Date of Conferral



Doctor of Nursing Practice (DNP)




Barbara Niedz


AbstractThe practice problem is that of high turnover rates of novice Licensed Practical Nurses (LPNs). The practice–focused question addressed whether or not a preceptor program for LPNs in a long-term care facility (LTC) would increase their competency in serving as a preceptor for novice and newly hired LPNs. The purpose of this doctoral project was to address the significant gap in practice that is made evident in the nursing leadership due to a lack of onboarding process which has led to a 62% turnover rate of the novice LPNs. The theories and models used to inform the doctoral project included the Knowles adult learning theory, and Benner’s novice to expert model. The sources of evidence included pre and posttests for knowledge and competency and program evaluation, discussions, case studies, role plays and skills observations from the 3 participants in the preceptorship training. Quantitative data was obtained by analyzing mean averages and percentages for the competency and knowledge tests. The knowledge test results demonstrated an increase from 60% to 96.6%. The competency mean scores decreased from 25 to 14, with lower numbers showing an increase in confidence. Qualitative data were compiled from discussions and from what was observed in role plays and skills competency training. Having a preceptor program will ease the transition of the novice nurse into practice. A preceptorship program will be greatly beneficial to any LTC facility and is recommended for implementation. This program will yield competent nurses, increase confidence, reduce turnover rates hence positive social change.

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Nursing Commons