Transition to Practice

Why Transition to Practice?

Over the years, NCSBN and boards of nursing (BONs) have looked at the issue of training and retention of new graduate nurses. They have found that the inability of new nurses to properly transition into new practice can have grave consequences. They’ve found that the inability of new nurses to properly transition into new practice can have grave consequences…

The Problem The Impact
New nurses care for sicker patients in increasingly complex health settings. More than 40% report making
medication errors.
New nurses feel increased stress levels. Stress is a risk factor for patient
safety and practice errors.
Approximately 25% of new nurses leave a position within their first year of practice. Increased turnover negatively influences patient safety and health care outcomes.

Health institutions with transition programs have seen a marked drop in attrition, along with improved patient outcomes. There is a need for best practices of training new nurses that can be replicated across the country to ensure consistent quality of care, and drop the alarming turnover rates of new nurses. Additionally, the Institute of Medicine in its Oct. 5, 2010 "Future of Nursing" report calls for the implementation and evaluation of nursing residency programs.

Developing the Model

Working with more than 35 nursing organizations, a NCSBN committee developed the evidence-based standardized model.

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NCSBN collaborated with all stakeholders to work toward a comprehensive solution to assist nurses as they transition from the classroom to practical settings. This TTP model will serve the needs of both large and small, city and rural institutions. The TTP toolkit contains detailed resources on the model.