Anderson L K, Vincent N
Bellin Hospital, Green Bay, Wisconsin.
AORN J. 1991 Oct;54(4):826-30. doi: 10.1016/s0001-2092(07)68199-x.
Although many operating room orientation programs contain content necessary to meet accrediting guidelines, very few tie the nursing process to the content. Our orientation is structured within a nursing framework (ie, Dr Gordon's "Eleven Functional Health Patterns") and emphasizes nursing diagnoses, theory, and clinical competencies. Although the new orientation program has been in effect for only two years, we feel the following list reflects the positive outcomes so far: decreased staff turnover (ie, one nurse out of 26 full-time equivalents in 18 months), increased success in recruiting nurses into the operating room (ie, multiple applicants as positions open), new nurses demonstrate comfort with basic perioperative nursing practice with-in six months, and nurses who did not complete new orientation program are requesting all or portions of the content. By using this plan, essential aspects of perioperative practice are consistent with hospital-wide nursing practice, practice standards for the operating room, and accrediting standards.
尽管许多手术室入职培训项目包含了满足认证指南所需的内容，但很少有项目将护理程序与这些内容联系起来。我们的入职培训是在护理框架内构建的（即戈登博士的“十一功能健康模式”），并强调护理诊断、理论和临床能力。尽管新的入职培训项目仅实施了两年，但我们认为以下清单反映了迄今为止的积极成果：员工流动率降低（即18个月内26个全职等效人员中有1名护士离职），手术室招聘护士的成功率提高（即职位空缺时有多名申请人），新护士在六个月内对基本围手术期护理实践表现出自信，未完成新入职培训项目的护士也要求获取全部或部分培训内容。通过采用该计划，围手术期实践的基本方面与全院护理实践、手术室实践标准和认证标准保持一致。
