Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Development of Korean Nurse Residency Program for Tertiary Hospitals

국내 상급종합병원 신규간호사의 실무적응지원 프로그램 개발

  • Kwon, In Gak (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Cho, Yong Ae (Red Cross College of Nursing, Chung-Ang University) ;
  • Kim, Kyeong Sug (Department of Nursing, Samsung Medical Center) ;
  • Kim, Mi Soon (Department of Nursing, Samsung Medical Center) ;
  • Cho, Myung Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University)
  • Received : 2021.05.31
  • Accepted : 2021.06.29
  • Published : 2021.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses' transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses' education, preceptor supporting strategies, evaluation standards for new nurse's education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses' transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed.

Keywords

Acknowledgement

본 연구는 2019년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

References

  1. Kramer M, Brewer BB, Maguire P. Impact of healthy work environments on new graduate nurses' environmental reality shock. Western Journal of Nursing Research. 2011;35(3):348-383. https://doi.org/10.1177/0193945911403939
  2. Benner PE, Sutphen M, Leonard V, Day L. Educating nurses: A call for radical transformation. San Francisco(CA): Jossey-Bass; 2010. p. 1-260.
  3. Burns P, Poster EC. Competency development in new registered nurse graduates: Closing the gap between education and practice. Journal of Continuing Education in Nursing. 2008;39(2):67-73. https://doi.org/10.3928/00220124-20080201-03
  4. Gardulf A, Soderstrom IL, Orton ML, Eriksson LE, Arnetz B, Nordstrom G. Why do nurses at a university hospital want to quit their jobs?. Journal of Nursing Management. 2005;13(4):329-337. https://doi.org/10.1111/j.1365-2934.2005.00537.x
  5. Windey M, Lawrence C, Guthrie K, Weeks D, Sullo E, Chapa D. A systematic review on interventions supporting preceptor development. Journal for Nurses in Professional Development. 2015;31(6):312-323. https://doi.org/10.1097/NND.0000000000000195
  6. Anderson T, Linden L, Allen M, Gibbs E. New graduate RN work satisfaction after completing an interactive nurse residency. Journal of Nursing Administration. 2009;39(4):165-169. https://doi.org/10.1097/nna.0b013e31819c9cac
  7. Casey K, Fink R, Krugman M, Propst J. The graduate nurse experience. Journal of Nursing Administration. 2004;4(6):303-311. https://doi.org/10.1097/00005110-200406000-00010
  8. Van Camp J, Chappy S. The effectiveness of nurse residency programs on retention: A systematic review. AORN Journal. 2017;106(2):128-144. https://doi.org/10.1016/j.aorn.2017.06.003
  9. Barnett JS, Minnick AF, Norman LD. A description of U.S. post-graduation nurse residency programs. Nursing Outlook. 2014;62(3):174-184. https://doi.org/10.1016/j.outlook.2013.12.008
  10. Shin S, Park Y, Kim M, Kim J, Lee I. New nurses' education management system guidelines report. Seoul: Korean Nurses Association, Center for Nursing Workforce Employment Education; 2018. p. 1-65.
  11. Goode CJ, Glassman KS, Ponte PR, Krugman M, Peterman T. Requiring a nurse residency for newly licensed registered nurses. Nursing Outlook. 2018;66(3):329-332. https://doi.org/10.1016/j.outlook.2018.04.004
  12. Goode CJ, Lynn MR, McElroy D, Bednash GD, Murray B. Lessons learned from 10 years of research on a post-baccalaureate nurse residency program. Journal of Nursing Administration. 2013;43(2):73-79. https://doi.org/10.1097/NNA.0b013e31827f205c
  13. AL-Dossary R, Kitsantas P, Maddox PJ. The impact of residency programs on new nurse graduates' clinical decisionmaking and leadership skills: A systematic review. Nurse Education Today. 2014;34(6):1024-1028. https://doi.org/10.1016/j.nedt.2013.10.006
  14. Pizzingrilli B, Christensen D. Implementation and evaluation of a mental health nursing residency program. Journal of Nursing Education and Practice. 2015;5(1):76-84. https://doi.org/10.5430/jnep.v5n1p76
  15. Setter R, Walker M, Connelly LM, Peterman T. Nurse residency graduates' commitment to their first positions. Journal for Nurses in Staff Development. 2011;27(2):58-64. https://doi.org/10.1097/NND.0b013e31820eee49
  16. Kim CH, Kim HS, Cho HS, Lee SO, Ham HM, Park MM. The effect of preceptorship on OJT(On the Job Training) of new nurses. Korean Journal of Adult Nursing. 2000;12(4):546-559.
  17. Kwon EO, Cho JS, Song KJ, Choi-Kwon S, Jang SJ, Kim JH, et al. Development and application of a specialized mentor program for new graduate nurses: Focused on intensive care unit of a tertiary university hospital. Journal of Korean Academy of Nursing Administration. 2009;15(4):563-570.
  18. Park MR, Lee MJ. Effects of mentoring program's development about new nurses. Journal of Convergence for Information Technology. 2018;8(1):43-51. https://doi.org/10.22156/CS4SMB.2018.8.1.043
  19. Koo MJ, Kim KN. A study on the development and evaluation of hospital communication(hospital adaptation) program for new graduate nurses. Korean Journal of Health Service Management. 2014;8(4):1-12. https://doi.org/10.12811/kshsm.2014.8.4.001.
  20. Choi GH. The effects of the organizational socialization education program on job satisfaction, organizational commitment and turnover intention of new nurses. Korean Journal of Health Service Management. 2014;8(3):89-102. https://doi.org/10.12811/kshsm.2014.8.3.089
  21. Hospital Nurses Association. Survey on hospital nurse staffing in Korea. In: Hospital Nurses Association, editor. 2013 Business report. Seoul: Hospital Nurses Association; 2014. p. 305-329.
  22. Hospital Nurses Association. Survey on hospital nurse staffing in Korea. In: Hospital Nurses Association, editor. 2017 Business report. Seoul: Hospital Nurses Association; 2018. p. 63-94.
  23. Hospital Nurses Association. Survey on hospital nurse staffing in Korea. In: Hospital Nurses Association, editor. 2018 Business report. Seoul: Hospital Nurses Association; 2019. p. 69-98.
  24. Kwon IG, Cho YA, Cho MS, Lee YH, Kim MS, Kim KS, et al. Survey on educational programs for new graduate nurses and experiences in role transition of new graduate nurses: Policy research report. Seoul: Korean Hospital Nurses Association, 2018. p. 1-57.
  25. KMHW: Announcement to recruit hospitals implementing education nurse support project [Internet]. Seoul: Korean Ministry of Health and Welfare; 2019 May 1. [cited 2021 May 20]. Available from: http://www.mohw.go.kr/react/al/sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040102&BOARD_ID=110&BOARD_FLAG=01&CONT_SEQ=349301.
  26. Lee HY. A study on analysis and checking the operating status of nurse residency program in USA: Policy research report [Internet]. Seoul: Korean Nurses Association; 2019. p.1-58. [cited 2021. May 20]. Available from: https://www.koreanurse.or.kr/board/viewPdfView.php?sfloat=5800&grade=1&board_id=research&file_no=57.
  27. Park YS. A study on the present condition of a preceptor system an a way to improve it: Focusing on investigation into the perception of nurses at Sunchon Hospital S [master's thesis]. Sunchon: Sunchon National University, 2011. p. 1-60.
  28. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health. 2007:30(4);459-467. https://doi.org/10.1002/nur.20199
  29. Yin YC. The two-year post graduate training program for nurses: Implementation statue and personal perspectives. Journal of Nursing. 2013;60(3):11-16. https://doi.org/10.6224/JN.60.3.11