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Developing a critical pathway for orientation

C Evers1, S Odom, J Latulip-Gardner

  • 1Medical University of South Carolina, Charleston 29425.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|May 1, 1994
PubMed
Summary
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An organized nursing orientation using a critical pathway improves job satisfaction and employee retention. This structured approach ensures comprehensive information delivery and facilitates effective feedback for new nurses.

Area of Science:

  • Nursing Education
  • Healthcare Management
  • Organizational Psychology

Background:

  • Employee retention and job satisfaction are critical for nursing units.
  • Traditional preceptorship models can be inconsistent due to varying preceptor proficiency.
  • A need exists for a standardized and effective nursing orientation process.

Purpose of the Study:

  • To develop and implement a critical pathway framework for nursing orientation.
  • To enhance the organization and delivery of orientation content for new nurses.
  • To improve job satisfaction and retention rates through a structured orientation program.

Main Methods:

  • A critical pathway framework was designed to segment orientation content weekly.
  • The program was implemented in coronary care and cardiac progressive care units.

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  • Variances from the critical pathway were documented and discussed in weekly evaluations.

    • Main Results:

    • The critical pathway provided a clear, organized structure for orientation content.
    • It ensured that all pertinent information was imparted to orientees.
    • The framework facilitated systematic documentation and discussion of orientation challenges.

    Conclusions:

    • A critical pathway is an effective model for organizing nursing orientation.
    • This approach enhances information delivery and addresses orientation issues systematically.
    • Implementing a critical pathway can positively impact nurse job satisfaction and retention.