Overview of the Study Protocol

1. Overview of the Study Protocol Josephine Silvestre, MSN, RN Associate, Regulatory Innovations Transition to Practice Project Manager February 1, 2012 Phase II Site Coordinator Meeting

2. Objectives of Protocol Overview • Review research objectives • Discuss participant selection • Review study procedures • View study schedule of events • Discuss data collection and handling • Review IRB monitoring plan • Discuss financial support for study sites

3. Research Objectives Primary Objective: To evaluate the feasibility of model implementation in non-hospital settings

4. Research Objectives Secondary Objectives: • New nurse job satisfaction, knowledge, self report of errors, job stress • Perception of competence • Nurse retention • Patient satisfaction • Patient safety and quality outcomes • Efficacy of preceptor training module • Cost/benefit analysis Intervention Control

5. Participant Selection Inclusion Criteria • New nurse enrollment begins April 1, 2012. New graduate RNs and LPNs who are employed within 30 days of this enrollment start date through October 31, 2012 are eligible • New graduate nurses who have passed the NCLEX-RN

6. Participant Selection Inclusion Criteria (continued) • Nurses who meet the organization’s criteria for a new graduate transition program • Nurses who have not worked a permanent position as an RN or LPN at another facility prior to the current position • Must be employed and will maintain at least 0.5 FTE • Expectation is that new nurse is considered permanent staff

7. Participant Selection Exclusion Criteria: • Nurses employed as RNs or LPNs by the organization prior to March 1,2012 and after October 31, 2012 will be excluded from participation in the study • Nurses who previously worked a permanent position as an RN or LPN before current position • An RN who worked as an LPN prior to current RN employment is eligible

8. Participant Selection Preceptors • Site coordinators will start to identify preceptors who will participate in the study prior to enrollment period of new nurses

9. Orientation • Separate process from transition to practice • Includes introducing staff to philosophy, goals, policies & procedures, skills checks, etc.

10. Study Procedures Intervention New Nurse: • Beginning of study – complete Demographic and Initial surveys, take online Knowledge Assessment, initiate online modules (ideally across first 3 months of employment) • At 6 months – complete 6-month survey and evaluation • At 9 months – complete 9-month survey

11. Study Procedures Intervention New Nurse (continued): • At 12 months – complete 12-month survey and evaluation, take online Knowledge Assessment • Throughout study – ideally meet with preceptor at least weekly

12. Study Procedures Intervention Preceptor: • Prior to precepting new nurse – complete preceptor training module, complete Demographic survey • At 6 months – complete 6-month survey and evaluation • At 9 months – complete 9-month survey • At 12 months – complete 12-month survey • Throughout study – meet at least weekly with new nurse

13. Study Procedures Module Completion • New nurses and preceptors will receive 20 continuing education contact hours for completion of modules and preceptorship

14. Study Procedures Intervention Nurse Manager: • Beginning of study – complete Demographic survey • At 6 months – complete 6-month evaluation

15. Study Procedures Intervention Sites: • Intervention sites will use NCSBN TTP model as only method of transition to practice throughout Phase II, October 2013 • Allow access to modules during work hours for new nurses and preceptors • Institutional support

16. Study Procedures Institutional Support for One Year • Support starts at the top • Organizational communication about the study • Cooperation with personnel, resources, etc. • Celebration!

17. Study Procedures – Focus Groups Objective: to obtain qualitative data on evaluation of transition program and modules • Cohorts of new nurses, preceptors, and site coordinators from the intervention group will participate in focus groups at the end of the study

18. Schedule of Events – Intervention Group

19. Study Procedures Control New Nurse: • Beginning of study – complete Demographic and initial surveys, take online Knowledge Assessment • At 6 months – complete 6-month survey and evaluation • At 9 months – complete 9-month survey • At 12 months – complete 12-month survey and evaluation, take online Knowledge Assessment

20. Study Procedures Control Preceptor/Manager: • Beginning of study – complete Demographic survey • At 6 months – complete 6-month survey and evaluation • At 9 months – complete 9-month survey • At 12 months – complete 12-month survey and evaluation

21. Study Procedures Control Sites: • Control sites will use traditional method of onboarding new graduate nurses • *** No new transition method/system should be initiated throughout duration of study • At the end of the study, control sites will have free access to modules for 1 year

22. Schedule of Events – Control Group

23. Study Procedures Site Coordinator: • Beginning of study – complete Institutional Demographics & Outcomes survey • At 12 months – complete Institutional Demographics & Outcomes survey • End of study – complete Institutional Demographics & Outcomes survey

24. Schedule of Events – Both Groups

25. Duration of Study Participation • New nurse and preceptor/manager will continue participation for 12 months.

26. Duration of Study Participation Special circumstances • If new nurse leaves, ask new nurse to complete outstanding surveys/evaluations. • If preceptor/manager leaves, ask preceptor to complete outstanding surveys/evaluations and new nurse will be re-assigned to another preceptor.

27. Data Collection • Web-based data collection system • Surveys/evaluations • Knowledge assessments • Organization outcomes data

28. Confidentiality • Participants will receive individual password-protected access to the website • Information collected from new nurses, preceptors, nurse managers • Outcomes data entered by site coordinators will be kept confidential; data will be reported in aggregate

29. IRB Monitoring Plan • In order to protect the rights of all participants, the study will be submitted for IRB review/approval. • Continuous IRB monitoring per each site’s IRB requirements

30. Financial Information • At the end of the study phase, each study site will receive $2,000 for their participation

31. Questions