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UMC ICU NURSES

SURVIVAL GUIDE
Viviana Garcia, BSN, RN
Iliana Juarez, BSN, RN
University Medical Center of El Paso
Intensive Care Unit

Abstract

As detailed on the Nurse Practice Act and American Association of Critical Care

Nurses (AACN) Scope and Standards for Acute and Critical Care Nursing
Practice, registered nurses are required to be competent and knowledgeable on
specialized skills and care. However, a survey performed in a Level 1 Trauma
Center on critical care units showed 25% of registered nurses with 3 months to 1
year of experience felt not competent on certain specialized skills, while 43% felt
somewhat competent. Thus, a critical care booklet called, University Medical
Center of El Paso Critical Care Survival Guide, was created with evidence-based
research, interventions, procedures, disease process, unit required
documentation, and facility policy and procedures for new registered nurses to
have a resource handy to assist them to be more competent and confident on
critical care specialized skills. Once the critical care booklet is given to the 14
new graduate nurses, a post survey will be administered to evaluate if the
booklet-helped nurses feel confident and competent on specialized skills. It is
anticipated with the critical care booklet, as a resource to new registered nurses
will feel more confident and competent on their critical skills resulting a higher
quality care.

Review of Literature
In Turnover intention in new graduate nurse: a

multivariate analysis by P.C. Beecroft, F. Dorey, and M.


Wenten, one of the risk factors of new nurses turnover is
due to nurses not having self-confidence on skills and
their perception of not being competent. Hunter E. and
Nicoli M. in their article Systemic review: evidence of the
value of continuing professional development to enhance
recruitment and retention of occupational therapists in
mental health, discussed that training and continued
education improve professionals retainment. In addition,
lack of support for staff was a factor that contributed to
nursing turnover and quality preceptorship.

Methods
A survey of 14 new graduate ICU nurses, both day and

night shift, was done over the period of a week. The intent
of the survey was to measure nurses readiness and
competency in the ICU, from the results obtained we
created a guide to help new graduate ICU nurses to
increase their self-confidence in skills. A post survey will
be done after nurses received the UMC ICU Nurses
Survival guide.

Survey #1: Pre-UMC ICU Nursing Survival Guide


Survey Question
Not Competent
No.

Somewhat
Competent

Highly Competent

12

10

9
1

12

10

11

11

0
0

12

13

14

11

15

16

10

17

18

19

11

20

21

22

23

24

11

25

Pre-UMC ICU Nursing Survival Guide Data


Nurses Survey

Not Competent

14

Somewhat Competent

12

Highly Competent

10
RN's
8
6
4
2
0

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Survey Question No.

How competent do you feel performing the following skills?

50
44

45
40
35

33

30

Percentile
25

23

20
15
10
5
0

Not Competent

Somewhat Competent

Nurses competency on critical care skills

Highly Competent

Survey #2: Post-UMC ICU Nursing Survival


Guide

Conclusion

Acknowledgments
Julie Gest
BSN, RN, Nurse Educator
Sandra Henderson
BSN, RN, ICU Nurse Educator
Luis Martinez
BSN, RN, ICU Manager
University Medical Center of El Paso
Texas Tech Health Science Center Librarians

Questions ??