Advocate Lutheran General Hospital

Presentation Notes

Poster presented at: Building Bridges Southeastern Wisconsin Nursing Research Conference; April 19, 2024; Milwaukee, WI.


Background/significance: Due to increased RN turnover of 21.9% (benchmark 13.1%), the intensive care unit (ICU) division has hired seven times more new graduate nurses (NGN) than pre pandemic. The current new graduate residency curriculum does not encompass ICU-level critical thinking, skills training, or provide specialty specific resources.   Purpose of Project or study: ICU leadership created a multisession, in-person post orientation NGRP. The goal was to provide a structured approach to increase confidence, first year retention, and collaboration across the division by introducing NGN to multidisciplinary subject matter experts, resources, and cohort across the division. The program includes critical thinking, hands on skill opportunities, and wellness resources to support the NGN’s transition to practice over six months post orientation. Literature Review:  Literature indicates that NGRPs decrease first year turnover and support NGNs in their transition to practice. In-person NGRPs foster relationships among their peers, nurture wellness, and help them adjust to the increased acuity in an intensive care environment. Description of sample or population and setting:   NGNs hired into MCICU, SICU, Neuro ICU at a 638-bed level one trauma center and comprehensive stroke center. Results or Outcomes: NGN completed pre and post surveys each session to evaluate confidence utilizing a Likert scale. The average pre-session confidence was 2.20 (4.0) and the average post-session confidence was 3.35 (4.0). 100% of NGN enrolled remain employed, evaluation of first year turnover is pending. Conclusion and implications: This in-person ICU NGRP improves NGN confidence in critical thinking and hands on skills during the post orientation period. Preliminary data shows a positive impact on first year retention. Multidisciplinary collaboration was pivotal to content creation and program sustainability designed to meet identified NGN needs. This framework is translatable to other specialties who have an increase in NGN.

Document Type





To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.