1. Overview of the Study Protocol
Josephine Silvestre, MSN, RN
Associate, Regulatory Innovations
Transition to Practice Project Manager
April 27, 2011
Phase I Site Coordinator Meeting

2. Objectives of Protocol Overview
Review research outcomes
Discuss participant selection
Review study procedures
View study schedule of events
Discuss data collection and handling
Review IRB monitoring plan
Discuss financial support for study sites

3. Research Outcomes Patient safety and quality outcomes
Patient satisfaction
Self report of errors
New nurse job satisfaction
Knowledge
Perception of competence
Job stress
Nurse retention
Study
Control

4. Additional Outcomes – Study Group
Efficacy of preceptor training module
Cost/benefit analysis
Feasibility of model implementation

5. Participant Selection
Inclusion Criteria
New nurse enrollment begins July 1, New graduate nurses hired as RNs within 30 days of this enrollment start date through September 30, 2011 are eligible
New graduate nurses who have passed the NCLEX-RN

6. Participant Selection
Inclusion Criteria (continued)
Nurses who meet the hospital’s criteria for a new graduate transition program
Nurses who have not worked a permanent position as an RN at another hospital prior to the current position

7. Participant Selection
Exclusion Criteria:
Nurses employed as RNs by the hospital prior to June 1,2011 and after September 30, 2011 will be excluded from participation in the study
Nurses who previously worked a permanent position as an RN in a hospital before current employment (temporary positions at facilities other than hospitals are allowed)

8. Participant Selection
Preceptors
Hospitals will identify preceptors who will participate in the study prior to enrollment period of new nurses

9. Orientation Separate process from transition to practice
Includes introducing staff to philosophy, goals, policies & procedures, skills checks, etc.

10. Study Procedures Study New Nurse:
Beginning of study – complete Demographic and Initial surveys, take online Knowledge Assessment, initiate online modules (should be completed within 3 months)
At 6 months – complete 6-month survey and evaluation
At 9 months – complete 9-month survey

11. Study Procedures Study New Nurse (continued):
At 12 months – complete 12-month survey and evaluation, take online Knowledge Assessment
Throughout study – meet weekly with preceptor

12. Study Procedures Study Preceptor:
Prior to new nurse enrollment – complete preceptor training module, complete Demographic survey
At 6 months – complete 6-month survey and evaluation
At 9 months – complete 9-month survey
At 12 months – complete 12-month survey
Throughout study – meet weekly with new nurse

13. Study Procedures Module Completion
New nurses and preceptors will receive 20 continuing education contact hours for completion of modules

14. Study Procedures Study Nurse Manager:
Beginning of study – complete Demographic survey
At 6 months – complete 6-month evaluation

15. Study Procedures Study Institutions:
Study hospital will use NCSBN TTP model as only method of transition to practice throughout Phase I, December 2012
Access to modules during work hours for new nurses and preceptors
Institutional support

16. Study Procedures Institutional Support for One Year
Support starts at the top
Organizational communication about the program
Cooperation with personnel, resources, etc.
Celebration!

17. Study Procedures – Focus Groups
Cohorts of new nurses, preceptors, and site coordinators from the study group will participate in focus groups
Objective: to obtain qualitative data on evaluation of transition program and modules

18. Schedule of Events – Study Group
Prior to enrollment of New Nurses
Baseline (Within 1 month of Start Date)
6 months from Start Date
(-7 days/+21 days)
9 months from Start Date
12 months from Start Date
Experimental Group:
New Nurse
Initiate TTP Modules X
Complete Demographic Survey
Complete Knowledge Assessment
Complete Initial Survey
Complete 6- or 12-month Evaluation
Complete 6-, 9-, or 12-month Survey
Focus group interview
Preceptor
Initiate Preceptor Training Module
Complete 6-month Evaluation
Nurse Manager

19. Study Procedures Control New Nurse:
Beginning of study – complete Demographic and initial surveys, take online Knowledge Assessment
At 6 months – complete 6-month survey and evaluation
At 9 months – complete 9-month survey
At 12 months – complete 12-month survey and evaluation, take online Knowledge Assessment

20. Study Procedures Control Preceptor/Manager:
Beginning of study – complete Demographic survey
At 6 months – complete 6-month survey and evaluation
At 9 months – complete 9-month survey
At 12 months – complete 12-month survey and evaluation

21. Study Procedures Control Institutions:
Control hospital will use traditional method of onboarding new graduate nurses
*** No new transition method/system should be initiated throughout duration of study
At the end of the study, control hospital will have free access to modules for 1 year

22. Schedule of Events – Control Group
Baseline (Within 1 month of Start Date)
6 months from Start Date
(-7 days/+21 days)
9 months from Start Date
12 months from Start Date
Control Group:
New Nurse
Complete Demographic Survey X
Complete Knowledge Assessment
Complete Initial Survey
Complete 6- or 12-month Evaluation
Complete 6-, 9-, or 12-month Survey
Preceptor/Manager

23. Study Procedures Site Coordinator:
Beginning of Phase I – complete Institutional Demographics & Outcomes survey
At 12 months – complete Institutional Demographics & Outcomes survey
End of Phase I – complete Institutional Demographics & Outcomes survey

24. Schedule of Events – Both Groups
Pre-Study (Prior to enrollment of New Nurses)
12 months from Start Date
(-7 days/+21 days)
End of Phase I
(-28 days/+56 days)
Site Coordinator
Submit institutional demographics and outcomes data X
Focus group interview

25. Duration of Study Participation
New nurse and preceptor/manager will continue participation for approximately 12 months.

26. Duration of Study Participation
Special circumstances
If new nurse leaves, ask new nurse to complete outstanding surveys/evaluations.
If preceptor/manager leaves, ask preceptor to complete outstanding surveys/evaluations and new nurse will be re-assigned to another preceptor.

27. Data Collection Web-based data collection system Surveys/evaluations
Knowledge assessments
Hospital outcomes data

28. Confidentiality
Participants will receive individual password-protected access to the website
Information collected from new nurses, preceptors, nurse managers
Outcomes data entered by site coordinators will be kept confidential; data will be reported in aggregate

29. IRB Monitoring Plan
In order to protect the rights of all participants, the study will be submitted for IRB review/approval.
Continuous IRB monitoring per each site’s IRB requirements

30. Financial Information
At the end of the study phase, each study site will receive $2,000 for their participation

31. Questions