Nurse residency

June 9th, 2017

Nursing turnover in the emergency room at JPS is now well below the national average for hospital RNs and down significantly since 2015, when nurse residency programs were initiated to better prepare new nurses for work in one of healthcare’s more challenging environments.

“The attrition rate is down significantly,” said Violet Gorman, RN, assistant manager in the Emergency Department. All full-time nursing positions are currently filled, and the turnover rate is 4.5 percent, down from 30 percent in 2015. When vacancies occur, it’s usually because a nurse was promoted within JPS or due to family circumstances. Most new hires are not new grads, but have at least one year of clinical experience, preferably in a telemetry unit at JPS.

JPS Nurse Residency

The second cohort of the JPS Nurse Residency, pictured at their graduation. All are still working at JPS except one, who left only to attend grad school.

It’s never been a secret that JPS provides unique clinical experience — experience that’s valuable in the job market — but gone are the ER’s days as a proving ground for nurses planning to work somewhere else. “We want nurses who want to work here,” Gorman said, “and who want to work with our patient population.”

The only new graduates hired for the ER are nurses who have completed the JPS Nursing Residency, a transition between nursing school and independent practice in the hospital, and then the specialized Emergency Services Nurse Residency, which all new ER hires complete.

The JPS Nursing Residency, a collaboration between JPS and Tarleton State University, is about to graduate its sixth cohort, bringing the number of graduates to 113. Another 54 are enrolled, according to Carin Adams, RN, manager of the residency program.

Among graduates, 88 percent have remained at JPS. The retention rate is even higher — 95 percent — without departures due to circumstances beyond control. Most departures were due to personal, health or family issues, rather than a job at another hospital.

The turnover rate for hospital nurses nationally is 17.2 percent, according to a national survey conducted by the research arm of recruiting firm NSI Nursing Solutions Inc., which says high turnover can be a significant drain on a hospital’s resources. The study estimated the cost of turnover for a single bedside nurse at $37,700 to $58,400. 

Nurse Residency ​

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