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New Graduate RN Work Satisfaction After Completing an Interactive Nurse Residency

Anderson, Teresa MSN, RNC-OB, NE-BC; Linden, Lois EdD, RN; Allen, Marsha MSN, RN; Gibbs, Elizabeth MS, RN

Journal of Nursing Administration: April 2009 - Volume 39 - Issue 4 - p 165-169
doi: 10.1097/NNA.0b013e31819c9cac

Objective: The aims of this study were to measure job satisfaction and engagement perceptions of new nurses after completing interactive residency modules and to test the reliability and validity of the Halfer-Graf Job/Work Environment Nursing Satisfaction Survey.

Background: US nursing shortages are estimated to increase to 36% by 2020, requiring emphasis on hiring new graduate nurses. Improved retention of new graduates through innovative orientations such as interactive nurse residencies is one option.

Methods: This mixed qualitative and quantitative study compared perceived job satisfaction and employee engagement of 90 new graduate nurses completing an interactive nurse residency.

Results: Reliability and validity of the Halfer-Graf tool were supported. Qualitative analysis yielded trends related to satisfiers (patients, patient outcomes, and teamwork) and dissatisfiers (staffing/scheduling, lack of teamwork, and physician disrespect). Simulation scenarios, debriefing, and e-mail communication with peers ranked high as beneficial teaching strategies.

Conclusions: Study findings support previous research. An interactive learning environment was perceived as beneficial. First and second year nurse retention was consistent with previous residency programming.

Authors' Affiliations: Operations Director (Ms Anderson), Advanced Nurse Specialist (Dr Linden and Mss Allen and Gibbs), Center for Nursing Excellence, Alegent Health; and Assistant Professor (Dr Linden), College of Saint Mary, Omaha, Nebraska.

Corresponding author: Ms Anderson, Center for Nursing Excellence, Alegent Health, McAuley Center, 12809 West Dodge Rd, Omaha, NE 68154 (

© 2009 Lippincott Williams & Wilkins, Inc.