"Type of Orientation and Differences in Role Transition, Unit Support, " by KIMBER LEE ZOLNIER

Date of Conferral

12-23-2024

Degree

Ph.D.

School

Nursing

Advisor

Leslie Hussey

Abstract

Many new graduate nurses leave the nursing profession during the first year of practice due to inadequate orientation and lack of support. Successful transition to practice is often hindered as new graduate nurses may be assigned to more than one clinical unit and receive feedback from multiple preceptors, leading to frustration and lack of confidence when feedback is inconsistent. The purpose of this quantitative cross-sectional study, guided by the Dreyfus model of skill acquisition and Benner’s novice to expert theory, was to determine if there is a difference among new graduate nurses’ experiences with role transition, job satisfaction, retention, and unit support based on their type of orientation, that is, a single unit or multiple units (float nurse). Participants were recruited via emails and social media platforms and completed the Casey-Fink Graduate Nurse Experience Survey. Of 48 responses, 31 met the criteria and completed the survey, and no float nurses responded. Therefore, a one-sample t test was used to analyze the data comparing the sample group to the results of Casey’s 2019 study by each subscale. Results showed significant differences in the variables of role transition and job satisfaction (p < .001) with no effect. There was no significant difference between the sample and Casey’s subscales for retention and unit support. Future research is recommended comparing new nurses who have more than one preceptor versus those who have one preceptor. Improved orientation can provide a positive transition experience for new graduate nurses, increasing job satisfaction, role transition, unit support, and retention, which effects positive social change.

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