Date Available
4-25-2025
Year of Publication
2025
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
College
Nursing
Department/School/Program
Nursing
Faculty
Dr. Karen Butler
Committee Member
Dr. Debra Hampton
Faculty
Dr. Sheila Melander
Abstract
Abstract
Background: Nurses who transition into specialty practice areas in healthcare settings may demonstrate a lack of confidence and a high level of stress. Decreased levels of nursing engagement, self-efficacy, and interdepartmental team collaboration may also be seen. Multi-departmental tiered orientation models can help facilitate the development of increased confidence and competence and ultimately lead to improved patient outcomes.
Purpose: The purpose of this doctoral project was to evaluate the effectiveness of a multi-departmental tiered orientation model for nurses hired into a specialty area. The specific objectives included were to a) determine the effectiveness of the model on service line culture b) determine if there was a correlation with use of the model and increased nurse engagement, self-efficacy, and nurse satisfaction c) determine if the model had a positive impact on turnover rates within the Neonatal Intensive Care Unit and d) assess if there were improved patient outcomes associated with reported Central Line Associated Bloodstream Infections (CLABSI’s) and Hospitals Acquired Pressure Injuries ( HAPI’s) while utilizing the model.
Method: A retrospective cohort design was used for this study. The department of interest for the study was a 28-bed level III neonatal ICU (NICU). Participants included Neonatal Intensive Care Unit RNs who completed the multi-departmental nursing tiered orientation model.
Results: A total of 31 RN’s between both the NICU and the Mother Baby units completed the survey, and 17 of those survey participants completed the multi-departmental tiered orientation model. Statistically significant associations were observed between staff engagement and unit culture (p = .001). Nurse satisfaction with use of the model had a potential range of 1 to 5, with a mean of 4.03, indicating high satisfaction.
Conclusion: A multi-departmental tiered orientation models has an overall positive impact for nursing staff when transitioning into practice. Future research should focus on continued development of tiered models and address key barriers for successful improvement.
Recommended Citation
Thompson, Kimberly, "Effectiveness of a Multi-departmental Nursing Tiered Orientation Model on Service Line Culture, Self-Efficacy of Nurses, Positive Patient Outcomes and Nurse Satisfaction" (2025). DNP Projects. 490.
https://uknowledge.uky.edu/dnp_etds/490
