Transition to Practice

Transition to Practice Engaging, Experiencing, Empowering

Transition to Practice has taken off with our innovative study.

Why Transition to Practice (TTP)?

“Authentic leaders are not made nor are they born; they are enabled or disabled by the organizations in which they work.” — David Leach, MD, Past Executive Director, ACGME 

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. 

The Problem The Impact
The Problem New nurses care for sicker patients in increasingly complex health settings.
The Impact

New nurses report more negative safety practices and errors than experienced nurses.

The Problem New nurses feel increased stress levels.
The Impact

Stress is a risk factor for patient safety and practice errors. 

The Problem Approximately 25% of new nurses leave a position within their first year of practice.
The Impact

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

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

evidence-based standardized model

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. 

The study started with a six month design and development phase to develop and test e-learning modules and to develop a web-based data collection system. E-learning modules have been built upon the Transition to Practice Module Outline developed by the committee, with input from BONs and stakeholders.

Study Results

Study results are currently being disseminated via multiple publications.