Nurse-intern programs: how they're working

Results of the study support conclusions drawn from the literature: The nurse-intern program stands as an efficient, effective method of orienting new graduate nurses in their first work experience. Internships provide a highly realistic vehicle for smoothing the transition from student to staff nurse and also promote recruitment and retention of qualified personnel. Participation in an intern program helps the graduate assume increasingly responsible roles as he or she gains self-confidence, competence, and comfort in the clinical setting and becomes more able to give quality patient care. Strong similarities among programs as noted in both the study and the literature suggest that despite differences in titles and settings for these programs, many commonalities do exist. A common feature seems to be the placement of a limited number of participants in one or two areas for a lengthy period under the guidance of a specified individual. This overall structure, in conjunction with a well-developed plan of program objectives and experiences, appears to constitute the formula for success. Agencies considering development of a nurse-intern program would do well to first consider their ultimate goal in establishing such a program. Realistic assessment of the agency's capabilities and resources in relation to this desired end will help set the tone for subsequent program planning and minimize future frustration. For a program of this type, support from all levels of administration is essential, since the hoped-for return on investment may be some time in coming.