The Creation, Implementation, and Evaluation of a Nurse Residency Program Through a Shared Leadership Model in the Intensive Care Setting

Abstract

This education strategy was used at a 404-bed level-one trauma center where 60% of the beds are for critical care. In June 1999, 93 nurses underwent critical care orientation. By June 2000, only 8 of these nurses remained. Exit interviews revealed the primary reason for leaving was dissatisfaction with orientation. The Education Department undertook a shared leadership approach to identify strategies for resolution of the perceived orientation problem. The Preceptor Leadership Council was formed to create a Nurse Residency Program for new nurses. Membership consisted of staff nurse lead preceptors and clinical educators. Outcomes following the implementation of the program indicated an overall increase in satisfaction with nursing orientation in the intensive care unit as well as a significant reduction in turnover rates. Strategies used to create, implement, and evaluate the program are presented.