Perceptions of graduate nurses' orientation within the emergency department
View File(s)
- Author(s)
- Details
-
Denise Campbell, DNP, MSN, RN, ACNS-BS, CEN; Tanya Regmont, BSN, RN; Donna Gunning, RN, CEN; Jennifer Hillaker, BSN, RN; Sean Dufour, BSN, RN
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Campbell, Denise by View
Title | Page Views |
---|
Popular Works for Campbell, Denise by Download
Title | Downloads |
---|
View Citations
Citations
Session B presented Thursday, September 27, 11:30 am-12:30 pm
Purpose: Emergency nursing is challenging and complex. Because of the current shortage of nurses, emergency departments (ED) must develop strategies to recruit, train and retain nurses. Many organizations are implementing graduate nurse internship programs to improve upon staffing demands. The purpose of this study was to gain an understanding of how new graduate nurses oriented to the ED perceived their orientation program at the mid-point and end of a six month internship program.
Design: A replica study was conducted utilizing a qualitative and quantitative design. Setting: A hundred and thirty two bed Level One Trauma emergency department located in a large (1100 bed) public, tertiary care, teaching, research and referral medicine center in southeastern Michigan.
Participants/Subjects: Study participants included 14 women and 3 men. All were employed full time in their first position as a graduate nurse. Ten of the nurses have their BSN while the other 7 have their ADN. Surveys and interview questionnaires were identified by the participants employee ID to assist with confidentiality.
Methods: Semi structured interviews were conducted at the beginning of the 4th month and at the end of the 6 month orientation program. Each interview lasted approximately one hour and had two investigators present so that data collected could be confirmed and validated. A comparison of the perceptions was conducted individually pre and post as well as across interns. The Bowles and Candela Perceptions of First Job Nursing Experiences survey was administered at the final week of orientation.
Results/Outcomes: Participants shared their perceptions of adapting to the role of professional emergency nurse, support of their colleagues and management team, preparation for practice in the ED, challenges of acclimating to emergency nursing, experience of being part of an internship program, and recommendations for future graduate nurse internship programs. According to the graduates, participating within the internship program provided them the opportunity to share both their frustrations and experiences allowing for professional growth and development. They identified the extended orientation as assisting them with the refinement of their assessment skills and increased their comfort level in functioning as a competent ED nurse. The interns enjoyed having regular classes and simulation experiences enabling them to put context to the skills they were learning on the unit ensuring safe patient care. When asked the graduate nurses stated the positive nature of the experience and were thankful they had the opportunity to participate in the program. Results of the quantitative survey on participant’s perception of their first job as a registered nurse indicated that the work was stressful but strongly agreed that their orientation prepared them for the position.
Implications: Understanding the experience of new graduate nurses to the ED provides vital information for developing orientation programs and assisting with the transition of the novice to competent nurse. There is a demand for effective internship programs to prepare new graduate nurses in providing safe, competent and effective patient care. Graduate nurse retention is crucial and cost-effective. Implementing an internship program may help to prevent avoidable turnover among new nurse graduates within the first year of practice.
Emergency Nursing 2018. Held at David L. Lawrence Convention Center, Pittsburgh, Pennsylvania, USA
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Graduate Nurses' Orientation; Emergency Nursing; Orientation |
Name | Emergency Nursing 2018 |
Host | Emergency Nurses Association |
Location | Pittsburgh, Pennsylvania, USA |
Date | 2018 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Improving workplace violence competence and confidence within two pediatric emergency departments
Sanders, Jennifer; Kerr, TarraThis project implemented a comprehensive workplace violence (WPV) program consisting of an evidence-based computer module, an interactive, didactic session, and simulation scenarios. This resulted in statistically significant ... -
Interventions to support staff caring for pediatric behavioral health patients in the emergency department
Mattei, Jennifer L.; Bach, Denise; Neichter, RebeccaEmergency departments (ED) across the country continue to see increasing volumes of behavioral health (BH) patients. With this increased volume, an increased number of aggressive patients has also been noted. The staff in ... -
COVID-19: An emergency transition within nursing education
Johnson, Tanya L.Faculty and students in higher-level education deserve a safe and healthily work environment. The onset of COVID-19 prompted nursing faculty to immediately develop a plan to implement alternative learning and teaching ... -
Peer assisted learning in a simulated emergency department experience for undergraduate nursing students
Tapler, Deborah A.; McMenamy, Nancy; Bain, Cynthia Denise (2016-03-21)Session presented on Monday, November 9, 2015: The role of peer assisted learning (PAL) in simulation is an emerging concept in nursing education and collaborative learning. Peer assisted learning is defined as "the act ... -
Using electronic nursing handoff to improve timeliness of clinical information exchange and reduce boarding time for admitted patients in the emergency department
Huffman, Linda; Burnett, Margie; Beitler, Donna; Perrin, Keisha; Zabko, Candice; Del Pilar, Ashley; Gardner, Heather; Rutledge, Cindy; Rupani, Hetal; Mehta, Radhika; Maliszewski, BarbaraSession C presented Thursday, September 27, 1:00-2:00 pm Purpose: Boarding patients in the Emergency Department (ED) can heighten risk for higher morbidity and mortality, and longer length of stay. ED boarding is a function ...