência , Humanos , Desenvolvimento de Programas , Avaliação de Programas e Projetos de SaúdeRESUMO
Health care organizations face the challenge of needing newly licensed nurses to fill positions and facilitate competent care for patients. Wide variation in graduate nurse orientation programs, a growing complexity of care, and high graduate nurse turnover rates led to the development of nurse residency programs. The historical perspectives of two nursing pioneers involved in the development of a national model for nurse residency programs provide context to the importance of creating a vision, providing leadership, and applying an evidence-based rationale to structure a series of learning and work experiences designed to support graduate nurses as they transition into their first professional nursing position. [J Contin Educ Nurs. 2022;53(4):171-177.].
Assuntos
Educação de Pós-Graduação em Enfermagem , Internato e Residência , Humanos , Liderança , Reorganização de Recursos HumanosRESUMO
BACKGROUND: Graduate nurses face challenges during their transition to professional practice. Understanding these experiences during a pandemic has not been explored. PURPOSE: The purpose of this study is to describe the lived experiences of graduate nurses transitioning to practice during a pandemic. METHODS: Using a hermeneutic phenomenological approach, focus groups were conducted with fifteen nurses who were at three different stages of transition and participating in a 12-month Graduate Nurse Residency Program. FINDINGS: Seven themes emerged: 1) being new is overwhelming, even more so during COVID-19, 2) need to be flexible, 3) pandemic knowledge and practice disconnect, 4) communication barriers worsened with masks, 5) being a "COVID nurse," 6) no self-care, and 7) gratitude: still glad to be a nurse. DISCUSSION: Findings emphasize the important focus on graduate nurse support and educational foundation for role transition into professional practice, especially during a pandemic. Participants expressed lack of preparedness for practice but remain excited about being a nurse.
Assuntos
COVID-19/prevenção & controle , Enfermeiras e Enfermeiros/psicologia , COVID-19/enfermagem , COVID-19/psicologia , Grupos Focais/métodos , Humanos , Pesquisa QualitativaAssuntos
Competência Clínica/normas , Educação Continuada em Enfermagem/tendências , Satisfação no Emprego , Recursos Humanos de Enfermagem Hospitalar/tendências , Local de Trabalho/normas , Humanos , Papel do Profissional de Enfermagem , Pesquisa Metodológica em Enfermagem , Autoeficácia , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: The purpose of this study was to evaluate the psychometric properties of the Casey-Fink Graduate Nurse Experience Survey (CFGNES). BACKGROUND: Transitioning from the student role to professional nurse is challenging and stressful. Accurate measurement of role transition is important because of concerns regarding retention. METHODS: A secondary analysis of 71 919 graduate nurse responses to the CFGNES, collected 6 months into the Vizient/AACN residency program, was conducted. Psychometric testing included exploratory and confirmatory factor analysis. Internal consistency reliability was measured using Cronbach's α. RESULTS: Analysis revealed a consistent 5-factor solution. Factors were labeled job satisfaction, support, organize/prioritize care, role confidence, and professional socialization. Results demonstrated the CFGNES is a reliable and valid instrument for measuring perceptions of role transition. CONCLUSIONS: This study was needed to inform survey item revisions. The CFGNES continues to be valuable in providing voice to the needs of graduate nurses and evidence for improving nurse residency program outcomes.
Assuntos
Competência Clínica/normas , Educação Continuada em Enfermagem/organização & administração , Recursos Humanos de Enfermagem Hospitalar/educação , Humanos , Satisfação no Emprego , Pesquisa Metodológica em Enfermagem , Avaliação de Programas e Projetos de Saúde , Psicometria , Reprodutibilidade dos Testes , Estudantes de Enfermagem/psicologia , Inquéritos e QuestionáriosRESUMO
The transition from student to acute care nurse practitioner (ACNP) has been recognized as a time of stress. The purpose of this descriptive, correlational-comparative design pilot study was to examine: (1) the relationships among personal resources, community resources, successful transition, and job retention; (2) the difference between ACNPs with 0 to 4 years and ACNPs with more than 4 years of prior experience as a registered nurse in an intensive care unit or emergency department; and (3) the skills/procedures that ACNPs found difficult to perform independently. Thirty-four participants were recruited from a social media site for nurse practitioners. Organizational support, communication, and leadership were the most important elements of successful transition into the ACNP role. This information can help ACNP faculty and hospital orientation/fellowship program educators to help ACNPs transition into their first position after graduation.
Assuntos
Doença Aguda/enfermagem , Competência Clínica , Enfermagem de Cuidados Críticos , Profissionais de Enfermagem/psicologia , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem/psicologia , Adaptação Psicológica , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ohio , Projetos Piloto , Estresse Psicológico , Adulto JovemRESUMO
Nursing students must be prepared to enter the practice environment ready to competently care for patients. The purpose of this study was to examine factors hypothesized to influence senior nursing students' perceptions of readiness for practice and to determine their level of comfort performing skills independently. This study also validates an investigator-developed instrument, the Casey-Fink Readiness for Practice Survey. Factor loading indicated four components tested by subscales in the survey: clinical problem solving, learning techniques, professional identity, and trials and tribulations. The greatest challenges reported by students were managing multiple patient care assignments, communicating with physicians, and caring for dying patients. Clinical competency, role development, and career planning support were areas in which students desired more assistance during their senior practicum course. Most survey respondents voiced confidence in their ability to problem solve and felt ready to assume the professional nursing role.
Assuntos
Competência Clínica , Bacharelado em Enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Avaliação de Programas e Projetos de Saúde/métodos , Inquéritos e Questionários , Adulto , Feminino , Humanos , Masculino , Estados UnidosRESUMO
Graduate nurses experience role conflict and stress as they begin practice in work environments of high complexity, nurse shortages, and expectations to become competent rapidly. The authors report outcomes from a study that evaluated qualitative responses to the Casey-Fink Graduate Nurse Experience Survey administered to graduate nurse residents in the University HealthSystem Consortium/American Association of Colleges of Nursing postbaccalaureate nurse residency program at 12 academic hospital sites. Qualitative analysis provided sufficient evidence to convert specific open-ended questions on the Casey-Fink Graduate Nurse Experience Survey instrument to a quantitative format for ease of administration and analysis.
Assuntos
Atitude do Pessoal de Saúde , Educação Continuada em Enfermagem/organização & administração , Internato não Médico/organização & administração , Recursos Humanos de Enfermagem Hospitalar , Adaptação Psicológica , Adulto , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Competência Clínica , Conflito Psicológico , Feminino , Frustração , Humanos , Relações Interprofissionais , Satisfação no Emprego , Avaliação das Necessidades , Papel do Profissional de Enfermagem/psicologia , Pesquisa em Educação em Enfermagem , Pesquisa Metodológica em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/psicologia , Cultura Organizacional , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , Autoeficácia , Apoio Social , Inquéritos e Questionários , Estados UnidosRESUMO
The Clinical Scholar Model (CSM) is a practice-education partnership focused on improving the outcomes of clinical nursing education by bridging the academic and service settings. An expert clinical nurse serves as a clinical scholar (CS) to coordinate, supervise, and evaluate the clinical education of nursing students in collaboration with school of nursing faculty. This article describes the model's evolution, how the model is differentiated from traditional clinical instruction roles and responsibilities, and the benefits to the collaborating clinical agency and school of nursing.
Assuntos
Educação em Enfermagem/organização & administração , Relações Interinstitucionais , Prática do Docente de Enfermagem/organização & administração , Colorado , Educação em Enfermagem/métodos , Avaliação Educacional , Humanos , Modelos EducacionaisRESUMO
Graduate nurses experience stress transitioning from student to practicing professional nurse, moving from a familiar educational environment into the workforce, where expectations are to rapidly function as a competent nurse. This study identified the stresses and challenges experienced by cohorts of graduate nurses working in 6 acute care hospitals, during specific timed data periods, to better understand factors that may influence graduate nurse retention. Results report graduate nurses do not feel skilled, comfortable, and confident for as long as 1 year after being hired, highlighting the need for healthcare organizations to provide extended orientation and support programs to facilitate successful entry into practice.