Factors Influencing Successful Transition of RNs into Pediatrics
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Purpose: The purpose of this project is to evaluate the satisfaction and implement changes within the TTP (Transition to Pediatrics) program for RN's 19 and older who are employed by Children's Hospital & Medical Center (CHMC) with measures of competency/readiness to practice, overall satisfaction, and identification of barriers.|Background: The AACN (2017) reports the number of RN's leaving the workforce will increase from 40,000 per year in 2010 to 80,000 by 2020. One in 5 leave within their first year of employment (Robert Wood Johnson Foundation (RWJF), 2014) while 37% are ready to change careers within the first year (AACN, 2017). Turnover costs $37,000-80,000 per resignation, averaging a total of 4.9-9.1 million dollars per year per organization (Bureau of Labor Statistics (BLS), 2017). Pediatrics is a specialty field, difficult to recruit and nursing students have limited exposure. Innovative ideas involving transitioning RN's from adult to pediatrics is needed. At CHMC the RN turnover rate since 2015 has ranged from 15-17%. Senior executives have requested an evaluation of the TTP program.|Methods: The design of this project is a program evaluation. The sample includes 36 RNs. Evaluation of participants of the TTP program 2015-present includes: McCloskey/Mueller Satisfaction Scale (MMSS), open ended questions, exit surveys, review of nursing sensitive indicators and cohort attendance will be evaluated. Based on the evaluation changes will be implemented to the TTP curriculum and an advisory group identified to evaluate the sustainability of the changes.
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