A hierarchical approach to unit-based nursing orientation

Using a hierarchical approach to orientation is a means to address the needs of both the orientee and the institution. The Hierarchical Orientation Model, described in this article, focuses on the development of skills in patient assessment and management and on organization sensitivity and integration. The model is based on adult learning principles that include building on previous knowledge and self-paced learning. Although developed for a tertiary pediatric hospital, the Hierarchical Orientation Model can be applied to other settings.