Implementing an Evidence Based Preceptorship Program in a Military Center
Final rept. 1 Jul 2012-30 Jun 2014
GENEVA FOUNDATION TACOMA WA
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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 n110 included 34 interdisciplinary staff Rehab, Education, Respiratory Therapy, and Clinic Staff, Staff Nurses n43 and 100 of identified preceptors n33. 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 n22 and WC scores 92 n24 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 n25 p0.001. 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.
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