Study Finds Intern Program Could Reduce Job Turnover for
The first year of professional nursing is often a
highly stressful one for new nurse graduates and results in
a third leaving their jobs within one year and nearly 60
percent in two years. Although health care organizations
spend significant time and resources on nurse recruitment,
orientation and training, new nurse graduates still account
for more than 50 percent of turnover in some hospitals.
This turnover is attributed to that fact that many
graduates find in their first year of employment that
disparities between the student and staff nurse roles
create professional and personal struggles that are
difficult to manage.
A recent study conducted by Johns Hopkins School of
Nursing faculty members Robin P. Newhouse, Janice J.
Hoffman and others — published in the current issue
of Nursing Administration Quarterly — examines
a possible solution: a resource-intensive internship
program called SPRING (for Social and Professional Reality
Integration for Nursing Graduates) that could improve new
nurse graduate retention, sense of belonging,
organizational commitment and anticipated turnover.
The authors note that nurse graduates who completed
the SPRING internship program had higher one-year retention
rates than a similar group who had not undergone the
training. According to Newhouse and colleagues, "Nurse
graduates in their first year ... do not perceive a high
level of skill, comfort or confidence, thus indicating the
need for extended orientation and support programs to
promote transition into practice."
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