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Implementation of an Enculturation Toolkit for New Nurses During Unit Onboarding.

Crystal A Grys1, Kathleen M Turner, Amber K Drake

  • 1Author Affiliations: Nurse Clinician (Dr Grys), Nurse Manager (Drake), Nurse Administrator (Dr Flores), Department of Nursing, Mayo Clinic, Phoenix, Arizona; Associate Clinical Professor (Dr Turner), School of Nursing, Duke University, Durham, North Carolina.

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A new Enculturation Toolkit effectively bridged the gap in new nurse enculturation caused by pandemic-related orientation changes. The toolkit improved organizational knowledge and sustained nurse engagement and belonging.

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Area of Science:

  • Nursing Education
  • Organizational Psychology
  • Healthcare Quality Improvement

Background:

  • New nurse enculturation is vital for engagement, performance, belonging, and retention.
  • The COVID-19 pandemic necessitated shortened, virtual, and asynchronous orientations, creating an enculturation gap.
  • Addressing this gap is crucial for supporting newly onboarded nursing staff.

Purpose of the Study:

  • To address the enculturation gap among new nurses.
  • To develop and pilot an Enculturation Toolkit.
  • To evaluate the toolkit's impact on new nurse engagement and organizational belonging.

Main Methods:

  • A quality improvement project was conducted involving new nurses and their preceptors.
  • Surveys were administered at baseline, 2-3 months, and 4-5 months.
  • The Meaning and Joy in Work Questionnaire (MJWQ) and organizational history/values questions measured enculturation and engagement.

Main Results:

  • High Meaning and Joy in Work Questionnaire (MJWQ) scores were sustained throughout the study.
  • Participants showed improved knowledge of the organization's mission and logo.
  • New nurses reported favorable ratings for toolkit activities, averaging 4.6/5.

Conclusions:

  • The Enculturation Toolkit proved effective in enhancing new nurses' knowledge of organizational identity.
  • The toolkit successfully sustained engagement and fostered a sense of belonging among new nurses.
  • This quality improvement initiative offers a model for improving new nurse integration.