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Nurse Residency Programs and their adaptation to public health

Nurse Residency Programs and their adaptation to public health. Julie Beth Heiniger , BS RN L . Michele Issel , PhD, RN College of Nursing/School of Public Health University of Illinois-Chicago Presented at the American Public Health Association’s Annual Conference

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Nurse Residency Programs and their adaptation to public health

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  1. Nurse Residency Programsand their adaptation to public health Julie Beth Heiniger, BS RN L. Michele Issel, PhD, RN College of Nursing/School of Public Health University of Illinois-Chicago Presented at the American Public Health Association’s Annual Conference San Francisco, California October 29, 2012 KRISP Project

  2. Overview • What is a NRP? • Acute care vs. Community/Public Health (C/PH) • Findings • Application to C/PH • Discussion KRISP Project

  3. New Graduate RNs • New RNs have limited experience, yet responsible for a standard patient assignment shortly after completing a standard facility orientation. • Nurse Residency Programs (NRPs) created to promote seamless academic progression (1) KRISP Project

  4. NRPs • “A joint partnership between academia and practice that is a learner-focused, postgraduate experience designed to support the development of competency in nursing practice” (2) • Hospital and acute care settings • Shown to: • Decrease recruitment, training costs (3,5,6,7,8,9) • Ease transition of new student nurses (2, 3, 8 10) • Increase nurse retention (3, 5) • Increased job satisfaction (3,4) KRISP Project

  5. What about Public Health? KRISP Project

  6. PHN Specialty • NRPs absent in Community/Public Health • The public health nursing specialty is distinguished from other nursing specialties through a set of standards and principles focused on population-based healthcare and collaboration with a variety of healthcare disciplines (11) • NRPs ought to be tailored to the uniquely public health nursing specific standards and guidelines! KRISP Project

  7. Purpose • Literature review to identify core curriculum components in established nurse residency programs and discuss how they might be applied in a public health model. • PRISMA method of systematic reviews • Part of the KRISP project • http://krispproject.wordpress.com/ KRISP Project

  8. Commonalities • Several common core curriculum topics relevant to public health nursing, including: • Critical thinking • Leadership • Evidence-based practice • Time management • Communication • Professionalism • Standards of care • Ethical and Legal Issues • Delegation • Conflict Management KRISP Project

  9. Quad Council Competencies • Domain 1: Analytic and Assessment skills • Domain 2: Policy Development/Program Planning • Domain 3: Communication • Domain 4: Cultural competency skills • Domain 5: Community Dimensions of Practice Skills • Domain 6: Public Health Science Skills • Domain 7: Financial Management and Planning Skills • The Public Health Nursing Core Competencies support the scope and standard of practice for public health nursing. • The Public Health Nursing: Scope and Standards of Practice document was used as a reference to ensure continuity and consistency with those standards (11) KRISP Project

  10. Deficiencies • Three domains of competencies are not met: • Policy Development and Program Planning • Public Health Science Skills • Financial Management and Planning Skills KRISP Project

  11. Discuss… • How can we adapt NRPs to meet specific needs of c/PHNS? How much? Where? Who? How? Students or professionals? KRISP Project

  12. Things to Consider Strengths • Existing models • Some categories overlap • Evidence-Based • Undergrad Education • Grants/Funding • AHA Issues • Financing (Isn’t is always...?) • Who would write curriculum? • Time-Frame? • Certification (PHN-C) • Location? • Mentors/Preceptors? KRISP Project

  13. Suggestions • Regionalization • Smaller Health Departments combine • Undergraduatetraining • Should there be specialty education in BSN programs? • Interdisciplinary education: • PH policy • Urban Health/Policy • Finance • Business/Administration KRISP Project

  14. References • (1) Fink, R., Krugman, M., Casey, K., & Goode, C. (2008). The Graduate nurse experience: Qualitative residency program outcomes. The Journal of Nursing Administration, 38 (7), 341-348. • (2) Hedrich, B. & Llindsay, A. (2006). Nurse Residency Programs: Redesigning transition into practice. Journal for Nurses in Staff Development, 22(2), 55-62. • (3) Altier, M.E., & Kresk, C.A. (2006). Effects of a 1-year Residency Program on Job Satisfaction and Retention of New Graduate Nurses. Journal for Nurses in Staff Development, 22(2), 70-77. • (4) Anderson, T., Lidnen, L., Allen, M., & Gibbs, E. (2009). New graduate RN work satisfaction after completing an interactive nurse residency. Journal of Nursing Administration, 39(4), 165-169. • (5) Meyer-Bratt, M. (2009). Retaining the Next Generation of Nurses: The Wisconsin Nurse Residency Program Provides a Continuum of Support. The Journal of Continuing Education in Nursing, 40(9), 416-425. KRISP Project

  15. References, continued • (6) Pine, R., & Tart, K. (2007). Return on investment: Benefits and challenges of a Baccalaureate nurse residency program. Nursing Economics, 25(1): 13-18. • (7) Poynton, M.R., Madden, C., Bowers, R., & Keefe, M. (2007). Nurse Residency Program Implementation: The Utah Experience, Journal of Healthcare Management, 52(6), 385-397. • (8) Hedrich, B. & Llindsay, A. (2006). Nurse Residency Programs: Redesigning transition into practice. Journal for Nurses in Staff Development, 22(2), 55-62. • (9)Goode, C.J., & Williams, C.A. (2004). Post-Bacclaaureate Nurse Residency Program. JONA, 34(2), 71-77. • (10) Krugman, M., Bretschneider, J., Horn, P.B. Krsek, C.A., Moutafis, R.A, & Oare Smith, M. (2006). The National Post- Baccalaureate Graduate Nurse Residency Program. Journal for Nurses in Staff Development, 22(4), 196-205. • (11) American Nursing Association [ANA]. (2007). Public Health Nursing: Score and Standards of Practice. Silver Spring, MD : American Nurses Association. KRISP Project

  16. Thank you! • KRISP project • http://krispproject.wordpress.com/ • Funded in part by HRSA Bureau of Health Profession, Division of Nursing,  under the Nurse Education, Practice and Retention Program,  grant number D11HP14605 KRISP Project

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