Department
Nursing
Document Type
Poster
Abstract
Effective transition from novice to competent emergency department (ED) nurse depends on structured communication, timely feedback, and consistent mentorship. Within a large Midwestern Level I trauma center, leadership identified fragmented orientation communication that hindered learning continuity and confidence among new hires. This Doctor of Nursing Practice (DNP) project implemented a structured, digitized communication and feedback model using the Monday.com platform to improve orientation transparency, preceptor–orientee communication, and leadership oversight. Guided by Benner’s Novice to Expert framework, the Consolidated Framework for Implementation Research (CFIR), and Bandura’s Self-Efficacy Theory, the project followed a Plan–Do–Study–Act approach with nine preceptors and three orientees. Data was collected through pre- and post-implementation surveys, shift-based feedback forms, and leadership documentation. Results demonstrated sustained improvement in communication, feedback timeliness, and orientee confidence, with average post-implementation scores increasing by 1.3 to 1.9 points on a five-point scale compared with baseline. Qualitative feedback highlighted stronger engagement, enhanced psychological safety, and improved workflow efficiency. Findings support that structured digital tools can operationalize developmental frameworks, foster accountability, and improve orientation experiences in high-acuity clinical environments.
Publication Date
Fall 12-4-2025
Recommended Citation
Tavarez, Richard, "Enhancing Communication and Feedback During Emergency Department Nurse Orientation Through a Structured Digital Model" (2025). Student Scholarship. 19.
https://metroworks.metrostate.edu/student-scholarship/19
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Comments
Fall 2025: Student Research Conference