Utilization of experiential learning, and the learning outcomes model reduces RN orientation time by more than 35%

Background: Nursing orientation and transition to practice is a growing problem for hospitals. Experiential learning including simulation provides an opportunity to improve the transition to practice. Methods: An experiential learning approach following the Learning Outcomes Model, including simulation and standardized patients, was utilized to increase RN competency in a shorter period of time. The program was piloted at a large independent academic medical center. Results: A total of 153 RNs participated in the revised orientation during the pilot year. New graduate and experienced RNs had a 3.6- (34%) and 3.9-week reduction (37%) in orientation length respectively (. p<0.001). Total estimated gross savings for the 12-month period was $702,270. Conclusion: The successful design of the orientation required changes in all three areas of the Learning Outcomes Model-the individual, experiences, and environment. Integrating experiential learning theory through the use of simulation-enhanced RN orientation resulted in more prepared RNs, improved communication among administrators, staff, and orientees, and a significant cost savings to the organization. Implementation of such programs may help centers to demonstrate similar outcomes (e.g., as returns on investment, increased buy-in, and obtaining resources).