Transition to Practice: Onboarding Components for Establishing and Sustaining Healthy Work Environments

Hall, Sandy; Taylor, Suzanne; Altobar, Charissa; Blake, Nancy

doi:10.4037/aacnacc2019329

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Creating a Healthy Workplace| December 15 2019

Transition to Practice: Onboarding Components for Establishing and Sustaining Healthy Work Environments

Sandy Hall, DNP, MBA, RN-BC, NE-BC;

Sandy Hall, DNP, MBA, RN-BC, NE-BC

Sandy Hall is Manager, Nursing Excellence, Children’s Hospital Los Angeles, 4650 Sunset Blvd, MS #74, Los Angeles, CA 90027 (sahall@chla.usc.edu). Suzanne Taylor is Director, Clinical Education and Professional Development, Children’s Hospital Los Angeles, Los Angeles, California. Charissa Altobar is Manager, Versant RN Residency in Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California.

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Suzanne Taylor, EdD, MSN, RN-BC;

Suzanne Taylor, EdD, MSN, RN-BC

Sandy Hall is Manager, Nursing Excellence, Children’s Hospital Los Angeles, 4650 Sunset Blvd, MS #74, Los Angeles, CA 90027 (sahall@chla.usc.edu). Suzanne Taylor is Director, Clinical Education and Professional Development, Children’s Hospital Los Angeles, Los Angeles, California. Charissa Altobar is Manager, Versant RN Residency in Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California.

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Charissa Altobar, BSN, RN, NE-BC

Sandy Hall is Manager, Nursing Excellence, Children’s Hospital Los Angeles, 4650 Sunset Blvd, MS #74, Los Angeles, CA 90027 (sahall@chla.usc.edu). Suzanne Taylor is Director, Clinical Education and Professional Development, Children’s Hospital Los Angeles, Los Angeles, California. Charissa Altobar is Manager, Versant RN Residency in Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California.

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AACN Adv Crit Care (2019) 30 (4): 416–420.

https://doi.org/10.4037/aacnacc2019329

Work environments that support excellence in nursing practice should be established for all levels of nurses, but it is essential to provide this solid foundation for nurses beginning their professional careers. By providing an evidence-based and relationship-centered onboarding structure for new graduate nurses and those who transition from one specialty to another, we can put into place structures and processes to prevent unhealthy work environments that contribute to medical errors, ineffective delivery of care, and conflict and stress among health care professionals.¹ At Children’s Hospital Los Angeles (CHLA), we have established 2 nationally accredited transition-to-practice programs that provide a robust infrastructure for onboarding nurses that enhances staff recruitment and retention and encourages nurses to practice to their utmost potential.

The Versant RN Residency in Pediatrics was founded at CHLA in 1999 to support new graduate nurses as they transition from school to professional practice. The 1-year residency program consists...

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