Formal transition to practice programs for nurse residents are well reported in the literature as successful approaches to assist new graduate nurses.1–10  The complexity and high volume of demands placed on newly licensed nurses have driven the need to standardize an evidence-based, nurse residency curriculum. Our organization has had a centralized transition to practice nurse residency program in place for more than 15 years. The goals of this robust, yearlong program are to decrease nurse resident turnover, build nurse resident confidence and competence, provide organizational support, promote nurse resident socialization, and positively affect patient outcomes. However, even in the presence of this comprehensive program, we identified the need for additional unit level support. In response, we developed a pilot orientation program on a unit that includes a 12-bed, medical-surgical, solid-organ transplant and hepatology practice and a 24-bed progressive care unit....

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