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DiversityNursing Blog

Investing In New Nurses Improves Retention Rates

Posted by Carlos Perez

Wed, Jan 17, 2024 @ 10:19 AM

Healthcare organizations must recognize the importance of investing in resources and training for graduate Nurses during their first 2 to 3 years of employment in order to retain them in direct patient care roles. While some top Nursing schools are striving to produce practice-ready Nurses, not all graduates possess the expertise needed upon entering the workforce and may require time to build confidence in various situations. Consequently, new Nurse graduates face the highest risk of turn over within their initial years of employment.

In order to retain new Nurses and reduce turnover, it is essential to invest in their training and development. This can be done through programs such as Nurse residencies, mentorship, and access to clinical decision support resources. By providing these resources, healthcare organizations demonstrate their value and support for new Nurses. Collaboration between academia and practice settings is crucial to determine the necessary competencies for beginner Nurses.

The initial period of a Nurse's career is pivotal for their professional development, job satisfaction, and commitment to the organization. Here are some reasons why investing in new Nurses is good for retention:

Training and Development Opportunities

Offering comprehensive training programs is essential in equipping new Nurses with the skills and knowledge they need to excel in their roles. By providing ongoing professional development opportunities, healthcare organizations demonstrate a commitment to the growth and success of their Nursing staff, fostering a sense of value and investment in their development.

Mentorship Programs

Introducing mentorship programs connects novice nurses with seasoned mentors, fostering a nurturing atmosphere for growth and adaptation. Mentorship goes beyond imparting knowledge and helps Nurses feel a sense of inclusion, empowering them to navigate the demands of their roles with confidence and effectiveness.

Competitive Compensation and Benefits

Providing competitive salaries and attractive benefits is a clear indication of the organization's appreciation for the invaluable contribution of its staff. Adequate compensation plays a vital role in retaining highly skilled and motivated Nurses, ensuring their continued commitment to the organization's success.

Work-Life Balance

Promoting a harmonious work-life balance not only enhances Nurse satisfaction but also mitigates the risk of burnout. Implementing policies that prioritize scheduling flexibility, reasonable work hours, and ample time off significantly contribute to the overall well-being of Nurses.

Recognition and Appreciation

Acknowledging and valuing the hard work and dedication of new Nurses cultivates a nurturing work environment. Consistently providing feedback and recognizing their contributions not only instills a sense of pride but also enhances job satisfaction.

Career Advancement Opportunities

Creating a roadmap for career progression within the organization not only motivates new Nurses to stay for the long haul but also demonstrates a dedication to their professional development. Offering avenues for advancement, such as promotions, leadership positions, or specialized training, indicates a commitment to nurturing their growth and success.

Supportive Work Environment

Fostering a nurturing and inclusive work environment builds a strong sense of camaraderie among staff. Proactively addressing concerns such as Nurse bullying or workplace incivility plays a significant role in cultivating a positive workplace culture that values respect and collaboration.

Wellness Programs

Investing in wellness programs that prioritize the physical and mental well-being of staff showcases a genuine dedication to their overall health. These programs encompass a range of resources, such as stress management tools, mental health support, and initiatives promoting fitness and well-being.

Feedback Mechanisms

Encouraging a culture of open communication allows new Nurses to freely express their concerns, share valuable feedback, and actively contribute to the ongoing improvements within the workplace. By promoting an environment of transparency and responsiveness, healthcare organizations not only enhance job satisfaction but also create a strong foundation for collaboration and growth.

Investing in new Nurses not only supports their professional development but also creates a positive work environment that contributes to overall job satisfaction and retention. Organizations prioritizing the well-being and growth of their Nursing staff are likely to see increased loyalty and reduced turnover.

Topics: new nurses, new nurse, retention rate, retention, nurse retention, retain nurses, hospital retention rates

Exploring the Need for More Nurse Educators in Healthcare

Posted by Erica Bettencourt

Fri, Apr 21, 2023 @ 11:20 AM

GettyImages-1342275996There is a growing need for more Nurse Educators to address the current shortage of Nurses and ensure the future generations of Nurses are well-trained and prepared to provide quality care.

According to the Bureau of Labor Statistics’ Employment Projections 2021-2031, the Registered Nursing (RN) workforce is expected to grow by 6% over the next decade. The RN workforce is expected to grow from 3.1 million in 2021 to 3.3 million in 2031, an increase of 195,400 Nurses. The Bureau also projects 203,200 openings for RNs each year through 2031 when Nurse retirements and workforce exits are factored into the number of Nurses needed in the U.S.
 
The Advanced Practice Registered Nurse (APRN) workforce, including Nurse Practitioners, Nurse Anesthetists, and Nurse Midwives, is expected to grow much faster than average for all occupation, by 40% from 2021 through 2031, according to the BLS’ Occupational Outlook Handbook. Approximately 30,200 new APRNs, which are prepared in master’s and doctoral programs, will be needed each year through 2031 to meet the rising demand for care.

Nurse Educators play a vital role in the education and training of Nursing students and are responsible for developing and delivering curriculum, designing and implementing clinical experiences, and evaluating student progress.

The shortage of Nurse Educators at Nursing schools across the country are limiting student capacity at a time when the need for Nurses continues to grow.

According to the American Association of Colleges of Nursing (AACN), budget constraints, an aging faculty, and increasing job competition from clinical sites have contributed to this crisis.

However, increasing the number of Nurse Educators is critical to addressing the Nursing shortage and ensuring that there are enough qualified Nurses to meet the needs of patients. 

There are several strategies that can be implemented to increase the number of Nurse Educators:

Increase Funding

Providing increased funding for Nursing education programs can help schools hire additional faculty and offer competitive salaries and benefits packages.

It's recommended, Congress pass legislation that would invest in Nursing faculty, clinical placements, and Nursing program facilities so that colleges and universities have the resources to enroll and graduate more students. 

Tuition Forgiveness

Providing tuition forgiveness or loan repayment programs for Nurses who pursue advanced degrees in Nursing education can help incentivize Nurses to become Educators. Learn more about loan forgiveness or loan repayment programs here

Mentorship Programs

Providing mentorship programs to support new Nurse Educators can help with their retention and success in the field. These programs are meant to encourage mutual professional growth between both the mentor and the mentee through a dynamic and supportive relationship.

Flexible Scheduling

People everywhere are demanding a shift toward work-life balance. Healthcare professionals are constantly working long hours, with little to no flexibility in their schedules. Offering flexible scheduling options can help attract individuals who may be interested in teaching but have other commitments, such as family or outside work.

Professional Development

Nurse Educators are tasked with nurturing the growth and education of Nurses, but they also need opportunities for growth and development. Offering opportunities for ongoing professional development, such as attending conferences or pursuing advanced degrees, can help keep Nurse Educators up-to-date on the latest Nursing practices and research.

Collaborations with Healthcare Facilities

Partnerships between Nursing schools and healthcare facilities can help provide clinical experiences for Nursing students and provide opportunities for Nurses to transition into teaching roles.

Katie Boston-Leary, PhD, RN, Director of Nursing programs at the American Nurses Association, told Becker's Hospital Review, she views it as "building a bridge" between schools and hospitals to train Nurses in real-world healthcare situations. Additionally, she said, growing an in-house team of Nurse Educators provides a pipeline for hospitals who can be actively involved in cultivating their own future workforces.

By implementing these strategies, Nursing schools and healthcare organizations can work together to address the shortage of Nurse Educators and make sure future generations of Nurses receive the education and training they need to provide high-quality patient care.

 

Topics: new nurses, new nurse, nursing school, nurse, nurses, Nurse Educators, nurse shortage, nurse training

Advice For New Nurses

Posted by Diversity Nursing

Thu, Apr 06, 2023 @ 10:23 AM

GettyImages-1400028194Congratulations on starting your Nursing career! Here are some pieces of advice that may help you as a new Nurse:

Never stop learning

Nursing is a constantly evolving field and there are always new things to learn. Attend continuing education classes, read Nursing journals, go to Nursing conferences, join Nursing associations, and stay up-to-date on the latest research.

Get to know your teammates 

Don't hesitate breaking the ice, introduce yourself, others are probably wondering who this new person is! Once you get to know everyone, try keeping a close group of people you can rely on and talk to when need be. Every one needs a helping hand or shoulder to lean on time and again. 

Sara Lentz DNP, MSN, RN, CNL at Heritage Dignity Health said, "Get to know everyone you work with, from the top to the bottom of the organizational structure. It doesn’t matter if someone is cooking, providing bedside care, or a chief — everybody is there for a common goal and a part of your work family.”

Don't be afraid to ask questions

As a new Nurse, it's okay to not know everything. Ask your colleagues and mentors for help when you need it.

Mary Erickson, RN, Clinical Care Leader at Sanford Health said, "Even after 34 years in the ICU, there is still plenty for me to learn and there will be for you, too. A Nurse who asks a lot of questions and continues to expand their knowledge and expertise will undoubtedly provide good, quality care to patients."

Be organized

Nursing can be a busy and demanding profession, so it's important to be organized. Develop a system for keeping track of your tasks, and prioritize your to-do list. Try taking notes or use a Nursing report sheet, so you can ensure you're always on top of your game.

Stay calm

One of the most important things a new Nurse can do is to remain calm under pressure. When difficult situations arise, it is a Nurse’s job to provide a sense of calm for their patients and their families.

Develop good communication skills

Effective communication is essential in Nursing. Learn how to communicate clearly and effectively with your colleagues, patients, and their families.

“Look at your patient so you notice their nonverbal communication. Find ways to assess fine motor skill where they don’t notice it. For example, when working home health have them reach for pen when signing paperwork. My assessment begins the minute I enter their room or when they open the door. Use ALL of your senses! Actively listen to patients and their family," says Nurse Kay.

Take care of yourself

Burnout in Nursing is common as it's a physically and emotionally demanding job. It's critical you take care of yourself. Get enough rest, eat a healthy diet, enjoy your social life, exercise regularly, and find ways to manage stress.

Be compassionate

Don’t ever forget, you're in the profession of caring. It's important to be compassionate toward your patients and their families. Treat each patient as an individual, with their own unique needs, fears, and preferences.

Build a support network

This career can be challenging, so it's important to have a support system of colleagues, friends, and family members who understand what you're going through.

“Being a Nurse will change your life. It changes your outlook on a lot of things--makes you more passionate about some, thankful for some and just down-right mad about others,” Nina Vella, RN, at St. Edward Mercy Medical Center said, adding that the best part of being a Nurse is “getting to genuinely make a difference in someone’s life. When a patient tells you ‘thank you for saving my life,’ you can’t help but to be proud. When you get to watch a patient that you didn’t know would live or not walk out of a hospital and know that you are a part of the reason they can live again, you can’t explain the feeling!”

Nursing is a rewarding profession that allows you to make a real difference in people's lives. With compassion, great communication skills, an inquisitive and confident nature, a good support network, and a commitment to stay healthy both mentally and physically, you will become an excellent Nurse and make a positive impact on the world.

Topics: new nurses, new nurse, nursing, nursing career, nursing experience, nurse advice, nursing opportunities

10 Pieces of Advice For New Nurses

Posted by Erica Bettencourt

Mon, Jun 14, 2021 @ 09:23 AM

nursesatstation1. Set your phone or digital watch to military time. In healthcare, the 24-hour clock is generally used in documentation of care as it prevents any ambiguity as to when events occurred in a patient's medical history.

2. Get to know your team. Don't hesitate breaking the ice, introduce yourself, others are probably wondering who this new person is! Once you get to know everyone, try keeping a close group of people you can rely on and talk to when need be. Every one needs a helping hand or shoulder to lean on time and again. 

3. Don't be afraid to ask questions, no matter how small. It's better to not know and ask, than act like you know and risk a patient's safety. Listen, watch and learn from seasoned Nurses. Learning is a never ending part of the job. 

4. Seek a mentor. This one-on-one experience provides a safe space for new Nurses to ask questions and learn the social and professional inner workings of their profession.

5. Self care is important. If you aren't caring for yourself, you won't be able to care for others.  Be mindful of how you feel and recognize when you need to give yourself some extra love and attention. Even small 15 minute breaks during shifts can make a world of difference. 

6. Never stop learning. Invest in continuing education, keep certifications up to date and seek knowledge in places outside the hospital setting. 

7. Buy good shoes! Nurses are on their feet constantly so invest in a pair that are comfortable and durable. Also try wearing compression socks.

8. You may not be able to do everything yourself, but together we can do anything. Offer help when you can and accept help when you need it. 

9. Carry many pens with you!

10. Remember why you started. It will help you get through tough times or when you're feeling down or burnt-out. Nursing is stressful, but also rewarding. 

Topics: new nurses, new nurse, advice, Nursing tips, nurse advice

Tips For New Nurses

Posted by Erica Bettencourt

Thu, Dec 07, 2017 @ 09:41 AM

4-Tips-for-Night-Shift-Nurses-To-Stay-Alert-and-Happy.jpg

It can be difficult making the transition from Nursing student to professional. So we’ve put together a list of tips to help you during the first few months and set yourself up for a successful career. If you have any other tips you think we should add to our list, please leave a comment below!

Give yourself a chance to acclimate to shift work. 

There's a good chance you are going to be tired during the first few weeks of your shifts. Don't worry hang in there, it will get better once you're adjusted to the hours. But if you are continually fatigued and don’t see improvement after a few weeks, talk to your hospital wellness team or your supervisor to discuss some solutions.

Don’t be so hard on yourself if you make an error

Every new Nurse makes mistakes. Please don’t set that unrealistic expectation that you’ll just do it right the first time, every time. Otherwise, you’ll find yourself very disappointed in yourself, when in actuality it’s normal to make mistakes and learn from them.

Become efficient at charting

You've probably heard this a thousand times by now.  I will say it again anyway, it is worth repeating.  You absolutely MUST chart everything you do. Be careful not to chart only what was verbalized.  Wait for the orders to be placed and then document accordingly. 

Use a Mentor

If you work with a Nurse whom you admire and is simply awesome at what they do, you can watch them quietly and learn from how they go about their work. This is a silent mentoring relationship where you just learn through association and observation.

If that isn’t your style, Nurse.com recomends you actually verbalize your wish for a mentor to the Nurse in question. This could involve setting up a regular meeting for you to ask questions and receive coaching, or it could be more of an informal, as-needed arrangement.

Don't be afraid to ask questions

If you act like you know everything (which isn't possible) then you won't ever learn anything. Nurses ask lots of questions all the time, it is a constant learning process. No one expects you to know everything.

Any experienced Nurses have tips to add for new Nurses?  What helped you in your first year after Nursing school? Comment below!

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Topics: new nurses, new nurse

Career Advice for New Nurses, from Seasoned RNs

Posted by Hannah McCaffrey

Mon, Apr 15, 2013 @ 07:26 PM

 By

If Janet Patterson, RN, could go back in time, she would learn the answer to a simple yet overwhelming question: What exactly do nurses do?

For most people, images of bedpans and needles pop into their minds, says Patterson, a nurse for 33 years who now works as a home care nurse at Maxim Healthcare in Santa Rosa, Calif. “We think we know [before going to nursing school] what [nurses] do, but we really don’t. I became a nurse and I couldn’t talk about it with anyone who wasn’t one.”
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A realistic job description tops the list of information veteran nurses say they wished they had known before embarking on their careers decades ago. Experienced nurses recommend that new nurses and students talk to people doing the job they want. Ask questions in person, by phone or online in chat groups for nurses.


Nursing is intimate

Nancy Brook, MSN, RN, NP, wished she had known that “I would be changed as a human being because of the intimacy of the moments that you share with patients.” New nurses must prepare for this, she says. The impact of witnessing many life-changing experiences such as birth, death and serious diagnoses lingers beyond the workday, says Brook, a nurse practitioner at Stanford Hospitals and Clinics in Redwood City, Calif. After the workday, “It’s not your muscles that are sore, it’s the mental muscles,” Brook says.

It’s important for new nurses to create a routine to unwind, learn healthy habits and stay socially connected, seasoned nurses advise.

Keep learning

When Cynthia Ringling, RN, BSN, started nursing in 1990, she had no idea “that the personal touch of nursing would have changed with the age of computers. It made the RN much more of an administrator and documenter,” says Ringling, a chief clinical officer at Interim Healthcare in Colorado. “A lot of the personal tasks we did have been pushed to unlicensed or trained people.”

Nursing is an evolving profession with changing technology. New nurses must stay open to learning from patients, peers, physicians, professors and other professionals.


Squash conflicts

Another discovery Brook wished she had known before pursuing her career are the challenges of working with colleagues. “It’s not the patients who are hard, it’s the other nurses, managers, physicians — that whole interplay that professionals experience, unless you are working independently,” she says.

Ask for help. Make building a support system a priority, veteran nurses recommend.


Remain flexible

Adjusting to an intense work schedule also topped the wish-I-had-known list for longtime nurses. Meeting the demands of patient care can be exhausting. Add nights, weekends and holidays to the mix and maintaining a social calendar requires patience and flexibility. Brook says she wishes someone had told her in advance she would be late for every party because her shift did not end on time.

Accept that people get sick every day and require care. Imagine patients as your own loved ones who need care, says Sheri Cosme, MSN, RN-BC, a clinical educator at MedStar Georgetown University Hospital.

“Nurses work 365 days a year, 24 hours a day. So to think as a new graduate nurse that you will only work days, Monday through Friday, is not realistic,” advises Cosme.

Topics: new nurses, student nurse, diversity, nurse, nurses

Salary: Top pay for new nurses – West Coast

Posted by Alycia Sullivan

Thu, Mar 28, 2013 @ 02:43 PM

BY SCRUBS EDITOR 

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Where in the U.S. are new nurses receiving the highest pay? Here’s a look at the numbers from some of the major West Coast cities. Keep in mind that the facts and figures are mostly related to new nurses, and numbers might be higher for nurses with more experience or for those in specific specialties.

Average pay (per hour) for top cities:

Los Angeles, CA: $36
San Francisco, CA: $34
San Diego, CA: $33
Portland, OR: $31.50
Las Vegas, NV: $30
Seattle, WA: $29
Phoenix, AZ: $29
Boise, ID: $25
Salt Lake City, UT: $24

Source: Nurse Zone

What nurses are saying about working in top cities:

Portland, OR:

“Portland is saturated with new grads. It takes most people several months to find something, and many of my classmates are moving out of town to find work. I think if you can move to a more rural area, your chances would be better to get a job faster. Quite a few of the recent grads from our school have gone the SNF route, hoping to break into hospital nursing eventually. However, if you don’t have your BSN, as a new grad, chances are slim at getting hired in a hospital here.” - pdxmomazon

“Kaiser West is supposed to open in August 2013. Hopefully more positions will open up then.” - tritons09

Los Angeles, CA:

“If you can, get 2 years experience before moving here. Or at the very least, do not move here unless you have an official job offer in hand. The job market is also tight for experienced nurses as well, and for some places a year may not cut it. Best of luck.” - meriwhen

“Job outlook in LA is bleak. Better than NoCal, but still bleak. CHLA new grad residents start in high $20s. UCLA is $30-ish for their new grad residents. So, assuming you come to LA with a year experience under your belt, you could expect more than $30ish.” –  perioddrama

San Diego, CA:

“San Diego is a great market! I’m a case manager at Scripps here and hire approx 4-5 new grads a week. Nobody should become a nurse to get rich. We work in a field where battling against the odds is no stranger to us. California does have a little tougher time with hiring nurses faster than EVERY other state but this is due to the very large budget deficit that prevents millions in grants to hospitals. I would encourage you to pursue.” - Murseman83

“It is an absolutely terrible job market for new grads in all of SoCal. I’ve heard San Diego and San Francisco are the hardest to find jobs. The job market has been bad for at least 5 years so there is no way to guess when it may get better. If you want a new grad nursing job you will have to search high and low and make it your full time job. I applied for about 150 jobs in 6 months before I got hired, 7 months after I got my license and my commute totally sucks and the pay is just okay.” - SoCalGalRN

San Francisco, CA:

“According to students who graduated from my school last year, you can make anywhere from $38-$44/hr. My friend who has been working for Kaiser for 3 years made $97K last year. That’s partly why it’s so hard to get a job as a new grad here! I graduate this year and it is SO frustrating to think that those of us who have our lives here and went to school here may not get jobs. New grad programs are smaller or non-existent. It used to be that the place you precepted would hire you but so many hospitals/units are on hiring freezes that they aren’t even looking at new grads. I know people who graduated last summer who still haven’t found work; some moved to southern California.” - lovethepeople

“I’m a new grad who was fortunate enough to find an RN position at a hospital here in the Bay Area. I’m per diem, hourly wage is $62/hr, no benefits (I buy my own private health insurance). I’m only scheduled 4 days/week and get cancelled A LOT because I have the least seniority. Just to give you an idea, during orientation, when I actually did work 36 hours/week, I was taxed almost $3K per month, federal and state income taxes. That’s 3x what I pay rent, for a studio apartment! So yeah, I know it seems like a lot, but in reality you get taxed SO much it’s probably pretty comparable to other areas in terms of take home pay relative to cost of living. The sunshine sure is nice, and the Mediterranean climate, but it does come at a premium!” - shelbel

Las Vegas, NV:

“I have lived in Las Vegas for almost 9 years. I moved here when it was booming and it was very easy to find work. I hated it the 1st year I moved here but it grew on me. Unfortunately, the job market has changed drastically since the economy has gone down the toilet. I know it is bad everywhere, but our job and foreclosure rate is the worst from what I’ve heard.” - Tree5981

Seattle, WA:

“I live in the Seattle area now, came as a travel nurse originally. Where I work we had quite a few people move here for jobs or converted from travelers to staff over the past few years. At least where I am the staff is very inclusive, and do things outside of work together quite a bit. You could always look at travel nursing to come out this way, if you didn’t want to move right out. Tonight at work, 4 out of 6 nurses moved within in the last 5 years alone to the area.” - missnurse01

Boise, ID:

“Boise is a great place to live. We have quite a few hospitals in the area that you could possibly work at. My mom is an RN at St Luke’s and loves working there.” - Ryan

“As far as negotiating sign-on bonuses go, as far as I can tell, around Idaho they are pretty locked in to what you get will be what they offer. That being said there is a little wiggle room with bonuses during negotiating if you don’t need health insurance, or have special skills being searched for by that company.” - frixion

Phoenix, AZ:

“I’ve come across several postings fairly recently from new grads wanting to move to the Phoenix area and I want to make them aware that the job market here is very competitive. Unless you are an experienced nurse, have great luck, or a strong hospital contact, new grad hospital positions are very hard to come by. I know several that have had to leave the area to find jobs. I’m not trying to be a downer, but in this economy Phoenix is NOT the place a new grad wants to be.” - dream’n

“I found that in AZ, even if you are working for a registry that is used frequently for your specialty, you have to work in each place enough that the people who call the registries know your name. There are dozens of registry nurses, so when you are not well known the best thing you can do is accept as many shifts as you can work at a variety of settings, and then if they need someone for a double shift, stay. Let the facility know that you are available for the next night if you are. You can’t book your own hours, but continuity of care and convenience actually matter, and they will try to get the same person as much as they can. If you are at a large facility, and you let them know that you are looking for more shifts, they will usually oblige.” - 

Salt Lake City, UT:

“Utah is overwhelmed with nurses and it’s a right to work state so no unions. When the nursing shortage hit there was a boom of schools becoming accredited to handle the load. Every semester hundreds of nurses are released into the workforce. There is no reason for any place to pay a great wage when the pool of nurses to pick from is so vast. This also means the employers do not have to make an investment in their staff because there are literally hundreds in line needing a job. Home health agencies are popping up like crazy; they pay the highest wage and jobs are definitely available there.” - St_Claire

“Yes average is $21 an hour. Typically no you will not get paid more for having a bachelors degree although I believe that IHC prefers it to increase their “magnet status.” (That last part may not be correct.) $62,000 a year average is probably correct because nurses start out around $45,000 while veterans are probably up to $75,000 so $62,000 is somewhere in the middle. The pay in Utah is awful. If you love the state that much, people will stay and accept it. I moved 100 miles away out of state and made double that as a new grad. It’s all about where you want to live. My plan is to work out of state for a few more years and save up enough money that if I want to move my family back to Utah it will offset the ridiculously low wages.” - surgery182 

Source: Scrubs Mag

Topics: US, new nurses, highest pay, West Coast, specialities

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