TSAM®: A Novel Application to Ambulatory Nursing Orientation

Area of Science:

• Nursing Professional Development
• Healthcare Management
• Clinical Education

Background:

• Ambulatory nursing orientation requires standardization for effective practice.
• Existing orientation processes may lack consistency and clear objectives.
• A structured approach is needed to support new ambulatory nurses.

Purpose of the Study:

• To redesign ambulatory nursing orientation using the TSAM® model.
• To develop tiered objectives and resource allocation for orientation.
• To enhance stakeholder collaboration and ensure sustainable practices.

Main Methods:

• A phased approach was employed to implement TSAM®.
• Job descriptions, practice standards, and workflows informed the redesign.
• TSAM® components were integrated to create new orientation strategies.

Main Results:

• Standardized orientation records and resource time activities were established across clinics.
• Stakeholder accountability was strengthened through the new process.
• Post-implementation sustainability of the redesigned orientation was achieved.

Conclusions:

• The TSAM® model provides a framework for effective ambulatory nursing orientation redesign.
• Standardization and stakeholder engagement are key to successful orientation programs.
• This approach supports the development of competent ambulatory nursing practice.