Nurses’ Perceptions of Onboarding and Orientation: Training Satisfaction and Job Satisfaction
Patterson, Bettina K.
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Background: Healthcare institutions do not always provide new or internal transfer employees with adequate on-the-job training during onboarding and orientation process to meet employees’ needs. This deficit can result in role ambiguity, feelings of being underprepared and overwhelmed, poor performance, and lack of engagement, subsequently impacting employee job satisfaction. Previous research found that training and training satisfaction were associated with job satisfaction. However, those studies focused on training and development opportunities provided to existing employees versus on-the-job training during the onboarding and orientation period that would delineate expectations along with knowledge, skills, and attitudes (KSA) training for new employees. Purpose: The purpose of this study was to describe and examine the correlation between training satisfaction and job satisfaction among nurses who began employment at a healthcare organization or transferred internally to a new department or new role. Methods: This descriptive, correlational study used a convenience sampling technique to invite nurses who met the eligibility criteria to complete an online survey using the JTJSS instrument. Results: The total sample was 72, consisting of mostly a homogenous group of female, registered nurses with a BSN or MSN. Thirty-nine percent of respondents were clinical nurses; the remaining 61% were in roles designated for experienced nurses. Findings revealed there was a significant positive relationship between overall training satisfaction and overall job satisfaction, rs=.79, 95% BCa [.68, .86], p=.000. Nurses’ perceptions of the training experience and the impact of training satisfaction on job satisfaction were synthesized into several themes. Conclusion: Nurses are receiving on-the-job training at the onset of new employment; however, their perceptions and the effectiveness of that training can hinder adjustment. In addition, nurses’ perceptions of training satisfaction impacted newcomer adjustment more than job satisfaction. Future onboarding and orientation research within healthcare is need to substantiate this study’s findings.