44 - Effect of a Hybrid Periop 101 Orientation Program on Nursing Self Efficacy, Knowledge and Retention
Description: Purpose The purpose of this study is to develop and provide an enhanced Periop 101 orientation program. Background In 2017, despite a six-month orientation program utilizing AORN Periop 101, the novice OR nurse’s 12 month turnover rate at our hospital was approximately 20%. Our hospital system and a local college formed a partnership to create a Hybrid Periop 101 orientation program using a blended learning approach. Online coursework was combined with simulation and synchronous classroom discussions taught by nursing faculty and clinical time with an experienced preceptor. Literature Review A successful orientation program for novice OR nurses is a critical strategy for retention. Few outcomes for OR nursing orientation programs described in the literature relate to success in perioperative nursing practice. Self-efficacy is having belief in one’s capability to succeed. RNs often do not feel empowered and confident in relation to their practice. Research Question: What is the effect of a Hybrid Periop 101 Orientation Program for novice operating room nurses, on their self-efficacy, knowledge, and retention? Specific
Aims: 1) Determine the relationship between the Hybrid Periop 101 Orientation Program on self-efficacy, knowledge and retention of the novice operating room nurse. 2) Assess manager/leader and preceptor perceptions of the effectiveness of the Hybrid Periop 101 Orientation Program. Conceptual Framework The theoretical foundation of this study is the social cognitive theory of self-efficacy (Bandura, 1977). Methodology A mixed methods, prospective, observational cohort study. Participants completed two survey tools at specified times during their orientation process. An investigator developed tool was developed to rate the participants’ self-confidence in in their circulating nurse abilities. An established survey instrument, the 2009 Revised Casey-Fink Nurse Retention Survey, was used to analyze retention. Focus group interviews were conducted to assess manager/supervisor and preceptor qualitative perceptions of the effectiveness of the Hybrid Periop101 Orientation Program. Data Analysis Nurses enrolled in two cohorts, either a traditional orientation program or the hybrid orientation program. Retention will be measured through RN retention rates and by administering a validated nurse retention scale after hire. Using repeated measures and percentages, difference in confidence, knowledge and retention will be reported. Conclusions/Discussion The success of this study will be measured by improved final exam scores, increased retention and confidence of novice operating room nurses, a decreased utilization of agency/travel nurses, and more efficient allocation of human resources for program delivery and administration. Perioperative Nursing Implications This project will contribute to the perioperative nursing science by (1) correlating nursing outcomes (i.e., retention, self-efficacy) with a hybrid of the AORN Periop 101 orientation program and (2) introducing a new self-efficacy scale specific to perioperative nursing.