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J Cardiovasc Nurs. 1989 May;3(3):34-41. doi: 10.1097/00005082-198905000-00010.

Designing a competency-based orientation program for the care of cardiac surgical patients.

The Journal of cardiovascular nursing

S L Stewart, J M Vitello-Cicciu

PMID: 2703864 DOI: 10.1097/00005082-198905000-00010

Abstract

Orienting nurses to care for the cardiac surgical patient may require 7 to 14 days with a preceptor. Use of a competency-based orientation (CBO) program such as the one described in this article can minimize orientation time to three to five days while assuring competent practice. CBO uses a variety of learning methods and individualized instruction, focusing on the ability to perform a task or behavior correctly rather than on the ability to demonstrate knowledge. This article describes the basic components of a CBO program. Personal experience with development of such a program for the care of cardiac surgical patients in the immediate postoperative period is described. Advantages and limitations of CBO are described, as are suggestions for future research.

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