Hawaii’s Nurse Residency Program works to reduce the turnover of new graduate nurses in the first year as a registered nurse, ultimately leading to the retention of highly qualified and skilled clinicians.  The Center in collaboration with local nursing education programs and health care providers, including hospitals and extended care facilities, implements a year-long evidenced based best practice Nurse Residency Program.

Research shows that newly-hired graduate RNs are especially vulnerable during their transition period as they apply lessons learned in the classroom to a real-life clinical setting.  Traumatic experiences can lead to loss of new nurses in the healthcare organization and potential loss to the profession.

2017 Nurse Residency Program Summit

The Hawaii Nurse Residency Program (NRP) Summit was held on Wednesday, February 15, 2017.   Academic partners, NRP coordinators and residents were in attendance to hear Senior Director, Nursing Leadership, Jayne Willingham from Vizient provide a update on NRP nationally.  Ms. Willingham spoke about the Vizient/AACN Nurse Residency Program and its focus on data and analytics enhancements, increased responsiveness to member requests, and more emphasis on leveraging the knowledge sharing with the community.  In 2017, we will be seeing website enhancements including mobile friendly surveys for the residents, website re-design and curriculum updates.   Hawaii NRP partners shared their current best practices in operation at the individual facilities.

The day concluded with a showcase of various Evidence-Based Practice projects completed by graduates of the Hawaii NRP.  Presentation topics included beside reporting, comfort care, and pre-op Hibiclens prep.

A huge mahalo to our NRP partners for making the 2017 Hawaii NRP Summit at success! Hawaii NRP partners include:  Chaminade University, Castle Medical Center, Hawaii Pacific Health Systems, Hilo Medical Center, Kaiser Permanente Hawaii, Kapiolani Community College, The Queen’s Medical Center, University of Hawaii at Manoa, and University of Phoenix.

How Nurse Residents are Selected

In order to gain entry into the Nurse Residency Program, a nurse must first be employed by a healthcare organization that participates in the nurse residency program, either as an existing employee or a newly hired employee.  The organization then selects who will participate in the nurse residency program, based on criteria that varies depending on the organization.  Please contact the Human Resource Department of healthcare organizations you are interested in to determine employment and nurse residency options.

Background & Overview

The Hawai`i Nurse Residency Program (NRP) was launched in 2011 to support new nurse graduates as they transition into their first professional position in a hospital setting.

The Hawaiʻi Nurse Residency Program provides a transitional year for the new staff nurse to the profession, health care organization and specialty. This process is accomplished through ongoing education with other nursing peers of applied learning in nursing skills and patient safety, exposure to enhanced communication techniques, building leadership abilities, as well as basing nursing practice on scientific evidence. It is being tailored to meet the unique needs of Hawaiʻi and provide for distance learning via web based technology.

The first statewide effort in the country, the NRP also provides new nurses opportunities to gain necessary experience and training in specialty areas they otherwise might not work.  Further, NRP improves job satisfaction and increases retention rates within the organization and the community.

Councils & Committees

The Hawai‘i State Collaborative Academic Council and Coordinator Committee reports up to the Steering Committee. The Hawai‘i State Center for Nursing coordinates activities and meetings for all working components of the State Collaborative. All partners in the State Collaborative also have access to Vizient, the administrator of the NRP model, for any advancement made nationally to improve the program, detail analysis of the resident’s survey responses and webinar training for the Nurse Educators. Further, Nurse educators and NRP coordinators have access to a national forum and networking through Vizient.

Steering Committee
The Steering Committee is comprised of the chairpersons from the Academic Council and Coordinators Committee and other key stakeholders. The committee provides oversight, goal setting, and program improvements for the statewide collaborative program.
Academic Council
The Academic Council is made up of instructors from nursing schools across the state. The Council works on achieving goals established by the steering committee.
Academic Council members include The University of Hawaii, Chaminade University, Hawaii Pacific University, Kapiolani Community College, and Hawaii Community College.
Coordinators Committee
The Coordinators Committee is made up of nurse educators and preceptors from participating NRP facilities, statewide. The committee provides a forum for all participating employer sites to come together to share the status of each facility’s residency program. The committee also works towards the goals assigned by the Steering Committee to enhance the residency’s experience and outcomes.
Coordinator Committee Members include The Queen’s Medical Center; Kaiser Permanente Hawaii; Castle Medical Center; Hawaii Pacific Health; and Hawaii Health System Corporation.
Evidence-Based Practice Resources (password protected)



Resident Outcomes

In its first year, 110 nurse residents entered the NRP, through employment at the Queen’s Medical Center, Castle Medical Center, Hawai’i Pacific Health, and Hawai’i Health Systems Corporation.  During the year-long program, the nurse residents focused on leadership, patient outcomes, their professional role as nurses, and the development of an evidenced-based project that they presented to their hospital leadership.  The retention rate for the past four years has averaged 92%, which represents a significant return on investment for the organizations, and reflects a successful transition to practice for the nurse residents.  For 2016, there are 141 participating nurse residents, a 21% increase from 2015.

If you are a Hawai’i school of nursing or nursing employer, and you are interested in becoming a member of the Hawaii Nurse Residency Program, we encourage you to contact our HSCN representative at (808) 956-5211 for information on how you may participate in this statewide collaborative.