The Impact of Nurse Residency Programs on New Graduate Nurse Retention and Satisfaction

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Background: With nearly 27.1% of new graduate nurses leaving the position, the need to attract and retain new grads in healthcare is crucial. The transition period between graduation and clinical practice can be demanding, overwhelming, and highly stressful leading to a decrease in overall work satisfaction. The incorporation of nurse residency programs (NRPs) is one way to ease the critical transition period. NRPs are offered for new graduate nurses in the first year of hire, but often lack consistency in both program structure and program outcomes. Purpose: The purpose of this integrative review of literature is to examine: For new graduate nurses with their first year of hire, does the use of a structured NRP increase nurse retention and satisfaction? Methods: A systematic review of the literature was performed using the key terms related to new graduate nurse, nurse residency programs, and outcome variables of nurse retention and satisfaction. Databases searched included CINAHL, PubMed, Ovid, and grey literature within the past five years, 2014-2019. Results: Organizations with NRPs, regardless of structure, showed a consistent increase in both new graduate nurse retention and work satisfaction. Recent innovations strategies such as specialized programs and multidisciplinary simulations, were identified highlighting the evolving nature and relevance of nurse residency programs.

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