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The Dynamic Role of Data: How Data Elevates Your Nurse Residency Program

December 12, 2023
December 12, 2023

This blog is taken from a recent HealthStream webinar entitled “The Dynamic Role of Data: How Data Elevates Your Nurse Residency Program”. The webinar examined how program data access and visualization can help drive excellence in nurse residency programs. It explored the ways in which trusted programming backed up by reliable and valid data can help your organization develop nurse residents and take the burden off of your clinical leaders.

The webinar was moderated by Jill Lamle, HealthStream’s Marketing Manager for Clinical Staff Development and featured presenters:

  • Meghan Ficarra, DNP, RN, ACCNS-AG, Senior Product Manager, Nurse Residency, HealthStream
  • Elizabeth Haecker, MSN, RN, NPD-BC, Success Manager, Nurse Residency, HealthStream


RN Turnover - The Cost

Stable, successful nurse residency programs are the key to building a strong pipeline of confident nurses. Ficarra updated the now-familiar state of RN turnover. She shared data from the 2023 NSI National Health Care Retention and RN Staffing Report. The report has data from 273 hospitals across 35 states. The average turnover rate in 2022 was 22.5%. Step-down units, emergency and behavioral health settings had the highest turnover rates. The study estimated the turnover cost per RN to be $52,000.00 which is 13.5% higher than the cost reported in 2021.


RN Turnover – Preparing Nurses for Practice

Ficarra recommended that hospitals seeking to reduce turnover first consider the ways in which they prepare nurses for practice. She shared that nursing literature makes it clear that nurse residency programs make a significant difference in the three key elements of a successful transition to practice: 1.) readiness for practice, 2.) job satisfaction, and 3.) RN retention.


Tools for New and Existing Nurse Residency Programs

HealthStream’s Nurse Residency program is a solution for organizations with both new and existing nurse residency programs. HealthStream can support the development of a new nurse residency program with all of the tools that you need to build the program including templated curriculums that can be customized to six, nine or twelve-month programs. In addition, there are specialty tracks that can be offered to students in either an online or blended format. “HealthStream supports the development of your residency program with a residency consultant during the development phase and a success manager that will serve as an ongoing resource for the program in the post-implementation phase,” said Ficarra.

Organizations that have already implemented a nurse residency program will appreciate HealthStream’s tools, dashboards, and courses that will enhance your existing program and give access to consultative services, resources, program data insights, and a personalized residency experience.

HealthStream’s Nurse Residency Program has a great track record. Since its’ implementation in 2017, it has been implemented in 89 healthcare organizations and has graduated 3,000 nurses from the twelve-month program.


Better Tools for a Better Learning Experience

Ficarra shared that HealthStream is regularly adding new courses and micro-learning to support a variety of practice settings. In addition, through the dynamic and patented jane AI system, each learners’ knowledge and clinical judgement can be assessed. Once that assessment is completed, jane develops a personalized education program that has been tailored specifically to that learner’s needs.

Leaders can also be confident that the residency program’s data is managed and reported within an easy-to-use dashboard that allows users to aggregate and sort data into meaningful and actionable reports.


Successfully Implementing Your Nurse Residency Program

Haecker shared that HealthStream has a process for fully supporting the implementation of the Nurse Residency Program. An onboarding manager supports the initial process, and an expert trainer helps to ensure that new users are fully proficient in every aspect of the program. After the program has launched the first cohort, a success manager will continue to support the organization as they continue to progress through the program. As a success manager, Haecker meets with residency managers and/or their teams as often as needed.

She also shared that the program’s Community of Practice feature supports users with a roadmap for the initial residency cohort and remains as a resource for subsequent cohorts. It also serves as a forum in which users share successes and best strategies with their colleagues from across the country.


Measuring and Managing Success with the Nurse Residency Confidence Survey

Haecker shared that the Nurse Residency Confidence Survey is a psychometrically-valid and reliable tool. “It measures the nurse resident’s confidence levels in the four domains of practice – assessment and evaluation, clinical practice, Interprofessional communication and professional role,” said Haecker. Ideally, the survey should be implemented at specific intervals throughout the year beginning with the first week of residency and next at the 12-week mark and then at regular intervals going forward.

The survey results can help leaders identify residents who are struggling and provide them with the appropriate support. The survey results provide a visual representation of how their confidence levels have progressed throughout their first year of practice.

Measuring and Managing Success with Superior Reporting Capabilities

Haecker also demonstrated how users build reports with the Pathfinder Control Center. Users are able to see reports on each domain of practice and the resident’s overall confidence along with how those residents compare to the national benchmarks that are included in the reports. Users may also create customized reports by filtering the results by cohort, facility, specialty track, and department. Results can also be segmented by key demographics such as age, work status, school, or tenure.

Reports can also be provided on individual residents and data on course completions, scores, averages, and percent complete can also be reported at the aggregate or individual levels.