A Structured Program to Improve Care Delivery for Nurses New to Ambulatory Practice

Ambulatory care nurses are called to work in increasingly complex patient care environments that require advanced "skill development and situational translation of knowledge" to effectively care for patients (American Academy of Ambulatory Care Nursing [AAACN], 2017, p. 5). [...]it is impe...

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Bibliographic Details
Published inAAACN viewpoint Vol. 46; no. 1; pp. 4 - 10
Main Author Thomas-Bridgeman, Nytosha
Format Journal Article
LanguageEnglish
Published Pitman American Academy of Ambulatory Care Nursing 01.01.2024
Subjects
Ambulatory care
Clinical outcomes
Communication
Complex patients
Curricula
Documentation
Education
Health care
Leadership
Managers
Medical residencies
Nurses
Nursing
Orientations
Patient satisfaction
Teaching
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Summary:Ambulatory care nurses are called to work in increasingly complex patient care environments that require advanced "skill development and situational translation of knowledge" to effectively care for patients (American Academy of Ambulatory Care Nursing [AAACN], 2017, p. 5). [...]it is imperative for healthcare organizations to provide appropriate training that prepares the RN for the outpatient environment at the start of employment (Allen, 2016). [...]it is important to provide nurses in the ambulatory care setting with improved educational opportunities to effectively understand and care for ambulatory patients (O'Connor et al., 2018). Based on the SNAS results outlined above, the team settled on five areas as the focus for the new ATTP program's education/training: 1) Care Coordination/Prioritization: Time management 2) Communication: Motivational interviewing 3) Patient Care: Using effective documentation etiquette and appropriately assessing/triaging patient calls 4) Patient Teaching: Medication management 5) Telephone/Virtual Care: Assessment and triage of messages (emergent, urgent, and routine) Areas that managers and nurses both deemed "competent" were not included in the program unless they posed a common challenge to health care or were vital to the clinicianpatient interaction, like communication. The Taba Model, which employs seven steps for curriculum design, was chosen because it helps instructors understand learner needs (Taba, 1962). Since the goal of the ATTP program is to prepare NTS nurses to practice competently and safely, the team could not speculate regarding where NTS nurses were having challenges in practice and used the SNAS results to identify the actual gaps.
ISSN:2688-1225