Beth
Israel Deaconess Medical Center's Clinical Entry Nurse Residency
Program (MA)
is a two year program designed to provide new graduates
of baccalaureate or higher degree educational programs with
the opportunity to have a planned first work experience
that leads to the development of the necessary skills and
professional behaviors considered adequate at the competent
level of nursing practice as described by Benner (1). At
the end of two years in the program, the professional nurse
will:
- understand
the centrality of the caring in professional nurse-patient/family
relationships;
- demonstrate
competence in providing quality, cost-effective nursing
care;
- demonstrate
leadership skills in all aspects of professional practice;
- formulate
a plan for continued development and overall career goals;
and
- appreciate
the larger context of the health care delivery system.
Elements
of the program include: a short-term competency based orientation
with a clinical nurse preceptor; a clinical sponsor then
works with the new graduate throughout the two-year period;
tutorials and other learning experiences to facilitate socialization
as a professional in the health care system; performance
reviews and counseling to assist in the development of career
goals.
(1)
Benner, P.(1984) From Novice to Expert, Menlo Park, CA:
Addison Wesley.
Englewood
Hospital and Medical Center (EMHC) Internship/Residency Program
in New Jersey is a four-month, structured orientation program
that facilitates the transition from student to staff nurse
by providing clinical learning experiences with a preceptor
alternating with class work. The uniqueness of the program
is the continued mentoring by the faculty of the University
of Medicine and Dentistry of New Jersey (UMDNJ), Ramapo College
of New Jersey, and the on-site EHMC program. The program has
5 phases -- phase 1-2 is the internship which consists of
lecture and clinical; phase 3 and 4 consist of clinical with
rotation to areas designed to build on the clinical practice
of the nurse, and in phase 5 the nurse orients on her/his
assigned unit and shift and follows the preceptor's schedule.
The goal is to gradually increase the autonomy and independent
practice of the intern so that she/he will be able to function
as a competent staff nurse on an assigned unit by the completion
of the program. Preceptor seminars have been presented to
help prepare preceptors for the program.
The NIH
Training Center, Clinical Center Nursing Department,
supports two traineeships/internships for new BSN graduates:
- The
Cancer Nurse Training Program is a nine-month program
sponsored by the National Cancer Institute and the Clinical
Center Nursing Department. The program is designed to
provide new BSN graduates with didactic and clinical experience
in oncology nursing. At the end of the nine months, trainees
must decide if they wish to continue their career at NIH
or seek employment at a different health care facility.
- The
Neuroscience Nurse Internship Program is cosponsored by
the Clinical Center Nursing Department and the National
Institute of Neurological Disorders and Stroke. This nine-month
clinical internship in neuroscience nursing prepares the
new nursing graduate to provide clinically advanced care
to patients with nervous system disorders.
Trinity
Mother Frances Health System Seven-Month Perioperative Nurse
Residency Program in Texas is designed for the new
graduate nurse or the experienced registered nurse who is
hired for a surgery staff nurse. The residency includes
eight weeks of concentrated didactic, written tests, mock
labs, and return demonstrations followed by five months
of clinical rotations with preceptors in all surgical specialties,
on-call, and all shifts inclusive of weekends and nights.
Clinical rotation in Pre-Op, Sterile Processing, PACU, and
DSU are also provided.
Six-week
Residency Opportunities are offered in critical care,
medical-surgery, and maternal-child care in addition to
the seven-month perioperative nurse residency program:
- The
Critical Care Residency is designed to develop
the critical thinking and physical skills needed to be
a competent critical care nurse. It is followed with a
four to six week preceptorship, which allows the nurse
to develop newly learned skills, and fosters independent
performance through our individualized mentoring. Upon
successful completion of the program, nurses transition
into a staff role and rotate through Medical Intensive
Care, Surgical Intensive Care, Trauma Intensive Care and
Neuro Intensive Care.
- The
Medical-Surgery Residency offers lecture
and preceptorship in a systems-based format focusing on
assessment, intervention and evaluation of the medical-surgical
patient. Course content includes computer training, skills
lab, cardiology, neurology, dysrhythmia interpretation
and more. Upon completion of the program, nurses transition
into a full-time position in a medical-surgical unit.
- The
Maternal-Child Residency includes mother-baby
care, high-risk and low-risk labor and delivery care,
neonatal care and pediatrics. Residents are rotated into
the medical surgical residency class based on their individual
educational needs. Educational content is presented by
a Women's and Children's Clinical Nurse Specialist, Nurse
Educator and Certified Lactation Specialist. Orientees
are then assigned unit specific preceptors to finalize
their training before transitioning into a staff position
in the maternal child departments. Nurses have the opportunity
to cross-train and develop skills in all aspects women's
and children's health.
Catholic
Medical Center (CMC) in New Hampshire offers eight-week
residencies and nine-week externships that provide nurses
with certificates upon completion of the programs. CMC believes
the novice nurse needs a period of transition, which will
enable him/her to help bridge the gap between student status
and beginning nursing practice. The goal of the program is
to provide the nurse intern with the opportunities to practice
and learn with new skills, procedures and equipment; develop
nursing judgements to acquire wider range of didactic knowledge;
and safely care for a group of patients - all under the preceptorship
of an experienced professional nurse.
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