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1.
Am J Crit Care ; 18(3): 252-9; quiz 260, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19234099

RESUMO

BACKGROUND: The shortage of critical care nurses and the service expansion of 2 intensive care units provided a unique opportunity to create a new model of critical care orientation. The goal was to design a program that assessed critical thinking, validated competence, and provided learning pathways that accommodated diverse experience. OBJECTIVES: To determine the effect of a new model of critical care orientation on satisfaction, retention, turnover, vacancy, preparedness to manage patient care assignment, length of orientation, and cost of orientation. METHODS: A prospective, quasi-experimental design with both quantitative and qualitative methods. RESULTS: The new model improved satisfaction scores, retention rates, and recruitment of critical care nurses. Length of orientation was unchanged. Cost was increased, primarily because a full-time education consultant was added. CONCLUSIONS: A new model for nurse orientation that was focused on critical thinking and competence validation improved retention and satisfaction and serves as a template for orientation of nurses throughout the medical center.


Assuntos
Cuidados Críticos , Educação Continuada , Capacitação em Serviço/organização & administração , Modelos Organizacionais , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Adulto , Feminino , Humanos , Unidades de Terapia Intensiva , Masculino , Satisfação do Paciente , Reorganização de Recursos Humanos , Estudos Prospectivos , Recursos Humanos
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