Improving and Standardizing Nursing Orientation Experiences by Development of Integrated Clinical Coach and Nursing Orientation Manuals for an In-Patient Stem Cell Transplant Unit.

2.50
Hdl Handle:
http://hdl.handle.net/10755/164993
Category:
Abstract
Type:
Presentation
Title:
Improving and Standardizing Nursing Orientation Experiences by Development of Integrated Clinical Coach and Nursing Orientation Manuals for an In-Patient Stem Cell Transplant Unit.
Author(s):
Jewell, Jaine; Johnston, Patricia A.
Author Details:
Jaine Jewell,RN, OCN, Assistant Nurse Manager, M. D. Anderson Cancer Center, Houston, Texas, USA, email: jjewell@mdanderson.org; Patricia A. Johnston, RN, MHA, OCN
Abstract:
Education: Orientation for nurses in this comprehensive cancer center is a combination of didactic and clinical components. The didactic needs, such as chemotherapy administration, are developed by the Nursing Education Department, with patient population specific information being provided by the unit-based Clinical Coach (CC). Factors such as the length of time since the CC herself had undergone orientation, out of date educational materials, and ever-changing technology made it increasingly difficult to create a comprehensive, up-to-date orientation experience that was consistent for all new nurses on the Stem Cell Transplant (SCT) unit. The new SCT nurse requires in-depth information on all aspects of caring for the SCT patient, from the pre-transplant work-up, to post-transplant care, including medications, patient teaching, and resource information. She also needs tools to track her learning needs and progress, and problem-solving algorithms. The CC needed the same items, in a format that could easily be updated, plus additional information on teaching/learning, along with a solid timed teaching plan to measure progress. This poster describes the integrated orientation manuals designed to meet the needs of the new nurse and CC on a 52-bed inpatient SCT unit. Each manual begins with clearly defined institutional and unit expectations of orientation. Sections were combined in logical sequence to promote ease of location and ease of replacement when the section was updated. For example, all items related to daily care are together, such as a copy of the shift-change format, suggestions for organizing the day, how to perform an in-depth physical assessment of a SCT patient, routine daily care and patient teaching, as well as copies of forms and tools in frequent use. Following along with the sections of the manual has led to a more standardized orientation experience for new nurses on the unit, and increasing confidence in teaching ability for the CC. The tracking tools have led to more easily identified learning needs, rapidly identified potential problem areas, and more consistency in what is being taught. Providing a solid, comprehensive orientation experience can assist in retaining nursing staff by promoting confidence and a sense of accomplishment.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
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.titleImproving and Standardizing Nursing Orientation Experiences by Development of Integrated Clinical Coach and Nursing Orientation Manuals for an In-Patient Stem Cell Transplant Unit.en_GB
dc.contributor.authorJewell, Jaineen_US
dc.contributor.authorJohnston, Patricia A.en_US
dc.author.detailsJaine Jewell,RN, OCN, Assistant Nurse Manager, M. D. Anderson Cancer Center, Houston, Texas, USA, email: jjewell@mdanderson.org; Patricia A. Johnston, RN, MHA, OCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164993-
dc.description.abstractEducation: Orientation for nurses in this comprehensive cancer center is a combination of didactic and clinical components. The didactic needs, such as chemotherapy administration, are developed by the Nursing Education Department, with patient population specific information being provided by the unit-based Clinical Coach (CC). Factors such as the length of time since the CC herself had undergone orientation, out of date educational materials, and ever-changing technology made it increasingly difficult to create a comprehensive, up-to-date orientation experience that was consistent for all new nurses on the Stem Cell Transplant (SCT) unit. The new SCT nurse requires in-depth information on all aspects of caring for the SCT patient, from the pre-transplant work-up, to post-transplant care, including medications, patient teaching, and resource information. She also needs tools to track her learning needs and progress, and problem-solving algorithms. The CC needed the same items, in a format that could easily be updated, plus additional information on teaching/learning, along with a solid timed teaching plan to measure progress. This poster describes the integrated orientation manuals designed to meet the needs of the new nurse and CC on a 52-bed inpatient SCT unit. Each manual begins with clearly defined institutional and unit expectations of orientation. Sections were combined in logical sequence to promote ease of location and ease of replacement when the section was updated. For example, all items related to daily care are together, such as a copy of the shift-change format, suggestions for organizing the day, how to perform an in-depth physical assessment of a SCT patient, routine daily care and patient teaching, as well as copies of forms and tools in frequent use. Following along with the sections of the manual has led to a more standardized orientation experience for new nurses on the unit, and increasing confidence in teaching ability for the CC. The tracking tools have led to more easily identified learning needs, rapidly identified potential problem areas, and more consistency in what is being taught. Providing a solid, comprehensive orientation experience can assist in retaining nursing staff by promoting confidence and a sense of accomplishment.en_GB
dc.date.available2011-10-27T12:10:38Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:38Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan 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.-
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