Review on Orientation of Newly Employed Registered Nurses

Review on Orientation of Newly Employed Registered Nurses
Name of Student
Institution Affiliation
Review on Orientation of Newly Employed Registered Nurses
Introduction
The orientation of newly employed registered nurses involves a comprehensive introduction to the set of rules and clinical guidelines that are crucial to their clinical as well as administration related practices. This paper aims to provide a brief review of the concerns of newly employed registered nurses concerning the issues of clinical practice, administration, risk or safety concerns, and unsatisfactory patient outcomes. The scope of the problem emphasizes the institutional and system related concerns that arise during the orientation or initial phases of newly employed registered nurses’ training.
Discussion
PICO
The PICO table presents the scope of research by defining the focused patient, population, or problem, interventions involved, their comparison with associated interventions, and the desired outcomes. Table 1 presents the PICO analysis for the current research.
Table 1: PICO

P

Patient, population, problem

- The orientation of the newly employed registered nurses in a health care setting
- Lack of time
- Unsatisfactory patient outcomes

I

Interventions

- Implementation of the residency program, wherever applicable
- Provide orientation binder, 2-4 weeks of orientation for newly graduated registered nurses

C

Comparison with other interventions

Associated with the current practices for orientation in for-profit clinical settings with no residency

O

Outcomes

- Satisfactory patient outcomes
- Increased confidence among newly graduated or employed registered nurses
- Development of a positive environment at the workplace

Article 1
The first article included in this review is focused on the orientation programs designed for the newly employed registered nurses (Schaar, Titzer, & Beckham, 2015). It was proposed that the combination of practice competencies and academic practices would promote patient safety and improve education for new nurses. They proposed an intervention model “Quality and Safety Education for Nurses” (QSEN) for designing and delivering the “onboarding orientation model” for newly employed registered nurses. The QSEN model served as the orientation template to the onboarding of new adjunct clinical employees, which decreased the role-transition stressors.
Article 2
This article involves the new nurse graduates of the generic baccalaureate nursing program by examining the confidence, concerns, and fears of these nurses on the beginning of their clinical practice (Cowen, Hubbard, & Hancock, 2016). They recruited 96 junior nurses who were inquired regarding their clinical concerns and fears as well as the confidence in the physical assessments. The results indicated that they were afraid of making clinical mistakes, bad experience with the mentor, uncomfortable patient experience, and lack of confidence in the physical assessments. Therefore, it was suggested that structured learning activities should be designed which help in decreasing the anxiety level and...