An exploratory study of the orientation needs of experienced nurses.

The orientation period creates a context for nurses' relationships with their employers, and can adversely affect attrition rates. Although the orientation needs of novice nurses have been detailed, little is known about what might help those with prior experience. Hence, the goal of this study was to explore whether the orientation needs of seasoned nurses are similar to or unique from those of novice nurses. During a 6-month period, the authors used two intensive qualitative methodologies (daily journaling and focus groups) to study three experienced nurses. A tri-phased model of orientation emerged, with learning and support issues unique to experienced nurses identified. Results suggest that orientation programs for experienced nurses should use specific educational strategies and content to promote engagement in a new position.