Type of Project


Document Type


Publication Date



Nursing, Maine Medical Center, Surgery

MeSH Headings

Quality Improvement, Nursing, Sugery


OR RN Onboarding. A Quality Improvement Project.

Victoria Burkhart, BSN, RN

Eroica Hunter, BSN, RN, CNOR

Background: National Data1 shows that about 18% (1 in 5) new RNs leave their 1st job within 1 year; 1 in 3 leave within 2 years. National Data2 also shows that OR nursing turnover was in 2014 17.2% and in 2015 this had increased to 19.2%. At MMC OR turnover compares to national data, but has been slightly lower over the past years (e.g. 2014 - 10.9%; 2015 - 10.8% and 2016 - 9.5%). However, today in MMC OR, 28 out of 98 RNs (28%) have less than 2 years of experience. The current perioperative nursing internship program could be modified to decrease turnover rate while improving the experiences of new nurses.

Purpose/PICOT question: In RNs who are newly hired to the OR, how is their overall experience within the first 2 years of employment?

Methods/Design: A quality improvement initiative will be designed as a series of assessments during the nurse internship in hopes of gathering data to help modify the program.

Results: Results are to be determined, as the project has not been initiated yet.

Time frame: Time frame to be determined.


1 Kovner, C., Brewer, C., Fatehi, F., & Jun, J. (2014). What Does Nurse Turnover Rate Mean and What Is the Rate? Policy, Politics, & Nursing Practice, 15(3-4), 64-71. http://dx.doi.org/10.1177/1527154414547953

2 NSI Nursing Solutions, Inc. (2016). 2016 National Healthcare Retention & RN Staffing Report. Retrieved from http://www.nsinursingsolutions.com/Files/assets/library/retention-institute/NationalHealthcareRNRetentionReport2016.pdf