Task: Recommendations for practice implementation

synthesis table & analysis

· Discuss the synthesis tables

a. Present the table

b. Analyze the findings from each table

c. Summarize the finding from the tables

· Synthesize the findings from the evidence table and the synthesis table to draw the final conclusion.

a. The conclusion may be to implement in practice or not ready for implementation and more research is needed.

b. You must justify your conclusion with data!!

· Make recommendations for practice implementation or research that needs to be done depending on your conclusion.

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Reference	Study Design	Subject Number & Type	Hypothesis/Clinical Question	Intervention	Outcome & Statistical Findings	Quality of Evidence	Notes
Brook, Judy, et al. “Characteristics of successful interventions to reduce turnover and increase retention of early-career nurses: a systematic review.” International journal of nursing studies (2018).	Systematic review, meta analysis	The target population for the research was nurses. A total of 11656 nurses were contacted	Characteristics of effective interventions to decrease turnover and increase retention of early-career nurses	Types of intervention used in this review were interventions with specialty track(n=12), transition and orientation to practice programmes (n=15), internships (n=16),	12 studies assessed interventions that provided specialty training. 7 interventions were designed for specific specialties such as critical care (n=5), specialist care (n=1), or orthopedic care (n=1). 5 shown that specialty tracks could be adapted depending on an area. 3 of these scored 7 and above, while 3 scored 3 and below in quality assessment. Retention increased by 16 percent across 5 studies. Only one study showed a negative effect of specialty track on turnover. 16 studies gave findings from internship and residency programs. With three scoring 3 and below in the assessment. 10 studies found an 18% decrease, while 6 of them examined retention and got a 24% increase. 2 studies revealed a negative effect on retention and turnover.	Level I The reference is deemed to be of high quality. The review was evaluated for quality and strength using the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines.	From the 11656 papers identified, 53 of them were eligible studies. Various interventions and the elements within these interventions were found to improve the retention of nurses. The most promising interventions were internship and orientation practices programs lasting between 27 and 52 weeks with a teaching and mentor component.
Eckerson, Caitlin M. “The impact of nurse residency programs in the United States on improving retention and satisfaction of new nurse hires An evidence-based literature review.” Nurse education today, 71 (2018): 84-90.	systematic reviews of descriptive and qualitative research	299 articles searched from databases and search engines	The impact of nurse residency programs in the United States on improving retention and satisfaction of new nurse hires:	Peer-reviewed publications that addressed the nurse retention rates. Nurse satisfaction, preceptor, based on the residency program of the nurse’s participation and a 1-year long nurse residency program.	Based on the available published materials, the literature review revealed that the use of NRP had had a positive effect on the retention and satisfaction of newly hired nurses. 12 of the articles addressed nursing graduates with an experience of less than a year. Nurse retention rates showed a dramatic growth with the use of NRPs. Most studies demonstrated retention of 90% and above after the first year of employment. Financial savings were found to be another direct relation to an increase in the retention of nurses. A net gain of 15,228000 dollars across fifteen hospitals was studied because of the increased retention rates of the nurses. 9 articles studied nurse satisfaction. 2 studies revealed a high level of perceived satisfaction at the beginning of the NRP, which remained steady between 6 and 12 months. The major contributors to the satisfaction were positive interactions and peer support with patients and staff.	Level V	The review evidence revealed two important factors that show that there is a strong correlation between increased retention of the nurse and the use of NRP for the nurses working in their first year of hire.

Task: Recommendations for practice implementation

Brook, J., Aitken, L., Webb, R., MacLaren, J., & Salmon, D. (2019). Characteristics of successful interventions to reduce turnover and increase retention of early career nurses: A systematic review. International Journal of Nursing Studies, 91, 47–59.

Eckerson, C. M. (2018). The impact of nurse residency programs in the United States on improving retention and satisfaction of new nurse hires: An evidence-based literature review. Nurse Education Today, 71, 84–90.