NURSING ORIENTATION PROGRAM BUILDER Nurs- ing …

Nursing Orientation Program Builder: Essential Tools for Onboarding, Orientation, and Transition to Practice is published by HCPro, a division of BLR.

Copyright ? 2016 HCPro, a division of BLR

All rights reserved. Printed in the United States of America. 5 4 3 2 1

ISBN: 978-1-68308-132-6

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Diana Swihart, PhD, DMIN, MSN, APN, CS, RN-BC, FAAN, Author Solimar Figueroa, PhD, MSN, MHA, BSN, RN, P-PCA, Author Michelle Clarke, Managing Editor Erin Callahan, Vice President, Product Development & Content Strategy Elizabeth Petersen, Executive Vice President, Healthcare Matt Sharpe, Production Supervisor Vincent Skyers, Design Services Director Vicki McMahan, Sr. Graphic Designer Angel M. Cruz, Layout/Graphic Design Michael McCalip, Cover Designer

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Table of Contents

About the Authors ..................................................................................................iii Preface ...................................................................................................................vi Continuing Education Instructional Guide...........................................................xiii Part I. Onboarding Processes .................................................................................1

Chapter 1. New-Hire Wayfinding ........................................................................3 Chapter 2. Prehire Activities ........................................................................... 13 Chapter 3. Preceptorships................................................................................37 Part II. Organization and Service-Specific Orientations ......................................75 Chapter 4. Organizing and Facilitating Onboarding Processes .......................77 Chapter 5. Quality and Safety for New Employees ..........................................91 Chapter 6. Regulatory Agencies and Mandatory Requirements for New Employees ...................................................................................................... 101 Chapter 7. Creating Service-Specific Orientations ........................................ 113 Chapter 8. Competency-Based Orientation Activities in Practice Settings .. 133

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Contents

Chapter 9. Simulations in Onboarding New Employees ................................155 Chapter 10. Evidence-Based Practice, Critical Thinking, Clinical Judgment, and Priorities ..................................................................................................167 Chapter 11. Leadership: Authority, Accountability, Ownership, and Delegation....................................................................................................... 179 Chapter 12. Interprofessional and Team-Based Onboarding......................... 197 Chapter 13. Supporting New Graduate Employees ....................................... 211 Chapter 14. Evaluating Onboarding Processes and Orientation Activities Outcomes ........................................................................................................ 221 Chapter 15. Mentorships for New-Employees................................................253 Part III. After Onboarding and Orientation: Processes to Improve Transition to Practice ...............................................................................................................271 Chapter 16. Communication Skills and Barriers ...........................................273 Chapter 17. Ethical Dilemmas and Legal Considerations ..............................289 Chapter 18. Culture and Diversity: Orienting Foreign-Educated Nurses .......301 Chapter 19. Stress Management, Change, and Renewal............................... 313 Chapter 20. A Chapter for Educators and Professional Development Specialists ......................................................................................................327 Chapter 21. Tips for Building and Improving New-Employee Programs .......347 Bibliography .......................................................................................................357

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