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In 2012, perioperative personnel from Boston Children's Hospital began the process of planning for perioperative staff member attrition and retirement by developing a new graduate perioperative nursing program geared toward our pediatric urban academic institution. We selected two cohorts of new graduate nurses to begin the program in 2013. To date, two cohorts of six graduate nurses have completed the program and have been hired. Our new perioperative nurse retention rate is 100%. All of these nurses are currently practicing in the main OR at our facility. In one year, we recovered the initial program costs, which included the expenses incurred by hiring 12 full-time employees to replace more highly paid tenured RNs lost to attrition or retirement and training costs for new graduates. We believe the program has reduced overall long-term staffing costs and has prevented disruption to services as a result of unexpected vacancies from retirements and resignations.

<h4>Facilitating Empowerment and Stimulating Scholarly Dialogue Using the World Caf&eacute; Model</h4> <p>Student empowerment is the best vehicle for critical thinking and optimal learning, and enhances the development of nurses with the knowledge and skills required to navigate their way through the complex, shifting terrain of current nursing practice. Central to this process is scholarly dialogue, in which conversations are guided by an understanding of the state of the science in nursing. When conducted within the context of respect, such dialogue leads to student empowerment. Freire (2000) called such an approach to teaching a liberation pedagogy, in which professors are no longer the only source of knowledge in the classroom but rather help students move from being passive recipients to active creators of knowledge and ideas. [more...]</p>