The Robert Wood Johnson Foundation and the Institute of Medicine collaborated to put together a report with recommendations on how to improve the nursing profession. One of the recommendations provided was the idea to implement nurse residency programs. This is specifically, a “planned, comprehensive periods of time during which nursing graduates can acquire the knowledge and skills to deliver safe, quality care that meets defined (organization or professional society) standards of practice” (IOM, 2011). It gives the first year nurse the ability to develop clinical decision making skills, clinical autonomy in providing patient care, blend evidence based practice into their practices, and can increase commitment to nursing as a career (IOM, 2011).
I feel that this recommendation is extremely important, not only for newly licensed RNs but also advanced practice nurses. I remember when I came out of nursing school and received by nursing license I was scared out of my mind and did not think I was capable of providing the best quality care. I was grateful enough to be provided with a five month orientation with preceptors who took the time to teach me the ropes of the emergency room and also how to use everything I learned in nursing school. Following completion of my orientation, I felt fully competent to take care of patients who need immediate attention from me. I do not know how I would have handled myself if I only had a few weeks worth of orientation and got thrown to the wolves.
The nursing profession can meet these recommendations by providing financial assistance to hospitals who provide longer orientations times or residency programs. Hospitals that offer the programs should show how effective they are in improving patient outcomes, strengthen the nurse’s competency, and improve turn over rates (IOM, 2011).
Just like for newly...