An enhanced and expanded transition to practice program for nurses at WVU Medicine United Hospital Center (UHC) has improved patient care and job satisfaction and retention among recent nurse graduates who are involved in their first clinical experiences.

A case study of the initiative, written by Leslie Perine, M.S.N., R.N., N.P.D.-B.C., director for Nursing Professional Practice and Education for the WVU Health System, and titled “Transforming Nurse Transition to Practice at WVU Medicine United Hospital Center,” is featured on the American Nurses Credentialing Center (ANCC) website within its Practice Transition Accreditation Program® (PTAP) section.

The case study outlines the transition from a four-week transition to practice program at UHC to a six-month program closely aligned with ANCC PTAP standards.

"The primary challenge faced by UHC was the need to improve the clinical skills and readiness of new graduate nurses,” Perine, who lives in Bridgeport, wrote. “The existing four-week bridge program was insufficient, especially for graduates who lacked the necessary clinical experience. The COVID-19 pandemic further exacerbated this issue, as many graduates had limited clinical exposure during their training."

To address these challenges, UHC expanded the bridge program to a more intensive nurse residency program that remained focused on the transition from an academic to clinical setting.

The new program would last six months, incorporating both classroom and clinical instruction, including an instructor-led clinical component that focused on foundational nursing skills. The program also added monthly sessions for professional development and emotional support, covering topics like emotional intelligence, teamwork and civility, and leadership at the bedside.

During the transition, UHC pursued accreditation from the ANCC and achieved it in 2024.

The outcomes of the program proved to be “highly positive,” according to Perine and included improved retention rates for new graduate nurses, positive feedback from nurses who said they felt more supported and prepared for their roles, and an ongoing commitment from leadership who will continue to maintain and improve the program with regular updates and continuous learning.

“Through strategic expansion, strong leadership support, and a commitment to continuous improvement, UHC has successfully enhanced the readiness and retention of new graduate nurses, ultimately improving patient care and outcomes,” Perine said.

Editor's Note: Photo is of Leslie Perine.

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