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New graduate nurses are the largest source of registered nurses available for recruitment to fill the vacant positions within the nation's healthcare facilities. Current research suggests that although these nurses complete an orientation program, many are unable to function independently and ultimately resign their position within one year of hire. The purpose of this study was to examine the new graduate nurses' perception of their orientation experience and how it relates to employee satisfaction and retention. An exploratory, retrospective, descriptive design was utilized to examine employee satisfaction among a subgroup of new nursing graduates hired between January 2009 and March of 2010. Instrumentation for the study consisted of the Halfer-Graf Job/Work Environment Satisfaction Survey which was originally developed to determine sources of professional fulfillment and perception of the work environment over time. The Likert scale questionnaire revealed a majority of study subjects surveyed to be content with their overall orientation experience with an average retention rate of 88.8 percent.
This binder and CD-ROM walk you through each step of a well-run orientation program so you can incorporate field-tested, evidence-based practices at your facility. Use this resource to evaluate your program outcomes, fulfill Joint Commission orientation requirements, train new graduates, and meet the needs of a diverse workforce.
The Fish philosophy is based on four principles: (1) make their day, (2) be present in the moment, (3) play (within limits), (4) choose your attitude (p. 5). The new graduate nurse is defined as someone who has graduated from a National League of Nursing accredited school, passed the National Council Licensure Exam for Registered Nurses, and is employed in their first clinical job. Research by Bowles and Candela found that 30% of new graduate nurses left their job in the first year and that by the second year almost 57% left. The use of preceptors in orientation of new graduate nurses has the potential to assist them in assimilation into the work place by creating a positive environment, and the study was designed to look at how much, if any, preceptors using the Fish philosophy influence the new graduate nurse's self-esteem and job satisfaction. On a sample of 30 new graduate nurses, the hypothesis that there was an influence was only partly supported. A significant difference at the p
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