Competency-Based Orientation for Pediatric Hematology-Oncology Nurses: A Scoping Review for Developing Standards

A competency-based orientation program provides a supportive environment for new pediatric hematology-oncology nurses, facilitating their transition and skill development. Despite evidence of its benefits, such programs lack global standardization, particularly in low- and middle-income countries. A standardized and adaptable program could significantly benefit hospitals worldwide. This study aimed to explore current literature on competency-based orientation programs and their practical applications to develop standards for implementation pediatric hematology-oncology nursing. This study used a scoping review to explore orientation programs in the literature and existing competency-based orientation programs at pediatric hematology-oncology facilities within the St. Jude Global Alliance member institutions. Fourteen articles and four institutions with competency-based orientation programs from Jordan, Lebanon, Pakistan, and Singapore were reviewed. No articles reported on competency-based orientation programs for pediatric hematology-oncology units and there were limited articles from low- and middle-income countries. The authors found a lack of consistency in orientation timing, competency assessment, preceptorships, and coordination with key stakeholders. Inconsistent orientation practices do not sufficiently prepare nurses who are new to pediatric hematology-oncology units for independent patient care. The authors recommend standardizing competency-based orientation programs for pediatric hematology-oncology units. Creating a standardized competency-based orientation program adaptable to any pediatric hematology-oncology units worldwide would set new nurses up for success and improve patient outcomes.