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 - Northwestern Memorial Hospital - Chicago

Transition into Practice

We believe that in order to better position ourselves for the future we needed to create an efficient and effective, individualized approach to transition new nurse hires into practice, where the transition experience is viewed as a continuum of learning and the new nurse is viewed to be an accountable adult learner.

The NMH Transition into Practice model builds on the concepts of Benner’s Novice to Expert research and the concept of situated cognition (embedded learning, or learning while doing) while complimenting the training recommendations of the Association of Nurse Executives (AONE) and the Institute of Medicine (IOM).

The Transition into Practice model utilizes Communities of Learning where new hires are mentored by all staff members. The new nurse is also supported by regularly scheduled meetings with unit leadership and through monthly cohort discussions (Continuing Conversations) and socialization activities.

Unlike the previous model of orientation which assigned a specific length of time to complete the process, this Transition into Practice experience looks at the entire year, with a focus on a competency based approach to transition the new hire gradually into practice.

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Last UpdateOctober 22, 2012