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Supporting Novice Nurses' Transition to Independent Practice: Evaluation of the TIPS Program Using the Kirkpatrick
Charissa Cordon1,2,3, Desa Dlugosz1, Lorena Lopez4
1William Osler Health System, Brampton, ON L6R 3J7, Canada.
Nursing Reports (Pavia, Italy)
|February 25, 2025
Summary
The Transition to Independent Practice Support (TIPS) program significantly boosted nurse confidence and skills, leading to a decrease in nursing turnover. This initiative supports new nurses in acute care settings.
Area of Science:
- Nursing Education
- Healthcare Workforce Development
- Clinical Competence
Background:
- High turnover and burnout rates among nurses, particularly early-career professionals, pose a significant challenge to healthcare systems.
- Experienced nurses also face burnout due to increased demands and mentorship responsibilities.
- Trillium Health Partners (THP) identified a need for enhanced support for its nursing workforce, with 50% having less than five years of experience.
Purpose of the Study:
- To evaluate the efficacy of the Transition to Independent Practice Support (TIPS) program in facilitating the transition of novice nurses to independent practice.
- To assess the program's impact on nurses' knowledge, confidence, clinical competence, and retention.
- To determine the program's effect on the quality of patient care.
Main Methods:
- Development and implementation of the TIPS program, incorporating webinars, simulations, clinical rounding, and mentorship, grounded in Meleis's Transition Theory.
- Evaluation using the Kirkpatrick Model, assessing participant reactions, learning, behavior changes, and retention.
- Data collection included participant satisfaction surveys, self-reported confidence measures, simulation performance, competency checklists, and analysis of nursing turnover rates.
Main Results:
- High participant satisfaction with the TIPS program (mean reaction score of 4.80/5), with 95% finding sessions relevant and 98% rating facilitators knowledgeable.
- Significant increase in self-reported nurse confidence across all topics (from 2.94 to 4.52, p < 0.0001), indicating strong skill acquisition.
- Improved clinical performance demonstrated by 100% compliance in nursing skills during simulations and sustained confidence at three-month follow-ups. Nursing turnover decreased from 9.52% to 7.7%.
Conclusions:
- The TIPS program effectively addresses knowledge gaps and enhances clinical competence among novice nurses.
- The multi-pronged approach of the TIPS program demonstrably improves nurse confidence, skills, and retention.
- Preliminary outcomes indicate a positive impact on the transition of new graduate nurses into acute care, contributing to workforce stability.
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