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

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

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

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

Participant Selection Inclusion Criteria New nurse enrollment begins July 1, 2011. 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

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

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)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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

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

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

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

Questions