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Updated: Mar 19, 2026

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Quality Improvement: Creating a Float Pool Specialty Within a New Graduate Residency
Summary
New graduate registered nurses (RNs) successfully established a centralized float pool. This initiative utilized a quality improvement process within an RN residency program to create new care delivery norms in acute care settings.
Area of Science:
- Nursing
- Healthcare Management
- Quality Improvement
Background:
- Acute care leaders face challenges in redesigning care delivery to meet evolving healthcare demands.
- Establishing new operational norms is critical for successful healthcare transformation and improved patient outcomes.
Purpose of the Study:
- To assess the effectiveness of a registered nurse (RN) residency program in fostering the creation of new care delivery norms.
- To evaluate the successful implementation of a centralized float pool resource managed by new graduate RNs.
Main Methods:
- Implementation of a structured registered nurse (RN) residency program for new graduates.
- Application of a systematic quality improvement process to guide initiative development.
- Development and operationalization of a centralized float pool resource within an acute care setting.
Main Results:
- New graduate RNs successfully created and implemented a centralized float pool resource.
- The RN residency structure provided a framework for new nurses to lead change initiatives.
- Demonstrated success in establishing new norms for resource allocation and care delivery.
Conclusions:
- Registered nurse (RN) residency programs can empower new graduates to drive significant changes in care delivery.
- Quality improvement methodologies are effective in supporting the establishment of innovative healthcare resources like float pools.
- Successful creation of a centralized float pool signifies a positive shift in acute care operational norms.
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