A Nurse Residency Program For New Nursing Essay

A Nurse Residency Program For New Nursing Essay

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The publication from the institute of medicine has garnered much interest since its publication in 2010 focusing on the future of nursing and the implementation of this with in the nursing community. The nursing profession has over 3 million members and is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 IOM (Institute of Medicine). One of the recommendations is that of a nurse residency program for new nurses or nurses transitioning into new clinical practice areas. The area I work in is home health and this is a growth area the need for a residency program cannot be over stated home health is not the same home health that it was 10 years’ ago, hospital stays are costly. Full beds are expensive and it is more cost efficient to get the patient discharged home with nursing visits as soon as possible. The demand for home health care nurses increases with the aging population and imperatives to prevent unnecessary hospitalizations, it is critical to attract and prepare more nurses for roles in home care. Typically, newly graduated, licensed registered nurses are not considered for these positions, but a residency program would address this.
Implement planned change
To aid with the implementation of the home health care residency program, the change theory from Kurt Lewin will be utilized for this process. The Change Theory of Nursing was developed by Kurt Lewin, who is considered the father of social psychology. He theorized a three-stage model of change known as unfreezing-change-refreeze model that requires prior learning to be rejected and replaced. Lewin 's definition of behavior in this mode...

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...dence program becomes one of the corner stones of the nursing department for new field nurses. Once completed and fully operational, an evaluation and summary of problems encountered, successes realized, and challenges encountered throughout the project should be done, for future reference.

With any project of this magnitude, it is imperative to have a complete plan in place for ultimate success. Using Lewin’s Change Management theory to guide the implementation of the Nurse Residency Program at Option care can help to promote acceptance by field nurses by involving them in all aspects of the planning and implementation. Creating this ‘buy in’ from the nurses builds autonomy and ownership of the project, ultimately leading to success. The use of brainstorming round table discussions to identify driving and resisting forces is a first step in this process.

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