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  1. Rogers, Allison MSN, RN, NPD-BC, CEN
  2. Fultz, Julia MSN, RN, NPD-BC
  3. Clements-Hickman, Alyssa L. MS
  4. Davies, Claire C. PhD, PT


OBJECTIVE: The purpose of this study was to develop and test a tool to monitor a nursing orientee's progress to competence.


BACKGROUND: The literature suggests that, during orientation, consistent documentation and communication among educators, preceptors, and nurse leaders facilitate a timely progression to independent practice for new nurses.


METHODS: A 2-phase methodological study was conducted. Nurse educators clarified goals, identified essential competencies, and developed the Baptist Health Lexington Nursing Orientation Progression Tool (OPT). The tool was used to monitor orientees' progression through orientation.


RESULTS: Content validity assessment of the OPT (content validity index = 0.98) demonstrated strong validity. Testing of the tool revealed 31 nurses completed orientation early, 12 completed orientation on time, and 18 nurses required extended orientation time. All requiring an extension were new graduates.


CONCLUSION: The OPT guided preceptors to facilitate timely completion of orientation among newly hired nurses. Findings suggest that new graduates may need more assistance than experienced nurses.