Date of Award

January 2024

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Mary Ann Camilleri



Retaining New Graduate Nurses: Creating a Model Inpatient Education to Practice Program in a Large Healthcare SystemPurpose: The purpose of this study is to address the persistent challenge of high turnover rates among New Graduate Nurses (NGNs) by implementing and evaluating a Dedicated Education Unit (DEU) model in a large hospital. The DEU aims to provide intensive support and training to NGNs during their transition to clinical practice, with a focus on improving retention rates and enhancing patient care quality. Background: New Graduate Nurse turnover rates have reached alarming levels, impacting healthcare organizations' stability and patient outcomes. Traditional postgraduate programs have failed to adequately address the emotional and psychological needs of NGNs during their transition to practice. The DEU model offers a novel approach by creating a structured learning environment with trained preceptors to support NGNs' professional growth and development. Methods: The implementation of the DEU involved developing a dedicated medical-surgical unit equipped with trained nurse preceptors and recruiting NGNs for four-week rotations. Preceptors received training using the Socratic teaching method to facilitate critical thinking and skill acquisition among NGNs. The Casey Fink survey was utilized to assess NGNs' perceptions and experiences before and after participating in the DEU program. Results: Preliminary results from the DEU pilot program showed positive outcomes, with NGNs reporting improvements in core nursing skills, confidence levels, and comfort in their roles. However, challenges such as changes in NGN hiring timing and preceptor fatigue impacted program implementation and evaluation. Despite limitations in sample size, qualitative feedback indicated the potential effectiveness of the DEU model in supporting NGNs' transition to clinical practice. Conclusion: The DEU model represents a promising solution to address NGN turnover and enhance patient care quality by providing targeted support and training during the transition to practice. Key findings underscore the importance of leadership commitment, clear communication, and preceptor engagement in the success of the DEU program. Further evaluation and refinement are needed to optimize the DEU model and scale its implementation across healthcare systems, with a focus on improving nurse retention and patient outcomes.


This is an Open Access Thesis.

Open Access

This Article is Open Access