What Is a Nurse Residency Program?
A nurse residency program can offer nurses additional training and specialized skill enhancement that can benefit their career.
If you’re a recent nursing program graduate and you’d like to go into a specific nursing specialty, you may want to consider joining a nursing residency program. These programs allow nurses to transition more easily into the job, provide professional development, and help prepare them for the demands of nursing.
Here’s a deeper look at how nurse residency programs work, the pros and cons of these programs, and what to look for in a residency program if you decide it’s the right move for you.
Key Points
• Nurse residency programs support new graduates transitioning into professional nursing roles.
• Programs last up to a year, combining clinical training, specialized skills, and professional growth.
• Goals include enhancing clinical skills, improving patient care, and boosting job satisfaction.
• Participants are paid, though earnings may be lower than entry-level nursing positions.
• Programs generally require a commitment to work at the facility post-completion for at least one year.
What Is a Nurse Residency Program?
A nurse residency program helps nursing graduates transition into the workforce. It typically lasts up to a year and provides nurses with classes and instruction as well as specialized clinical experience. Nurses in nursing residency programs typically get paid, which is important for recent graduates living with student loan debt.
These programs aim to:
• Improve clinical judgment and patient outcomes
• Teach specialized skills
• Reduce errors
• Improve nurses’ job satisfaction and communication
• Reduce stress and job turnover
A nurse residency has two phases: the transition phase and integration phase.
Transition Phase
In the transition phase, which usually lasts one to three months, nurses do online learning. They listen to lectures and read case studies about their nursing specialty. They are also introduced to hospital policies, and learn nursing ethics. During this time, they can attend discussion groups with other nurses and go to instructor-led training sessions.
Integration Phase
After the transition phase is complete, nurses begin the integration phase, where they work regular shifts ranging from eight to 12 hours during the day, night, or a mix of days and nights. This phase can last for several weeks or months, depending on the program. Nurses care for patients, communicate with families, and work with the larger health care team. During the transition phase, nurses work under the supervision of an instructor and program director who provide feedback about their performance.
How Do Nurse Residency Programs Work?
Nursing residency programs are available in 47 states (Hawaii, Wyoming, and Utah do not have these programs), and hundreds of hospitals and health care systems participate.
The programs tend to vary in length, though most programs last six months to one year. They provide specialized training at hospitals or other medical settings. Nurses work in clinical settings with a mentor and other residents, and they also take nursing classes focused on leadership and professional development.
As mentioned, nurses are typically paid while participating in a residency program, which can help them repay their nursing student loans. Nurses are also often contractually required to work at the facility for a specific amount of time after completing residency training.
Pros and Cons of Nurse Residency Programs
Nurse residency programs give recent graduates some distinct advantages, but there are drawbacks as well. Here’s what to know about these programs.
Pros
Nursing residency programs offer several benefits:
• Better patient outcomes: Nurses gain deeper knowledge, confidence, and critical competencies through these programs, which can help them treat patients.
• Job satisfaction: Nurses who participate in these programs report less stress than other nurses, and they are more likely to stay in the nursing field.
• Support system: Specialized training from a team of experienced nurses and instructors can strengthen a nurse’s skillset, especially those going into nursing specialties.
• Financial benefits: Nurses who participate in nurse residency programs are paid. That can be very helpful when you’re budgeting as a new nurse. However, nurse residents typically earn less than nurses who go directly into a nursing job after graduation.
Cons
Nurse residency programs require a significant time commitment. In addition, there are the following downsides to consider:
• Competitive with limited availability: Many programs admit only a small number of nurses, and it can be difficult to secure a spot.
• Constant supervision: Nurses are always under supervision during a nursing residency — more so than if they go straight into a job after graduation.
• Less control: In a nurse residency program, the hospital or program director picks a nurse’s unit, the types of shifts worked, and the length of the shifts. Nurses must attend mandatory training sessions.
• Required service: After completion of the program, nurses must commit to a year or more of service at the health care facility. If they break the contract, they may need to pay back the hospital for the training and education they received.
Recommended: Student Loan Refinancing Guide
What to Expect in a Nurse Residency Program
During the first two weeks of a nurse residency program, nurses undergo orientation and learn about the health care facility’s mission, values, and rules.
They also learn about the equipment they’ll be using and the practices of the hospital or unit they are working in.
By the end of the first month of a nurse residency program, nurses typically begin working shifts of 8 to 12 hours. During this time, under the supervision of instructors, they start taking on patients. Over the next six months, they continue working with patients, develop their patient care strategy, and attend classes to develop their professional skills.
During the final six months of the program, nurses typically receive more autonomy in patient care, finish up their formal coursework, and take a final evaluation and competency test.
What to Look for in a Nurse Residency Program
If you’re interested in a nurse residency program, you’ll want to find one that’s the best fit for you. First, look for an accredited program, which means an accrediting body has deemed that the program meets industry and educational standards. For example, the Commission on Collegiate Nursing Education (CCNE) and American Association of Critical-Care Nurses (AACN) require accredited programs to last at least six months to a year.
In nurse residency programs, the hospital or health care system you work for will control the department you’re in, the work you do, and your specific duties. So be sure to find out about the program’s curriculum; how long it lasts; what areas you might be able to specialize in; information on the instructors, program director and other leadership; and what the culture of the program is like.
Also, consider how a residency program might affect your lifestyle. As a new nurse, you are likely dealing with a number of financial obligations, including student loans you took out to help afford the cost of nursing school. Find out about the pay and benefits of the nurse residency program to make sure you can pay your debts.
Nurses looking to lower their federal monthly student loan payments may want to explore income-driven repayment (IDR) plans. These plans base your payments on your discretionary income and family size.
Under an IDR plan, you may also be able to work toward federal student loan forgiveness, such as the Public Service Forgiveness (PSLF) program for those working in public service jobs for a qualified employer like a government organization or nonprofit.
You might also want to consider the option of student loan refinancing to help manage your student loans. With refinancing, you replace your current loan with a new loan from a private lender. Ideally, the new loan has a lower interest rate and more favorable terms, which you could make your payments easier to meet.
Our student loan refinancing calculator can help you determine if refinancing makes sense for you.
Just be aware that refinancing federal student loans into private loans makes them ineligible for federal benefits like IDR plans and federal forgiveness programs.
Recommended: Refinancing Student Loans to Save Money
Is a Nurse Residency Program Right for Me?
If you are hoping to go into a specific nursing specialty after graduation from nursing school, you may want to apply for a nurse residency program. These programs offer a number of perks, including additional training and learning opportunities, mentorship, and deeper knowledge and hands-on experience. A nurse residency program can also help give you the clinical training you’ll need for your specialty.
However, nurse residency programs can be competitive and difficult to get into. Weigh the pros and cons carefully to make an informed decision.
The Takeaway
For many nursing graduates, a nurse residency program can be beneficial, offering a chance to learn, get on-the-job training, and work with experienced instructors — while getting paid. Nurses who participate in the programs tend to report less stress, and there is less job turnover. Patient outcomes also tend to be improved, and nurses can learn specialized training which can help them go into a specialty field.
But these programs typically accept only a small number of nurses each year, and they generally require at least a year of service afterward. Plus, nurses in these programs tend to earn less than nurses who go directly into a job, which can be an issue for those worried about repaying their nursing school student loans.
Remember, though, that you have options to potentially lower your payments — including income-driven repayment plans and student loan refinancing — which could help make it possible to participate in a residency program that will teach you special skills and help you achieve your career goals.
Looking to lower your monthly student loan payment? Refinancing may be one way to do it — by extending your loan term, getting a lower interest rate than what you currently have, or both. (Please note that refinancing federal loans makes them ineligible for federal forgiveness and protections. Also, lengthening your loan term may mean paying more in interest over the life of the loan.) SoFi student loan refinancing offers flexible terms that fit your budget.
FAQs
Do nurse residency programs lead to a full-time job?
Nurse residency programs do usually lead to a full-time job. Nurses are typically contractually required to work for at least a year at the hospital or health care system after completing their residency.
Are nurse residency programs hard to get into?
Nursing residency programs are competitive, and it can be very challenging to get into them. Many programs accept only a small number of nurse residents per year. Having some clinical experience, such as doing clinical rotations in the specialty you’re interested in while you’re still in nursing school, may help you stand out from the crowd.
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