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Task-layered orientation: A different approach
Donna Rizzolo1, Jessica Crowley, Lisa Pomerantz
1At Southern Ocean Medical Center in Manahawkin, NJ, Donna Rizzolo is an Education Specialist; Jessica Crowley is Manager of Professional Development; and Lisa Pomerantz is an Education Specialist.
Nursing
|July 20, 2026
Summary
A new nurse orientation model focusing on layering skills, not patient load, improved new nurse confidence, comfort, and retention. This approach enhances the transition from student to practicing nurse.
Area of Science:
- Nursing Education
- Clinical Practice Transition
- Professional Development
Background:
- Novice nurse orientation is crucial for transitioning to clinical practice.
- Traditional tiered, progressive orientation models can present challenges.
- Issues with existing novice nurse orientation prompted a hospital to pilot a new approach.
Purpose of the Study:
- To evaluate a novel nurse orientation model focused on layering practice skills.
- To assess the impact of the new model on novice nurse comfort, confidence, and retention.
- To improve the overall experience of nurses transitioning from student to practicing professional.
Main Methods:
- Literature review on nurse orientation strategies.
- Development and piloting of a task-layered orientation model.
- Tracking novice nurse progression and gathering stakeholder feedback.
- Expansion of the model across medical/surgical units following a successful pilot.
Main Results:
- The task-layered orientation model did not shorten the orientation period.
- Significant improvements were observed in nurse resident comfort and confidence.
- Enhanced retention rates were noted among nurse residents.
- The new model positively impacted the overall experience of novice nurses.
Conclusions:
- A skill-layering approach to novice nurse orientation can enhance key aspects of the transition to practice.
- This model shows promise for improving new graduate nurse integration and retention.
- Further investigation into optimizing orientation duration alongside skill development is warranted.
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