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Nurse Residency Program—Adult Track

The Johns Hopkins Hospital Nurse Residency Program (Adult Track) Overview

The Johns Hopkins Hospital Nurse Residency Program, in collaboration with University HealthSystem Consortium (UHC) and the American Association of Colleges of Nursing (AACN), meets the needs of the new graduate nurse with an evidence-based curriculum. The program combines face-to-face classes, hands-on skills, and nurse educator rounding to provide the new graduate nurse with the education and support needed during the first year of practice. Through strategic coaching, active learning, and professional reflection, nurse residents develop the necessary skills to transition from novice to competent nurse clinicians.

Program Goals

  1. Retain and develop new graduate nurses.
  2. Empower new graduate nurses with skills necessary to provide high-quality, safe patient care.
  3. Provide a structured residency experience for new graduate nurses, in conjunction with unit-based orientation, gradually leading to full productivity and enhanced patient outcomes.

Program Objectives

  1. Provide evidence-based curriculum including educational topics relevant to the transition needs of the novice nurse at specific time intervals during the first year of practice.
  2. Foster socialization through cohort experience and professional collaboration with peers.
  3. Equip preceptors with knowledge and resources to facilitate new nurse transition to the professional nursing role.
  4. Facilitate development of clinical reasoning skills through the use of adult learning methods including simulation, case studies, group discussion, reflection, and active learning strategies.
  5. Ensure ongoing progress checks through nurse educator rounding to provide residents with continuous feedback, coaching, and reinforcement, leading to increased competence and confidence with decision-making.
  6. Collaborate with nurse managers, unit educators, and preceptors to support the social and professional transition of the new graduate nurse.

Curriculum Overview

The program consists of nine class days:

  • Days 1-4 are held on consecutive days, the week following Hospital and Department orientation.
    • Day 1 - Hopes, Fears and Hopkins: Welcome, introductions, program overview, medication administration, cultural competence
    • Day 2 - Up and Running: Clinical skills, communications/accepting feedback, clinical scenario/taking report
    • Day 3 - The Big Picture: Clinical experience (four hours on unit with RN), Code 101
    • Day 4 - Ready…Set…Nurse!: Debrief of clinical day, giving report, clinical reasoning scenarios, pain management, interprofessional communication, stress management
  • Day 5 (Month 2) - You Mean I Have to Work Nights and Weekends?!
    • Scheduling, clinical scenario, designing a balanced lifestyle, delegation, time management and prioritization
  • Day 6 (Month 3) - Survivor Hopkins
    • Therapeutic relationships with challenging patients, EBP for the novice nurse, conflict management, Code 201
  • Day 7 (Month 6) - Eyes Wide Open
    • Ethical decision-making, clinical scenario, wound care, EBP collaborative session, Code 301
  • Day 8 (Month 9) - Survivor to Thriver
    • Spiritual care and chaplaincy, taking care of the caregiver, EBP collaborative session, risk management, palliative care, patient safety
  • Day 9 (Month 12) - Celebration
    • Becoming a preceptor, professional development, EBP initiative poster presentations, CELEBRATION!

Enrollment in the nurse residency program (adult track) is automatic upon being offered a position as a nurse clinician I (6 months of experience or less) on an adult unit at The Johns Hopkins Hospital. Applications for Nurse Clinician positions are available online.

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