The organizational transformative power of nurse residency programs
| Autor: | Marlene Kramer, Lynn Forsey, Jessica Klaristenfeld, Johanna Lemke, Wendy C. Budin, Pat Maguire, Lauren Goodloe, Debra S. Hall, Diana Halfer, Susan L. Teasley |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Interview
Leadership and Management Attitude of Health Personnel media_common.quotation_subject Nursing Methodology Research Nursing Staff Hospital Nursing Conflict resolution Health care Medicine Humans Nurse Administrators Education Nursing Graduate Qualitative Research media_common Medical education Delegation business.industry Socialization Internship and Residency General Medicine Transformative learning Nursing Education Research Nursing Evaluation Research Professional association Power Psychological business Delegation Professional Qualitative research |
| Zdroj: | Nursing administration quarterly. 36(2) |
| ISSN: | 1550-5103 |
| Popis: | Residency programs for newly licensed registered nurses (NLRNs) have been strongly advocated by the Institute of Medicine, American Organization of Nurse Executives, and other professional organizations. Their cost-effectiveness as well as their impact on NLRN retention, job and practice satisfaction, improved performance, and reduction in environmental reality shock has been demonstrated. This qualitative study sought answers to the question: what people, components, processes and activities of Nurse Residency Programs (NRPs), and the work environment are instrumental in the transition and integration of NLRNs into the professional practice role and into professional communities? In the course of interviewing 907 nurses-NLRNs, experienced nurses, managers, and educators-practicing on clinical units with confirmed "very healthy work environments" in 20 Magnet hospitals, it became evident that not only did NRPs positively impact the professional socialization of NLRNs, they led to transformative changes in the organization and in the practice of other health care professionals. The organizational transformative changes described by the interviewees are presented for each of the 7 major challenges identified by NLRNs-delegation, prioritization, managing patient care delivery, autonomous decision-making, collaboration with other disciplines, constructive conflict resolution, and utilizing feedback to restore self-confidence. If it can be demonstrated that these transformative changes stimulated by NRPs also lead to improved patient outcomes, NRPs may be the most significant organization transformation instituted by nurse leaders in recent years. |
| Databáze: | OpenAIRE |
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