Preceptors' perceptions of the elements of a successful and an unsuccessful orientation period for newly graduated nurses.

AIM: To identify existing orientation patterns and to find elements that may enhance or impede successful orientation of newly graduated nurses.

BACKGROUND: Preceptors have first-hand information concerning orientation and their opinions should not be forgotten when organisations develop their orientation processes.

METHOD: An open-ended questionnaire was undertaken to collect data from preceptors (n = 172) about the current orientation patterns. Data were analysed by using deductive content analysis and by quantifying the phrases.

RESULTS: Communal commitment to the orientation process, strong professional orientation know-how and supportive leadership were the enhancing elements of successful orientation. Complex interpersonal relationship problems during orientation, inadequate orientation resources and the organisation's structural and functional problems were the impeding elements of successful orientation.

CONCLUSIONS: With the elements of successful orientation we ensure a supportive transition to practice for newly graduate nurses and possibilities to focus on good orientation practices for preceptors.

IMPLICATION FOR NURSING MANAGEMENT: Nurse leaders play an important part in ensuring newly graduated nurses have a safe nursing career starting point and, for preceptors, opportunities to provide orientation that is as good as possible. Supportive leadership, sufficient resources and good interpersonal relationships should be the leading principles during newly graduated nurses' orientation period.