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Learn MoreHawai’i Nurse Residency Program facilitates massive 351% enrollment increase for nurse residency programs across the state
In 2012, the Hawai’i State Center for Nursing established the first nurse residency program partnership in the nation. The Hawai’i Nurse Residency Program (HNRP) is a collaborative partnership between healthcare facilities and schools of nursing with an intended goal of supporting new nurse transition to practice, as well as incentivizing new nurses to stay at facilities within the state beyond their first year of practice. As of 2021, there are 14 partner hospitals covering all counties within the state and the scope continues to expand.
The statewide nurse residency program was the first of its kind in the U.S., designed to provide support for retention and transition to successful nursing practice. Such a trailblazing program would require a consistent solution with integration and data analytics to take it to the next level. Partner facilities also indicated they wanted more standardization of learning content and a greater breadth of specialty nurse content to provide the best level of support. Nurse educators were already stretched thin with other responsibilities, so it was important to find a vendor eager to support HNRP’s goals.
The HNRP began re-evaluating their program and vendors in 2018, and transitioned to HealthStream in 2020, just as the pandemic was beginning. This presented some obvious challenges. Turnover hadn’t yet increased significantly, but the goal was to proactively transition facilities to the new HealthStream program. The pandemic definitely heightened the need for training – not only was it utilized for new nurses, the program also helped with rapid training and placement for FEMA nurses during this time.
Since the rollout of the HealthStream program, facilities have seen immediate results:
Decreasing first-year attrition rates has long been a goal for HNRP – like most states, new nurses are prone to leave their positions or the profession entirely for a variety of reasons. According to 2021 survey results from the Hawai’i State Center for Nursing1, 57% of new graduate nurses indicated they were either uncertain, likely, or very likely to leave their current position within the next 12 months. However, nurses in acute care settings – those most likely to have a nurse residency program – were least likely to indicate uncertainty of interest in leaving (45%), whereas at least half of all new nurses in non-acute settings indicated uncertainty or a desire to leave.
To help with attrition and further strengthen the competency and satisfaction levels of new nurses, HNRP hopes to expand the nurse residency program to other non-acute settings, particularly at long-term care facilities. The state’s surveys indicated that 60% of nurse graduates whose first job was in an acute-care setting participated in nurse residency, while only 6% of those in non-acute settings did. Hilo Medical Center has started the first long-term care/post-acute care NRP cohort in the state. As a current priority for the expansion of transition to practice training, it will likely be the first of many.
Preceptor training, another HNRP priority and welcomed addition for facilities, was essential to meeting the need for more preceptors and opportunity for career laddering. Even smaller residency programs utilized the preceptor training, given the benefits of increased job satisfaction and improved retention. An added benefit, grant funding also helped to facilitate Preceptor Pathway training costs for partners and helped enroll 418 expert nurses in the preceptor training, as well as the opioid training.
Of course, the statewide standardization of nurse residency program has led to other benefits, such as a local community for nurse educators to exchange ideas, resources, and support and the ability to track cohorts together as well as on a statewide basis for better decision making. Because the program is standardized, it provides heightened transferability. New nurses can rest assured that no matter the specialty or location they’re working in, their nurse residency program will fundamentally look the same but will be customized to reflect their clinical setting and population.
The transition to practice can be very challenging for new nurses. It is important to get ahead of these challenges and provide adequate support for new nurses entering the workforce, because the statistics are dire: Researchers at the National Council of State Boards of Nursing (NCSBN) released a report in April 20232 that states 100,000 nurses left the workforce over the past two years. Perhaps even worse, they project that one-fifth of the nursing workforce will leave the profession by 2027 for a variety of reasons – increased workload since the pandemic, fatigue, and emotional distress, among others.
The success achieved by the Hawai’i State Center for Nursing serves as a bellwether and model for future successful state nursing programs nationwide. Priorities for further expanding the transition-to-practice support include more specialty development initiatives, expanded preceptor training, and nurse residency programs in post-acute/long-term care settings.
HealthStream’s learning management system and healthcare training solutions support medical training initiatives and allow for the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validate health outcomes and support provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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