Pioneering an Innovative Approach for New Graduate Emergency Department Orientation

2.50
Hdl Handle:
http://hdl.handle.net/10755/162445
Type:
Presentation
Title:
Pioneering an Innovative Approach for New Graduate Emergency Department Orientation
Abstract:
Pioneering an Innovative Approach for New Graduate Emergency Department Orientation
Conference Sponsor:Emergency Nurses Association
Conference Year:2011
Author:Silverman, Mary Kay, RN, CEN
P.I. Institution Name:Hahnemann University Hospital
Title:Director of Emergency Services
Contact Address:Broad and Vine Street, Philadelphia, PA, 19102, USA
Contact Telephone:215-762-7328
[ENA Leadership Conference] Evidence-based Practice Presentation: Pioneering an Innovative Approach for New Graduate Emergency Department Orientation

Purpose: With an Emergency Department (ED) turnover rate for RNs at 69%, this urban, level 1 trauma center developed and implemented a unique custom designed orientation program that focused on retention for 30 new ED graduate hires.

Design: This descriptive study utilizes a survey design that was an evidence-based initiative focusing on providing leadership and mentoring to complement staff development thus enhancing critical thinking, nursing assessment skills, and confidence.

Setting: Urban, academic, level 1 trauma and certified Stroke center ED with 540 licensed beds.

Participants/Subjects: 8 male and 22 female newly hired nurses that recently graduated from a nursing program and successfully passed the NCLEX. Excluded were new hires with nursing/ED experience.

Methods: This creative 6 months orientation was designed to expand the knowledge and skill sets of new nurses so they may be successful working in an ED. Through a well-planned, wide-spectrum of content, each individual is able to create a foundation for building confidence, team building, and knowledge in various domains of nursing practice. The orientation has 4 components: attendance at weekly ED Physician Grand Rounds; special class sessions geared towards types of patients and situations they may encounter in the ED; hands-on pieces encompassing growth and development, nursing skills, and critical thinking; and ends with a new program called Home Stretch. Home Stretch allows the orienting new grads to provide nursing care in a team setting, work independently (with preceptor supervision), initiate bedside rounds, gain experience in trauma care, and ensure goals of orientation are completed. The Home Stretch also provided a sense of confidence in the new grad to practice autonomously within the clinical setting. Additionally, the new grads attended the hospital wide nurse residency program. Post-orientation interviews and surveys were conducted to all graduates of the program immediately following their orientation program. Additional surveys are now being developed through Survey Monkey, an online survey company, (of the remaining 22 grads now 2 years post program) to determine if the orientation program content was beneficial specific to the information needed for the nurse to care for the ED patient.

Results/Outcomes: Of the 30 total new grads hired in 2008 that completed this program, all 30 of them remain employed in an ED setting. To date, 22 of these new grad RNs remain employed within this particular ED. A post-orientation questionnaire about the program was given to all 30 hires. Now 2 years post-orientation, an updated questionnaire will be given to the 22 remaining new grads and additional information and useful aspects of the orientation program will be presented at the conference.

Implications: This successful, innovative new grad ED orientation program may be replicated at other same setting organizations. There were no additional costs involved in this orientation program to the ED or the organization.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePioneering an Innovative Approach for New Graduate Emergency Department Orientationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162445-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pioneering an Innovative Approach for New Graduate Emergency Department Orientation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Silverman, Mary Kay, RN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hahnemann University Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Emergency Services</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Broad and Vine Street, Philadelphia, PA, 19102, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">215-762-7328</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">marykay.silverman@tenethealth.com; redrn02@yahoo.c</td></tr><tr><td colspan="2" class="item-abstract">[ENA Leadership Conference] Evidence-based Practice Presentation: Pioneering an Innovative Approach for New Graduate Emergency Department Orientation<br/><br/>Purpose: With an Emergency Department (ED) turnover rate for RNs at 69%, this urban, level 1 trauma center developed and implemented a unique custom designed orientation program that focused on retention for 30 new ED graduate hires.<br/><br/>Design: This descriptive study utilizes a survey design that was an evidence-based initiative focusing on providing leadership and mentoring to complement staff development thus enhancing critical thinking, nursing assessment skills, and confidence. <br/><br/>Setting: Urban, academic, level 1 trauma and certified Stroke center ED with 540 licensed beds.<br/><br/>Participants/Subjects: 8 male and 22 female newly hired nurses that recently graduated from a nursing program and successfully passed the NCLEX. Excluded were new hires with nursing/ED experience.<br/><br/>Methods: This creative 6 months orientation was designed to expand the knowledge and skill sets of new nurses so they may be successful working in an ED. Through a well-planned, wide-spectrum of content, each individual is able to create a foundation for building confidence, team building, and knowledge in various domains of nursing practice. The orientation has 4 components: attendance at weekly ED Physician Grand Rounds; special class sessions geared towards types of patients and situations they may encounter in the ED; hands-on pieces encompassing growth and development, nursing skills, and critical thinking; and ends with a new program called Home Stretch. Home Stretch allows the orienting new grads to provide nursing care in a team setting, work independently (with preceptor supervision), initiate bedside rounds, gain experience in trauma care, and ensure goals of orientation are completed. The Home Stretch also provided a sense of confidence in the new grad to practice autonomously within the clinical setting. Additionally, the new grads attended the hospital wide nurse residency program. Post-orientation interviews and surveys were conducted to all graduates of the program immediately following their orientation program. Additional surveys are now being developed through Survey Monkey, an online survey company, (of the remaining 22 grads now 2 years post program) to determine if the orientation program content was beneficial specific to the information needed for the nurse to care for the ED patient. <br/><br/>Results/Outcomes: Of the 30 total new grads hired in 2008 that completed this program, all 30 of them remain employed in an ED setting. To date, 22 of these new grad RNs remain employed within this particular ED. A post-orientation questionnaire about the program was given to all 30 hires. Now 2 years post-orientation, an updated questionnaire will be given to the 22 remaining new grads and additional information and useful aspects of the orientation program will be presented at the conference.<br/><br/>Implications: This successful, innovative new grad ED orientation program may be replicated at other same setting organizations. There were no additional costs involved in this orientation program to the ED or the organization. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:20Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.