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  1. Bashford, Carol Wolfensperger MS, RN, APRN, ACNS-BC
  2. Shaffer, Barbara J. BSN, RN, CMSRN
  3. Young, Carolyn M. BSN, RN-BC


There is a correlation between patient safety and nursing orientation. The authors discuss a mixed-method study that supports the efficacy of using a competency-based process to assess knowledge and judgment skills of registered nurses in a community hospital. This assessment is the backbone of the competency-based orientation.