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2 Minute EBP Challenge

Tuesday, May 15, 2012
Consequences of Patients Leaving AMA
About 500,000 patients per year leave the hospital against medical advice (AMA). Patients who leave AMA:

Monday, May 07, 2012
Cardiovascular Mortality and COX-2 Inhibitors
The anti-inflammatory drug class COX-2 inhibitors increase cardiovascular mortality due to what mechanism?

Monday, April 30, 2012
Nursing Excellence and Outcomes
Recognition of nursing excellence (RNE) is a program developed by the American Nurses Credentialing Center (ANCC) to recognize extraordinary nursing care. Hospitals with this designation have which characteristics?



  • Get tips, timesavers, and more from
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN

    Personalized Nursing Orientation



    A New Paradigm in Nurse Orientation!

    • Have you noticed a larger gap between nursing school and practice?
    • Are new nurses difficult to retain?
    • Is your hospital orientation missing something?
    Orientation should be:

    •    Individualized
    •    Personalized
    •    One-on-One

    Don’t have the resources to do that?  Let us help!

    “Inadequate training and lack of support are major factors causing nurses to leave during their first year of employment (Marcum & West, 2004).”

    “Up to 60% of new nurses change employment in the first year of service (Bowles & Candela, 2005).”

    “It costs approximately $80,000 to replace a RN (Jones, 2008).”


    Coaching New Nurses:

    •    Increase confidence!
    •    Increase competence!
    •    Increase retention!
    Coaching, educaion, practice

    David W. Woodruff, MSN, RN-BC, CNS, CEN, a national nursing expert, is certified in Nursing Professional Development and has 20 years of continuing education experience.

    David works with your nurses, your preceptors, and your education department to guarantee the success of your nurses!

    Instruction is based on Benner’s “Novice to Expert” model and adult learning theories.

    “New graduate nurses are often led to believe that they will be able to take a full patient load without difficulty soon after graduation (Hatler, et al. 2011).”

    Imagine orientation that includes individualized and personalized education from a Clinical Nurse Specialist and Nurse Educator, with professional coaching for all your new hires!

    Experienced nurses have different needs than new grads – Coaching New Nurses is individualized!

    Individualized program:
    To reflect the various levels of experience that new nurses bring to the job, nurses will receive an individualized program based on their specific needs.  It all begins with a needs assessment to determine where your new nurse has strengths and weaknesses.  Based on the results of the needs assessment an individualized program will be developed to develop weaknesses and reinforce strengths. 

    Needs analysis:
    • Learning style
    • Content analysis
    • Role transition
    Personalized program:
    • Introduce relevant new content specific to your unit.
    • Build on previous experience with a variety of teaching methods.
    • Expand on critical thinking and problem solving.
    Evaluation:
    • Weekly formative assessments to evaluate effectiveness and suggest changes to program.
    • Confidence in performing clinical skills
    • Decision making ability
    • Workload management
    • Communication skills
    • End of module summative evaluations to evaluate progress.
    • Monthly reports to nurse, preceptor, educator, and management.
    Content is grounded in evidence-based practice and designed to help nurses deal with:
    • Increase patient acuity
    • Shortened length of stay
    • Increased responsibility for vigilance
    Personalized plan:

    An individualized plan is prepared for each nurse to increase critical thinking skills and clinical competence.
    • Specific content is chosen based on the needs analysis:
      • Anatomy and physiology
      • Pathophysiology and care
      • Professional practice and role transition, and more!
    • Case studies and online simulation to increase critical thinking.
    • Peer coaching and support through online communities.  Social support increases self-confidence (Oermann & Mofitt-Wolff, 1997).

    Solution:Coaching    A Journey to Becoming

    “Nurses’ job satisfaction is connected to their ability to deliver high-quality care, with control over practice decisions linked to quality care delivery (Kramer & Schmalenberg, 2004).”

    What is coaching?

    “Coaching is partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential (ICF, 2011).”  Professional coaching can help your nurses to overcome personal obstacles, reach professional goals, and improve their communication skills.

    “Coaching is more than just skill development – it is nurse development!”

    One-on-One Professional Coaching:

    Role transition and resource utilization can be difficult for the new nurse (Delaney, 2003).  To assist new nurses to make the transition to your unit, every participant gets thirty minutes of individual professional coaching and unlimited group coaching during their orientation!
    Professional coaching will help your nurses with:
    • Goal setting
    • Habits of nursing excellence
    • Planning life-long learning
    It is well documented that the first three months of employment are the most stressful time in nurses’ careers (Godinez, Schweiger, Gruver & Ryan, 1999).

    Stress in new nurses is caused by:
    • Interactions with physicians
    • Organization skills
    • New situations
    Coaching decreases stress and improves performance.
    Educational support + Emotional support = Empowerment

    To bring Coaching New Nurses to your hospital, call (800) 990-2629.


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