Date on Paper


Document Type

Doctoral Paper

Degree Name




Committee Chair

Malone, Angie

Committee Member

Meyer, Kimberly

Author's Keywords

Bone marrow transplant (BMT); nurse self-efficacy; nurse orientation; nurse development


Nurse orientation programs focus on establishing a nurse’s ability to perform skills necessary in the organization’s setting. The purpose of this project was to develop a unit-specific orientation program for the experienced registered nurse transitioning into providing care for pediatric bone marrow transplant (BMT) patients at a local children’s hospital to enhance nurse knowledge and satisfaction. Melnyk and Fineout-Overholt’s rating system for the hierarchy of evidence was used in the selection of articles with high levels of evidence for the critical appraisal of the supporting literature for the program development. The best practices for orientation content provide constructive effects on nursing knowledge, satisfaction, and serve as evidence for the content. Bandura’s Social Cognitive Theory, specifically self-efficacy, was the contributing theoretical framework for advancing the knowledge of pediatric oncology nurses who participate in the orientation program. Orientation materials were obtained and adapted as the main components for a positive orientation at the hospital. A unit-specific orientation based on evidence will provide an operational process for the experienced nurse transitioning to a specialized unit. The results of this project aided in the transition of nurses into the new environment and expected role. After implementation, this project was aimed to increase nurse knowledge and self-efficacy.

Included in

Nursing Commons