Nurse Residency
Study design based on outcomes of the UHC graduate nurse residency program The AACN/University Health System Consortium (UHC) Residency Program was designed to expand the capacity of the university's baccalaureate nursing program and to develop a residency program to improve the competency of novice nurses. According to the study, the program's retention rate statistic of 89% was an improvement upon published reports indicating that the average nursing turnover rates of new graduates was 40-50% during the first year of employment. ("AACN/UHC Nurse Residency Program," 2006, AACN website) To better test the outcomes of the findings of the UHC graduate nursing program study to increase retention, satisfaction, and overall professional competence, graduates of the newly development program should continue to be assessed with three evaluative instruments. However, these evaluations should be measured against the scores of graduates of a variety of less structured or more traditional nursing program. Given the variety of nursing programs in existence across the country, ideally a sampling of a wide variety of other programs should be selected, but with a similar group composition of age, gend
Conclusion At present, the UHC study provides evidence that it can increase retention and levels of job satisfaction in its graduates. Increasing nurse's positive perceptions of these different areas was another critical goal of the study. The control group is actually likely to be a better contrasting measurement, given that the control sample will have a population similar in demographics to the experimental population of UHC nursing residents, and thus factors such as previous education level will have less of an influence upon the results. The McCloskey Mueller Satisfaction Scale provides a quantitative instrument of comparison regarding a subjective perception-job satisfaction. Items are written in list format and the total score sums the results of all categories of the items. InstrumentsThe first instrument used by the UHC study to assess its results was the McCloskey Mueller Satisfaction Scale, designed to measure the nurses' overall level of satisfaction with their profession. " (McCloskey Mueller Satisfaction Scale, 2006, METRIC) This instrument was used in the UHC to gain a sense of the level of satisfaction of the nurses in the program. It assesses nurses' perceived access to 184 empowerment structures such as opportunity, support, information, and resources in relation to how these factors are influenced their perceived general autonomy. (Moulton 2000)Each study instrument, although all to some extend measure feelings of satisfaction with the profession and professional competence, provide unique contributions to the validity of the study by assessing overall personal satisfaction in regards to nursing, the satisfaction the nurses feel in regards to their education through the residency program, and finally provide some idea in regards to the nursing graduate's perceptions of personal, professional expertise upon graduation. Analysis of turnover: ANOVA groups and t-tests A t-test is used to compare the means between two separate samples of individuals, assuming the data is normally distributed. At present, one of the defects of the UHC study is that there is no concrete comparison group by which to compare all of the instruments of the study. Retention rates between the program, and national levels of retention can be compared, but this broad control group contains a wide range of demographic data that might influence retention other than the quality of the program. The retention rate from the selected control sampling should also be compared against the experimental group. This instrument targets the study goal of improving the quality of the educational component of the program. er, and previous academic preparation.
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