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CS180
Spring Training in the Big Leagues: Making the Most of Your Team
By: C. Bryan, L. Duncan, M. Newman, & K. McBroom; Duke University; Durham, NC
For further information, please contact: bryan023@mc.duke.edu
Purpose: The fast pace and acuity of progressive care units significantly impact opportunities for staff education and development. Novice nurses need opportunities to acquire unit specific skills and knowledge and also desire constructive relationships with coworkers and integration into unit culture.
Description: Person Available for Learning (PAL) was a program created to allow the new nurses to enhance the knowledge they acquired in school and orientation. PAL is based on a one-to-one relationship between a novice and experienced nurse. Working together they seek to assist the new nurse in creating a sound knowledge base and achieving assimilation into the unit. They work together to share an informal and ongoing exchange focusing on both education and fun. In addition to being available as an informal resource, the experienced nurse audits charts enabling discussions on documentation requirements and compliance. Monthly meetings occur in order to assess critical thinking skills and priority setting through the use of clinical scenarios. Further discussion points may include diagnoses, clinical and community resources, or any issues that may arise. Personal and professional opportunities to develop the relationship are encouraged. The comfort level of the new graduate with regard to specific diagnoses and patient care was measured prior to starting the program.
Evaluation and Outcomes: Thus far, we have seen positive outcomes with PAL since its inception several months ago. New nurses achieved a higher degree of proficiency because of the nurturing environment. The program has been well received by both the new and experienced nurses and new nurses feel they are an integral part of the unit and are more committed and dedicated to patients, coworkers and the institution.
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