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Evaluation of a Statewide Nurse Residency Collaborative: An Apprenticeship Model in Acute Care
Daria L Waszak1,2, Edna Cadmus1,2, Michele Livich Roberts3
1New Jersey Collaborating Center for Nursing.
Background:
The New Jersey Nurse Residency Collaborative included 21 hospitals that used the Vizient/American Association of Colleges of Nursing (AACN) Nurse Residency ProgramTM. Thirteen followed the Department of Labor apprenticeship Vizient/AACN model that included (a) full-time employment, (b) 144 hours of education, (c) 2,000 hours of precepted/mentored time, and (d) a salary increase at program completion. The remaining hospitals provided 48 hours of education, with varying numbers of hours of orientation over a period of 12 months with preceptors/mentors, referred to as the traditional Vizient/AACN model.
Method:
Retrospective data were reviewed to evaluate the collaborative overall and compare the two models. This review included confidence, competence, and retention for 1,644 nurse residents who started in 2022-2023.
Results:
The 1-year retention rate for the collaborative was 89%. The apprenticeship Vizient/AACN model had lower initial skill scores means, yet a 12% higher retention rate than the traditional Vizient/AACN model.
Conclusion:
A statewide nurse residency collaborative promotes retention of new nurses who are confident and competent.
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