R³ – the Renewal, Resilience and Retention of Maryland Nurses Initiative

Welcome to R3
Welcome to R3 (Renewal, Resilience and Retention) Resilient Nurses Initiative, Maryland!
Nurses are resilient, and we want to keep them that way! Whether referred to as burnout, moral distress or simply stress, there’s not a CEO, CNO or SON Dean who doesn’t worry about it nor is there a faculty member, student or frontline nurse who hasn’t seen or experienced it first-hand.
The R³ (Renewal, Resilience and Retention of Maryland Nurses) Initiative is a statewide effort to strengthen the resilience, well-being, leadership, and retention of Maryland nurses, nursing students, educators, and novice nurses. Through evidence-informed resources, practical tools, educational modules, research, statewide partnerships and collaborative learning opportunities, R³ helps address burnout, moral distress, and workplace challenges while promoting ethical practice and healthier work environments. The initiative also brings together academic institutions, healthcare organizations, and nursing leaders to support and strengthen Maryland’s nursing workforce. R3 is building a stronger healthcare workforce and helping ensure that every Marylander has access to high-quality, compassionate, and ethically grounded nursing care.
About R3
R3 is possible through a NSPII grant. This funding supports the development and implementation of a statewide initiative for academic faculty, nursing students, Nurse Residency Program educators, and novice nurses to strengthen the resiliency and ethical practice curriculum before and after graduation. To help mend the gap, this trans-institutional academic/practice collaboration addresses root causes of distress and disengagement and aims to:
- improve nurses’ well-being
- strengthen the bridge from education to practice
- begin to shift the culture toward one that supports the integrity and resilience of students, faculty and practicing nurses
From the original beginning in 2020, The R3 resources have grown to include over 40 tools and modules to help meet everyday challenges with confidence, resiliency and integrity. We have also created additional resources to help bolster the nursing workforce pipeline, amplify the voice of nursing, renew nursing’s covenant with the public, and advocate for needed change. In the near future we look forward to expanding our resources to target underserved, nurse leaders, and mental health needs – so please check back periodically!
We welcome you to explore the following assets on the website:
Contact US
For questions or to share your tools and resources, please contact us at [email protected]
Cynda Hylton Rushton, PhD, RN, FAAN
Chief Synergy Strategist
R3 Resilient Nurses Initiative, Maryland
[email protected]

“As we pause to celebrate the contributions nurses have made to the outcomes of patients, families and health care organizations across Maryland, we must also pause to honor nurses sacrifices, courage and compassion.”
Celebrating Nurses In Maryland and Beyond
“Ten Things You Can Do to Support Nurses. By Cynda Rushton, Susan Reinhard, February 1, 2023.”
Ten Thing You Can Do To Support Nurses
“Nurses are resilient. Learn how Maryland nurses are staying that way!”
Read Stories Of Resilience
“We are all resilient and courageous; sometimes we just need the tools and support to help access what is already inside of us.”
Jen Simmons RN, Surgery – Resilient and Courageous
“Self-stewardship is a sacred act of integrity”
Cynda Rushton PhD, RN, FAAN – Self-Stewardship
R³ Events
No events are scheduled at this time.
SUBMIT YOUR STORY
Submit your story of resilience in writing or by video by addressing the following:
- If video is available, please send .mp4 or .mov files to [email protected].
- If in writing, no more than 400 words or if video no more than 5 minutes
- Briefly describe what happened/your situation where your resilience was needed.
- In what ways did your resilience shine through?
- What kept you resilient during this time? (E.g., Activities such as meditation, connecting with your values, and taking a break)
- How will you remember this in the future?
“Nurses are a precious resource in our healthcare system. Now is the time for us to stand together to restore our workforce and our profession.”
Dr. Cynda H. Rushton



