In our review of the literature, we found little research or evidence-based information related to the impact of charge nurse development programs on nursing and patient outcomes. The need for formal role training became evident. However, it’s not sustainable for an expanding novice nurse workforce complicated by pandemic-induced staffing challenges. The approach proved sufficient during greater experienced-to-novice nurses ratios. Traditionally, nurses learn the charge nurse role over time as they progress from novice to expert. A team of nursing education and Magnet nurse leaders identified healthcare adjusted to new pandemic norms and charge nurse development as priorities. As the pandemic progressed, all in-person nonessential classroom training halted. Pre-pandemic, our integrated health system offered sporadic non-standardized training at some hospitals and inconsistently paired shadowing experiences. According to Delamater and Hall, this gap is especially evident in charge nurse preparation. Many organizations lack role-specific competency-based orientation, leaving nurses to learn on the job. The organization’s Magnet® nurse leaders understood that role validation during the pandemic required an innovative approach, so they developed a pilot, competency-based redesign to charge nurse role training for implementation at the health system’s multi-designated Magnet® hospital in Southeastern Virginia. They identified charge nurse onboarding as an opportunity for improvement. Nurse education leaders from a mid-Atlantic 12-hospital health system reviewed nurse feedback and best practices for improving support for clinical nurses. These departures require support for novice nurses in leadership roles. Charge nurses play an integral role in a healthcare organization’s daily workflow and have direct impact on patient outcomes and healthcare financials.Ĭhallenged by a widening transition-to-practice gap and exacerbated by the pandemic, the nursing workforce faces higher-than-average nurse departures. These clinical experts act as go-to resource problem solvers, overseers of patient safety and care quality, policy enforcers, and operational experts responsible for processes including staffing and coordinating nurse–patient assignments. They must work in various capacities and manage constantly changing priorities. This article highlights a hospital that developed a role-based competency program for charge nurses.Traditionally, nurses learn the charge nurse role over time as they progress from novice to expert, which was sufficient with greater experienced-to-novice nurse ratios.Many organizations lack role-specific competency-based orientation, leaving nurses to learn on the job.
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