Retaining and Training Nurses' Talent in the Emergency Department in an Era of Nursing Shortage! The Incremental Traineeship Program for Emergency Nurses

2.50
Hdl Handle:
http://hdl.handle.net/10755/162712
Type:
Presentation
Title:
Retaining and Training Nurses' Talent in the Emergency Department in an Era of Nursing Shortage! The Incremental Traineeship Program for Emergency Nurses
Abstract:
Retaining and Training Nurses' Talent in the Emergency Department in an Era of Nursing Shortage! The Incremental Traineeship Program for Emergency Nurses
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:Presley, Diane, RN, MSN
P.I. Institution Name:Seton Medical Center
Contact Address:1201 W. 38th Street, Austin, TX, 78749, USA
Co-Authors:Diane Presley, RN, MSN; and Gail Robinson, RN
Clinical Topic: In response to the national shortage of nurses in all specialties, the Emergency Department (ED) developed the Incremental Traineeship Program. This program addressed the needs of new graduates and inexperienced ED Nurses through a highly structured orientation program, interspersed with classroom and practical learning. Our goal was to reduce vacancy rates, turnover, and minimize training costs. Implementation: The program was developed as a result of a commitment to consistently deliver quality patient care by staffing with trained and certified emergency nurses. Presentations of the Principles and Practice of Emergency Nurses in the Treatment Training Manual was taken from Sheehy's Emergency Nursing, Principles and Practice, Fourth Edition, published by the Emergency Nurses Association. Appointed RN preceptors ensured clinical experiences paralleled classroom learning. The program coordinator, a senior emergency nurse in charge of the initiative, evaluated and gave feedback to trainees weekly. Testing of students was accomplished using two texts: The CEN Review manual, and Critical Thinking in Medical-Surgical Setting: A Case Study Approach. The Traineeship was completed over a two-year period allowing new graduates to integrate learning following the instruction in sequenced sections of the Treatment, Acute, and Triage areas. Upon completion of the program, novice nurses will have achieved training and experience equivalent to the Certified Emergency Nurse, and have knowledge and skills required to provide care to all patients presenting to the ED. Outcomes: The pilot initially had six students, with a 50% attrition rate. One did not pass boards and chose to leave, another felt the environment was too stressful, and one did not meet performance requirements. All the trainees had a clear sense of their performance and personal development plans which outlined educational goals to meet core requirements. Staff nurse's satisfaction increased due to involvement in this positive process that reduced turnover, improved practice, and fostered professional development in staff and trainees. The cost per student for 9 months is approximately $26,520, budgeted into emergency services non-productive time. The program is feasible and a positive alternative to continued use of traveler nurses, who do not provide a stable or cost effectiveness unit. Recommendations: It is recommended that ED's establish recruitment/training programs to allow new nurses to precept into our specialty, improve systems and training which involves current staff to strengthen a quality program, and create a long term solution to the nursing shortage.
Upon completion of this poster review, the participant will be able to: 1) Develop an orientation and training program for new nurse graduates and inexperienced Ed nurses; and 2) Describe the positive effect such a program has on recruitment and retention.
[Clinical Poster Presentation]
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.titleRetaining and Training Nurses' Talent in the Emergency Department in an Era of Nursing Shortage! The Incremental Traineeship Program for Emergency Nursesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162712-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Retaining and Training Nurses' Talent in the Emergency Department in an Era of Nursing Shortage! The Incremental Traineeship Program for Emergency Nurses</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">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Presley, Diane, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Seton Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1201 W. 38th Street, Austin, TX, 78749, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Dpresley@seton.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Diane Presley, RN, MSN; and Gail Robinson, RN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: In response to the national shortage of nurses in all specialties, the Emergency Department (ED) developed the Incremental Traineeship Program. This program addressed the needs of new graduates and inexperienced ED Nurses through a highly structured orientation program, interspersed with classroom and practical learning. Our goal was to reduce vacancy rates, turnover, and minimize training costs. Implementation: The program was developed as a result of a commitment to consistently deliver quality patient care by staffing with trained and certified emergency nurses. Presentations of the Principles and Practice of Emergency Nurses in the Treatment Training Manual was taken from Sheehy's Emergency Nursing, Principles and Practice, Fourth Edition, published by the Emergency Nurses Association. Appointed RN preceptors ensured clinical experiences paralleled classroom learning. The program coordinator, a senior emergency nurse in charge of the initiative, evaluated and gave feedback to trainees weekly. Testing of students was accomplished using two texts: The CEN Review manual, and Critical Thinking in Medical-Surgical Setting: A Case Study Approach. The Traineeship was completed over a two-year period allowing new graduates to integrate learning following the instruction in sequenced sections of the Treatment, Acute, and Triage areas. Upon completion of the program, novice nurses will have achieved training and experience equivalent to the Certified Emergency Nurse, and have knowledge and skills required to provide care to all patients presenting to the ED. Outcomes: The pilot initially had six students, with a 50% attrition rate. One did not pass boards and chose to leave, another felt the environment was too stressful, and one did not meet performance requirements. All the trainees had a clear sense of their performance and personal development plans which outlined educational goals to meet core requirements. Staff nurse's satisfaction increased due to involvement in this positive process that reduced turnover, improved practice, and fostered professional development in staff and trainees. The cost per student for 9 months is approximately $26,520, budgeted into emergency services non-productive time. The program is feasible and a positive alternative to continued use of traveler nurses, who do not provide a stable or cost effectiveness unit. Recommendations: It is recommended that ED's establish recruitment/training programs to allow new nurses to precept into our specialty, improve systems and training which involves current staff to strengthen a quality program, and create a long term solution to the nursing shortage. <br/>Upon completion of this poster review, the participant will be able to: 1) Develop an orientation and training program for new nurse graduates and inexperienced Ed nurses; and 2) Describe the positive effect such a program has on recruitment and retention.<br/>[Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:51Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.