In 2024, Kaiser Permanente celebrated the success of a groundbreaking initiative led by Dr. Doanh Ly, DNP, RN, APRN-CNS, CRN, SCRN, and a team of Clinical Nurse Specialists (CNSs) from across Kaiser Permanente Northern California. Together, they developed and published a standardized onboarding program for CNSs, now implemented at all 21 Kaiser Permanente hospitals.
This multi-component program addresses challenges such as role ambiguity and inconsistent orientation by offering structured mentorship, preceptorship, competency checklists, and access to essential resources. Designed to support new CNSs during their transition into advanced practice roles, the program ensures a consistent, supportive experience while fostering professional confidence and clarity.
The onboarding program has demonstrated remarkable results, including a 93% retention rate and significant improvements in job satisfaction among participating CNSs. By aligning CNS practice with organizational goals, this initiative has not only enhanced the integration of CNSs into their roles but also contributed to better patient outcomes and system-wide quality improvements. Dr. Ly’s leadership and the collaborative efforts of CNSs across KP exemplify a commitment to excellence in nursing practice, advancing evidence-based care and professional development across the organization. This initiative reinforces Kaiser Permanente’s leadership position in fostering innovation and supporting nursing leadership.