2.50
Hdl Handle:
http://hdl.handle.net/10755/306583
Category:
Abstract
Type:
Poster
Title:
Emergency Nursing Academy: A Multi-Hospital Residency Program
Author(s):
Summerell, Nancy; Rhew, Denise
Lead Author STTI Affiliation:
Non-member
Author Details:
Nancy Summerell, MSN, RN, CEN, nancy.summerell@conehealth.com; Denise Rhew, MSN, RN, CEN
Abstract:

Evidence-based Practice Abstract

Purpose: In this multi-hospital system, expanding volumes and facilities highlighted the need to increase new graduate hires. The objective of this project was to design a program to improve the system’s recruitment, transition, integration and retention of new graduates.

Design: The use of an evidence-based practice model guided this staff development project. After a thorough review of literature, the two member team proposed the Academy of Emergency Nursing to cohort all new graduates and to partner all emergency departments in the orientation process.

Setting: Located in a southeastern metropolitan region, this not-for-profit, five-hospital Magnet-designated system includes a Level II Trauma center with a Children’s Emergency Department, a free-standing emergency department, an urban hospital-based emergency department with a Behavioral Health Emergency Department, and a rural hospital-based emergency department.

Participants: The pilot Academy began July 2011 with 12 participants. In 2012 there were 22 new graduates hired representing 10 schools of nursing: 86% with baccalaureates and 27% with other advanced degrees. The first 2013 Academy has 15 new graduates from 14 schools and 6 states: 93% with baccalaureates and 25% with additional degrees.

Methods: The ENA Core Curriculum provides the topic framework for this year long program. The first 12 weeks provide a unique introduction to emergency nursing through rotations in all of the different emergency facilities. Emphasis is on skills, communication, and understanding of emergency services. During these rotations Academy nurses are paired with specially prepared coaches. The second 12 week stage is one-to-one preceptor based orientation. The Academy offers emergency and critical care education through lectures, case studies and scenarios, peer support and reflective practice, skills labs, and practicum experiences. High-fidelity simulation labs develop and verify competencies and promote collegiality. The second half of the year includes mentoring, monthly sessions, Advanced Life Support and Trauma Nurse Core Curriculum. Roundtables, coach and preceptor development, and continual interaction with the Clinical Orientation Educator engage staff.

Results/Outcomes: The 2011 Academy had 100% retention at one year and 92% retention at 18 months. All serve their units on unit or system-wide committees, in Shared Governance Council, or as coaches for new Academy nurses. In 2012 new graduate applications increased dramatically while intense screening provided high quality candidates for interviews: 86% offered positions accepted. As of January 1, 2013 the 2012 Academies have 100% retention at 11 months and 6 months. Membership in the ENA and interest in the CEN is high among Academy participants. Feedback from participants, staff, nursing leadership, and emergency physicians has been overwhelmingly positive. The success of the Academy of Emergency Nursing led to development of the Academy of Critical Care and the Academy of Medical-Surgical Specialties.

Implications: The Academy of Emergency Nursing supports existing evidence showing that structured orientation programs can positively influence staff nurse retention, competency, confidence, employee satisfaction, and organizational effectiveness. Retention begins with recruitment of highly qualified and committed nurses; intense education and support attracts high quality candidates.

Keywords:
Increase of New Graduate Hires
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleEmergency Nursing Academy: A Multi-Hospital Residency Programen_GB
dc.contributor.authorSummerell, Nancyen_GB
dc.contributor.authorRhew, Deniseen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsNancy Summerell, MSN, RN, CEN, nancy.summerell@conehealth.com; Denise Rhew, MSN, RN, CENen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306583-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: In this multi-hospital system, expanding volumes and facilities highlighted the need to increase new graduate hires. The objective of this project was to design a program to improve the system’s recruitment, transition, integration and retention of new graduates.</p><p>Design: The use of an evidence-based practice model guided this staff development project. After a thorough review of literature, the two member team proposed the Academy of Emergency Nursing to cohort all new graduates and to partner all emergency departments in the orientation process.</p><p>Setting: Located in a southeastern metropolitan region, this not-for-profit, five-hospital Magnet-designated system includes a Level II Trauma center with a Children’s Emergency Department, a free-standing emergency department, an urban hospital-based emergency department with a Behavioral Health Emergency Department, and a rural hospital-based emergency department.</p><p>Participants: The pilot Academy began July 2011 with 12 participants. In 2012 there were 22 new graduates hired representing 10 schools of nursing: 86% with baccalaureates and 27% with other advanced degrees. The first 2013 Academy has 15 new graduates from 14 schools and 6 states: 93% with baccalaureates and 25% with additional degrees.</p><p>Methods: The ENA Core Curriculum provides the topic framework for this year long program. The first 12 weeks provide a unique introduction to emergency nursing through rotations in all of the different emergency facilities. Emphasis is on skills, communication, and understanding of emergency services. During these rotations Academy nurses are paired with specially prepared coaches. The second 12 week stage is one-to-one preceptor based orientation. The Academy offers emergency and critical care education through lectures, case studies and scenarios, peer support and reflective practice, skills labs, and practicum experiences. High-fidelity simulation labs develop and verify competencies and promote collegiality. The second half of the year includes mentoring, monthly sessions, Advanced Life Support and Trauma Nurse Core Curriculum. Roundtables, coach and preceptor development, and continual interaction with the Clinical Orientation Educator engage staff.</p><p> Results/Outcomes: The 2011 Academy had 100% retention at one year and 92% retention at 18 months. All serve their units on unit or system-wide committees, in Shared Governance Council, or as coaches for new Academy nurses. In 2012 new graduate applications increased dramatically while intense screening provided high quality candidates for interviews: 86% offered positions accepted. As of January 1, 2013 the 2012 Academies have 100% retention at 11 months and 6 months. Membership in the ENA and interest in the CEN is high among Academy participants. Feedback from participants, staff, nursing leadership, and emergency physicians has been overwhelmingly positive. The success of the Academy of Emergency Nursing led to development of the Academy of Critical Care and the Academy of Medical-Surgical Specialties.</p><p>Implications: The Academy of Emergency Nursing supports existing evidence showing that structured orientation programs can positively influence staff nurse retention, competency, confidence, employee satisfaction, and organizational effectiveness. Retention begins with recruitment of highly qualified and committed nurses; intense education and support attracts high quality candidates.</p>en_GB
dc.subjectIncrease of New Graduate Hiresen_GB
dc.date.available2013-12-09T17:00:12Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:12Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
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.en_GB
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