ArticleBMC nursing2026
From orientation to integration: organizational leadership and mentorship for newly graduated nurses - a qualitative hermeneutic-phenomenological study.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe transition from student to registered nurse is a demanding period marked by high expectations, emotional strain, and a need for rapid competence development. Structured onboarding programs are increasingly used to support newly graduated nurses, yet little is known about how mentors and leaders perceive their significance. This study explores these perspectives to deepen understanding of organizational and relational aspects of onboarding.
methodsA qualitative hermeneutic‑phenomenological design informed by Paul Ricoeur's theory of interpretation was applied. Eight semi‑structured interviews with mentors and leaders from medical, surgical, and oncology departments were conducted. Data were analyzed through Ricoeur's three interpretive phases: naïve reading, structural analysis, and critical interpretation.
findingsFour themes described how mentors and leaders understand and enact their roles in supporting newly graduated nurses. Balancing professional commitment in nursing onboarding highlighted the importance of early experiences for confidence and long‑term retention. Navigating individuality and structure in onboarding showed how standardized expectations are combined with tailored support. Being present yet invisible illustrated how mentors create psychological safety while promoting independence and reflective learning. Oscillating between standardized competence and evolving professional identity emphasized that the structured program strengthens clinical competence, supports identity formation, and contributes to a more stable workforce. There is an indication that such structured programs support care quality, competence development, professional identity, and retention.
conclusionMentors and leaders perceive structured onboarding as a relational and developmental process that extends far beyond administrative orientation. The findings suggest that structured programs enhance psychological safety, promote competence development, and foster a coherent professional identity. These elements contribute not only to newly graduated nurses' successful transition but also to workforce stability and care quality. Investing in comprehensive onboarding initiatives is therefore essential for sustainable nursing practice.
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