2.50
Hdl Handle:
http://hdl.handle.net/10755/306592
Category:
Abstract
Type:
Poster
Title:
Simulate and They Shall Come: An Emergency Nurse Internship Program
Author(s):
Sweeney, Jennifer; Friedhoff, Annette
Lead Author STTI Affiliation:
Non-member
Author Details:
Jennifer Sweeney, MSN, RN,CEN, jennifer-sweeney@smh.com; Annette Friedhoff, BSN, RN, CEN
Abstract:

Evidence-based Practice Abstract

Purpose: The purpose of this Evidence Based Project (EBP) was to design and implement an innovative Emergency Department (ED) Registered Nurse (RN) Internship Program addressing two critical needs: 1) Create an expedited structured training program to attract experienced non-ED nurses for successful transition into full time ED staff nurses, and 2) Incorporate multi-modal educational tools, including high fidelity simulation, to support the learning needs of participants. The catalyst for the program was an emergent need to train competent ED nurses to fill a large number of vacant positions in the absence of qualified RN applicants with ED experience.

Design: A pilot of an EBP staff development project.

Setting: An urban acute care hospital with a busy 50 bed ED.

Participants/Subjects: RNs with at least two years of acute care, non-ED, nursing experience seeking employment in the ED.

Methods: The program included six weeks of traditional 1:1 preceptorship, weekly e-learning lessons, and weekly High Fidelity Simulation (HFS) scenarios. Participants were paired with experienced preceptors trained in meeting the unique needs of new ED RNs. Self-directed e-learning lessons addressed learning needs as guided by the Emergency Nurses Association’s position statement on Emergency Registered Nurse Orientation, initial Basic Knowledge Assessment Test-ED (BKAT-ED) test results, and other evidence based resources. All modules were approved for contact hours through the American Nurse Credentialing Center. Weekly HFS experiences applied lessons learned from the e- learning modules to performance demonstration in simulated critical event scenarios. Finally, participants completed an end of program evaluation tool seeking input on their satisfaction with the program in meeting their learning needs and supporting their successful transition. Outcome measures included: pre/post-program BKAT-ED test scores, successful completion of assigned e-learning lessons, successful performance in simulation, transition into independent practice, self-reported satisfaction levels of participants, and retention.

Results/Outcomes: Six experienced RNs began the six week program in the summer of 2012. One nurse dropped out of the program due to personal reasons. This nurse was able to be retained within the organization on another unit. The remaining five participants successfully completed the program and transitioned to independent competent practice as validated by their preceptors and peers. The BKAT-ED mean scores were 76.6% (pre) and 83.4% (post): the difference approaches statistical significance despite the small sample size (p=.08). As of December 2012, all five RNs are still employed in the ED. Overall participant satisfaction of the program based on final evaluation scores was 96.6%.

Implications: Outcome measurements indicate success of this pilot program. This program has emerged as a successful mechanism for attracting, rapidly training, and retaining quality applicants with no prior ED experience. The participants specifically rate the HFS scenario experiences and on-line learning as major satisfiers supporting their individual learning needs. Leadership in the ED is highly satisfied with the expedited, structured, budget conscious process as well as the initial successful outcomes. Applications are being accepted for the next group of participants to start the program in February of 2013.

Keywords:
Emergency Nurse Internship Program
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.titleSimulate and They Shall Come: An Emergency Nurse Internship Programen_GB
dc.contributor.authorSweeney, Jenniferen_GB
dc.contributor.authorFriedhoff, Annetteen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJennifer Sweeney, MSN, RN,CEN, jennifer-sweeney@smh.com; Annette Friedhoff, BSN, RN, CENen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306592-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: The purpose of this Evidence Based Project (EBP) was to design and implement an innovative Emergency Department (ED) Registered Nurse (RN) Internship Program addressing two critical needs: 1) Create an expedited structured training program to attract experienced non-ED nurses for successful transition into full time ED staff nurses, and 2) Incorporate multi-modal educational tools, including high fidelity simulation, to support the learning needs of participants. The catalyst for the program was an emergent need to train competent ED nurses to fill a large number of vacant positions in the absence of qualified RN applicants with ED experience.</p><p>Design: A pilot of an EBP staff development project.</p><p>Setting: An urban acute care hospital with a busy 50 bed ED.</p><p>Participants/Subjects: RNs with at least two years of acute care, non-ED, nursing experience seeking employment in the ED.</p><p>Methods: The program included six weeks of traditional 1:1 preceptorship, weekly e-learning lessons, and weekly High Fidelity Simulation (HFS) scenarios. Participants were paired with experienced preceptors trained in meeting the unique needs of new ED RNs. Self-directed e-learning lessons addressed learning needs as guided by the Emergency Nurses Association’s position statement on Emergency Registered Nurse Orientation, initial Basic Knowledge Assessment Test-ED (BKAT-ED) test results, and other evidence based resources. All modules were approved for contact hours through the American Nurse Credentialing Center. Weekly HFS experiences applied lessons learned from the e- learning modules to performance demonstration in simulated critical event scenarios. Finally, participants completed an end of program evaluation tool seeking input on their satisfaction with the program in meeting their learning needs and supporting their successful transition. Outcome measures included: pre/post-program BKAT-ED test scores, successful completion of assigned e-learning lessons, successful performance in simulation, transition into independent practice, self-reported satisfaction levels of participants, and retention.</p><p>Results/Outcomes: Six experienced RNs began the six week program in the summer of 2012. One nurse dropped out of the program due to personal reasons. This nurse was able to be retained within the organization on another unit. The remaining five participants successfully completed the program and transitioned to independent competent practice as validated by their preceptors and peers. The BKAT-ED mean scores were 76.6% (pre) and 83.4% (post): the difference approaches statistical significance despite the small sample size (p=.08). As of December 2012, all five RNs are still employed in the ED. Overall participant satisfaction of the program based on final evaluation scores was 96.6%.</p><p>Implications: Outcome measurements indicate success of this pilot program. This program has emerged as a successful mechanism for attracting, rapidly training, and retaining quality applicants with no prior ED experience. The participants specifically rate the HFS scenario experiences and on-line learning as major satisfiers supporting their individual learning needs. Leadership in the ED is highly satisfied with the expedited, structured, budget conscious process as well as the initial successful outcomes. Applications are being accepted for the next group of participants to start the program in February of 2013.</p>en_GB
dc.subjectEmergency Nurse Internship Programen_GB
dc.date.available2013-12-09T17:00:20Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:20Z-
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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