UBC Graduate Research

A standardized two day nursing orientation program : a quality improvement project at a private hospital in Hong Kong Mok, Keilee


Background/Purpose: As private hospitals become more popular in Hong Kong, the quality of nursing care has become the focus of executive teams within the private sectors. With recent high nursing turnover rate and low work morale, Hospital S (a private hospital in Hong Kong), has created a new standardized two-day nursing orientation program to address this nursing shortage. The overall objectives of this orientation program are: to strengthen nursing professional identity, to standardize nursing competency, and to build a confident and competent nursing team to provide safe care. The purpose of this paper is to discuss the creation of this quality improvement project, the Strength-Weakness-Opportunity-Threats (SWOT) analysis framework, and the application of leadership strategies along the implementation process. Method: Through a two-day interactive, structured program, new nurses have gained evidence based knowledge and practice, professional standards, and practical skills that were aimed for better clinical transition. Through case studies, practicum, and group discussion, key concepts such as patient safety, organizational values, and professional standards were reinforced. Leaders applied strategies, such as structural and psychological empowerment and staff engagement, throughout the program to ensure an increased level of nursing commitment, nurse satisfaction, and self-confidence. Results: A high level of satisfaction toward this program was reported by 18 new nurses with an increased level of professional confidence and competency. Also, this program was perceived as highly useful for clinical practice by the nurses who participated. Further, there was a high pass rate for both pre-orientation and post-orientation written test among the new nurses. These two tests were used to evaluate new nurses’ understanding of pre-reading material and orientation material. In addition, there was a 100% compliance with completed competency checklists. Conclusion: The findings indicated that this program has empowered new nurses to be confident in their clinical practice through providing structured education, professional supports, and organizational resources. Both successes and lessons learned from this program will hopefully act as a blueprint for nurse leaders when they undertake their quality improvement projects.

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