Bridging the Gap: Student Nurse to Licensed Practical Nurse in the Ambulatory Care Setting

Recruiting licensed practical nurses (LPNs) has become increasingly challenging due to a competitive workforce. Many employers struggle with retention, particularly for new graduate nurses entering practice. Recognizing the need for structured support, a program was designed to help new graduate LPNs meet the demands of ambulatory care, where skills in task prioritization, time management, and clinical judgment are essential.
To address this need, a one-year new graduate LPN program was developed and tailored to the unique requirements of LPNs serving a diverse patient population. Inspired by the established registered nurse (RN) transition-to-practice program (TTP), this initiative includes an extended orientation, assignment to a primary preceptor, and continuous support from program facilitators and peers. The program is divided into three phases: phase I orientation, phase II preparation for independent practice, and phase III independent practice. The program includes regular check-ins with facilitators and group education sessions that offer diverse continuing education modalities. By fostering a supportive environment, the program aims to improve job satisfaction, retention, and self-confidence among the new graduate LPNs. Participants develop essential skills in task prioritization, time management, and clinical judgment through critical-thinking exercises and real-world scenarios, all while gradually building self-confidence. Self-confidence levels are monitored through monthly surveys distributed to participants.
Early results show promising retention rates and increased confidence among participants, demonstrating the program’s effectiveness. This structured approach could serve as a model for other facilities seeking to support and retain new graduate LPNs retention in ambulatory care.