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结构化导师制与护理临床晋升阶梯。

Structured Mentorship and the Nursing Clinical Ladder.

机构信息

Author Affiliations: Director of Quality (Dr Mijares), Loma Linda University Medical Center, California; Director Nursing Research (Dr Radovich), Loma Linda University Health System, California.

出版信息

Clin Nurse Spec. 2020 Nov/Dec;34(6):276-281. doi: 10.1097/NUR.0000000000000558.

Abstract

UNLABELLED

When nursing turnover is greater than the national average, professional development of nursing staff increases job satisfaction and employment retention. One approach that can address the professional development is mentoring.

PURPOSE

The evidence-based practice (EBP) project's aim was to determine whether a short-term structured mentorship program led by a clinical nurse specialist increased work engagement among staff nurses within 8 to 10 weeks.

DESCRIPTION

The EBP project was implemented on 2 adult acute care inpatient units. Using Wagner's caring mentorship model, a mentorship program using the organization's clinical ladder criteria was established where nurses were able to participate and complete selected professional development activities based on personal interests and perceived strengths. The clinical nurse specialist provided guidance and advice based each participant's identified activity.

OUTCOME

Since the completion of the initial pilot, the organization has expanded the mentorship program to include mentorship of nursing leaders as well as staff on the clinical units. With this expansion, the organization has trained an additional 167 mentors and has a consistent 27% overall advancement of nurses on the clinical ladder. In addition, advanced practice registered nurses have implemented mentorship as part of their onboarding practice for advanced practice nursing.

CONCLUSION

The EBP project demonstrated that a mentorship program using an established clinical ladder can increase elements of work engagement and satisfaction with the mentor and program among hospital nursing staff. Sustaining and expanding the program can facilitate with increased nursing job satisfaction and employee retention.

摘要

目的

循证实践(EBP)项目的目的是确定由临床护理专家领导的短期结构化指导计划是否能在 8 到 10 周内提高员工的工作投入度。

描述

EBP 项目在 2 个成人急性护理住院病房实施。使用 Wagner 的关爱指导模式,根据个人兴趣和感知的优势,为护士制定了指导计划,并根据组织的临床阶梯标准参与和完成选定的专业发展活动。临床护理专家根据每个参与者确定的活动提供指导和建议。

结果

自最初试点完成以来,该组织已将指导计划扩展到包括护理领导人和临床单位的护士。通过这种扩展,该组织已经培训了另外 167 名导师,临床阶梯上的护士整体晋升率稳定在 27%。此外,执业护士已经将指导作为其入职实践的一部分纳入其中。

结论

EBP 项目表明,使用既定临床阶梯的指导计划可以提高医院护理人员的工作投入度和对导师和计划的满意度。维持和扩展该计划可以促进护理工作满意度和员工保留率的提高。

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