Kozub Elizabeth, Hibanada-Laserna Maribel, Harget Gwen, Ecoff Laurie
Elizabeth Kozub is Clinical Nurse Specialist, Surgical Intensive Care Unit, Sharp Memorial Hospital, 7901 Frost St, San Diego, CA 92123 (
AACN Adv Crit Care. 2015 Jul-Sep;26(3):204-14. doi: 10.1097/NCI.0000000000000088.
To accommodate a higher demand for critical care nurses, an orientation program in a surgical intensive care unit was revised and streamlined. Two theoretical models served as a foundation for the revision and resulted in clear clinical benchmarks for orientation progress evaluation.
The purpose of the project was to integrate theoretical frameworks into practice to improve the unit orientation program.
Performance improvement methods served as a framework for the revision, and outcomes were measured before and after implementation.
The revised orientation program increased 1- and 2-year nurse retention and decreased turnover. Critical care knowledge increased after orientation for both the preintervention and postintervention groups.
Incorporating a theoretical basis for orientation has been shown to be successful in increasing the number of nurses completing orientation and improving retention, turnover rates, and knowledge gained.
为满足对重症护理护士的更高需求，对外科重症监护病房的入职培训计划进行了修订和简化。两个理论模型为修订提供了基础，并为入职培训进展评估制定了明确的临床基准。
该项目的目的是将理论框架融入实践，以改进科室入职培训计划。
绩效改进方法作为修订的框架，并在实施前后对结果进行了测量。
修订后的入职培训计划提高了护士1年和2年的留用率，并降低了人员流动率。干预前和干预后两组护士在入职培训后的重症护理知识均有所增加。
已证明为入职培训纳入理论基础在增加完成入职培训的护士数量、提高留用率、降低人员流动率以及增加所获知识方面是成功的。
