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15-16 September - Auckland

NEW GRADUATE NURSES 1 st YEAR OF PRACTICE Presenter: Taima Campbell Hospital: Asklepios Key contact person for this project: Taima Campbell email: taimac@adhb.govt.nz phone: + 9 307 4922. 15-16 September - Auckland. KEY PROBLEMS.

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15-16 September - Auckland

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  1. NEW GRADUATE NURSES 1st YEAR OF PRACTICEPresenter: Taima CampbellHospital: AsklepiosKey contact person for this project: Taima Campbell email: taimac@adhb.govt.nz phone: + 9 307 4922 15-16 September - Auckland

  2. KEY PROBLEMS • Lacked support for New Graduate nurse in first year of practice resulting in: •  stress  satisfaction and  turnover • Prior to 2000 New Graduate nurse attrition was at least 40% by end of year 1 • Organisation experiencing a significant nursing shortage (increasing time to fill vacancies) • Increasing patient acuity and volumes coupled with increase use of casual/bureau nurses • Unknown impact on patient outcomes e.g length of stay, adverse events or errors • Increased recruitment costs related to  turnover

  3. INNOVATIONS IMPLEMENTED • All New Graduate nurses enter practice by way of a one year supported entry programme. • Four new graduate programme streams offered: • Adult acute in-hospital (1st programme 2000) • Paediatric (1st programme 2002) • Primary Health (1st programme 2004) • Mental Health (1st programme 1997) • The programme includes: • 2 clinical rotations (except Mental Health who have 4 rotations) • 12 study days (inclusive of 2 post grad papers) except Mental Health 20 study days and PG Certificate) • Clinical preceptorship and supernumerary time at the start of each rotation • Cultural supervision for Maori New Graduate nurses

  4. OUTCOMES SO FAR • New Graduate Nurse programme introduced in 2000 with corresponding improvement in retention at end of 1st year of practice. • Improved retention observed for graduates against cohort year ie. 40% of 2000 programme still in organisation at 5 years. • Cohort year is inclusive of two intakes (Feb/ Sept).

  5. LESSONS LEARNT • Dedicated programme to assist new graduates to make the transition from student to registered nurse is of value. • Investment in programme has benefits for nurse, patient and organisation. • Dedicated resource essential to coordinate programme and support graduates. • Structured preceptorship programme identified as an area for improvement. • Aligning programme with academic credit has made programme attractive and improved recruitment. • Highlights some issues with quality of undergraduate preparation and clinical experience.

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