“Traditionally, NRPs in the U.S. are delivered in-person with didactic curriculum, however, in 2014, the Iowa Action Coalition established the Iowa Online Nurse Residency Program (IONRP) intended to produce a more affordable, accessible and adaptable NRP for all clinical settings. This forward-thinking move by Iowa Action Coalition leaders responded to constrained resources encountered in small rural healthcare settings across the state and learning preferences of contemporary learners. Wilson and colleagues conducted a formative evaluation of both online and blended NRP options finding similar outcomes at both six and 12 months for the Casey-Fink Graduate Nurse Experience Survey for both formats.