Newly hired registered nurse assessment abilities, critical thinking skills, confidence in assessment and critical thinking, self-efficacy, and orientation program evaluation in hospital settings utilizing and not utilizing simulation based orientation
Linda Marie Cimino, Dowling College, United States
Dowling College . Awarded
Nursing orientation is an expensive, labor- and time-intensive organizational undertaking. Quality management principles require an increased focus on accountability in training, the importance of training program evaluation, and continuous training program improvement.
This study was undertaken to determine if the assessment abilities, critical thinking skills, self-efficacy, evaluation of orientation program, and sense of confidence in nursing assessments and critical thinking of newly hired registered nurses (RNs) was influenced by simulation utilization in their hospital orientation program. Of the 200 Newly Hired RN Surveys distributed, a total of 150 surveys were completed which was a return of 75 percent. Returned surveys from the group with simulation totaled 77 and returned surveys from the group without simulation totaled 73. For all six survey items used to evaluate the orientation program, evaluations from those RNs who had a program with simulation were significantly higher in response to questions about job relevance, ability to act as an interdisciplinary team member, professional skills assessment, preparedness to make independent decisions, preparedness to safely practice, and ability to comply with the hospital's policies and procedures (p<0.000). The assessment abilities of nurses in both groups were significantly correlated to their critical thinking skills (p<0.05). Confidence in assessment abilities and confidence in critical thinking skills were significantly correlated for both groups (p<0.01). A noteworthy finding is that RNs who had an orientation program utilizing simulation were more correct and less confident than their peers who did not have simulation in their orientation program.
The findings of this study, supported by the literature, demonstrate the need for high quality hospital orientation programs that utilize a variety of instructional methods. The use of high fidelity simulation is shown to significantly impact orientation program evaluation which should result in better prepared, highly efficacious newly hired RNs.
Cimino, L.M. Newly hired registered nurse assessment abilities, critical thinking skills, confidence in assessment and critical thinking, self-efficacy, and orientation program evaluation in hospital settings utilizing and not utilizing simulation based orientation. Ph.D. thesis, Dowling College.
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