Newly Licensed Nurses (NLNs) Evidence-Based Practice Projects

Transcription

1 Newly Licensed Nurses (NLNs) Evidence-Based Practice Projects Amber Hunley, MSN, RN Jacqueline A. Bartlett, PhD, RN Nancy H. Allen, MS, MLS, RD, LD Jarrod Dusin, MS, RD, LD, CNSC The Children's Mercy Hospital, 2016

2 Disclosures 2

3 Objectives Identify the goal of one Nurse Residency Program (NRP) Discuss the importance of evidence based practice (EBP) in NRP curriculum Identify components of EBP projects Describe the creation and establishment of the KT Scholars Program Discuss challenges the team faced when implementing the KT Scholars Program Describe the results of one successful program iteration 3

4 Review of Literature 35 to 65% of nurses change jobs in the first year of employment 1 Cost of nursing turnover ranges from $10,000 to $88,000 / nurse 2 NLNs report transition to practice skills are not developed 3 NRP have a promising effect lowering turnover 7 to 14% 4 IOM calls for NRP implementation 5 4

5 Children s Mercy NRP Mission Provide NLNs with support and resources needed to cultivate successful transition from the academic environment with a focus on evidence based practice, quality, safety and family centered care and a commitment to lifelong professional enrichment. Mission and Vision of the Nurse Residency Program align directly with the hospitals strategic goals. 5

6 NRP Goals Attract top candidates from across the country with an interest in pediatric nursing Seamless transition to practice Increase in retention of NLNs Positive patient outcomes Increase satisfaction for NLNs 6

7 NRP Curriculum Development No Application Process Nurse Residency Orientation (2 Days) Enrichment Networks (EN) 8 hours/month NLNs cohorts Focus on various topics Evidence Based Practice (EBP) Projects 7

8 NRP EBP Projects Oxford 5A Model Focus on application and assessment Quality improvement methodology 8

9 Establishment of EBP Projects Meeting with CNO, Office of EBP, and Nurse Residency Program Manager Model development for KT Scholars Budget implications Development of project ideas 9

10 KT Scholar s Program: Attendance KT Scholar Role Mentor NLNs Know unit/organizational culture Dedicated time for NLNs Communication laison 10

11 KT Scholar s Program: Marketing Recruitment Application & interview process NLNs to KT Scholar ratio Reapplication 11

12 KT Scholar s Program: Education Initial workshop EN education Just in Time Debriefing 12

13 Takeaways Project selection Project pairing Project management Value of JIT and debriefing 13

14 Outcomes Winter KT Scholars 36 NLNs Summer KT Scholars 81 NLNs Project dissemination 4 Reapplications 14

15 Patients with NP Suctioning/Total Bronchiolitis Patients Results As of today, 72% of our ICN patients parents have completed the flu vaccine 70% Bronchiolitis Over NP Suctioning 152 nurses at Phone Sanitation 65% Before IRR Talk N=44 After the IRR talk, N= 39 CM 60% will have UCL 53% comment, 2 completed an CL EBP 50% Not safe by comment, Project and been 15 40% Safe, 14 LCL 38% Safe, Not safe, 12 exposed 33% to EBP and 30% Not safe, 5 QI methodologies! Interventions 20% Date/Time/Period PreSurvey Baby Bits Slide 2014 week week Week Week Week Week Week Week Week Week Week 15 Compliance 2014 Week Week Week 2 Nurse Compliance with 2015 Week Week Week Week Week Week Week Week Week 11 survey and 84% have Not safe by received the vaccine 15

16 References 1. Pelico L, Djukic M, Kovner C, et al. Moving on, up, or out: changing work needs of new RNs at different stages of their beginning nursing practice. Online J Issues Nurs. 2010;15(1):8. 2. Li Y, Jones C. A literature review of nursing turnover costs. 2013;21: Little J, Ditmer D, Bashaw M. (2013). New graduate nurse residency: A network approach. The Journal of Nursing Administration,43(6), Pittman, P., Herrera, C., Bass, E. & Thompson, P. (2013). Residency programs for new nurse graduates, The Journal of Nursing Administration, 43(11), Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. 16

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