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Show Standardized, Incremental Training Model in the University of Utah Emergency Department Scott Crepeau, BSN, DNP-S, Kimberly Garcia, DNP, CNM, FACNM, WHNP, Alexandra Evans, BSN, BSPH, RN, CEN Key Findings: After participating in 10-week, phased orientation, RN orientees & RN preceptors reported drastic improvement in RN orientee preparedness for independent practice, & RN preceptor ability to train; However, more time is needed to assess RN orientees for statistically significant results. Background Results University of Utah Emergency Department (UUED): Large regional Level 1 Trauma Center. Usability: Increased across all measures: • Orientees managing 4 patients mean 7.25 to 8.75 • Orientee competence in critical/trauma patients mean 4.3 to 7.3. 120 RNs staff, orientation of new RNs to department minimum 10-week process. In 2020, large exodus of RNs led to 30 new RNs orientees. UUED leadership identified inconsistency in development & training of 30 new RNs. Standardized, Incremental Training Model (STIM) developed for more consistent training of new RNs Methods Pre-surveys assess effectiveness of old orientation model. Preceptor committee developed new 10-week, STIM orientation model based on pre-survey feedback. STIM implemented with 4 new RNs in over 10 weeks. Post-Surveys assess usability, feasibility, & satisfaction of STIM, & compared against old orientation model’s presurveys. Additional training to address health disparities among rural & refugee populations Feasibility: Increased across all measures: • Preceptor effectiveness mean 7.3 to 9.0 • Preceptor willingness to change mean 7.8 to 8.5 Satisfaction: Increased across all measures: • Orientee clarity of learning objectives mean 7.0 to 9.5 • Preceptors knowing where to focus training needs mean 7.8 to 8.4 Statistical significance: Paired t-test showed statistically significant results for RN preceptors. More RN orientee participants needed to achieve the same mark. Conclusions Following intervention, RN orientees & RN preceptors improved across all measures. RN orientees reported feeling more prepared with critical/trauma patients & full 4 patient load. RN preceptors' ability to train increased post intervention Success of STIM & future sustainability requires strong coordination of orientation schedules, no more than 4 RN orientees/ phase to avoid schedule conflicts. COLLEGE OF NURSING |
