Using action research to evaluate a nursing orientation program in a multicultural acute healthcare setting

Area of Science:

• Nursing Education
• Healthcare Management
• Workforce Development

Background:

• Newly employed nurses require effective orientation to ensure high-quality patient care and satisfaction.
• Nursing orientation programs are crucial for integrating new nurses into healthcare organizations.
• This study focused on redesigning a nursing orientation program in a multicultural tertiary setting.

Purpose of the Study:

• To evaluate the effectiveness of a nursing orientation program in a multicultural tertiary setting.
• To identify areas for improvement in the existing orientation program for new nurses.
• To redesign the program based on empirical findings and participant feedback.

Main Methods:

• Action research methodology was employed in a multicultural tertiary care setting.
• Quantitative evaluation included pre- and post-program competence assessment using the Nurse Competence Scale (n=70).
• Qualitative data were gathered through focus-group discussions to understand participant experiences.

Main Results:

• The orientation program demonstrated a statistically significant positive impact on overall nurse competence (P < 0.05).
• New nurses showed the greatest competence gain in 'ensuring quality,' but less gain in 'teaching coaching.'
• The program was effective, though challenges were identified, particularly in teaching and managing situations.

Conclusions:

• The nursing orientation program positively impacted new nurses' competence, validating its importance.
• Findings highlight the need for strategic modifications in content and delivery for future programs.
• Redesigning the orientation program can enrich new nurses' experiences and improve patient care outcomes.