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A NEW NURSE TRANSITION PROGRAM TO FACILITATE CLINICAL
LEADERSHIP SKILLS
1
Dr. Shelly Luger RN, DNP
Assistant Professor/ Clinical Systems Administration Track Lead
Creighton University College of Nursing
2500 California Plaza
Omaha, NE 68178
402-280-4428
Background & Scope
■ Largest source of recruitment
■ Computerized licensure
■ Approach for developing new nurse competencies
■ Leadership competencies
■ Rural and frontier nursing
Review of the Literature
■ Terminology Residency programs & Transition Programs
■ Search methods
■ Summary of Evidence
Project Aim
■ Pilot test a quality improvement evidenced-based new nurse transition program
■ Clinical leadership skills
Theoretical FrameworkComplexity Science
Andrus, D.C. (2012). A complex adaptive system model. Retrieved from:
https://en.wikipedia.org/wiki/Complex_systems#/media/File:Complex-adaptive-system.jpg
Project Questions
■ Will a leadership curriculum in a pilot rural novice nurse transition program improve
novice nurse’s perception of their ability to lead?
■ Will a leadership curriculum in a pilot rural novice nurse transition program improve
scores on the T-TAQ- Team STEPPS Attitude Questionnaire (Agency for Healthcare
Research and Quality [AHRQ] (2016)?
Methodology
■ Human Subjects Approval
■ Setting
■ Population
■ Intervention (Next Slide)
■ Data Collection (Next Slide)
Methodology continuedIntervention
Leadership
NCSBN ( 2015) Transition to practice Model with Leadership
addition
Data Collection
■ The Leadership Characteristics and Skills Assessment (Grossman & Valiga, 2012)
■ TeamSTEPPS Teamwork Attitudes Questionnaire [T-TAQ]
ResultsThe Leadership Characteristics and Skills Assessment Tool on perceptions of what makes a good leader,
Participant Pre Total
Score Part I
Post Total
Score Part I
Participant 1
ID 001
58 61
Participant 2
ID 002
55 58
Participant 3
ID 003
55 63
Participant 4
ID 004
64 67
Participant 5
ID 005
56 59
Pre total
Score Mean
Part I
Post Total
Score Mean
Part I
%Change
58 62 6.8% increase
Grossman & Valiga (2013)
Participant Pre Total Score
Part II
Post Total Score
Part II
Participant 1 ID 001 54 55
Participant 2 ID 002 47 47
Participant 3 ID 003 47 59
Participant 4 ID 004 51 52
Participant 5 ID 005 57 54
Pre total
Score Mean
Part II
Post Total
Score Mean
Part II
%Change
51 53 3.9% increase
The Leadership Characteristics and Skills
Assessment Tool on perception of own ability
to lead
Team Structure
Participant Pre Total Score Post Total Score
Participant 1 ID 001 28 25
Participant 2 ID 002 23 26
Participant 3 ID 003 24 24
Participant 4 ID 004 28 27
Participant 5 ID 005 25 28
Team Structure Pre Test Mean 25.6 Post Test Mean 26 Team Structure % Change 1.5% increase
Leadership
Participant 1 ID 30 27
Participant 2 ID 27 25
Participant 3 ID 27 27
Participant 4 ID 27 27
Participant 5 ID 28 27
Leadership Pre Test Mean 27.8 Post Test Mean 26.6 Leadership % Change 4.3% decrease
Situation Monitoring
Participant 1 ID 29 26
Participant 2 ID 24 24
Participant 3 ID 24 22
Participant 4 ID 28 28
Participant 5 ID 28 28
Situation Monitoring Situation Monitoring Pre- Test Mean 26.6 Post- Test Mean 25.6 Situation Monitoring % Change 3.7% decrease
Mutual Support
Participant 1 ID 28 26
Participant 2 ID 24 24
Participant 3 ID 26 26
Participant 4 ID 30 30
Participant 5 ID 26 28
Mutual Support Mutual Support Pre-Test Mean 26.8 Post-Test Mean 26.8 Mutual Support % Change No Change
Communication
Participant 1 ID 28 26
Participant 2 ID 24 22
Participant 3 ID 20 24
Participant 4 ID 29 28
Participant 5 ID 26 27
Communication Communication Pre-Test Mean 25.4 Post- Test Mean 25.4 Communication % Change No Change
Pre Total Score Mean 26.4 Post Total Score Mean 26 %Change 1.5% decrease
Results Continued:
Team STEPP TTAQ (2016)
Discussion
■ Literature indicates improved clinical leadership skills
■ Complexity science framework
– Outside influences
– New self-organization
■ Need for further research
Limitations
■ Small number
■ Rapid presentation
■ No measure of academic nursing preparation
Conclusion
A small novice nurse transition leadership program that used a complexity science
framework appears to have improved novice nurses employed in a rural critical access
hospitals perception of their ability to lead.
Next Steps
■ Grant funding to replicate the project
■ Critical Access Partners
■ Sustainability
Reference
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Questions?
