Authors

  1. Kozub, Elizabeth RN, MS, CCNS, CCRN, CNRN
  2. Hibanada-Laserna, Maribel RN, BSN, CCRN
  3. Harget, Gwen RN, BSN
  4. Ecoff, Laurie RN, PhD, NEA-BC

Abstract

Background: 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.

 

Purpose: The purpose of the project was to integrate theoretical frameworks into practice to improve the unit orientation program.

 

Methods: Performance improvement methods served as a framework for the revision, and outcomes were measured before and after implementation.

 

Results: 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.

 

Conclusion: 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.