Table of Contents
Section 1: The Problem ........................................................................................................1
The
... [Show More] Local Problem .........................................................................................................1
Problem in the Larger Population ..................................................................................3
Rationale ........................................................................................................................5
Evidence of the Problem ......................................................................................... 5
Definition of Terms........................................................................................................6
Significance of the Study ...............................................................................................8
Research Questions ........................................................................................................9
Review of the Literature ..............................................................................................10
Conceptual Framework ......................................................................................... 11
Related Research ................................................................................................... 26
Implications..................................................................................................................35
Summary ......................................................................................................................36
Section 2: The Methodology ..............................................................................................38
Introduction ..................................................................................................................38
Research Design and Approach ...................................................................................38
Generic Qualitative Inquiry .................................................................................. 39
Justification of the Research Design ..................................................................... 40
Program Evaluation Approach .............................................................................. 41
Goal-Free Approach to Program Evaluation ........................................................ 42
Participants ...................................................................................................................45
Participant Selection Criteria ................................................................................ 46
ii
Sample Size Justification ...................................................................................... 47
Participant Access ................................................................................................. 48
Participant Rapport ............................................................................................... 49
Confidentiality Considerations ............................................................................. 50
Newly Graduated Nurse Selection Process and Demographics ........................... 51
Preceptor Selection Process and Demographics ................................................... 52
Data Collection ............................................................................................................53
Interviews .............................................................................................................. 54
Observation ........................................................................................................... 56
Documents ............................................................................................................ 57
Data Analysis ...............................................................................................................58
Validity and Reliability ......................................................................................... 60
Limitations ............................................................................................................ 64
Data Analysis Results ..................................................................................................66
Data Analysis of Research Question 1.................................................................. 67
Data Analysis of Research Question 2.................................................................. 92
Summary of Preceptor Data Analysis ................................................................. 110
Cross-Categorical Thematic Summary of RQ1 and RQ2 Findings ...........................111
Preceptor-Guided Clinical Orientation Program Facilitators ............................. 112
Preceptor-Guided Clinical Orientation Program Barriers ................................... 113
Conclusions ......................................................................................................... 116
Program Evaluation ...................................................................................................117
Step I: Learner Preparation ................................................................................. 118
iii
Step II: Climate Preparation................................................................................ 118
Step III: Model for Collaborative Planning ........................................................ 120
Step IV: Assessing Learning Needs .................................................................... 121
Step V: Developing Objectives ........................................................................... 122
Step VI: Learning Plans ...................................................................................... 122
Step VII: Conducting the Designed Learning Experience .................................. 123
Step VIII: Evaluating Learning Outcomes and Reassessing Learning Needs....................................................................................................... 123
Conclusions ......................................................................................................... 134
Section 3: The Project ......................................................................................................137
Introduction ................................................................................................................137
Description and Goals ................................................................................................137
Rationale ....................................................................................................................138
Review of the Literature ............................................................................................139
Preceptors ............................................................................................................ 140
Mentors ............................................................................................................... 148
Coaches ............................................................................................................... 152
Conclusion .......................................................................................................... 153
Executive Summary ............................................................................................ 153
Implementation ..........................................................................................................155
Project Evaluation ......................................................................................................155
Social Change Implications of the Study ...................................................................155
Conclusion .................................................................................................................156
iv
Section 4: Reflections and Conclusions ...........................................................................158
Introduction ................................................................................................................158
Project Strengths and Limitations ..............................................................................158
Recommendations for Alternative Approaches .........................................................160
Scholarship, Project Development, and Leadership and Change ..............................161
Reflections on the Importance of the Work ...............................................................164
Implications, Applications, and Direction and Directions for Future Research ........165
Conclusion .................................................................................................................166
References ........................................................................................................................168
Appendix A: The Project .................................................................................................187
Appendix B: Interview Question Grid .............................................................................216
Appendix C: NGN Semistructured Interview Tool .........................................................217
Appendix D: Preceptor Semistructured Interview Tool ..................................................220
Appendix E: Sample NGN Interview Transcript .............................................................222
Appendix F: NGN Data Codebook Categories and Subcategory Example .....................234
Appendix G: Preceptor Interview ....................................................................................235
Appendix H: Preceptor Data Codebook Categories and Subcategories Example ...........246
Appendix I: Preceptor Academy Goals ...........................................................................247
Appendix J: Interpretive Summary of NGN1 interview ..................................................248
Appendix K: Interpretive Summary of Preceptor Interview............................................256 [Show Less]