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Changing New Graduate Nurse Profiles and Retention Recommendations for Nurse Leaders

Tyndall, Deborah E., PhD, RN; Scott, Elaine S., PhD, RN, NE-BC, FNAP; Jones, Lenna R., MA, BS; Cook, Kristy J., BSN, RN

JONA: The Journal of Nursing Administration: February 2019 - Volume 49 - Issue 2 - p 93–98
doi: 10.1097/NNA.0000000000000716

OBJECTIVE This study compares and contrasts new graduate nurse attributes and perceptions using findings from a 2010 study and a recent analysis of new graduate nurses participating in the same residency program.

BACKGROUND As millennials saturate the healthcare work environment, their unique views and needs will influence the evolution of new graduate nurse residencies.

METHODS This study used previously reported data on new graduate nurses between 1999 and 2009 and compared it with a secondary analysis of data collected on new graduate nurses between 2011 and 2016.

Results This study provides evidence that millennial new graduate nurses' levels of commitment and satisfaction do not moderate turnover intentions in the 1st 2 years of practice as they did in the previous group of new graduate nurses.

Conclusions Job embeddedness, a construct that measures the likelihood of whether a person is going to stay, may be a better measurement among new graduate nurses than commitment or satisfaction because millennials, a generation that is predominant in current new graduate nurses, are more engaged than loyal.

Author Affiliations: Assistant Professor (Dr Tyndall), Professor (Dr Scott), and PhD Student (Ms Cook), College of Nursing, East Carolina University; and Data Analyst (Ms Jones), Vidant Medical Center, Greenville, North Carolina.

This study was supported by Versant Center for the Advancement of Nursing.

The authors declare no conflicts of interest.

Correspondence: Dr Tyndall, College of Nursing, East Carolina University, Health Sciences Bldg, Greenville, NC 27858 (

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