Integration of a Perinatal Specialty Curriculum into a PTAP Accredited Nurse Residency Program

Abstract

Background. Nurse residency programs including the one at a regional Montana healthcare system play a crucial role in supporting new graduate nurses during transition to independent practice, enhancing retention rates, and fostering organizational commitment. The predominant focus of these programs lies in medical/surgical inpatient nursing. While this approach is justifiable due to the substantial representation of med/surg nurses in the workforce, it often neglects the unique needs of specialty nurses working in pediatrics, NICU, and perinatal services. Local Problem. Despite the documented success of nurse residency programs, one-year turnover rates persistently outpace other categories. RN turnover rates within the first year remain stagnant. At this facility, this turnover disproportionately impacts perinatal specialty nurses, constituting up to 83.3% of their turnover. Methods. This quality improvement project proposes the integration of perinatal specialty curriculum into an existing PTAP (Practice Transition Accreditation Program) accredited nurse residency program. By incorporating evidence-based practices, tailored content, and specialized training modules, we aim to address the unique challenges faced by perinatal nurses. Interventions. Interventions will include curriculum enhancement and simulation training. We will develop and incorporate perinatal-specific modules within the existing nurse residency curriculum. These modules will cover topics such as neonatal care, maternal health, and perinatal complications. High-fidelity simulations will allow nurses to practice critical scenarios encountered in perinatal care, enhancing their confidence and competence. Results. We anticipate that the integration of perinatal specialty curriculum will lead to improved job satisfaction, reduced turnover rates, and enhanced patient outcomes. By addressing the unique needs of perinatal nurses, we aim to create a more resilient and committed nursing workforce. Conclusion. The proposed integration represents a strategic investment in the professional development of perinatal nurses. By fostering their expertise and confidence, we contribute to better patient care and organizational stability.