Standardizing nursing orientation in a multi-hospital health system
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Nikki Willis, MSN, RN-BC; Tammy Wade, MSN, RN; Adrienne Watson, MSN, RN-BC
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A Pacific Northwest health system, with ten hospitals across three states, sought to standardize nursing orientation competencies. In merging Clinical Education departments across the health system, opportunities to standardize nursing orientation were identified. Clinical Education Leadership, in collaboration with Clinical Educators, developed an orientation model to define scope, categories, and ownership of competency development throughout the orientation process. The team developed a tiered model, which includes 5 tiers. The bottom two tiers include both the system onboarding classes for all new hires and system nursing orientation. Competencies are developed for the next three tiers. The third tier is general nursing care competencies, which are foundational competencies that apply to all nurses such as, medication administration, infection prevention, and assessment. The fourth tier is for specialty specific competencies, such as Acute Care, Emergency Department, Peri-Operative. The specialty specific competencies are developed by a system team of educators who support that specialty. This group develops foundational competencies for the specialty. The fifth tear is the population-specific competencies, such as care of the spinal surgery patient, Intra-aortic Balloon Pump, or Massive Transfusion. These competencies are developed by the specialty specific education teams and individual educators to address competency needs specific to the population of the unit. The tiered model creates a foundation to guide the standardization of nursing orientation competencies across the health system. The tiers create common grouping for each specialty education team and focuses their efforts on patient care elements specific to their specialty. This model is currently being implemented and tested. The model will be evaluated for continuing process improvement.
2019 ANPD Annual Convention: Aspire to Lead. Held in Phoenix, Arizona
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Presentation |
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 | Onboarding; Orientation; Multi-hospital |
Name | 2019 ANPD Annual Convention |
Host | Association for Nursing Professional Development (ANPD) |
Location | Phoenix, Arizona, USA |
Date | 2019 |
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