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Structured orientation for new graduates: a retention strategy.
Elizabeth H Marcum1, Robin D West
1Sentara Leigh Hospital, Norfolk, Virginia, USA.
Summary
A structured nursing orientation program significantly boosted retention rates. The 13-week initiative enhanced critical thinking, patient care, and self-esteem in new graduate nurses.
Area of Science:
- Nursing Education
- Healthcare Workforce Retention
Background:
- High turnover rates among new graduate nurses pose challenges to healthcare systems.
- Effective onboarding is crucial for integrating novice nurses into practice.
- Structured orientation programs can mitigate early career attrition.
Purpose of the Study:
- To evaluate the impact of a 13-week structured, progressive orientation program on new graduate nurse retention.
- To assess the program's influence on critical thinking, patient care management, and self-esteem.
Main Methods:
- Twenty new graduate nurses participated in the 13-week orientation program.
- Evaluation utilized the Performance Based Development System, ASTD Evaluation Tool, and Professional Judgment Rating Form.
- Retention rates were a primary outcome measure.
Main Results:
- The orientation program demonstrated a positive influence on nurse retention.
- Key program components included critical thinking skill development, patient care management strategies, and self-esteem enhancement.
- Improvements in these areas correlated with increased retention.
Conclusions:
- A structured, progressive orientation program is effective in increasing new graduate nurse retention.
- Focusing on critical thinking, patient care, and self-esteem is vital for successful nurse integration and retention.
- Investment in comprehensive orientation programs yields significant benefits for healthcare organizations.