234 - Successful Mentorship in Perioperative Surgical Services Can Happen! Developing the M.A.P.P. (Mentorship Amongst Peers Program)
Description: Description of team: Multidisciplinary team consisting of Nurse Educators, Registered Nurses, Certified Surgical Technologists, Administrative Staff, and a Health Care Partner. Preparation and planning: Research was performed on retention by Clinical IV RN. In April 2018 a mentoring planning workshop was held with team members from each unit within the department and representatives from the management team.
Assessment: The external turnover rates at the time for RNs in the department as a whole was 16%, higher than the organization average of 12%. Team member morale was low, and the costs of onboarding new employees were increasing. Implementation: The core team started marketing for the start of the mentorship program and the value of mentorship in September 2018. Employees signed up as interested in being a mentor or a mentee at meetings or by sending an email to the core team. Over a two-week period, the core team provided the 4-hour mentor, mentee, and leadership training to each group of participants. They included OR nurses, PACU nurses, surgical technologists, environmental services staff, anesthesia techs, and administrative staff. Outcome: 17 pairs of mentees and mentors were part of the first cohort of MAPP and several success stories have been shared throughout the organization. The second cohort of 18 pairs began in July 2019. The length of the class was identified as a barrier to many first cohort participants who could not be out of staffing for a long period of a time. The program was modified for the second cohort to consist of a pre-course learning module and just two hours of in-person class time. The mentorship program also added participants from two other units who had heard of the program and were interested. Member of the senior leadership staff also signed up to be mentors and mentees in the second cohort. Implications for perioperative nursing: Perioperative Surgical Services is a highly specialized area, and many programs in nursing schools have cut out training and observations for being too specific. Periop is also infamous for being high-stress, having difficult surgeons, and being an island by itself within the hospital. Burnout, lack of engagement, and large numbers of veteran perioperative team members leaving the workforce has caused alarm for many hospitals and surgery centers. Having a formal mentorship program helps break down silos, decrease loss of knowledge and skill in Periop, and improves multidisciplinary relationships. When asked what being a mentor meant to her, one of the OR nurses said "being able to pass on to another person what was once taught to me as the basics and fundamentals and then being able to watch them grow into excellent perioperative nurses has helped me feel like I have something to give someone".