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OBJECTIVE: This quality improvement project targeted an enculturation gap among new nurses by assembling and piloting an Enculturation Toolkit. BACKGROUND: Enculturation of new nurses contributes to engagement, performance, sense of belonging, and retention. During the COVID-19 pandemic, orientation was shortened, virtual, and asynchronous, creating a gap in enculturation. METHODS: New nurses and their preceptors were surveyed at baseline, 2 to 3 months, and 4 to 5 months to measure engagement and enculturation using the Meaning and Joy in Work Questionnaire (MJWQ) and questions about the history and values of the organization. RESULTS: Initial MJWQ responses were high and sustained throughout the study period. Participants demonstrated increased knowledge of the organization's mission statement and logo. New nurses rated the toolkit activities favorably, with an average score of 4.6 out of 5. CONCLUSIONS: An Enculturation Toolkit was effective in improving knowledge about the organization and sustaining engagement and belonging.
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COVID-19 , Pandemias , Humanos , Felicidade , Melhoria de QualidadeRESUMO
We, a nurse and a laboratory director, share our experience supporting a research study that employed a digital health application and a rapid test for severe acute respiratory syndrome coronavirus 2 and the implications of this approach for health care delivery.
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ABSTRACT: Understanding the key similarities and differences between quality improvement, evidence-based practice, and research can help improve nursing practice. This article presents visual models to illustrate the relationship between these processes.
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Prática Clínica Baseada em Evidências , Melhoria de Qualidade , HumanosRESUMO
ABSTRACT: Healthcare delivery models have evolved from fee-for-service to incentivized care like patient-centered medical homes and accountable care organizations. This article discusses the evolution of healthcare delivery models and presents a vision for digital health.
