Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Cheryl Holly

Abstract

In hospitals offering a nurse residency programs (NRP) for new graduates, the framework used can impact retention and job satisfaction rates. To meet the nursing needs of the hospitalized population, it is critical to understand which NRP framework results in higher retention and job satisfaction rates as compared to national rates. The purpose of this systematic review was to examine the evidence on those NRP using the quality and safety for education of nurses’ framework (QSEN) to compare rates of job satisfaction and job retention with published national rates. A comprehensive search outlined in the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart located 29 relevant articles. Of these, seven met the review’s inclusion criteria. Only one study reported a comparison of pre-and post NRP rates finding an increase in retention from 59% to 87% in the first year vs. an 82.5% national one-year retention rate. Three other studies that reported one-year post-NRP program had retention rates at one year following the NRP higher than the national average (90%, 91%, 94.6% vs 82.5%). Two studies reported retention rates two years after the NRP, with one study reporting a 90% retention rate and the other reporting 79%. The one study that reported retention rates at three years following the NRP had retention rates of 78%. It appears that while a NRP using a QSEN framework is initially successful, the success is not sustained over time. Job satisfaction was not reported in any of the studies and could not be evaluated. Identifying the NRP that increases and sustains new graduate retention is imperative to promote social change in the face of an increasing nursing shortage.

Download

Included in

Nursing Commons

Share

 
COinS