Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Candice Falls

Clinical Mentor

Dr. Sherry Griggs

Committee Member

Dr. Sheila Melander


Purpose: The purpose of this study was to assess how unit-specific preceptor training impacted the perceived readiness of new graduate nurses, self-confidence of preceptors, and the correlated job satisfaction.

Background: The nurse attrition rate is resulting in inexperience at the bedside. Nursing inexperience leads to lower quality patient care. If improving the efficiency of training and education can improve perceived readiness, then in turn we can increase the longevity of our new nurses. Improving the longevity of nurses has significant implications on the budget of each hospital, the patient outcomes, and the staff’s resulting job satisfaction.

Methods: New graduate nurse preceptors received a survey of perceived competence and assessment of their learning after they completed the unit-specific orientation. Preceptors received formal training about how to be a preceptor under the new tiered competency system. Both the preceptor and orientee received a survey after the unit-based orientation and the required number of shifts worked to assess competency, self-confidence, and prevalence of completed first tier orientation requirements. That data was analyzed and compared to the pre-intervention survey the preceptors were given.

Results: The results of this project include a non-statistically significant positive correlation between the preceptor orientation class and level of self-confidence. The preceptor class had a negative effect on feelings of support, accepted workload, and tier understanding. There remains a large gap in knowledge and training for preceptors that still requires improvement in teaching the tier system and workload management. Prevalence of completion of the required skills increased exponentially after the tiered system class.

Conclusions: Simply altering a process that is already in place had a positive impact on the self-confidence of the preceptor. The orientee’s also expressed a successful learning of the ten most important and commonly forgotten aspects of the first tier of orientation. Improving nurse orientation can start fixing the national nursing shortage from the inside.