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In November 2011, VHA implemented a mandatory RN Transition-to-Practice (RNTTP) Program. Support for the mandatory program was based on research on the challenges of new graduate RNs
transitioning to practice and a successful pilot project that resulted in a 100 percent retention rate. Increased retention rates correlate to lower turnover costs and research on RNTTP
residency programs have demonstrated positive outcomes for nurses, patients, and health systems.