Background: The recent global pandemic posed extraordinary challenges for healthcare systems. Frontline healthcare workers required focused, immediate, practical, evidence-based instruction on optimal patient care modalities as knowledge evolved around disease management.
Objective: This course was designed to provide knowledge to protect healthcare workers; combat disease spread; and improve patient outcomes.
This modified Delphi study determined consensus on core nurse competency program components that apply across the continuum of transition to initial practice, to new specialty practice, to a new role, or within general nursing orientation. The literature review found no published agreement on support and systems for universal transition programs. This broad-based study addressed this gap by identifying core elements within a competency or transition program and then ranking their importance within program structure.
View Article and Find Full Text PDFWhile developing a standardized approach to orient new staff in the U.S. Army Institute of Surgical Research Burn Center at Fort Sam Houston in Texas, nurse leaders identified the need to also standardize preceptor selection and instruction.
View Article and Find Full Text PDFThe clinical transition framework (CTF) is a competency-based practice development system used by nursing professional development practitioners to support nurses' initial orientation or transition to a new specialty. The CTF is applicable for both new graduate and proficient nurses. The current framework and tools evolved from 18 years of performance improvement and research projects engaged in both acute and community care environments in urban and rural settings.
View Article and Find Full Text PDFA nurse residency program can support transition for new-to-specialty nurses but requires commitment of time and resources. This implementation project used a specialty residency program shown to be effective in a Burn Center, and translated it into the Emergency Department and Maternal Child Health area located within the same medical treatment facility. Preceptor survey responses and leadership assessment of program suitability provided data related to intervention impact.
View Article and Find Full Text PDFBackground: Nurse preceptors are vital linchpins, supporting the transition of new graduates to practicing registered nurses (RNs). This research clarifies similarities and differences among preceptors and nonpreceptors in an established statewide preceptor program.
Methods: A secondary analysis of relicensure data from all nurses working in Vermont hospitals in two years (2005 and 2009) was undertaken.
The Competency Outcomes and Performance Assessment Model (COPA) prepares learners for effective role performance in the workplace by delineating comprehensive, core clinical behaviors that provide evidence of competence. This article explores the experiences of COPA model implementation in two nursing programs and a statewide nurse internship program. The article describes the challenges and benefits of implementation, discusses the transition from a traditional to an outcomes- and competency-based curriculum, and examines the process of assessment, with a focus on the faculty role.
View Article and Find Full Text PDFPatient safety and quality care are issues of major concern for nursing and all health care professions. Initiatives driven by these concerns have been undertaken during the past decade by organizations and agencies at the local, state, and national levels. One comprehensive framework used by many schools and agencies is Lenburg's Competency Outcomes and Performance Assessment Model (COPA).
View Article and Find Full Text PDFJ Nurses Staff Dev
April 2008
To meet the challenges inherent to the 21st century healthcare environment, preceptors require specific preparation for their teaching/mentoring role, as well as resource materials and policies that support this instructional work. One of the challenges facing the Vermont nurse leaders was teaching direct care providers how to develop critical thinking skills in novice staff members. The Vermont Nurse Internship Project approached this challenge in a collaborative manner and has "raised the bar" for preceptor development with statewide, standardized, research- and theory-based preceptor instruction and support.
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