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Published on: January 16, 2019
Transition to intensive care nursing: establishing a starting point
Martin Boyle1, Rand Butcher, Vicki Conyers
1Intensive Care, Prince of Wales Hospital, Randwick, NSW, Australia. Martin.boyle@sesiahs.health.nsw.gov.au
A standardized framework for intensive care (IC) nursing transition was developed to address nurse shortages. This initiative established clear definitions, goals, and competencies for IC nurse orientation and retention.
Area of Science:
- Nursing Education
- Critical Care Medicine
Background:
- Addressing the critical shortage of intensive care (IC) nurses is vital for healthcare systems.
- Supported transition programs are recognized as essential for IC nurse recruitment and retention.
Purpose of the Study:
- To survey existing orientation programs and educational resources for IC nurses.
- To develop standardized definitions, goals, learning objectives, and clinical competencies for the transition to IC nursing practice.
Main Methods:
- A questionnaire and draft document were distributed to 43 intensive care units (ICUs) in New South Wales (NSW).
- An iterative feedback process with anonymous input and modifications was used to achieve consensus on content.
Main Results:
- A 67% response rate was achieved from 29 ICUs.
- A lack of standardized definitions for "orientation" and "transition" was identified.
- Definitions, goals, and competency statements were accepted with minor revisions; learning objectives were significantly modified and expanded.
Conclusions:
- This study successfully established validated definitions, goals, learning objectives, and clinical competencies for the transition to intensive care nursing.
- The developed framework provides a foundation for consistent and effective IC nurse transition programs.
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