Date of Conferral



Doctor of Nursing Practice (DNP)




Alice Conway


Institutions are recruiting new graduate nurses to fill their vacancies. The aim of this project was to create a new graduate nurse orientation program that consists of the Essentials of Critical Care Orientation (ECCO) program created by the American Association of Critical Care Nurses (2014), scenarios, and simulation that will result in an increase in nurses' sense of their ability to provide safe patient care, communicate effectively, perform skills, and increase their sense of institutional support. The theoretical framework for this mixed methods project was Benner's "From Novice to Expert." The convenience sample participants consisted of 17 baccalaureate-prepared new graduate nurses. The Casey-Fink Graduate Nurse Experience Survey was administered prior to the orientation program and again at the completion. Content analysis was used for Section I of the survey, which pertains to the top 3 skills nurses are uncomfortable performing. In the presurvey, chest tube care, ECK/EKG/telemetry, and tracheostomy were listed. However, they were not listed on the post survey. The findings resulted in a correlation between skills that were taught during simulation and scenarios. Fisher's exact test was used for Sections II, III, and IV of the survey. There was no statistically significant difference in the pre and post survey as it pertained to questions regarding safe patient care, communication, and sense of institutional support. Results of this study are inconclusive and do not fully support the orientation program. Nurse leaders have a social mandate to ensure new graduate nurses are supported and have the resources needed to provide safe patient care. The program that was created and implemented was an attempt to assist new graduate nurses with their transition into practice.

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