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Developing and evaluating an emergency nursing orientation pathway

P Kidd, P Sturt

    Journal of Emergency Nursing
    |December 1, 1995
    PubMed
    Summary
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    A new clinical decision-making skills pathway helps evaluate new nurses (orientees) during orientation. This tool identified faster-than-expected progress, aiding in timely educational interventions.

    Area of Science:

    • Nursing Education
    • Clinical Skills Assessment
    • Healthcare Professional Development

    Background:

    • Traditional orientee evaluations often overlook clinical decision-making skills.
    • A need exists for tools to assess and support orientee decision-making abilities.
    • Early identification of orientee needs can optimize orientation and retention.

    Purpose of the Study:

    • To develop and pilot a novel orientation pathway for evaluating clinical decision-making skills in nursing orientees.
    • To identify orientees requiring additional educational support.
    • To explore the potential of the pathway to reduce orientation duration and improve employee retention.

    Main Methods:

    • Developed a pathway based on exit interviews, preceptor input, critical indicators, and literature.

    Related Experiment Videos

  • Defined six categories with proficiency levels (1-4).
  • Piloted with seven emergency department orientee-preceptor pairs, tracking progress over 12 weeks against a preceptor-developed timeline.
  • Main Results:

    • Orientees progressed faster than anticipated, reaching the highest proficiency level in 8 weeks.
    • Fastest progress observed in "Accurately Evaluates Patient Responses."
    • Slowest progress noted in "Safety in Blood and Drug Administration."; pathway rated highly useful by participants.

    Conclusions:

    • The developed orientation pathway effectively tracks clinical decision-making skill progression.
    • Further research can refine orientation timelines and identify factors influencing orientee success.
    • The pathway shows promise for optimizing educational strategies and enhancing clinical decision-making skills.