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Transforming Orientation Through a Tiered Skills Acquisition Model
1M. Ellen Joswiak, DNP, RN, RN-BC, is Nursing Education Specialist, Department of Nursing Education and Professional Development, Mayo Clinic, Rochester, Minnesota.
Journal for Nurses in Professional Development
|May 2, 2018
Summary
The tiered skills acquisition model (TSAM) improved new registered nurses’ confidence and job satisfaction. This structured orientation reduced orientation time by 18% and increased patient experiences by 45%.
Area of Science:
- Nursing Education
- Clinical Skills Development
- Healthcare Workforce Training
Background:
- Clinical unit orientation is crucial for newly licensed registered nurses.
- Traditional orientation models may not adequately prepare nurses for complex roles.
- Structured skill progression is essential for effective professional development.
Purpose of the Study:
- To evaluate the effectiveness of the tiered skills acquisition model (TSAM) for clinical unit orientation.
- To assess the impact of TSAM on newly licensed registered nurses' confidence and satisfaction.
- To quantify the changes in orientation length and patient experience with TSAM implementation.
Main Methods:
- Implementation of the tiered skills acquisition model (TSAM) at a teaching hospital.
- Focus on 188 newly licensed registered nurses undergoing orientation.
- Gradual assumption of responsibilities based on skill acquisition tiers.
Main Results:
- Increased nurses' confidence and role satisfaction.
- Reduced overall orientation length by 18%.
- Increased the number of patient experiences by 45%.
Conclusions:
- The tiered skills acquisition model (TSAM) is an effective strategy for structuring clinical unit orientation.
- TSAM enhances new nurses' preparedness and integration into clinical roles.
- The model positively impacts key metrics of nursing orientation effectiveness.
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