Highlights
- •Improving RN orientation requires adaptations in the individual, experiences, and environment.
- •Implementation of an experiential learning–based program can reduce RN orientation by 3.6 to 3.9 weeks.
- •RN orientation programs can provide a return on investment for simulation centers and health care systems.
Abstract
Background
Nursing orientation and transition to practice is a growing problem for hospitals.
Experiential learning including simulation provides an opportunity to improve the
transition to practice.
Methods
An experiential learning approach following the Learning Outcomes Model, including
simulation and standardized patients, was utilized to increase RN competency in a
shorter period of time. The program was piloted at a large independent academic medical
center.
Results
A total of 153 RNs participated in the revised orientation during the pilot year.
New graduate and experienced RNs had a 3.6- (34%) and 3.9-week reduction (37%) in
orientation length respectively (p < 0.001). Total estimated gross savings for the 12-month period was $702,270.
Conclusion
The successful design of the orientation required changes in all three areas of the
Learning Outcomes Model—the individual, experiences, and environment. Integrating
experiential learning theory through the use of simulation-enhanced RN orientation
resulted in more prepared RNs, improved communication among administrators, staff,
and orientees, and a significant cost savings to the organization. Implementation
of such programs may help centers to demonstrate similar outcomes (e.g., as returns
on investment, increased buy-in, and obtaining resources).
KeyWords
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© 2015 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.