By Christina Orlovsky, senior staff writer
Graduating from nursing school is an achievement in itself;
making a successful transition into the registered nurse workforce is quite
another. In an effort to enhance development of clinical skills and nurture
growth in both career and confidence, facilities across the country have
implemented mentorship programs for newly graduated nurses.
When nursing units at Stanford University Medical Center, in
Stanford, California, noticed a turnover trend among new graduates after just
one or two years on the job, they decided to look for a way to hold on to new
nurses and encourage them to advance in their career within the facility. The
result was a mentorship program, designed to show new grads their worth within
their units and provide them the support they need to succeed in their early
Once they have completed the facility’s orientation program,
every new grad is admitted into the mentorship program, through which they get
to know the mentors in their unit. The new grads select a mentor to work with
over a three-year period, meeting monthly for the first year to go over career
goals and challenges.
“That person is meant to stay close to the new grad to find
out how they’re fitting into the unit,” explained Debra Grant, RN, MBA, CNAA,
director of nursing at Stanford Hospital.
The second year, mentors and mentees meet quarterly; the third
year, meetings are held twice annually.
“During the third year, the meetings are to find out the
nurse’s career aspirations,” Grant added. “By this time, many new nurses are
ready to move to different units—critical care or the emergency department. We
want to capture where they want to move so we can help them get into that unit
within the hospital, instead of leaving to work at another facility.”
According to Grant, new nurses face a number of challenges as
they transition from nursing student to working nurse.
“At Stanford, in particular, the acuity is higher than at a
community hospital because we are an international facility,” she said. “Many
new grads come in afraid and unsure of themselves. It’s harder to become a
stronger nurse when they see so much of the acute stuff that only Stanford would
see. Plus, we also have special equipment,” that is often new to the new-grad
The mentorship program helps ease the uncertainty.
“Having a mentor gives them the extra teaching and support,”
Grant said. “The new nurses get to use the equipment with a mentor who is there
to help them remember the steps.”
The program, and the bonds it helps create between new and
experienced nurses, also encourages the new nurses to ask questions they may
otherwise feel embarrassed to ask—questions, Grant added, that all nurses have
early in their career.
“The program has created a friendship that gives the new grads
the trust to ask questions that everyone has,” she said. “The mentors are really
good about saying ‘That’s a common question.’ No question is ever a stupid
question, but that’s a concern that many new grads have.”
In the year-and-a-half the program has been in existence,
Stanford has seen an increase in job satisfaction among the new-grad group, as
well as among the rest of the nursing staff.
“The mentors have truly gotten enjoyment out of working with
the new grads,” she said. “When you see 10 nurses with new grads in different
stages of the program, you see everyone helping out. They’re sensitive and
keeping their eyes out for new grads that need assistance. It truly creates a
culture of mentorship on the entire unit.”
The new grads, as well, have expressed positive sentiments
about the program.
“We’ve gotten great feedback from the new grads who know this
is something we offer that many other facilities don’t,” Grant said.
“Interestingly, as soon as they get out, many want to be mentors. We are
building mentors for the future. They have had a great experience and want to
make sure other new nurses do too.”
For more information, visit the Stanford Hospital Web site.
© 2006. AMN Healthcare, Inc. All Rights Reserved.