Implications of the transition from student to nurse

1. Evaluation of a Structured Preceptor Training Program to Reduce First Year Turnover of New Graduate Nurses Bonnie Clipper, RN, DNP, MA, MBA, CENP, FACHE Survey Demographic Data Preceptor Training Program • Review of Adult Learning & Teaching Principles, Novice to Expert Continuum , Generational Differences in Learning, Preceptor Roles & Responsibilities, Validating Competency, Providing Constructive Feedback, Principles of Evaluation • Methods of Evaluation , Electronic Resources for Preceptors Conclusions • Structured preceptor courses can improve skills and competencies of preceptors. • Preceptors with more training can improve the transition process of new graduate nurses. • New graduate nurses with a smoother, more effective orientation and transition process are more likely to be retained within the organization. Implications of the transition from student to nurse Conclusion and Implications • New graduate nurses have a 30% turnover rate in their first year of practice and a 57% turnover rate by the second year (Salt et. al, 2008). • A study of 1773 nurses indicates that 33% of Millennial nurses plan to leave their job within the next two years. This increases to 66% that plan to “be gone” within five years, even though they indicate they are “highly satisfied” with their jobs (Wieck, 2009). • The ineffective orientation of new graduate nurses contributes to adverse events. Of 1690 adverse events over a five year period, 24% were related to training of staff (The Joint Commission, 2004). Inadequate training of new employees attributed to 58% of these errors (Thompson, 2004). • Of 1000 new graduate nurses, over 20% have been involved in errors related to patient falls (Kenward and Zhong, 2006). • 2006 NDNQI data, shows that each additional year of nursing experience decreased the fall rate by 1%, and decreased the hospital acquired pressure ulcer rate by 1.9% (Dunton et. al, 2007). • The economic impact of nurse turnover is $62,000-$145,000 per nurse (Jones, 2007, 2008; Bowles and Candela, 2008). Key Findings