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  • A critical element of preparing competent nursing students, not mentioned in "Crisis in Competency: A Defining Moment in Nursing Education", is the need to eliminate barriers to recruiting and retaining nurse educators still engaging in clinical practice.

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Reply by author Hill to Dhakal on Improving Quality and Patient Safety by Retaining Nursing Expertise

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December 15, 2010

Reply by author to Sangita Khanal Dhakal on Improving Quality and Patient Safety by Retaining Nursing Expertise by Karen S. Hill (August 2, 2010)

Dear Sangita,

First, thank you for taking time to read my recent OJIN article, “Improving Quality and Patient Safety by Retaining Nursing Expertise. I agree with you that mentoring is essential within the nursing profession and would refer you to my response to Camelle Christine Lo supporting the importance of mentoring in nursing.

I would also refer you to the web site of the National Council of State Boards of Nursing ( Leaders at the NCSBN have been very proactive in developing a model for residency for the new graduate nurse. The early research related to the efficacy of residency models identified mentorship as a key component for success in the transition of new graduates.

Personally, I would like to see a clearer differentiation in practice environments between orientation, preceptorship, and mentorship. Although all three concepts are clearly beneficial to new graduate nurses as they transition from student environments to the workplace, they are based on different conceptual models with diverse structures. As a BSN student who has already been in the workforce, you will be uniquely qualified to mentor other nurses who are at various stages of their careers towards successful practice.


Karen S. Hill, RN, DNP, NEA-BC, FACHE