Implementing an Evidence Based Preceptorship Program in a Military Center.

摘要

Purpose: The goal of this project was to implement an evidence-based (EB) precepting program specific to the burn specialty. Design: The Iowa Model of Evidence-based Practice served as the model for this project. Methods: The EB Vermont Nurses in Partnership (VNIP) clinical coaching program was selected and education was provided to all Burn Center staff. Benchmarks for basic knowledge assessment (BKAT) by work site and education level and burn wound care (WC) were established among current staff members to evaluate new hires (NHs). Comprehensive Preceptor and Preceptee training manuals were created. Sample: 29 NHs were enrolled in the program, 26 completed the program, 3 did not complete the program. VNIP training (n=110) included 34 interdisciplinary staff (Rehab, Education, Respiratory Therapy, and Clinic Staff), Staff Nurses (n=43) and 100% of identified preceptors (n=33). Analysis: Descriptive and non-parametric statistics were used to describe and analyze results. Findings: The VNIP course satisfaction survey revealed a mean rating of 4.7 0.2 on a 1-5 (best) visual descriptor scale. NHs achieved passing BKAT scores >84% (n=22) and WC scores >92% (n=24) of the time; individual remediation was provided for those failing to achieve unit benchmarks. NH s competency progressions were evaluated weekly on a 1-10 (best) scale, with 7 indicating safe independent practice; initial ratings were 5.1 2.0 final ratings were 9.0 1.2 (n=25) (p<0.001). The Assessment of Process Used for Transition to Work (APUT) survey revealed an increase in staff satisfaction overall along with identifying items for improvement. Turn-over decreased from 33.6% (prior to program) to 16.5% (after program), a 50% decrease. Implications for Military Nursing: The EBP team created a standardized, comprehensive and flexible precepting program to assist and support transition to specialty burn practice for experienced nurses, new graduates, and other disciplines in healthcare.