Use of Clinical Orientation Pathway as a Basis for Competency Based Orientation to the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162798
Type:
Presentation
Title:
Use of Clinical Orientation Pathway as a Basis for Competency Based Orientation to the Emergency Department
Abstract:
Use of Clinical Orientation Pathway as a Basis for Competency Based Orientation to the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:1997
Author:Bray, Dianne, RN
Contact Address:, USA
Clinical Topic: Clinical pathways represent a strategy to manage and achieve quality outcomes. The intent of this clinical project was to apply patient care critical pathway principles to the orientation process for emergency department nurses.

Process of Implementation: Successful completion of the orientation process has significance for emergency nurses, the emergency department and for delivery of quality care. This clinical project was conceived in response to the high attrition rates for nursing staff and wide variations in skill levels of newly hired emergency nurses. The planning and implementation of the clinical orientation pathway (COP) included: (1) Analysis of existing orientation program for viable components; (2) Current literature review; (3) Collaboration of preceptor committee, professional development committee and clinical nurse specialist for pathway development; (4) Integration of previous department specific orientation components; i.e., skills matrix and clinical competencies; (5) Clinical trial critical pathway; and (6) "Fine-tuning" with input from preceptors and orientees utilizing pathway during a trial period over six months.

Outcomes: The use of an orientation critical pathway provides a focus for the preceptor and orientee while allowing for the nurse's self-directed goal development effectiveness in the following ways: (1) Establishes time frames and desired outcomes in a concise - easy to follow format; (2) Allows for self-paced flexibility based on Benner's (1984) "notice to expert" approach from previous relative nursing experience; (3) Identifies positive and negative variances from the orientation pathway which may influence time frame parameters; and (4) Clearly identifies the orientee's responsibilities and resources for outcome achievement.

Recommendations for Clinical Practice: Recommendations for clinical orientation pathway use are the expansion of the orientation clinical pathway to include other emergency department personnel. Suggested future research efforts are related to quality outcomes to determine satisfaction both for orientees and preceptors, measurable competency demonstration and cost effectiveness based on staff retention and length of orientation. [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.titleUse of Clinical Orientation Pathway as a Basis for Competency Based Orientation to the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162798-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Use of Clinical Orientation Pathway as a Basis for Competency Based Orientation to the Emergency Department</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">1997</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bray, Dianne, RN</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Clinical pathways represent a strategy to manage and achieve quality outcomes. The intent of this clinical project was to apply patient care critical pathway principles to the orientation process for emergency department nurses.<br/><br/>Process of Implementation: Successful completion of the orientation process has significance for emergency nurses, the emergency department and for delivery of quality care. This clinical project was conceived in response to the high attrition rates for nursing staff and wide variations in skill levels of newly hired emergency nurses. The planning and implementation of the clinical orientation pathway (COP) included: (1) Analysis of existing orientation program for viable components; (2) Current literature review; (3) Collaboration of preceptor committee, professional development committee and clinical nurse specialist for pathway development; (4) Integration of previous department specific orientation components; i.e., skills matrix and clinical competencies; (5) Clinical trial critical pathway; and (6) &quot;Fine-tuning&quot; with input from preceptors and orientees utilizing pathway during a trial period over six months.<br/><br/>Outcomes: The use of an orientation critical pathway provides a focus for the preceptor and orientee while allowing for the nurse's self-directed goal development effectiveness in the following ways: (1) Establishes time frames and desired outcomes in a concise - easy to follow format; (2) Allows for self-paced flexibility based on Benner's (1984) &quot;notice to expert&quot; approach from previous relative nursing experience; (3) Identifies positive and negative variances from the orientation pathway which may influence time frame parameters; and (4) Clearly identifies the orientee's responsibilities and resources for outcome achievement.<br/><br/>Recommendations for Clinical Practice: Recommendations for clinical orientation pathway use are the expansion of the orientation clinical pathway to include other emergency department personnel. Suggested future research efforts are related to quality outcomes to determine satisfaction both for orientees and preceptors, measurable competency demonstration and cost effectiveness based on staff retention and length of orientation. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:21Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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