NJ Action Coalition Advances Nurse Residency Programs

Included within the Institute of Medicine’s Future of Nursing report recommendation to increase the number of registered and advance practice nurses is a call to promote seamless academic progression through transitional nurse residency programs. It was determined that new nurses, upon the start of their careers or when transitioning into new clinical practice areas, would greatly benefit from the opportunity to combine their education with equally important holistic interventions of patient and family community care. The New Jersey Action Coalition (NJAC), led by Pillar 2, strongly agrees, and as the result of $1.6 million in funding from the Centers of Medicare and Medicaid Services (CMS), is well on its way in developing the first residency program of its kind in the long-term care environment.

Student nurses do not get exposure to the many complexities involved in long-term care (LTC). To date, 22 nursing homes, out of a 25 goal, have agreed to provide new nurses hired within the last 12 months with the opportunity to participate in the NJAC residency program. A portion of the program includes preceptors. The programs will focus on quality and safety using evidenced-based care, core knowledge, skills and attitudes in relating to older adults, as well as preceptor education. Included in the initiative is a drive to develop partnerships between the educational and LTC practice settings and increased recruitment of new RN graduates.

The program will begin in the late spring of 2014 and is funded for three years. Curriculum criteria is based on the Future of Nurses Core Competencies© modelRutgers University, Nursing in Newark will take the lead in overall management of the funds. Edna Cadmus, PhD, RN, NEA-BC, NJAC co-lead and clinical professor and special director at Rutgers School of Nursing and Susan Salmond, EdD, RN, ANEF, FAAN, a member of the NJAC and dean and professor at Rutgers School of Nursing, will lead the project.

APRN Residency Program

In addition to the LTC residency program, NJAC Pillar 2 has created a curriculum outline for an advanced practice registered nurse (APRN) residency program and is reaching out to Federally Qualified Health Centers (FQHC) and the NJ Primary Care Association.  The goal is to create a 6-month program focused on specialty student work in conjunction with mentored and independent practice.   Once a business model is developed, the Coalition Pillar will look for grant and federal funding opportunities.

“Our goal,” says Sue Salmond, NJAC Pillar 2 Co-Chair, “is to help new nurses better connect the patient as part of the family and community. We believe this will foster reflection, exploration and a more confident, seamless transition for new nurses.”

 If you have an interest in participating in the development of the APRN residency program, please contact us.

by New Jersey Action Coalition | April 15, 2014

Tags: education, practice, new-jersey

Alison Newport

As a student who is currently enrolled in a BSN Program with the Rutgers School of Nursing I find this post and residency program of particular interest. Many of the students that I know at this time have two events in the near future that we are focused on: passing the NCLEX and finding a job. These two events are of concern to me as well however, I also have a greater concern regarding what happens beyond that. Although we will be BSN prepared RNs, we will be new RNs. Of all that we lack the greatest will be experience. With a program such as this, the new RN grad will be provided guidance from experienced RNs including work with a preceptor, gain valuable time working in a clinical setting of which they have not been exposed, and combine knowledge with holistic care of the patient and family. As an individual who has been working with the geriatric population in a skilled nursing facility for almost 6 years in the capacity of an LPN, I have particular interest in this. I work closely with Registered Nurses and find interest in the potential to have the opportunity to work with them as an RN not an LPN. I also agree that there is great benefit in structured training programs that help the new RN gain confidence and experience under the guidance of a seasoned professional. It is my intention to continue to gather information regarding this program as a potential opportunity for me to enter the realms of practicing as a Registered Nurse.
Posted on: July 13, 2014, 2:53 pm

Betsy Gadziala

As a student in the accelerated BSN Program at Rutgers University, the NJAC residency program is of great interest for multiple reasons. First, our BSN degree is packed into fifteen short months and for most of us experience is only gained in our clinical rotations, as we do not have time for outside hospital work. Secondly, this NJAC residency program involves long-term care facilities; an area in which we are not provided with clinical experience. Geriatrics is part of our classroom preparation but does not include a clinical. By including evidence based care, education and mentored practice a residency would be the perfect transition as new graduates with relatively little clinical experience. Studies have shown that 42% of acute care new hires will be new graduates with no previous experience as an R.N. (Goode, Lynn, Krsek, & Bednash, 2009). Residency programs that educate while providing guided practice are the perfect transition from graduation to a career in nursing, allowing new nurses to practice their skills before becoming independently responsible for patients as working R.N.’s. Nursing has become increasingly specialized and research has hypothesized that it takes at least one year to master the job because of the emphasis on specialization, technology and standards (Goode et al., 2009). A residency is the perfect opportunity to start the mastery process. One argument against residency programs is that they’re expensive to operate. Because they are considered continuing education programs, their costs fall solely on the hospital providing them. In contrast, the cost of orientation and training new hires is also very expensive. Residency programs help significantly lower turnover and therefore save institutions money in the long run. Twenty-five percent of graduates 6-8 months have already worked in two or more institutions, increasing training costs (Goode et al., 2009). Programs that evolve into jobs for new graduates significantly help lower turnover rates and orientation costs, ultimately saving health care centers money and providing workplace stability. These programs also have much incentive for new graduates, as securing a job is our primary concern after passing the NCLEX. This NJAC program seems like a great opportunity for new nurses in New Jersey to gain experience, education and employment. References: Goode, C. J., Lynn, M. R., Krsek, C., & Bednash, G. D. (2009). Nurse residency programs: An essential requirement for nursing. Nursing Economics, 27 (3). Retrieved from http://www.medscape.com/viewarticle/708169.
Posted on: July 15, 2014, 8:24 pm

Carina Puello

Currently, I am a part-time BSN student at Rutgers University. With the NCLEX nearing and the beginning of the job application process, I am excited yet apprehensive of being thrown into the clinical setting. The NJAC program is of beneficial interest to all new graduate nurses. As stated, this program allows for transitioning into the clinical setting as many of us lack the experience and critical thinking skills necessary. There is evidence that nurse residency programs increase the retention and job satisfaction rate in newly licensed nurses. “Excellent nurses have the knowledge, skills, and the abilities to engage with the patient and family through holistic interventions (Bleich, 2012).” As new nurses, this program allows us to advance from a beginner role to competent nursing care in a long term care environment. In 2010, a report from the Institute of Medicine, recommended that nurses should have the benefit of a residency program at the start of their careers (2010). A nursing residency program provides learning opportunities that focuses on institutional and departmental practices. This aids in learning the institution’s policies, procedures, and standards of care. Nursing residency programs allow new nurses to practice to the full extent of their educational experience with confidence. Bleich, M. (2012). In praise of nursing residency programs - American Nurse Today. Retrieved June 30, 2015, from http://www.americannursetoday.com/in-praise-of-nursing-residency-programs Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington, D.C.: National Academies Press; 2010.
Posted on: June 30, 2015, 11:35 am


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