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Start, Barrier: Formal residency support ends, leaving no structured…

- - - - Barrier: Nurse may be unaware of opportunities or how to access them
      - Decision Node: Does a structured post-residency professional development program exist?
        
        NO
        
        Step 4a: Nurse seeks professional development opportunities independently
        
        Barrier: Nurses may be unaware of available professional development opportunities or how to access them.
        
        Potential Outcomes: Reduced Professional Identity, Reduced Sense of Belonging, Higher Emotional Exhaustion, Lower Job Satisfaction, Lower Intent to Stay, Increased Turnover, and Reduced Retention
        
        YES
        
        Step 4b: Nurse enrolls in a structured professional development program
        
        Step 5: Nurse participates in mentorship, certification support, leadership development, and career planning activities
        
        Potential Outcomes: Increased Professional Identity (PINS 3.0), Increased Sense of Belonging, Lower Emotional Exhaustion, Higher Job Satisfaction, Greater Intent to Stay, Reduced Turnover, and Increased Retention
        
        End
        
        Barrier: Staffing shortages, limited release time, competing operational priorities, and limited funding reduce participation in professional development activities.