A hospital/school collaborative leads to a remarkable decrease in medication errors among new nurses and stability in staff retention
Author:
Publisher:
Colorado Christian University
Pub. Date:
2023
Language:
English
Description
Submitted to the School of Nursing and HealthProfessions of Colorado Christian University Lakewood, Colorado in partialfulfillment of the requirements for the degree of DOCTOR OF NURSING PRACTICE Abstract: Newly graduated nurses are expected to deliver high-quality, safe care but often need more opportunities to increase confidence and competence to achieve this goal. At a large hospital in south-central Texas, medication errors and turnover among new nurses increased significantly in 2022, where 50% of new nurses' exit interviews revealed that lack of support, especially after a medication error, was a reason for turnover. This evidence-based project (EBP) project examined the collaborative relationship between new nurse graduates (NGN) and mentoring by nursing leadership. The purpose of this mentorship program was to support NGNs in their transition to practice with a mentorship program by nurse leaders. This quality improvement project connected nursing leadership with the new nurses, allowing them to develop their knowledge, skills, and confidence. A secondary outcome was to impact the frequency of medication errors, a root cause of turnover indicated by NGN exit interviews. Given the focus on new nurses' practice, Benner's novice to expert theory was adopted for this project. Guided by the IOWA model, the project utilized a comparative quality improvement design to measure the effectiveness of the mentorship program on job satisfaction and intention to stay among new nurses and, secondarily, to reduce the frequency of medication errors. A paired t-test performed on the Intent to Stay/Leave Survey scores from 15 NGNs was not statistically significant [t (14) = -0.431, p = 0.33] and showed the mean preimplementation intent-to-stay score was 4.7 (SD = 0.45), while the mean post score for was 4.8 (SD = 0.77). Clinical significance was demonstrated by the higher scores, both pre and post-implementation, indicating that the NGNs were likely to stay or remain within the organization. Pearson's chi-square test compared the frequencies of medication errors per 61 patient days, and a statistically significant difference was measured between the pre (n = 9, .15) and post frequencies (n = 0, .00) [χ² (1) = 9.72, p = .002]. Clinical significance was demonstrated by zero medication errors being reported after implementation compared to nine before implementation of the mentorship program. Keywords: Benner's novice to expert theory, medication errors, mentorship program, new nurse graduates, intent to stay, IOWA model.
Subjects
Subjects
Clinical competence
Decision making
Employee retention
Fundamentals & Skills
Labor turnover
MEDICAL
MEDICAL -- Nursing -- Fundamentals & Skills
MEDICAL -- Nursing -- Research & Theory
Medication errors
Medication errors -- Prevention
Mentoring in nursing
Nursing
Nursing -- Decision making
Nursing -- Study and teaching (Continuing education)
Prevention
Research & Theory
Study and teaching (Continuing education)
Decision making
Employee retention
Fundamentals & Skills
Labor turnover
MEDICAL
MEDICAL -- Nursing -- Fundamentals & Skills
MEDICAL -- Nursing -- Research & Theory
Medication errors
Medication errors -- Prevention
Mentoring in nursing
Nursing
Nursing -- Decision making
Nursing -- Study and teaching (Continuing education)
Prevention
Research & Theory
Study and teaching (Continuing education)
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Grouping Information
Grouped Work ID | 27e43681-4a73-6a3a-9eb9-2ec01fd9ede0 |
---|---|
Grouping Title | hospital school collaborative leads to a remarkable decrease in medication errors among new nurses and stability in staff retention |
Grouping Author | chadi awad |
Grouping Category | book |
Grouping Language | English (eng) |
Last Grouping Update | 2024-04-28 11:53:44AM |
Last Indexed | 2024-05-11 04:05:19AM |
Solr Fields
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0
accelerated_reader_reading_level
0
author
Awad, Chadi
author_display
Awad, Chadi
available_at_ccu
CCU Electronic Resources
detailed_location_ccu
CCU Electronic Resources
display_description
Submitted to the School of Nursing and HealthProfessions of Colorado Christian University Lakewood, Colorado in partialfulfillment of the requirements for the degree of DOCTOR OF NURSING PRACTICE Abstract: Newly graduated nurses are expected to deliver high-quality, safe care but often need more opportunities to increase confidence and competence to achieve this goal. At a large hospital in south-central Texas, medication errors and turnover among new nurses increased significantly in 2022, where 50% of new nurses' exit interviews revealed that lack of support, especially after a medication error, was a reason for turnover. This evidence-based project (EBP) project examined the collaborative relationship between new nurse graduates (NGN) and mentoring by nursing leadership. The purpose of this mentorship program was to support NGNs in their transition to practice with a mentorship program by nurse leaders. This quality improvement project connected nursing leadership with the new nurses, allowing them to develop their knowledge, skills, and confidence. A secondary outcome was to impact the frequency of medication errors, a root cause of turnover indicated by NGN exit interviews. Given the focus on new nurses' practice, Benner's novice to expert theory was adopted for this project. Guided by the IOWA model, the project utilized a comparative quality improvement design to measure the effectiveness of the mentorship program on job satisfaction and intention to stay among new nurses and, secondarily, to reduce the frequency of medication errors. A paired t-test performed on the Intent to Stay/Leave Survey scores from 15 NGNs was not statistically significant [t (14) = -0.431, p = 0.33] and showed the mean preimplementation intent-to-stay score was 4.7 (SD = 0.45), while the mean post score for was 4.8 (SD = 0.77). Clinical significance was demonstrated by the higher scores, both pre and post-implementation, indicating that the NGNs were likely to stay or remain within the organization. Pearson's chi-square test compared the frequencies of medication errors per 61 patient days, and a statistically significant difference was measured between the pre (n = 9, .15) and post frequencies (n = 0, .00) [χ² (1) = 9.72, p = .002]. Clinical significance was demonstrated by zero medication errors being reported after implementation compared to nine before implementation of the mentorship program. Keywords: Benner's novice to expert theory, medication errors, mentorship program, new nurse graduates, intent to stay, IOWA model.
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eBook
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eBook
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27e43681-4a73-6a3a-9eb9-2ec01fd9ede0
itype_ccu
E-book
last_indexed
2024-05-11T10:05:19.634Z
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-1
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Unknown
literary_form_full
Unknown
local_time_since_added_ccu
Six Months
Year
Year
owning_library_ccu
Colorado Christian University Online
owning_location_ccu
CCU Electronic Resources
publishDate
2023
publisher
Colorado Christian University
recordtype
grouped_work
series
CCU Doctor of Nursing Practice Project Report
series_with_volume
CCU Doctor of Nursing Practice Project Report|
subject_facet
Clinical competence
Employee retention
Labor turnover
MEDICAL -- Nursing -- Fundamentals & Skills
MEDICAL -- Nursing -- Research & Theory
Medication errors
Medication errors -- Prevention
Mentoring in nursing
Nursing -- Decision making
Nursing -- Study and teaching (Continuing education)
Employee retention
Labor turnover
MEDICAL -- Nursing -- Fundamentals & Skills
MEDICAL -- Nursing -- Research & Theory
Medication errors
Medication errors -- Prevention
Mentoring in nursing
Nursing -- Decision making
Nursing -- Study and teaching (Continuing education)
title_display
A hospital/school collaborative leads to a remarkable decrease in medication errors among new nurses and stability in staff retention
title_full
A hospital/school collaborative leads to a remarkable decrease in medication errors among new nurses and stability in staff retention / Chadi Awad
title_short
A hospital/school collaborative leads to a remarkable decrease in medication errors among new nurses and stability in staff retention
topic_facet
Clinical competence
Decision making
Employee retention
Fundamentals & Skills
Labor turnover
MEDICAL
Medication errors
Mentoring in nursing
Nursing
Prevention
Research & Theory
Study and teaching (Continuing education)
Decision making
Employee retention
Fundamentals & Skills
Labor turnover
MEDICAL
Medication errors
Mentoring in nursing
Nursing
Prevention
Research & Theory
Study and teaching (Continuing education)
Solr Details Tables
item_details
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record_details
Bib Id | Format | Format Category | Edition | Language | Publisher | Publication Date | Physical Description | Abridged |
---|---|---|---|---|---|---|---|---|
external_econtent:ils:.b67364755 | eBook | eBook | English | Colorado Christian University | 2023 | 1 online resource (manuscript). |
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Bib Id | Item Id | Grouped Status | Status | Locally Owned | Available | Holdable | Bookable | In Library Use Only | Library Owned | Holdable PTypes | Bookable PTypes | Local Url |
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external_econtent:ils:.b67364755 | .i149805196 | Available Online | Available Online | false | true | false | false | false | true |