NJAC Long-Term Care Residency Program Featured on Advance Health

The New Jersey Action Coalition’s (NJAC) co-lead Edna Cadmus, PhD, RN, NEA-BC, and the co-chair of the education pillar for NJAC, Susan Salmond, EdD, RN, ANEF, FAAN, recently wrote an article for Advance Healthcare Network about the development of the first long-term care (LTC) residency program of its kind. NJAC received permission by the Centers for Medicare & Medicaid Services to use $1.6 million from the state’s Civil Monetary Penalty Fund to prepare new registered nurses (RNs) for practice at New Jersey long-term care (LTC) facilities.

The residency program was developed by Cadmus and Salmond, as well as the Healthcare Association of New Jersey, the New Jersey Department of Health, Nurses Improving Care of Healthsystem Elders (NICHE) of New York University, Heldrich Center at Rutgers University, and volunteers from the Action Coalition's education pillar. It will be funded for three years.   

The first 25 nurse residents started the program in May 2014, and the second group of residents will begin in January 2015.  The residency program will last a year as the nurse residents work in New Jersey LTC facilities. The project is intended to improve care for residents in nursing homes and help stabilize the state’s RN workforce.

Click here to read the full story.

by New Jersey Action Coalition | May 30, 2014

Tags: new-jersey

kate ananian

This is such a great step to ensure long-term residents are cared for by well-prepared nurses. I am currently enrolled in nursing school and we do not get a chance to rotate through a long-term facility for any of our clinicals. Clinical rotations are what really help to solidify, at least for me, what we are learning in the classroom. We do incorporate hospice, assisted living, and homestay care throughout our program, but an intensive 12-month program that is hands on can only help nurses become experts in this field. Additionally, I would like to think that this could be the start of core requirements to work in specialty fields.
Posted on: June 25, 2014, 5:50 pm

Jennifer Watt

I am so pleased to read about this new program. My name is Jennifer, and I am a nursing student currently enrolled in the ABSN program at the Rutgers School of Nursing. I have not had a clinical rotation in a long-term care (LTC) facility, though I do have an interest in working in one. Having a preceptor in this specific field would be an opportunity that I would greatly appreciate to learn skills specific to this area of nursing. I have been told that LTC facilities tend to have a very high patient to nurse ratio, this is a very intimidating atmosphere to enter as a first job. Knowing that these 12-month residency programs are being implemented gives me more confidence to go into a field I thought I would be ill-prepared for with no clinical experience in this area. It appears as though this residency program would be a positive supplement to any classroom/clinical knowledge.
Posted on: July 7, 2014, 8:04 pm

Ariana Palivoda

My name is Ariana Palivoda and I am currently at student at Rutgers School of Nursing Accelerated BSN program. Having read about this LTC residency program, it presents as an enlightening opportunity to enhance and further develop nursing knowledge and skills geared towards a vulnerable population. Before attending nursing school, I briefly worked as a CNA in Hawaii and saw a great deal of CNA and RN turnover. Also during this time it became quickly apparent that residents in a long-term care facility with a higher incidence of chronic comorbidities need sensitive, expert care. Reflecting on my status as a student nurse, I honestly feel quite a bit of trepidation for that first year as a nursing graduate. As such, it seems that new nursing graduates also represent a vulnerable population who may not have the confidence or background to most effectively care for higher-need LTC residents. That is why I am excited for a program such as this one, which helps alleviate the fears of new graduates through extended educational experience and possibly reduce the rate of turnover by developing more confident graduates. In addition, as my classmate above mentioned, I also agree that this program could lead some into furthering their education, possibly inspiring them to specialize in this area.
Posted on: July 7, 2014, 8:15 pm

Mercedes Garcia

This program sounds like an excellent investment of the Civil Monetary Penalty Fund as it has the goal of improving the quality of care for residents in long term care facilities. Offering structured preceptor relationships in LTC settings allows new nurses the opportunity to integrate their broad learning to truly develop the knowledge, attitude and skills required to provide quality care to the geriatric population. The six day clinical shadowing of acute care, sub-acute care, assisted living, hospice, home care and adult day care provides the new nurse insight into the range of facilities providing for the needs of a growing population. As a nursing student, our clinical experience has been in acute care settings where we have many times seen patients from long-term care facilities admitted for complications from chronic illness. A nurse residency program in LTC settings allows the new nurse to participate in the care of residents to reduce the incidence of this type of hospitalization. This type of program could improve retention rates by providing the new nurse the confidence and satisfaction that a preceptor relationship facilitates. Mercedes Garcia, ABSN student at Rutgers University
Posted on: July 9, 2014, 8:31 am

Orquidia Solano

My name is Orquidia Solano, I am also attending Rutgers School of Nursing's Accelerated BSN program. Upon reading this article, I immediately thought this is the beginning, the beginning of a new and higher era for nurses. Given the opportunity to participate in a long-term care residency program for a year is exciting. This experience will give nurses the chance to fully grasp the scope of using their education skills and training to deliver quality care. This will benefit and improve the care for long term care facilities. As per experience, I have not expressed an interest in this specific clinical setting because of the outrageous patient to nurse ratio. But, learning of this residency program opens an interest for it. I hope this program brings about new beginnings, yet endless improvements and stability to the state of New Jersey’s nurses.
Posted on: July 9, 2014, 10:20 pm

Marta Bryk

Hi, my name is Marta Bryk and I am one of the students who attends accelerated program at Rutgers School of Nursing. Long-Term Care Residency program “hits home” for me. Before I realized that nursing is my calling, I use to work at long term care and sub-acute facility with geriatric patients for around 7 years. Thanks to my past co-workers, patients and residents, I realized that nursing is a good carrier choice for me where I could fulfill my dreams and be passionate about. I would love to continue working with geriatric population and be there for them during the most vulnerable time of their life. Especially now when geriatric population is on the rise, it is important to have this kind of programs where nurses can learn and get experience in this area of nursing. Thank you for sharing !!!
Posted on: July 15, 2014, 8:28 am

Todd Kochakji

My name is Todd and I am currently a nursing student in the Rutgers School of Nursing part-time program. This program developed with funding from the Centers of Medicare and Medicaid Services is extremely exciting indeed, especially as a soon-to-be new nursing grad. As many current nurses and recent grads may know, the transition from the academic learning environment to a evidenced based practice working environment can be extremely challenging and difficult, so transitional nurse residency programs should only benefit the new nurse and facility they practice in. Long-term care nursing is extremely complex, and with the expected significant increase in geriatric population as the baby boomer generation ages, there will be an even higher need for nurses to be experienced in long-term facilities and this will have to include new grads. As a student nurse we have not had exposure to long-term care facilities during our clinical rotations, knowing a program like this exists does raise my interest in seeking a nursing position in a long-term care facility when it comes time to graduate.
Posted on: July 15, 2014, 9:41 am

Christine Sterling

Hello, my name is Christine Sterling and I’m nursing student at Rutgers School of Nursing accelerated 15-month program. I’m glad to learn about such a program like the Long-Term Care Residency Program that is being proposed. The nursing field is such a broad and vast area of practice that it is hard for students like myself to feel like they have a sold grasp on the field. I think this can be especially true for those of us that earn our degrees through accelerated programs. For my graduating class we did not have the opportunity to have a clinical experience in a long-term facility. Having a program this particular resident program is a wonderful way to ease new graduates into a specialty that they previously have not yet experienced. From my understanding they are similar programs implemented in different areas of nursing but this is the first that I’m reading about it extensively. I would love to this type of programing in other specialties to improve nursing care and nursing practice in those areas as well.
Posted on: July 15, 2014, 2:23 pm

Adam Kwiatkowski

Hello, my name is Adam Kwiatkowski and I am currently a student at Rutgers School of Nursing accelerated BSN program. I was very pleased to hear that New Jersey is implementing a Long-Term Care residency program. Nursing residency programs are a great way for new graduates to get more extensive training and be better prepared nurses, and I might be considering one after graduation. You receive more hands on training working with a preceptor all the time and the longer duration in training. In our school we are exposed to many different clinical settings but we do not have rotations in Long-Term Care settings. Although I have never considered working in this type of setting I think being exposed to this type of setting would bring more BSN students to go into this field of nursing. I think more schools should try to incorporate this to get our future nurses more exposed to these Long-Term Care facilities. I have often heard that the patient to nurse ratio are usually very high in this field and that there is a bigger turnover rates. This program is a great way for this nurses to become better prepared and lessen the anxiety some nurses would have receiving many patients with a minimal training period as a new nurse.
Posted on: July 15, 2014, 3:15 pm


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