Impact of Nurse Residency Program on Time-to-Fill Nurse Vacancies at the Veterans Health Administration

Bibliographic Data

ID9102557
AuthorsYufei Li (0000-0003-2783-6468, Department of Health Law, Policy and Management, Boston University of Public Health, Boston, MA, corresponding author), Aaron Legler (0000-0001-5085-1143, Partnered Evidence-Based Policy Resource Center, VA Boston Healthcare System, Boston, MA), Aigerim Kabdiyeva (0000-0001-7260-2113, Partnered Evidence-Based Policy Resource Center, VA Boston Healthcare System, Boston, MA), PhiYen Nguyen (Department of Health Law, Policy and Management, Boston University of Public Health, Boston, MA, corresponding author), Melissa M Garrido (0000-0002-8986-3536, Boston University, corresponding author), Melissa Garrido (Department of Health Law, Policy and Management, Boston University of Public Health, Boston, MA), Steven D Pizer (0000-0003-4908-5976, Boston University, corresponding author), Steven Pizer (Department of Health Law, Policy and Management, Boston University of Public Health, Boston, MA)
Year2024
Volume62
Issue9
Pages599-604
Publication date2024-09-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000002032
PMID38986114
OpenAlexW4400483878
LanguageEN
Citations received1
References cited16

BACKGROUND: The Department of Veterans Affairs (VA) offers a 1-year Post-Baccalaureate-Registered Nurse Residency (PB-RNR) Program. The impact of the PB-RNR program on local RN recruitment was unknown. OBJECTIVES: We aimed to evaluate the effect of the size of the PB-RNR program at a VA facility on its time-to-fill RN vacancies. PROJECT DESIGN: We used an instrumental variable approach with a 2-stage residual inclusion specification. SUBJECTS: We included RN filled vacancies in the VA that were posted nationwide between 2020 and 2021. MEASURES: Our independent variable was the facility-year level number of PB-RNR program allocations. The 3 binary outcomes were whether the RN vacancy was filled within 90, 60, or 30 days. RESULTS: An increase of one training allocation was significantly associated with a 5.60 percentage point (PP) (95% CI: 2.74-8.46) higher likelihood of filling a vacancy within 90 days, 7.34 PP (95% CI: 4.66-10.03) higher likelihood of filling a vacancy within 60 days, and 5.32 PP (95% CI: 3.18-7.46) higher likelihood of filling a vacancy within 30 days. The impact was significant in both 2020 and 2021 positions, and in facilities located in areas with lower social deprivation scores, higher-quality public schools, or with either no or partial primary care physician shortages. CONCLUSIONS: We found favorable impacts of the size of the PB-RNR program at a VA facility on filling RN vacancies

Administration (probate law) · Family medicine · Health care · Nurse practitioners · Political science · Global Health Workforce Issues · Medicine · Nursing · Nursing education and management · Nursing Roles and Practices · Psychology

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