Mentorship Programs Effect on Retention Rate in Perioperative Nursing(include this information in your background – the introduction should describe the purpose succinctly)
Evidence-based practice (EBP) involves significant research, clinical expertise, and patient’s preferences. It is a problem-solving step process that aims to improve individualized patient care and the promotion of quality improvement. The EBP concept can be used to evaluate a nursing practice or change any policy or procedure within various healthcare settings (Gray et al., 2016).
One major problem in nursing practice is the transition to actual practice and experiencing knowledge gap and job stress due to lack of exposure to the practical environment.The inability to cope up with these challenges often leads to job dissatisfaction, burnout, and high turnover within the healthcare industry (Nantsupawat et al., 2017). To address this, Hofler and Thomas (2016)suggests pairing new nursing graduates with experienced mentors and coaches during their transition into the workforce.Other challenges also include generational diversity, performance anxiety, and lack of support from experienced nursing staff. As a result, novice registered nurses (RNs) are often exhausted and overwhelmed by these challenges, eventually leading to attrition or career change. This also leads to increased workloads, declining resources, and lack of upward mobility for those remaining. A way to address this is to leverage experienced staff members as mentors. This could be an appropriate strategy to tackle nursing retention issues while supporting a successful transition to the workplace for nurses.
Within perioperative nursing, these challenges present a complex work environment for the new nursing staff. Newly placed operating room nurses often fail to cope with the demands of the operating room and leave the department(Malley et al., 2015). This results in a negative investment for hospitals and declining patient care. Should such attrition occur, healthcare industries would need to begin the recruitment process again. A mentorship program is one strategic approach towards eliminating attrition and help develop skill sets of current staff. Thus, this paper aims to analyze the problem of nursing turnover and evaluate the impact of a structured mentorship program compared toa basic orientation process on the nursing retention rate. The findings of the research will be used to develop an evaluation plan and resource needed for the job.
Background
The supply and demand of nurses is a major concern for all health care organizations. With the retirement of the baby boomer’s generation, it is estimated that nurse retirement and nursing shortage rate will continue to accelerate. According to the study by Dewanto and Wardhani (2018), nurse turnover is a human resource problem. Failing to properly address this issue will have a negative impact not only on quality patient care, but also on the overall health care system ability to deliver its services (Dewanto&Wardhani, 2018). Nursing leaders need to develop strategies for nursing retention. This problem is further exacerbated in the specialty areas of the operative room or surgical setting. The main cause behind this is the lack of exposure to surgical nursing in the nursing curricula. This lack of exposure facilitates nursing skills gaps and unrealistic expectations for new or inexperienced surgical nursing staff. The operative room is an area of advanced technology and significant time constraints. To perform effectively in such environments, nurses need to be organized and prioritize responsibilities to meet surgical demands. However, novice perioperative nurses are often underprepared for the reality of perioperative nursing and this problem leads to a stressful job experience for them. In response to this change, it has been proposed to create a supportive work environment for these nurses through mentoring. Mentors can help them model expected behavior and develop the skill sets towards commitment that leads to an enhanced patient care practice and outcomes (Beale 2016).
Preoperative area is the first hurdle that the perioperative nurse needs to cross during transition. The challenges increase with the use of technology and it mainly relies on how well the information is transferred among the patients’ care team members. Lost information often occurs when newly placed nurses fail to relay or receive important information. This contributes to increased workload and may attribute towards negative patient safety concerns (Malley et al., 2015). Mentors would play a major role in increasing onboarding staff competence towards perioperative assessment and assisting during transitions of care.
Evidence has shown the benefits of structured mentoring program in increasing nursing retention, job satisfaction and engagement level among nurses (Szalmasagi, 2018). A study by Putra, Kusnanto and Yuwono (2020) discussed the benefits of mentoring and its impact on job satisfaction. The study indicated that mentoring had positive impact on both job satisfaction and job commitment and commend nursing managers to develop mentoring programs
The above literature review indicates the challenges during the transition period and the significance of mentoring for perioperative nurses. Given there is lack of data on the impact of mentoring in surgical setting, finding out the impact of such mentoring program in perioperative setting is important. Such a program would pave the way for bridging the skill gap for newly placed nurses and increasing their confidence in dealing with job challenges. Research in this area can promote implementation of initiative to maximize return on investment and retain more nurses on the job. The results of the review are likely to increase the needs of mentoring during the initial period of transition or on-boarding within the surgical setting.
Question
While searching for any paper, the best step to find a paper is to draft a preliminary study question. Using PICOT format is the best approach to frame a research question as it provides a framework for better clarity about the research population, intervention and outcome. PICOT format is an important search strategy tool and it helps in framing questions related to prognosis or diagnosis. PICOT question has been selected for this report as the aim is to evaluate an intervention and PICOT format can give the best approach to develop proper research questions. It helps to focus on the single most important issue in the research (Eriksen & Frandsen, 2018).
In perioperative nursing (P), how does structured mentorship programs (I) compared to orientation (C) affect nursing retention(O)? (See Appendix A).
Search
It is planned to conduct the research by searching for journal articles in PubMed and CINAHL. The main rationale for selecting these databases is their publication of peer reviewed and full text papers from the fields of bioscience, biomedical and health care. The search terms used are taken from the PICOT question. The key search terms used are ‘Perioperative nursing’, ‘structured mentorship program’, ‘nursing retention’, ‘turnover’ and ‘orientation’. Other alternative search terms may include ‘intention to leave’ and ‘job satisfaction’. The alternative search terms include terms related to the outcome of different types of mentoring programs. Filters are applied to narrow the search. For example, only full text journal articles are selected and publications from 2015 to 2020.
According to Hartzell & Fineout-Overholt (2019), single keywords may result in large number of articles which may be irrelevant towards perioperative retention. To save time and to retrieve relevant subject material via combining the terms with Boolean operators like ‘AND’ and ‘OR’ are needed. The use of ‘AND’ ensures that papers with both concepts are retrieved, whereas the use of ‘OR’ensures that papers with either of the two concepts are retrieved. For example, the search terms may be combined like ‘mentoring program’ AND ‘nursing retention’ (Hartzell & Fineout-Overholt, 2019).
The inclusion criteria for article selection are as follows:
- Both primary and secondary research papers are taken in the study
- All papers should have new or onboarding nursing staff as research participants
- The main outcome of interest in each of the studies should be nursing retention levels specific towards perioperative mentoring and orientation onboarding
- Only papers published in English should be taken
- All the resources must be full-text and peer reviewed journal articles
- The articles must be published from 2015 to 2020
In addition, articles in language other than English and those without discussion topics of perioperative, surgical, orientation, onboarding or retention are excluded.
Critically appraise the evidence
| Name of author | Level of evidence | Hypothesis | Design | Sample | Data collection instruments | Statistical results/findings | Implications /Conclusion |
| Szalmasagi (2018) Platt, Coventry,Monterosso (2019) | Semi organized meet results from coaches and Mentees. To evaluate the existing mentorship program introduced by nurses. | Cross sectional survey Dependent and demographic variables. | Conceptual framework and ethical consideration. Descriptive correlation design. | Data collected from 1351 nurses from 43 other departments. Tabular, functional and conventional methods used for formal and informal mentors. | Open ended questionnaires. Demographic data, satisfaction scale, development skills of nurses. | Nurses working under favourable conditions is less dissatisfied as compared. Formal mentorship program attended b the nurses have higher job satisfaction. | Improving the working conditions of the nurses can help to increase job retention. Formal mentorship program should be used to increase job satisfaction. |
| Ramnarine &Kathiravan (2017) | Unclear quality of research. | observational studies. | RandomizedControlled and thecrossover trial. | Matching between model and question. | Search strategy tools.PubMed. | Calculation of sensitivity and precision. | Well designed and planned should be used before devising a search strategy. |
| Vortman, Bergren, Baur & Floyd (2019) | High, but quality of research is low. | Identify the clinical research questions to evaluate the retention plan. | ObservationalStudy. | Sample of formulated clinical questions. | MEDLINE,CINAHL | Out of 2163 records,22 articles were assessed. | No validate kind of assessment tool found in this search. |
State of the science summary
Mentoring is one of the significant aspects in anyone’s career development for both novice as well as experienced nurses in the areas of clinical practices. It supports the novice requirement to feel satisfied as well as success as a professional nurse and it offers the experienced nurse an opportunity to contribute towards their profession. This particular article provides information of existing mentoring programs at various hospitals that provide several benefits including job satisfaction and clinical nursing skills (Daniel, Ramnarine & Kathiravan, 2017). Mentoring programs provide NRN with proper opportunity for personal growth, career development as well as job satisfaction. while doing their practice for the first year has been identified as the most difficult time for any nursing career. It has been identified that many mentoring program outcomes associated with formal mentoring programs have helped to improve job satisfaction as well as provide better development of nursing skills. Research has demonstrated that mentorship in nursing are well supported in order to help to increase the job satisfaction and nursing skills as well as the transition into a practitioner role.
The PICO model was created to help structure a very much manufactured clinical inquiry and empower a writing search. Since its presentation, it has assumed a significant function as a conceptualizing model in EBM. Nonetheless, proof of the impact of utilizing the PICO model as a hunt technique apparatus is as yet missing, and the examinations that were remembered for this
audit don’t permit us to expand upon this significant collection of proof. To rehearse EBM with proof based techniques, and hence guarantee thorough procedure, the aftereffects of this survey demonstrate that more work is expected to evaluate the relevance of explicit conceptualizing models. Moreover, this paper further recommends that it is significant for future exploration on this theme to address three expected dangers of inclination: (I) searcher aptitudes, (ii) coordinate among model and question, and (iii) nature of searches (Daniel, Ramnarine & Kathiravan, 2017).
Turnover, work disappointment, and burnout are huge negative results influencing the nursing labor force that require prompt consideration and mediations by policymakers, administrators and clinicians. Attendant turnover has been sorted as either outer or inward. As per the International Council of Nurses, outer turnover alludes to ‘a mathematical worth appended to the quantity of individuals who leave an association for different reasons rather than interior, which includes work changes inside an association’. The two kinds of turnover can con-recognition for the nursing deficiency. Outer turnover may prompt lacking staffing at the clinic level, though inside turnover may leave certain units inside the emergency clinic understaffed.
Evaluation plan
The motivation behind the evaluation plan was to investigate whether the association had (a) effectively executed the program as distinguished, (b) effectively enlisted and held members to date, (c) kept up extended timetables, and (d) gave all members the occasion to give input at the 3-month sign of the program. The cycle assessment is given an occasion for corrections and augmentations to the program preceding the beginning of the second partner just as changes for the rest of the time of the primary companion. The practice questions investigated the aftereffects of this 3-month measure assessment and the proposals made to the guide organizers. The task addresses zeroed in on the outcomes of the cycle assessment at the 3-month sign of the year-long mentorship program for the first accomplice. The discoveries were the reason for proposals to the coach facilitators for nonstop quality improvement. This quality improvement venture followed the PDSA (plan-do-contemplate act) approach. The assessment included semi-organized meetings with 5 guides and 5 mentees and an audit of the tutor program meeting minutes. Results from the program assessment upheld the requirement for the progressing backing of fledgling medical attendants as they change into the practice climate. Additionally noted in the discoveries is the occasion to connect with experienced medical caretakers also, uphold them as they commit once again to the convictions that previously carried them to the nursing calling (Nantsupawat et al. 2017). This task upholds positive social change by advancing expanded occupation fulfillment furthermore, promise to the nursing calling for both new nursing graduates and experienced attendant experts. Recently recruited attendants detailed difficulties around the onboarding measure after the proper direction was finished. This is the point at which the recently employed medical attendant no longer has a preceptor and is relied upon to work freely. Medical attendant’s revealed hesitance to pose inquiries of partners since the desire was that they were “at that point prepared.” The reason of the tutor program was to officially recognize the person that the medical caretaker can see as their “go-to” individual, start the gatherings during the proper direction period where the offering conversation starter is viewed as sheltered, permit that relationship to start framing, and at that point continue it through the span of one year.
Improving nursing practice conditions has been proposed to diminish nurture turnover and improve nurture maintenance. To upgrade methodologies for settling the issues identified with nursing deficiencies it is basic to more readily comprehend the impacts of the nursing practice climate and how they identify with medical caretakers’ employment fulfillment, plan to stop their present place of employment, and attendants’ burnout that adds to turnover.(Nantsupawat et al. 2017).
This DNP venture was a cycle assessment of the coach program. The motivation behind the measure assessment was to investigate whether the association had (a) effectively actualized the program as recognized, (b) effectively enrolled and held members to date, (c) kept up extended courses of events, and (d) gave all members the occasion to give input at the 3-month characteristic of the program. The cycle assessment gave an occasion to corrections and increases to the program before the beginning of the subsequent partner just as changes for the remaining year of the primary partner. The cycle assessment questions were:
• What were the consequences of the cycle assessment at the 3-month sign of the year-long mentorship program for the main accomplice?
• What suggestions were made to the coach organizers for persistent quality improvement?
Members -Members for this quality improvement venture included five coaches and five mentees in the primary associate of the medical caretaker tutor program.
Cycle -The pilot was being managed by the lead nursing administrator with shared joint effort with the fledgling medical caretaker residency facilitator. Coaches were needed to join in guide preparing, which included parts of care and intelligent practice. They were needed to meet with mentees, all the more as often as possible from the outset, at that point month to month for 1 year. Tutors submitted documentation of the conversations with mentees to the tutor program facilitator to acquire repayment for their time spent. Month to month status gatherings between the tutor programs facilitator and tutors happened to survey for difficulties or hindrances to progress (Eriksen & Frandsen, 2018).
As noted in Table 1, the office had finished stages 1 and 2 of the PDSA cycle. Stages 3 and 4 were finished for the cycle assessment. Table 2 d portrays the assessment strategies, information assortment subtleties and the short and long haul suggestions for the mentorship program. The focal point of the cycle assessment was on execution strategy and observing.
Steps in PDSA Cycle PDSA activities Alignment to project
| Plan | Plan ahead for the change. | Venture group shaped, investigated writing on Shared Administration, and create tutor program. |
| Do | Execute the arrangement. | Select tutors and mentees and execute program. |
| Study | Check, study the outcome. | Gather minutes and records from semi organized meetings. |
| Act | Act to improve or normalize the cycle. | Present consequences of the cycle assessment and Proposals for upgrades/changes to venture organizers. |
METHOD EVIDENCE DATA COLLECTION IMPACT IMPACT (SHORT) (LONG)
| Performance | Semi organized meet results from coaches and Mentees. | Meetings were led by the coach program Organizer. | Meetings were regulated at 3-months post Companion dispatch. | Meetings to be regulated at fulfillment of the companion Dispatch. |
| Monitoring | Month to month screen to survey if the coach mentee gatherings are occurring at concurred time Outlines. | Data in following logs summed up to guarantee meeting plan Consistence. | Evaluated month to month report of meeting plan consistence between tutors Furthermore, mentees. | Rundown at the finish of every accomplice to decide consistence rate for Each gathering. |
| Monitoring Process | Person interviews were recorded by the Questioner. | Pilot consequences of interviews were entered into an Excel Spreadsheet. | Distinguished major topics from the meet results/executed program adjustments as Shown. | Measure decrease in turnover in nurture residency bunches at 1- year and 2- year post Program. |
Resources
To achieve the above-expressed results, it was resolved that there were a few wanted targets that should have been finished inside this present venture’s time period.
Two essential items were created. The originally was the overhauled and received strategy, which depended on an exhaustive approach, named The Mentorship Program. A synergistic hierarchical undertaking group was framed and aided the turn of events and selection of The Mentorship Program strategy. The other essential item created was practice rules. Optional results of fruition were the strategy usage and assessment plans. Result and cycle assessment will be directed. Month to month turnover information will be gathered over a time of a half year. At a half year, it is normal that turnover will be zero, and hence the consistency standard will be 100%. These figures will relate to an absolute labor force size of 44 at the restorative office; like before the program was actualized (Daniel, Ramnarine & Kathiravan, 2017).
Subjective information that will be acquired through conversations with guides and mentees with the end goal of the assessment will uncover the qualities and shortcomings of the program.
Program observing gatherings will be held to give a scene to tutors to communicate issues and accomplish goal.
Making a setting for imparting issues to different coaches and the group will prompt arrangements, for example, lessening the outstanding burden for the tutor to proceed with their guide job. Such a solicitation will be made known to the overseer of nursing. The gatherings will likewise remember reflections to pick up bits of knowledge for the coaches’ encounters and guarantee learning. Reflections will additionally incorporate how proceeding with gratefulness and support got from the head of nursing and the venture group influences their job execution and responsibility.
Medical attendant coaches and office groups elevated intercessions to improve reference measures and guarantee congruity of care for alluded cases, including-
- Utilizing the case sheets to distinguish cases that required reference.
- Creating a refreshed reference catalog and reference plan for every office.
- Utilizing reference enlists all the more adequately.
- Improving supplier correspondence with reference offices.
Two units joined up with the program –
• 18 coaches and 18 mentees.
• arranged reformist turn out to different units.
A sum of 2,163 records was distinguished and after the expulsion of copies and starting screening, 22 full-text articles were evaluated. Of these, 19 investigations were barred and 3 examinations were incorporated, information was separated, the danger of inclination was evaluated, and a subjective examination was directed. The included investigations contrasted PICO with the PIC truncation or connections to related articles in PubMed, PICOS, and test, the marvel of premium, plan, assessment, research type (SPIDER). One investigation contrasted PICO with unguided looking. Because of contrasts in intercession, no quantitative investigation was performed (Daniel, Ramnarine & Kathiravan, 2017)
We thought about every single essential examination, paying little heed to plan, as qualified for consideration in the event that they inspected PICO as an apparatus for building up a hunt methodology (particular from different techniques for building up a hunting procedure) for distinguishing conceivably pertinent investigations in any subject area. Empirical examines show that review and accuracy are contrarily related (Nantsupawat et al. 2017).
Table 2: Plan for implementation.
| Objectives | Method/Plan | Responsibility | Completion Date | Measurable Outcomes |
| Set up an employing standard | Primary | To set up a higher employment standard | 23.10.2020 | Positive |
| Receive an organized competency nurture residency program. | Hospital or health care activities | For the higher probability of retention. | 23.10.2020 | More interested |
| Cultivate a culture of learning and competency | Primary | Program allocated to the registered nurses only | 23.10.2020 | Positive |
New graduate attendants have discovered coaches given significant experiences into how to conform to moving work routines, driving to work, the alumni’s dread of committing errors, dread of not finding a way into the unit culture, and adapting to living in another city. Building up an informational program for preceptor preparation may help and support preceptors in their job; this program may likewise influence the preceptor’s occupation fulfillment and eventually, maintenance. Protected, proficient, quality consideration is the foundation of the social change suggestions practically speaking. Preceptors may rest easy thinking about the perception cycle and patients may profit by improved consideration. The advantages of medical attendant maintenance incorporate improved patient wellbeing and nature of care, persistent fulfillment, nurture fulfillment, and socialization, and attendant security. As per the current examination, purposes behind medical caretakers giving up positions occupations incorporate the nursing deficiency, high weight, additional time work, burnout, weighty remaining burden, relational and interprofessional relationship issues with partners, insufficient digestion into their job, and lacking help from chairmen.
Evaluation Plan
Table 3: Evaluation of outcomes.
| Measurable Outcome | Method and Tools for Measuring | Responsibility | Timelines |
| Most of the nurses shows positive behavior. | Planning of projects and development with specific destinations. | research demonstrates that the workers’ fulfillment with these projects was commonly sure. | 15 days |
| Nurses shows interest and involves in other activities. | Member reviews. | interest prompted apparent enhancements in medical attendants’ certainty. | 20days |
| Positivity and healthy relationship among the coworkers. | Conferences to affirm deliberate plan (Nantsupawat et al. 2017). | diminished feelings of anxiety, expanded energy and confidence. | 15 days |
Table 4: Resources Needed
| Resources needed for change in practice | Cost of resources | Cost savings |
| 150$ | 50$ | |
| Orientation program | ||
| Nursing benefit program | 375$ | 30$ |
| Retention program | 150$ | 20$ |
Conclusion
This survey uncovers that tutoring program effects or affects the guides, mentees, and associations. Tutoring is a fundamental cycle in nursing; it is a method for experienced medical caretakers to situate and to encourage the acclimation of beginner attendants to their new job. Medical caretakers instruct and help different attendants by coaching, which is vital to look after competency, support proficient aptitude, and advance administration. A fruitful mentorship program ought to incorporate thorough tutor choice and satisfactory preparation. Moreover, potential obstructions, for example, time imperatives and booking impediments ought to be contemplated during execution. Perioperative Surgical Services is an exceptionally particular region, and numerous projects in nursing schools have removed preparing and perceptions for being excessively explicit. Some accept that the relationship should last close to three to a half year; others accept that tutoring is a drawn-out cycle where an individual is upheld over various years to understand their actual potential. Periop is likewise scandalous for being a high-stress climate, having diva specialists, and being an island without anyone else inside the clinic. The absence of commitment and enormous quantities of veteran perioperative colleagues arriving at retirement age has caused alert for some clinics and medical procedure communities. Having a conventional mentorship program can assist with diminishing storehouses inside the divisions, improves multidisciplinary connections, and cultivates authoritative life span.
References
Beale, K.L., (2016). Mentoring new nurses. AJN The American Journal of Nursing, 116(10),13.https://www.nursingcenter.com/journalarticle?Article_ID=3800142&Journal_ID=54030&Issue_ID=3800133
Dewanto, A. &Wardhani, V., (2018). Nurse turnover and perceived causes and consequences: A preliminary study at private hospitals in Indonesia. BMC nursing, 17(2), 52. https://doi.org/10.1186/s12912-018-0317-8
Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association: JMLA, 106(4), 420. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148624/
Daniel, E. S., Ramnarine, N., & Kathiravan, G. (2017). Effective Mentorship for Recruitment and Retention of Newly Registered Nurses at a Tertiary Care Hospital, Trinidad. Imp J Interdiscip Res, 3(2), 1161-71. Retrieved from http://www.academia.edu/download/52930131/Mentorship_for_Recruitment_and_Retention_of_Newly_Registered_Nurses_.pdf
Gray, J. R., Grove, S. K., & Sutherland, S. (2016). Burns and Grove’s The Practice of Nursing Research-E-Book: Appraisal, Synthesis, and Generation of Evidence. Elsevier Health Sciences. https://books.google.co.in/books?hl=en&lr=lang_en&id=oD_UDAAAQBAJ&oi=fnd&pg=PP1&dq=).+Burns+and+Grove%27s+The+Practice+of+Nursing+Research-E-Book:+Appraisal,+Synthesis,+and+Generation+of+Evidence&ots=ykSUN7mrjD&sig=TOPq6yJZncxWpCyYZBHuAA4txI&redir_esc=y#v=onepage&q=).%20Burns%20and%20Grove’s%20The%20Practice%20of%20Nursing%20Research-E-Book%3A%20Appraisal%2C%20Synthesis%2C%20and%20Generation%20of%20Evidence&f=false
Hartzell T. A. & Fineout-Overholt E. (2019). Finding Relevant Evidence to Answer Clinical
Questions. In B. M. & E. Fineout-Overholt (Eds.), Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed., pp.55-92), Wolters Kluwer Health.
Hofler, L., & Thomas, K. (2016). Transition of new graduate nurses to the workforce: Challenges and solutions in the changing health care environment. North Carolina MedicalJournal, 77(2),133-136.https://doi.org/10.18043/ncm.77.2.133
Malley, A., Kenner, C., Kim, T. & Blakeney, B., (2015). The role of the nurse and the preoperative assessment in patient transitions. AORN journal, 102(2), pp.181-e1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4547842/
Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O.A., Thienthong, H. & Poghosyan, L., (2017). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International nursing review, 64(1), 91-98. https://doi.org/10.1111/inr.12342
Platt, M. S., Coventry, T., &Monterosso, L. (2019). Perioperative nurses’ perceptions of cross-training: A qualitative descriptive study. Journal of Perioperative Nursing, 32(1), 19. https://doi.org/10.26550/2209-1092.1042
Putra, A.P., Kusnanto, K. &Yuwono, S.R., (2020). Effects of Job Satisfaction and Organizational Commitment on Nurse Retention: A Systematic Review. Indonesian Nursing Journal of Education and Clinic (INJEC), 5(2), pp.197-205. https://doi.org/10.24990/injec.v5i2.319
Szalmasagi, J. D. (2018). Efficacy of a mentoring program on nurse retention and transition into practice. International Journal of Studies in Nursing, 3(2), 31. https://doi.org/10.20849/ijsn.v3i2.378
Vortman, R., Bergren, M. D., Baur, K., & Floyd, V. (2019). Nurse Retention in the Operating
Room After Perioperative Core Curriculum Completion. ORNAC Journal, 37(3), 13–27.
