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EBP

A nursing orientation program can positively impact new nurses that are joining the organization (Nobles, 2022). The implementation of a new psychiatric nurse role within the hospital system developed the necessity for an orientation program that would provide quality, safe, and positive outcomes. Psychiatric Resource Nurse roles were created within the organization to provide support and education to staff regarding patients with behavioral or mental health needs. An orientation program was created to support the specific role of the Psychiatric Resource Nurse role to fulfill the need for patient centered care.

A need for an orientation program for Psychiatric Resource Nurses was evident through the lack of completion of onboarding requirements. Incomplete daily tasks, miscommunication amongst staff, inaccuracy in restraint charting, and inadequate patient care within the role needed to be addressed. The initial orientation consisted of shadow shifts, evidence based online competencies, reviewing general safety guidelines, and policies. Initial gaps were identified and utilized to formulate a new orientation program.

The new orientation framework includes three weeks of the preceptor acting as an instructor, model, and coach (Beth Tamplet Ulrich & Sigma Theta Tau International, 2019) to provide a positive orientation process. Three additional weeks established for orientee to be independent. The current Psychiatric Resource Nurse team consists of eleven Registered Nurses and one RN Team Leader. Two RNs onboarded at the time that the new orientation was implemented.

The expectations of orientation program is for the oncoming RN to be competent, confident, and comfortable in the Psychiatric Resource Nurse role by providing quality care to patients. The two RNs that completed orientation with the new orientation framework have been successfully completing Psychiatric Resource Nurse tasks for approximately 6 months. There has been improvements in completing daily tasks, restraint charting accuracy, and team collaboration. Ongoing studies show that orientation programs motivate RNs to adhere to their required duties (Lalithabai, 2021).

Publication Date

9-27-2024

Keywords

EBP, Evidence-Based Pracitce, Evidence-Based Nursing, Psychiatric Nursing

Disciplines

Pediatric Nursing

Closing the Gap for Psychiatric Resource Nurse Orientation

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