Beginning March 2000, both the University HealthSystem Consortium (UHC) as well as American Association of Colleges of Nursing (AACN) tied up and have worked to enlarge strategies which can address the nursing shortage, enhance the expertise among nursing workforce, reduce practice errors, and also to minimize the burnout brought about by stress beneath prepared professional nurses. Moreover, a small body of research confronts issue about the training for clinical practice and the job satisfaction of the new nurses. Until today new nurse graduates have expressed the difficulty adjusting to the roles demonstrated when in the acute care setting.
The UHC and AACN in joint venture with Commission on Collegiate Nursing Education with an impartial panel were able to developed accreditation standards intended for nurse residency programs and this move have been commented by the public (University HealthSystem Consortium, 2007).
In 2002, a study conducted by the National Council of State Boards of Nursing, found that health care employers recognize newly licensed RNs as not fully prepared to execute common tasks in a fundamental practice setting. Employers view new RNs as more than ever deficient in recognizing abnormal physical as well as diagnostic findings, supervising care provided by others, responding to emergencies, and in psychomotor skills. The UHC and AACN are in the opinion that it is extremely challenging for nursing schools to prepare new graduates to effort in the field of acute care hospital environment since there is high level of patient acuity. UHC conducted a study (2000) to discover what additional assistance was being offered to fresh graduate nurses employed in UHC hospitals.
Similarly, about eighty-five percent (85%) of the respondents noted that they had an extended program in order to prepare new graduates to become skillful practitioners; but, the survey revealed that there was no uniformity programs offered. The previously mentioned programs varied in length, curriculum, and content, particularly the clinical content that ranged from 20% to 100%. Also, same study reiterated that more training and support is required for new nurses in order improve reduce turnover, job satisfaction, and enhance skills very significant to patient safety. The shortage of experienced nurses simply suggests that recent graduates are becoming gradually more critical to providing sufficient staffing and emphasizes the need for a standardized curriculum.
Through a mutual interest in creating a substantially different program and a desire to share experiences and collaborate between systems, a common definition emerged. A NRP was defined as a joint partnership between academia and practice that is a learner-focused, postgraduate experience designed to support the development of competency in nursing practice. The role of the academic partner is to aid in the development of the theoretical framework and conduct the research-based program evaluation,