Implementation of a Pilot Nurse Residency Program for Army Public Health Nurses
AbstractGraduates of the Principles of Military Preventive Medicine course do not have access to a formal residency/orientation program upon graduation and transition into the role of an Army Public Health Nurse (APHN). There is consensus in the literature that additional competencies and knowledge beyond those attained in an entry level educational program are needed to transition effectively into a new professional role. Based on formative assessment data, current APHN residency/orientation programs are informal, sporadically located, vary in length, and training opportunities. The large degree of program variance and lack of standardization negatively impacts the development of competent and confident APHNs prepared for independent practice. The purpose of this scholarly project is to determine if a formal one-year nurse residency program (NRP) for APHNs improves competence and confidence in practice. A convenience sample of June 2015 nurse graduates of the Principles of Military Preventive Medicine Course (N=2) was recruited to participate in the pilot NRP. Outcomes of perceived confidence and competence in professional practice are measured at four points in the program using the APHN Readiness Assessment Tool. Phase One results are reported in this paper. Overall program satisfaction will be evaluated at program completion. At completion of Phase One, four month re-assessment mean scores improved in six of the ten essential public health services assessed. Improvement in mean scores was also seen in two of the fourteen confidence specific questions. Differences between baseline and four month re-assessment mean scores were not statistically significant. This project is the first attempt to formalize and standardize processes related to the professional transition of new nurse graduates of the Principles of Military Preventive Medicine course into public health nursing practice. It also provides an opportunity to evaluate tools designed to track competency assessment/validation and evaluate evidence-based NRP processes with a public health nurse population.
DescriptionUniversity of Maryland, Baltimore. Doctor of Nursing Practice Scholarly Project
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/5323
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