Abstract:
This CE webinar covers how to address gaps in assessment skills and care escalation among new graduate nurses using a two-day nursing simulation onboarding course which resulted in a 40% increase in self-reported confidence and improved clinical readiness.
Over the past two years, the Memorial Sloan Kettering Cancer Center organization has seen longer orientation periods for new graduate nurses (NGNs) and a failure to escalate patient care when necessary, as reflected in incident reports. A recurring issue identified by nursing leadership, staff nurses, and NGNs was incomplete assessments. As Nurse Residency and Simulation Program Managers, the presenters recognized that gaps in the nursing process could negatively impact patient care and diminish NGNs’ competence and confidence. Effective assessment skills are crucial for identifying abnormalities and ensuring timely escalation.
To address this, the presenters redesigned the NGN onboarding process. After reviewing the literature and applying constructivist learning theory, the team developed a two-day course to improve assessment skills through shadow experiences, gaming, and clinical simulation with debriefing. Healthcare Simulation offers a safe environment for practice without risking patient safety, while debriefing promotes critical thinking. Each NGN performs a head-to-toe assessment and gives a structured report, enhancing both skills.
Post-course, there was a 40% increase in self-reported confidence in assessing body systems. The integration of diverse engagement methods and ongoing communication with stakeholders has been key to the programโs success.
Learning Objectives:
- Attendees will evaluate the effectiveness of nursing simulation, shadowing, and debriefing as educational tools to enhance new graduate nursesโ assessment skills and clinical decision-making.
- Attendees will learn how to incorporate constructivist learning principles into nursing education programs to foster critical thinking and improve patient care outcomes.
- Attendees will review the outcomes of the two-day course, including the 40% increase in NGN confidence, and explore how similar methodologies can be applied in their own institutions to enhance NGN onboarding and patient safety.
