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Updated: May 27, 2026
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Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Designing an outcome-focused model for orienting new graduate nurses
Lynn Marie Bullock1, Lisa Groff Paris, Mary Terhaar
1Greater Baltimore Medical Center, Maryland, USA. lbullock@gbmc.org
Summary
A new nurse orientation model focused on outcomes, not time, improved nurse retention and preceptor satisfaction. This strategic approach led to significant cost savings and reduced turnover in the first year.
Area of Science:
- Nursing Education
- Healthcare Management
- Organizational Psychology
Background:
- High nurse graduate turnover rates pose significant challenges to healthcare systems.
- Poor preceptor satisfaction can negatively impact the effectiveness of nurse orientation programs.
- Traditional time-based orientation models may not adequately prepare new nurses for practice.
Purpose of the Study:
- To develop and evaluate a novel outcome-focused orientation model for nurse graduates.
- To improve preceptor satisfaction and reduce nurse graduate turnover.
- To assess the financial impact of the new orientation model.
Main Methods:
- Implementation of a seven-phase, outcome-based orientation program for nurse graduates.
- Progression determined by the achievement of specific learning outcomes, not by a fixed timeline or budget.
- Data collection on nurse turnover, preceptor satisfaction, and financial metrics.
Main Results:
- Significant decrease in nurse graduate turnover within the first year of implementation.
- Marked increase in preceptor satisfaction levels.
- Substantial financial savings documented for the healthcare organization.
Conclusions:
- An outcome-focused orientation model is effective in improving nurse retention and satisfaction.
- Shifting from time-based to competency-based progression enhances the orientation experience.
- The model demonstrates a positive return on investment through reduced turnover and increased efficiency.
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