Why is realizing consistent outcomes from the precepting process so hard?

Is it important to have consistent orientation/ residency training outcomes?  How can you begin to improve consistency in the clinical performance of new staff at the end of your orientation /residency programs? One answer is to consider the variability factors that are inherent in all unit-based nursing orientation programs. There is variability in the new … Continue reading Why is realizing consistent outcomes from the precepting process so hard?

Can hospitals measure the performance of nursing new-hire orientation programs?

In an earlier post, I discussed the idea that the nursing new-hire orientation activity can be viewed as a process. A process has been defined as a set of activities and tasks that, once completed, will accomplish an organizational goal. The orientation of new hire nurses surely fits this definition. Processes have one or more … Continue reading Can hospitals measure the performance of nursing new-hire orientation programs?

Preceptor as Coach

"Professional nurse coaching can be defined as a purposeful, results-oriented, relationship-centered interaction with clients for the purpose of promoting goal achievement" (Dossey). The critical role of Nurse coaching in practice is increasingly recognized, and in 2013, the American Holistic Nurses Credentialing Corporation began a nationally recognized Nurse Coaching Certification program. Today, there are many formally … Continue reading Preceptor as Coach

Can nursing orientation costs be managed? Should they be?

Orientation for new-hire RNs in hospitals is costly. In an article in the journal of nursing economics, the average (16 weeks) unit-based orientation cost was estimated at $41, 624 – and this was published back in 2007. Let’s update this a little using more recent salary related costs; according to KPMG’s 2011 U.S. Hospital Nursing … Continue reading Can nursing orientation costs be managed? Should they be?

What does the evidence say about nursing orientations?

Recently we conducted a review of current published articles (2015-2017) to evaluate evidence and recommendations for Transition into Practice programs including orientation and residency models. The evidence is clear in a number of areas:   New graduate RN retention in the first year of employment is a challenge for hospitals, ranging from a low of … Continue reading What does the evidence say about nursing orientations?

Centering tips for orientees, residents, and preceptors

What is Centering? Learning to Center your awareness is one of the most important skills you can develop as a caregiver. Centering is foundational to connecting deeply with others and developing your full healing potential. Centering is a mindfulness practice of learning to manage your attention so that you are aware of your inner reference … Continue reading Centering tips for orientees, residents, and preceptors