Improving Role Transition, Recruitment, & Retention Through A Structured APRN Orientation Program
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Advanced Practice Registered Nurses (APRNs) are leaving hospital-based organizations within their first year of practice due to unforeseen challenges, role confusion, inadequate support, and fragmented onboarding processes. The transition difficulties experienced by APRNs within healthcare organizations and absence of an organized APRN infrastructure can subsequently lead to unfavorable patient care outcomes. This evidence-based quality improvement pilot project aimed to improve role transition, recruitment, and retention among novice APRNs after attending a structured orientation program at a Department of Veteran’s Affairs Medical Center. Five APRN students from affiliate universities were recruited under the Office of Academic Affiliations APRN Allocation Plan for Nursing Trainees, subsequently leading to the creation of a traineeship program. The structured orientation program was designed to improve positive self ratings of clinical proficiency and effectiveness through the traineeship program. This report will explore the approaches implemented by a Veterans Healthcare Administration (VHA) System to recruit, orient, and transition APRN students into the organization while creating a pathway for a Nurse Practitioner (NP) Residency program. Facilitating successful role transition among novice APRNs in structured transition programs can improve recruitment and retention within the organization, thereby increasing veteran access to higher quality of care.
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