Outcome-Focused Critical Care Orientation Program: From Unit Based to Centralized.
Journal
Critical care nurse
ISSN: 1940-8250
Titre abrégé: Crit Care Nurse
Pays: United States
ID NLM: 8207799
Informations de publication
Date de publication:
01 Aug 2020
01 Aug 2020
Historique:
entrez:
2
8
2020
pubmed:
2
8
2020
medline:
6
7
2021
Statut:
ppublish
Résumé
An effective orientation ensures that new nurses are prepared to deliver competent care to patients. In organizations with several critical care units, opportunities exist to achieve standardization of core content applicable to all critical care areas. This quality improvement project, conducted in a large children's hospital with multiple critical care units, was designed to centralize critical care orientation and standardize its content, as well as to measure learning outcomes of the revised program. Before initiation of this project, a 2-day critical care orientation class was held regularly for newly hired critical care nurses. Nurses attended this class at different time points in their orientation. Critical care units also held unit-based orientation classes. Nursing professional development specialists and representatives from each critical care unit collaborated to redesign the 2-day critical care orientation class in order to standardize content taught across the organization, increase attendance at the class, and reduce redundancy of topics covered in unit-based classes. The redesigned program included online modules followed by 4-hour sessions that built on the knowledge gained in the modules. The sessions used multiple learner engagement strategies. Learning outcomes were evaluated using pretests and posttests. Between June 2017 and March 2018, a total of 150 nurses completed the redesigned program. Median posttest scores increased significantly from median pretest scores for each critical care orientation session. The program achieved the goal of standardizing education and increasing critical care nurses' knowledge.
Sections du résumé
BACKGROUND
BACKGROUND
An effective orientation ensures that new nurses are prepared to deliver competent care to patients. In organizations with several critical care units, opportunities exist to achieve standardization of core content applicable to all critical care areas.
PURPOSE
OBJECTIVE
This quality improvement project, conducted in a large children's hospital with multiple critical care units, was designed to centralize critical care orientation and standardize its content, as well as to measure learning outcomes of the revised program.
METHODS
METHODS
Before initiation of this project, a 2-day critical care orientation class was held regularly for newly hired critical care nurses. Nurses attended this class at different time points in their orientation. Critical care units also held unit-based orientation classes. Nursing professional development specialists and representatives from each critical care unit collaborated to redesign the 2-day critical care orientation class in order to standardize content taught across the organization, increase attendance at the class, and reduce redundancy of topics covered in unit-based classes.
INTERVENTIONS
METHODS
The redesigned program included online modules followed by 4-hour sessions that built on the knowledge gained in the modules. The sessions used multiple learner engagement strategies. Learning outcomes were evaluated using pretests and posttests.
RESULTS
RESULTS
Between June 2017 and March 2018, a total of 150 nurses completed the redesigned program. Median posttest scores increased significantly from median pretest scores for each critical care orientation session.
CONCLUSION
CONCLUSIONS
The program achieved the goal of standardizing education and increasing critical care nurses' knowledge.
Identifiants
pubmed: 32737494
pii: 31107
doi: 10.4037/ccn2020585
doi:
Types de publication
Journal Article
Langues
eng
Pagination
54-64Informations de copyright
©2020 American Association of Critical-Care Nurses.