2.50
Hdl Handle:
http://hdl.handle.net/10755/164231
Category:
Abstract
Type:
Presentation
Title:
Clinical Competency: How to Develop and Retain Safe, Competent Nurses
Author(s):
Bigando, Kelli
Author Details:
Kelli Bigando, MS, RN, BC, CS, St. John's Regional Medical Center, Oxnard, California, USA, email: nacnsorg@nacns.org
Abstract:
Problem: The current nursing shortage is different than the cycles in the past; we don't know that it will end. How then in a seemingly ever-lasting shortage, do we provide patients with safe, competent nursing care from a shrinking pool of available nurses? The significance of these shortage issues affects both human and financial costs relating to patient outcomes, productivity, and risk exposure. A practice of recruiting, hiring, orienting and retaining a nurse who then cannot meet their job expectations, reinforces a cycle of turnover for new and existing staff. Purpose: The purpose of the Clinical Competency Program is to improve orientation, training and nursing practice with expectations of improved patient outcomes and increased retention of new and existing staff. Description of Program: In May 2001, a 367-bed rural acute care hospital implemented a Clinical Competency Program. The initial focus of that program was implementation of Del Bueno's Performance Based Development System. This assessment of the newly hired nurses' abilities in critical thinking and interpersonal skills provides a basis for an orientation plan individualized for that nurse. Clinical Coach training for preceptors was initiated at that same time. Outcomes: Strategies to develop and enhance critical thinking skills have been integrated throughout the program. Staff development, bedside mentoring and changes in nursing practice are managed differently now through this program. Documentation of clinical competency has improved; the program exceeds the standards set by JCAHO and in the first 18 months post-implementation, the organization saved $1,000,000 by reducing RN turnover and increasing RN retention. Implications for Practice: This presentation is significant to the clinical nurse specialist responsible for nursing competency development, implementation and outcomes measurement.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleClinical Competency: How to Develop and Retain Safe, Competent Nursesen_GB
dc.contributor.authorBigando, Kellien_US
dc.author.detailsKelli Bigando, MS, RN, BC, CS, St. John's Regional Medical Center, Oxnard, California, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164231-
dc.description.abstractProblem: The current nursing shortage is different than the cycles in the past; we don't know that it will end. How then in a seemingly ever-lasting shortage, do we provide patients with safe, competent nursing care from a shrinking pool of available nurses? The significance of these shortage issues affects both human and financial costs relating to patient outcomes, productivity, and risk exposure. A practice of recruiting, hiring, orienting and retaining a nurse who then cannot meet their job expectations, reinforces a cycle of turnover for new and existing staff. Purpose: The purpose of the Clinical Competency Program is to improve orientation, training and nursing practice with expectations of improved patient outcomes and increased retention of new and existing staff. Description of Program: In May 2001, a 367-bed rural acute care hospital implemented a Clinical Competency Program. The initial focus of that program was implementation of Del Bueno's Performance Based Development System. This assessment of the newly hired nurses' abilities in critical thinking and interpersonal skills provides a basis for an orientation plan individualized for that nurse. Clinical Coach training for preceptors was initiated at that same time. Outcomes: Strategies to develop and enhance critical thinking skills have been integrated throughout the program. Staff development, bedside mentoring and changes in nursing practice are managed differently now through this program. Documentation of clinical competency has improved; the program exceeds the standards set by JCAHO and in the first 18 months post-implementation, the organization saved $1,000,000 by reducing RN turnover and increasing RN retention. Implications for Practice: This presentation is significant to the clinical nurse specialist responsible for nursing competency development, implementation and outcomes measurement.en_GB
dc.date.available2011-10-27T11:44:29Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:29Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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