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Enhanced Orientation for Nurses New to Long Term Care. CFNU Conference Workshop June 14 & 15, 2011. RTA National Project. Coordinated by CFNU; national funding body is Health Canada National partners Canadian Nurses Association Dieticians of Canada Canadian Healthcare Association
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Enhanced Orientation for Nurses New to Long Term Care CFNU Conference Workshop June 14 & 15, 2011
RTA National Project • Coordinated by CFNU; national funding body is Health Canada • National partners • Canadian Nurses Association • Dieticians of Canada • Canadian Healthcare Association • 10 participating provinces/territory, each with a unique project
RTA Project Goals • Evaluate the impact of different strategies (pilot projects) on the retention and recruitment of nurses • Engage nurses unions, employers, governments and other health stakeholders in collaborative partnerships • Develop resources that build capacity within the workplace • Share and transfer knowledge within and across jurisdictions and professions
Manitoba Project • Manitoba project stakeholders • MNU • Manitoba Health • WRHA • Project goal: Recruit and retain nurses new to long term care • Provide better orientation • Enhance profile of LTC • Develop nursing leadership skills/capacity • Enhance geriatric knowledge/skills • Interdisciplinary involvement • Sustainability and transferability of initiative • 3 pilot PCHs in Winnipeg • 23 nurse participants (12 protégés and 11 mentors)
What did the Project Involve? • 2 components of the enhanced orientation program; • Mentoring relationship between an experienced nurse (mentor) and a new nurse (protégé) • Knowledge and skill development • Evaluation • Unit/PCH indicators • Surveys • Focus groups
Mentorship • Established mentoring partnerships for all 12 new nurses • Provided 2 mentoring workshops • Skills workshop for the mentors • Mentoring orientation for the mentors and protégés • Mentoring support • Reference materials • Mentoring relationship tools • Ongoing contact with mentors/proteges • Management support
Clinical Knowledge and Skills • ‘Excellence in LTC’ series of 6 clinical workshops • Protégés and mentors received funding to attend (MB Health) • Sessions offered to other staff in LTC • Total of 390 staff attended the 6 workshops • Workshop materials developed and distributed • Content: changes with aging, geriatric assessment, medication challenges, presentation of illness/infection, differentiation between dementia/delirium/depression, dementia/behavioural care strategies, falls prevention and management, palliative care, pain assessment and management, nutrition, oral health, swallowing disorders, pressure ulcer prevention, continence care, nursing leadership
Project Timelines • Recruitment – April-August 2009 • Mentor workshop and orientation workshop – Sept 2009 • Baseline data collection – October 2009 • Mentorship relationship – September 2009 to April 2010 (or longer) • Clinical workshops – October 2009 to April 2010 • Mid-point data collection – February 2010 • Final data collection - May-June 2010
Benefits to the Protégés • Positive effect on transition to LTC • Build skills and confidence to become an effective nurse • Knowledge that they have someone they can talk to and ask questions about anything • Mentors provide needed support; someone to ‘go to’ • Recognition that LTC is a specialty and requires a special skill set • As a result of the project, motivated to become mentors in the future
Benefits to the Mentors • Opportunity to share their knowledge and experiences • Starting out as a new nurse • Can relate to the new nurses’ situation • Able to provide moral support • Challenges with workload, stress, working relationships • Able to provide support and suggestions • Sense of satisfaction and professional growth (mentoring skills workshop)
National Project Key Findings • Project participants share a general sense of optimism about the projects • Participating nurses report higher job satisfaction and stronger workplace leadership compared to non-participants • Participating nurses view the projects positively, particularly 80/20 and mentorship programs
Project Sustainability and Legacy • Enhanced Orientation Program Guide • 50 copies printed and distributed (regional, provincial, national) • 70 additional copies have been printed • Adoption of the program and materials • WRHA Personal Care Program • Mentoring materials – 2 rural RHAs in Manitoba • Excellence in LTC workshops – PEI LTC program
Looking Into the Future… • What are the perceived benefits of an enhanced orientation program? • What is needed to create sustainability of an enhanced orientation program? • Are there opportunities for transferability of a similar program to other settings/areas of practice?
? Questions? Comments? CFNU website www.thinknursing.ca Deanne O’Rourke, RN, MN (204) 782-4624 2definesolutions@mts.net