RN New Hires Socialization

Nursing Best People & Professional Excellence Committee

Presented at Patient Care Manager and Director Meeting

November 5, 2008

RN New Hires Socialization

Background information:Literature findings:

• Replacing 1 RN costs $45K – $60K

• 87 – 90% retention rates reported after 1 year in residency-like programs

• Program costs per RN about $1-2 K per participant

NMH data:

• 57 RN voluntary terminations within first year or about 24% of all terms

• 62% of new hires are between 22 and 30 years old

• 65% < one year of stay occurred within the first 6 months

• If save 1-2 new RN you pay for this program

Journal for Nurses in Staff Development, Volume 22(2), March/April 2006, pp 70-77, pp 55-62

Journal of Nursing Administration, Volume 36(12) December 2006

RN New Hires Socialization

• Program Goals:– Increase sense of belonging to the organization

– Reduce voluntary terminations in year one of new hires by 50%

– Enhance Habits for Excellence and Critical Care Institute outcomes

– Bring together newly hired RN from across NMH

– Results reporting from 3, 6, 9 months data collection regarding job satisfaction and self assessment of competency

– Results reporting at 12 months of program evaluation

RN New Hires Socialization

Program Overview

• Targeting new hires between the ages of 22 – 30 years old (total of 228 in FY 07)

• Two pronged approach: Purposeful activities including:– Introduction to facility resources, “Getting to know NMH”– Outings to local venues, “Getting to know your neighborhood”

• To run over 12 months with 2 starts per year: September and February

• Mentors will be assigned 3-5 new hires for program duration

• Frequency of formal offerings: Q month X 6, then at 9 and 12 months

• At 3, 6, 9, months a questionnaire will be distributed to ask participants about the likelihood of leaving NMH, satisfaction with job, extent see self as competent RN, friendships (best friend at work), organizational commitment

• At 12 months a full evaluation of program

RN New Hires Socialization

Additional Program Details:

• Mentor role per job description: Role model, facilitator, educator, coach, support person, program evaluator

• Mentors will have an orientation and have predetermined expectations including group leader on community excursions, informal routine contact with individual new hires

• Examples of morning presentations: Pain Service, Psychiatry CL Service, Ostomy Nurse, Case Studies, RN MD communication, Managing Team member conflict, Dealing with Challenging patient/family communication, Delegation, Leadership

• Examples of community activities: Navy Pier, Millennium Park, volunteer at neighborhood soup kitchen, scavenger hunt around NU campus

RN New Hires Socialization

Assigned Responsibilities:

• Organizing the morning programs: NM Academy and/or Professional Development

• December selection of mentors: Written application to departmental Shared Leadership Councils

• January orientation of mentors: NM Academy

• Overall program and activity planning: Professional Develop and NBP/PE committee

• Participant surveys and data collection: HR

RN New Hires Socialization

Salary Costs:

1. Salary coverage for select new hires as program participants: to be absorbed in orientation costs by each unit : 6 hrs X 8 day/yr

2. Salary coverage for mentors for orientation and 4 hrs X 8 day/yr TBD

Activities Budget: $250 - $300 per participant for:

1. Breakfasts

2. Outings

3. Other

RN New Hires Socialization

QUESTIONS?