This study assessed the impact of a new critical care nursing orientation model implemented at a Midwestern university-affiliated medical center using several variables including satisfaction, retention, turnover, vacancy, preparedness to manage patient care assignments, and length and cost of orientation. The model included a pathway for experienced critical care nurses, experienced non–critical care nurses, and graduate nurses. It used a blended learning approach with AACN’s Essentials of Critical Care Orientation (ECCO), the Pulmonary Artery Catheter Education Project (PACEP), class and simulation sessions, precepted clinical experiences, video training, and demonstration and testing. The Basic Knowledge Assessment Test (BKAT) was used to identify participants’ learning needs. Data were collected from 173 participants and their preceptors and managers at 3 months and several follow-up intervals during the first year of implementation.

Simulation experiences and pocket guides were rated as the most useful teaching methods by participants....

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