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设计一个针对专科姑息治疗实践中的进阶执业护师的导师计划。

Designing a Mentorship Program for APRNs in Specialty Palliative Care Practice.

机构信息

Patrice Fedel is clinical nurse specialist prescriber lead at Aurora Medical Group Palliative Care, St. Luke's Medical Center, Milwaukee, WI. Contact author:

出版信息

Am J Nurs. 2024 Jun 1;124(6):50-54. doi: 10.1097/01.NAJ.0001023976.93975.d2. Epub 2024 May 23.

Abstract

As advanced practice registered nurses (APRNs) enter practice, support is crucial for success. Formal mentorship has been shown to improve employee turnover, job satisfaction, and clinical competence. In the wake of the COVID-19 pandemic, an APRN team specializing in palliative care experienced an unprecedented rate of staff turnover. As a result, the team decided to create a formal mentorship program to support newly hired colleagues and assist their transition to practice. A subcommittee of APRNs within the palliative care practice met to establish a mentorship practice framework, expectations for the program, and a methodology for matching mentors and mentees. The mentorship program was implemented with two cohorts comprising a total of five mentors and six mentees. It was evaluated by participants using surveys asking open-ended, qualitative questions. Both mentors and mentees reported finding the program valuable. Mentees felt the program helped their transition to practice, created a forum for peer support, and improved their clinical competence. Mentors said the program furthered their own professional development, advanced their clinical growth, and fostered a connection to colleagues. Employee engagement and alignment improved, and staff turnover decreased. Further work is needed to improve on the program framework and analyze the outcomes of mentorship.

摘要

随着高级实践注册护士(APRN)进入实践,支持对于成功至关重要。正式的指导已被证明可以提高员工周转率、工作满意度和临床能力。在 COVID-19 大流行之后,专门从事姑息治疗的 APRN 团队经历了前所未有的员工周转率。因此,该团队决定创建一个正式的指导计划,以支持新雇用的同事,并帮助他们过渡到实践。姑息治疗实践中的 APRN 小组委员会开会制定了指导实践框架、对该计划的期望以及匹配导师和学员的方法。该指导计划分两批实施,共有五名导师和六名学员参加。参与者通过调查使用开放式、定性问题进行了评估。导师和学员都报告说该计划很有价值。学员们认为该计划有助于他们过渡到实践,为同行支持创造了一个论坛,并提高了他们的临床能力。导师们表示,该计划促进了他们自己的专业发展,推进了他们的临床成长,并培养了与同事的联系。员工敬业度和一致性得到了提高,员工周转率也有所下降。需要进一步改进计划框架并分析指导的结果。

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