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Transcript of Evidence-Based Proposal
Graduate nurses are being rushed into professional roles before they are ready due to staffing issues, high patient acuities, and cost containment causing nurse managers to shorten their orientation lengths and make them take on full patient assignments prematurely.
When novice nurses are not allotted enough time to assimilate into their professional roles it can compromise patient safety, cause stress and burnout, and rendor high turnover rates for the facility. This practice is in direct conflict with practicing with excellence. Therefore this practicum project will focus on the novice nurse's transition into practice, specifically into the
Neonatal Intensive Care Unit
Problem and Purpose
The orientation process for graduate nurses transitioning to the NICU is too short.
Evidence-based Change Description
Advanced education and advanced degrees improve nursing care
16 Years Experience:
Neonatal Intensive Care
Competency Tests: cognitive and psychomotor
Summary and Conclusion
With a proper orientation process, Graduate Nurses can assimilate into safe, competent, and confidently practicing professional nurses.
Transition in Practice for Novice Nurses
by: Andrea Myers, RN, BSN
Clinical Practicum Site:
Emory Healthcare, Atlanta, Ga
Preceptor: Kim Cooley, NNP, CNS
To foster a successful transition into the professional nursing role of a NICU Nurse, and to extend the orientation period to 1 year.
Satisfaction Survey Scores
Providing Safe, Timely, Efficient, and Equitable Patient-Centered Care.
Low Mortality Rates
Surgical Infection Rates
Compliance with EBP
The Safety Record
Successful treatment of complex diagnosis and procedures
Additional training will lead to better decisions based on knowledge, experience, and EBP
Utilizing EBP will lead to better patient outcomes.
The Nurse Educator is the link between successful integration of EBP
American Association of Colleges of Nursing (AACN) (2008). University of Wisconsin hospital and clinics reduces new graduate nurse turnover by 80% with UHC’s nurse residency program. Retrieved from http://www.aacn.nche.edu/leading-initiatives/education-resources/NurseResidencyprogramExecSumm.pdf
American Association of Colleges of Nursing (AACN) (n.d.). The future of nursing: Leading change, advancing health. Retrieved from http://www.aacn.nche.edu/govenrment-affairs/IOMFactSheet.pdf
American Nurses Association. (2010). Code of ethics for nurses with imperative statements. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.pdf
American Nurses Association (Ed.). (2013). Neonatal nursing scope and standards of practice (2nd ed.) Silver Spring, MD: Nursebooks.org
Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) (2013). Women’s health and perinatal nursing care quality draft measures specifications. Retrieved from http://www.awhonn.org/awhonn/binary.content.do:.../perinatalqualitymeasures
Association of Women’s Health, Obstetric and Neonatal Nurses (2006). . In AWHONN’s neonatal orientation and education program. Washington, DC: AWHONN.
Barnum, B. (2009, June). Ethical issues in newborn care: Benevolent injustice: A neonatal dilemma. Advances in Neonatal Care, 9(3), 132-136. Retrieved from http://www.nursingcenter.com/lnc/journalarticle?Article_ID=867162
Baggot, D. M., Hensinger, B., & Perry, J. (2005). The new hire/preceptor experience: Cost-benefit analysis of one retention strategy. Journal of Nursing Administration, 35(3), 138-145.
Bastable, S. (2008). Nurse as educator: Principles of teaching and learning for nursing practice (3rd ed.). Sudbury, MA: Jones and Bartlett.
Beecroft, P., Kunzman, L., & Krozek, C. (2001). RN internship: Outcomes of a one-year pilot program. The Journal of Nursing Administration, 31(12), 575-82.
Bradshaw, M., & Lowenstein, A. (2011). Innovative teaching strategies in nursing and related health professions (5th ed.). Sudbury, MA:
Brownell, S., & Tanner, K. (2012, Winter). Barriers to faculty pedagogical change: Lack of training, time, incentives, and...Tensions with professional identity? CBE-Life Sciences Education, 11, 339-346. http://dx.doi.org/10.1187/cbe.12-09-0163
Connelly, L. M. (2005). Welcoming new employees. Journal of Nursing Scholarship, 37(2), 163-164. http://dx.doi.org/10.1111/j.1547-5069.2005.00029.x
DeCicco, J. (2008). Developing a preceptorship/mentorship model for home health care nurses. Journal of Community Health Nursing, 25, 15-25. http://dx.doi.org/10.1080/07370010701836310
Dix, M., & Smith, S. (2009). Managing risk positively: A guide for staff in health and social care. Retrieved from http://www.iwight.com/azservices/documents/riskmanagementguidance.pdf
Dyess, S., & Sherman, R. (2009). The first year of practice: New graduate nurses’ transition and learning needs. The Journal of Continuing Education in Nursing, 40(9), 403-410. Retrieved from http://web.ebscohost.com.lib.kaplan.edu/ehost/pdfviewer/pdfviewer?sid=752ddc27-b32d-4223-90d7-5effb93760c1%40sessionmgr4001&vid=4&hid=4112
Edwards, D., Hawker, C., Carrier, J., & Rees, C. (2011). The effectiveness of strategies and interventions that aim to assist the transition from student to newly qualified nurse. JBI Library of Systematic Reviews, 9(53), 2215-2323. Retrieved from http://www.jonnabriggslibrary.org/jbilibrary/index.php/jbisrir/article/view/497
Emory Healthcare (2014). Sec 2-3. In NICU unit practice council bylaws. Atlanta, Ga: Emory Healthcare.
Friedman, M., Cooper, A. H., Click, E., & Fitzpatrick, J. J. (2011). Specialized new graduate RN critical care orientation: Retention and financial impact. Nursing Economic$, 29(1), 7-14.
Halfer, D., & Graf, E. (2006). Graduate nurse perceptions on the work experience. Nursing Economics, 24(4), 150-5.
Institute of Medicine (IOM) (n.d.). The future of nursing: Leading change, advancing health. Retrieved from http://www.aacn.nche.edu/government-affairs/IOMFactSheet.pdf
Jones, C., & Gates, M. (2007). The costs and benefits of nurse turnover: a business case for nurse retention. Online Journal of Issues in Nursing, 12(3).
Kjervik, K., & Brous, A. (2010). Law and ethics for advanced practice nursing. Retrieved from http://www.springerpub.com/samples/9780826114587_chapter.pdf
Klug, S. H. (2009). Recruit, respect, and retain: The impact of baby boomer nurses on hospital workforce strategy - A case study. Creative Nursing, 15(2), 70-74.
Larabee, J. (2012). Nurse to nurse evidence-based practice. : McGraw-Hill Companies.
Mayo Clinic (2014). Quality and Mayo Clinic. Retrieved from http://www.mayoclinic.org/about-mayo-clinic/quality
National Association of Neonatal Nurses (NANN) (n.d.). Code of ethics of the national association of neonatal nurses. Retrieved from http://www.nann.org/about/content/ethics.html
National Council of State Boards of Nursing (NCSBN) (2013). Transition to practice. Retrieved from http://www.ncsbn.org/2013 -TransitiontoPractice_Modules.pdf
Newhouse, R., Hoffman, J., Suflitta, J., & Hairston, D. (2007). Evaluating an innovative program to improve new nurse graduate socialization into the acute healthcare setting. Nursing Administration Quarterly, 31(1), 50-60.
Reiter, M., Young, A., & Adamson, C. (October 2007). Decrease new graduate nurse orientation costs by using HESI exit exam scores. The Journal of Nursing Administration, 37(10), 459-463.
Stanley, D. (2010). Multigenerational workforce issues and their implications for leadership in nursing. Journal of Nursing Management, 18(7), 846-852. http://dx.doi.org/10.1111/j.1365-2834.2010.01158.x
3 months: Well Baby Nursery
3 months Special Care Nursery
3 months NICU Low Acuity
3 months NICU High Acuity
36 hour work week
Didactic 6 hours/ clinical 6 hours