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Competency-Based Transitional Support Program for Newly Graduated Nurses: A Program Development Study.

Heui-Kyeong Kwon¹, Soohyun Kim¹, Kyung Yi Lee¹

¹Department of Nursing, Seoul National University Hospital, Seoul, Korea.

The Journal of Nursing Research : JNR

|August 4, 2025

Summary

This summary is machine-generated.

Newly graduated nurses face transition challenges. A 1-year competency-based nurse residency program significantly improved nurse knowledge, skills, and performance, reducing turnover and errors.

Keywords:

competency mentoring new graduate nurse residency program transition

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Area of Science:

Nursing Education
Professional Development
Healthcare Workforce Management

Background:

Newly graduated nurses often struggle with professional practice transition due to inadequate training.
Nurse residency programs aim to ease this transition, but standardized, effective programs are needed.
Addressing these transition difficulties is crucial for retaining new nursing talent.

Purpose of the Study:

To develop a 1-year competency-based nurse residency program for newly graduated nurses.
To assess the educational needs of nurses entering the workforce.
To evaluate the program's effectiveness in facilitating a smooth transition.

Main Methods:

A competency-based nurse residency program was designed using an instructional model (ADDIE).
Program outcomes were evaluated using the Kirkpatrick model, including questionnaires and observational surveys.
Descriptive statistics were employed to analyze all collected study data.

Main Results:

The 1-year program comprised four modules: introductory education, clinical preceptorship, core competency development, and mentoring.
Participants reported high satisfaction with introductory education (4.67-4.90/5) and showed significant gains in knowledge, skills, and performance.
The program correlated with a reduced nurse turnover rate (<10% within 6 months) and a decrease in nursing errors (1.46 per 100 working days).

Conclusions:

Newly graduated nurses frequently leave their jobs within the first few years due to practice transition difficulties.
A competency-based nurse residency program, incorporating emotional support and core competency training, effectively aids new nurses' transition.
Implementing such programs is vital for improving new nurse retention and practice readiness.