Semester of Graduation

Fall 2025

Degree Name

Masters in Nursing Administration

Department

Nursing

Committee Chair/First Advisor

Dr. Hedenstrom

Second Advisor

Dr. Hamash

Abstract

Background: New graduate nurses (NGN) often struggle transitioning from school to practice, contributing to turnover and worsening the nursing shortage, especially post COVID-19. The ANA (2023) recommends robust preceptorship programs. Nurse Residency Programs (NRP) aim to improve competency, confidence, and retention. Objective: This integrative review examined the effectiveness of NRPs in preparing NGN for professional practice. Methods: A systematic search across five databases (2019 and 2024) was conducted using Whittemore & Knafl’s framework and Braun & Clarke’s thematic analysis. Nine studies met inclusion criteria. Results: Three themes emerged: standardized transition support, curriculum reform, and supportive practice environments. NRPs reduce transition shock, improve clinical judgment, and increase retention when supported by strong institutional commitment. Conclusion: Structured NRPs are essential for bridging the academic-to-practice gap, fostering resilience, and promoting professional growth. Standardization, sustainability, and interdisciplinary collaboration are critical. Future research should assess long-term outcomes and identify high-impact components.

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