Research Article|Articles in Press

Supporting Competency-BasedTime-Variable Orientation of Newly Licensed RNs

Published:December 30, 2022DOI:


      The goal of orientation is to ensure that new nurses have the requisite skills for practice readiness. Competency-based, time-variable orientation emphasizes the importance of individualizing the orientation plan to meet the orientee’s learning needs. The Clinical Competency Assessment Rubric (CCAR), adapted from the Lasater Clinical Judgement Rubric, was developed to advance competency-based orientation. After implementation of the CCAR to support outcomes-based orientation, the average duration of medical surgical orientation decreased without decreasing new nurse satisfaction. Competency-based, time-variable orientation utilizing the CCAR appears to be a useful method to promote competency development of newly licensed nurses.
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      Carrie McDermott, PhD, APRN, ACNS-BC, is corporate director, professional nursing practice at Emory Healthcare and assistant professor at Nell Hodgson Woodruff School of Nursing, Emory University, in Atlanta, Georgia. She can be reached at [email protected]