Quote from kmoonshine
- provide adequate orientation!!!
- assign a mentor to each new grad
- have individual weekly progress meetings (focus on strengths, areas to focus on)
- have meetings with all 6 new grad nurses (round-table discussion; allow the new grads to identify with one another)
- have a consistent preceptor who wants to precept (have it be someone other than the mentor)
- compensate staff who agree to precept; it takes extra energy and effort to provide patient care & precept at the same time.
Patients come to hospitals for nursing
care, and hospitals therefore should invest time, energy, and money into new hires. New grad nurses need support and their orientation should be individualized. Just my $0.02.
I just started back in ICU after 9 months away from it and a brief time and L & D. One of the many reasons I left L & D? A preceptor that systematically broke down my confidence in myself. She was bossy and a bully. I was told "that's just how she is." Not everyone is a natural born teacher. Being good at your job does not qualify you to teach it to someone else. Would they have retained me longer than 3 months if I had had an adequate orientation with an excellent preceptor? Possibly.
At this new unit I had 5 different preceptors in my first 6 shifts. My "preceptors" were generally surprised to be "stuck with" an orientee at the beginning of the shift and complained vocally about it. I was offered another job at the time and seriously considered taking it. I didn't feel welcomed on my unit and never met my primary preceptor until the 5th shift. I have since been changed to yet another one who, thank goodness, has 30 years experience and is fantastic
. At one point, I was put with a new grad nurse who graduated 7 months ago who is proud his 20 week orientation was shortened to 9. Are you kidding me?
I work in an ICU at a Level I Trauma Center. That's just scary.
I started at the same time as two other experienced nurses. One has already left due to these same issues. Yet everyone complains about staffing and retention.