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

Comments

Fall 2025: Student Research Conference

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