Date of Award
Restricted Access Thesis
Doctor of Nursing Practice (DNP)
The Tiered Skills Acquisition Model (TSAM) is an effective method for structuring the clinical unit orientation for new nurses. Based on Dr. Benner's novice to expert stages of clinical competence, the orientee gradually assumes increased role responsibilities based on advancing through tiers of skills from simple interventions to more complex interventions. The preceptor serves as a professional role model, evaluator of skills, and teacher of concepts. TSAM has increased new nurses' confidence, comfort, and role satisfaction during orientation. TSAM has also demonstrated a reduction in overall length of orientation and decreased the cost of orientation.
Joswiak, M Ellen, "Transforming nursing orientation using a tiered skills acquisition model: promoting new nurse retention and competence" (2017). Theses and Graduate Projects. 38.