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The Impact of New Graduate Nurse Transition Programs on Competency Development and Patient Safety

An Integrative Review

Tyndall, Deborah E., PhD, RN; Firnhaber, Gina C., PhD, RN, MLS, MPH; Scott, Elaine S., PhD, RN, NE-BC, FNAP

doi: 10.1097/ANS.0000000000000217
Original Articles

Stronger evidence on the value of new graduate nurse transition programs is needed to justify the cost and warrant expansion of these programs to more health systems. The aim of this integrative review was to critically analyze published research on the relationship between new graduate nurse transition programs and patient safety outcomes. Limited evidence was found on actual safety improvement; rather, transition programs have predominately measured the development of competency as a process outcome variable for improving patient safety. A systems model is proposed to guide future research examining structure, process, and outcome variables, linking transition programs with patient outcomes.

East Carolina University College of Nursing, Greenville, North Carolina.

Correspondence: Deborah E. Tyndall, PhD, RN, East Carolina University College of Nursing, 4165-N Health Sciences Bldg, Greenville, NC 27858 (

Supported by the Versant Center for the Advancement of Nursing.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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