DiversityNursing Blog

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.

There 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.

Congratulations 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.

1. 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. 

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!