The Baptist Health Nurse Retention Questionnaire

OBJECTIVE The purpose of this study was to develop and test a tool to monitor a nursing orientee's progress to competence. BACKGROUND The literature suggests that, during orientation, consistent documentation and communication among educators, preceptors, and nurse leaders facilitate a timely progression to independent practice for new nurses. METHODS A 2-phase methodological study was conducted. Nurse educators clarified goals, identified essential competencies, and developed the Baptist Health Lexington Nursing Orientation Progression Tool (OPT). The tool was used to monitor orientees' progression through orientation. RESULTS Content validity assessment of the OPT (content validity index = 0.98) demonstrated strong validity. Testing of the tool revealed 31 nurses completed orientation early, 12 completed orientation on time, and 18 nurses required extended orientation time. All requiring an extension were new graduates. CONCLUSION The OPT guided preceptors to facilitate timely completion of orientation among newly hired nurses. Findings suggest that new graduates may need more assistance than experienced nurses.

Section: Objectivementioning

confidence: 99%

“…Cost of clinical nurse replacement and nurse turnover is an ongoing challenge for hospitals 1,2 . The difficulties associated with transitioning to a new role can influence stress, job performance, and confidence levels 2 .…”

mentioning

confidence: 99%

The Baptist Health Lexington Nursing Orientation Progression Tool

Rogers

Fultz

Clements-Hickman

et al. 2021

The Importance of Factors Related to Nurse Retention

Bugajski

Lengerich

Marchese

et al. 2017

Developing a Research Friendly Hospital-Based Environment

Clements-Hickman

Wilson²,

Wright³

et al. 2019

Magnet® designation requires that nurses be actively involved in activities that lead to obtaining evidence through conducting research. Unfortunately, several barriers limit nurses' ability to engage in research activities, including insufficient resources. This article explains how a community-based hospital implemented a fellowship model to circumvent some of these barriers. Two fellowship positions are described, 1 in research and 1 in library sciences. The method, outcomes, and cost of the fellowship model are discussed.