A DISSERTATION ON Qualitative Evaluation of a Hospital-Based Preceptor-Guided Clinical Orientation Program
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Section 1: The Problem ........................................................................................................1
The Local Problem .........................................................................................................1
Problem in the Larger Po...
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Walden University
ScholarWorks
Walden Dissertations and Doctoral Studies
Walden Dissertations and Doctoral Studies Collection
2020
Qualitative Evaluation of a Hospital-Based Preceptor-Guided
Clinical Orientation Program
Brian Eigelbach Martin
Walden University
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This is to certify that the doctoral study by
Brian Eigelbach Martin
has been found to be complete and satisfactory in all respects,
and that any and all revisions required by
the review committee have been made.
Review Committee
Dr. Carole Pearce, Committee Chairperson, Education Faculty
Dr. Jeanne Sorrell, Committee Member, Education Faculty
Dr. Floralba Arbelo Marrero, University Reviewer, Education Faculty
Chief Academic Officer and Provost
Sue Subocz, Ph.D.
Walden University
2020
, Abstract
Qualitative Evaluation of a Hospital-Based Preceptor-Guided Clinical Orientation
Program
by
Brian Eigelbach Martin
MS, Walden University, 2015
MBA, Baker College, 2003
BS, University of the State of New York, 1994
ADN, Eastern Kentucky University, 1980
Project Study Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Education
Walden University
December 2020
, Abstract
Effective preceptor-guided clinical orientation programs (PGCOP) help new graduate
nurses (NGNs) across the theory-practice gap to provide safe, effective, and efficient
patient care. This constructivist-designed qualitative program evaluation study explored
NGNs’ and preceptors’ perceptions of a local hospital’s PGCOP as an effective transition
vehicle. The conceptual framework combined Knowles’ andragogical process model for
learning with the new world Kirkpatrick model evaluation model. The sample included 7
NGNs who graduated in the past year and had no prior orientation experience and 5
preceptors employed by the study site for at least 1 year. A goal-free approach guided
data collection with face-to-face semistructured participant interviews. Data analysis was
emergent and performed simultaneously with data collection. Data were coded,
categorized, and then aggregated into themes. Two cross-categorical themes, PGCOP
facilitators and PGCOP barriers emerged. Orientation in smaller acute care areas
appeared to expedite interactions between the NGN and preceptor, facilitating the
PGCOP process and increasing NGN confidence. Orientation in the larger general
medical-surgical units hampered NGN/preceptor interactions resulting in the NGNs
feeling intrusive when asking questions of the preceptor, creating a barrier in the PGCOP
process. The study culminated in a program evaluation report delivered to study site
leadership. Application of the recommendations from this study could result in a theory-
based training program for preceptors that promotes evidence-based practices increasing
the effectiveness and safety of NGNs entering the organization.
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