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WHDL - 00017799
Newly graduated nurses’ attrition is higher than attrition of more experienced nurses, resulting in higher costs to the healthcare system. Transition-to-practice programs, such as nurse residency programs, ease the stress of newly graduated nurses’ transition to practicing nurses through additional support and education. The nursing shortage due to attrition raises the research question in patient, intervention, comparison, outcome, time format: For newly graduated registered nurses (P), do nurse residency programs (I) improve nurse retention, competence, and job satisfaction (O) when compared with traditional orientation programs (C) six months after the initiation of the residency program for the sample (T)? Based on Benner’s novice to expert theory and Bandura’s self-efficacy model, a mires residency program was developed and implemented to answer the question. For the mixed-methods study, nurse residents provided reflective journals and Casey Fink Graduate Nurse Experience Surveys to assess competence and job satisfaction. Also collected was retention data. Post-implementation, retention increased, and job satisfaction was trending up and consistent with benchmarks. Reflective journals demonstrated resident growth through the timeframe. A nurse residency program effectively improves retention and job satisfaction and promotes growth among newly graduated nurses.