Specialized Transplant Orientation: Improving Nursing Competence Caring for the Solid Organ Transplant Patient

Date of Graduation

Summer 8-17-2015

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Abstract

Appropriate, comprehensive, and ongoing education for nurses promotes both quality nursing care, nurse satisfaction, and retention. Over the preceding two years, the average daily unit census has increased from 12 patients to >20. The number of solid organ transplants has also grown annually, from 82 in 2013 to 102 in 2014, with that number quickly being exceeded in 2015. Year to date there have been 30 new hires to the unit, most without previous PICU or transplant experience. Education needs identification yielded that of the 16 new hires from January to May 2015, 2 had cared for a transplant patient during their nursing orientation, 8 had completed classroom only education and 4 had been assigned care of a transplant patient without a clinical orientation. The goal of this project is to increase nursing comfort and competence in caring for transplant patients, being measured by self-reporting survey of comfort and pre/post education/orientation testing. Of those who have completed both areas of orientation, there has been a 100% reported improvement in comfort caring for a transplant patient by the 8 nurses who were identified needing bedside orientation after classroom didactic. It is expected that the 14 new hires completing orientation by October 2015 will report similar findings.

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