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Related Experiment Videos

Nursing orientation: a continuous quality improvement story

K S Revis, C Thompson, M Williams

    Clinical Nurse Specialist CNS
    |March 1, 1996
    PubMed
    Summary

    A new nurse orientation program improved staff retention and reduced agency nurse use. This collaborative, multidisciplinary approach, guided by continuous quality improvement (CQI), successfully integrated graduate nurses into specialized practice areas.

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    Area of Science:

    • Nursing Education
    • Healthcare Quality Improvement
    • Clinical Nurse Specialist Practice

    Background:

    • High vacancy rates and reliance on agency nurses pose challenges in healthcare settings.
    • Effective orientation programs are crucial for successful transition of graduate nurses into practice.
    • Multidisciplinary collaboration and continuous quality improvement (CQI) are recognized strategies for enhancing healthcare processes.

    Purpose of the Study:

    • To describe a comprehensive orientation process for graduate nurses.
    • To evaluate the impact of a collaborative, multidisciplinary approach on nurse transition and staffing.
    • To highlight the role of Clinical Nurse Specialists (CNSs) in program development and implementation.

    Main Methods:

    • Implementation of a collaborative, multidisciplinary orientation program.

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  • Application of continuous quality improvement (CQI) principles throughout the process.
  • Involvement of Clinical Nurse Specialists (CNSs) as educators, experts, and consultants.

    • Main Results:

    • Successfully transitioned 63 graduate nurses into three distinct practice specialties.
    • Significantly decreased the vacancy rate within the facility.
    • Eliminated the need for agency nurses, improving cost-efficiency and continuity of care.

    Conclusions:

    • A collaborative, multidisciplinary orientation program incorporating CQI principles is effective.
    • Clinical Nurse Specialists (CNSs) are integral to the success of such orientation programs.
    • This model demonstrates a successful strategy for improving nurse retention and reducing reliance on temporary staff.