Conceptual model and design of an initiative to build nurses' resilience and ethical practice

Healthcare faces a nursing crisis with high turnover, burnout, and faculty shortages, which requires innovative educational approaches that bridge the gap between education and practice.

To present the conceptual model and design of a statewide, trans-institutional academic-practice collaboration that holistically builds nurses' resilience and ethical practice across the education-to-practice continuum.

Development of the Renewal, Resilience, and Retention (R³) Initiative based on adaptation of the Mindful Ethical Practice and Resilience Academy (MEPRA), social ecological framework, and stakeholder input across eight schools of nursing and five hospitals in Maryland.

The R³ Initiative created a scalable conceptual model with four foundational constructs supported by 42 evidence-informed educational resources, faculty development workshops, and multi-tiered learning communities that enable integration of resilience content into existing curricula without major redesign.

The R³ Initiative provides a replicable framework for building nursing workforce resilience through coordinated education-practice partnerships and evidence-informed interventions that address individual and systemic factors contributing to burnout and disengagement.