The Effectiveness of Preceptorship Program in Improving Clinical Competence Among Novice Nurse: A Systematic Review
DOI:
https://doi.org/10.19166/nc.v13i2.10300Keywords:
Clinical Competence, Feedback, Mentoring, Nursing Staff, Preceptorship, Search Engine, Review Literature as TopicAbstract
The transition period for new nurses is often characterized by adaptation-related stress, limited clinical experience, and insufficient supervision. Preceptorship offers structured support that helps accelerate competency development and enhance clinical readiness for practice. To evaluate the effectiveness of preceptorship programs in improving clinical competence in novice nurses. A systematic search was conducted in PubMed, ScienceDirect, ProQuest, and Google Scholar from August 2019 to April 2025, following the PRISMA 2020 guidelines and registered PROSPERO protocol. This review included quantitative studies involving new nurses who received structured preceptorship interventions with clinical competency as the primary outcome. Eligible study designs comprised randomized controlled trials, quasi-experimental studies, uncontrolled pre–post trials, and cross-sectional surveys. Qualitative studies, student-based programs, and orientations without preceptors were excluded. Two reviewers independently conducted study selection, data extraction, and methodological quality appraisal using the JBI critical appraisal tools. The findings were synthesized narratively. Ten studies consistently demonstrated that preceptorship programs improved clinical competence, confidence, and readiness for practice. Eight studies reported significant improvements (p < 0.05). Effective programs included individualized supervision, structured feedback, and standardized competency assessments. Critical success factors included preceptor readiness, continuity of preceptorship, organizational support, and reduced transition shock. The findings indicate that well-structured preceptorship programs can enhance the clinical competence and self-confidence of novice nurses. Healthcare institutions are encouraged to adopt standardized preceptorship frameworks, allocate adequate resources, and provide ongoing training and support for preceptors to strengthen practice readiness, improve quality of care, and promote nurse retention.
References
Abdelaliem, S. M. F., Alsleem, D. K., Aladdad, S. K., Alqahtani, A. S., Alenazi, R. K., Alotaibi, M. G., Oqailan, H. K., & Almarshad, L. B. (2025). The relationship between practical skills confidence and readiness for transition to practice among nursing internship students: Exploring the mediating role of preceptorship. Nurse Education Today, 147. https://doi.org/10.1016/j.nedt.2025.106587
Ahn, S., & Jeong, H. W. (2025). Analysis of clinical nurse educators’ mentoring feedback on new nurse journals at a tertiary hospital in South Korea: utilizing text network analysis. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-03625-5
Baharum, H., Ismail, A., McKenna, L., Mohamed, Z., Ibrahim, R., & Hassan, N. H. (2023). Success factors in adaptation of newly graduated nurses: a scoping review. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01300-1
Berthelsen, C., Kjærgaard, K. M., & Aviaja-Hansen, C. (2025). Experiences of an ongoing preceptorship programme for newly employed nurses in medical departments – A qualitative study. Clinical Nursing Studies, 13(1), 1. https://doi.org/10.5430/cns.v13n1p1
Charette, M., McKenna, L., McGillion, A., & Burke, S. (2023). Effectiveness of transition programs on new graduate nurses’ clinical competence, job satisfaction and perceptions of support: A mixed-methods study. Journal of Clinical Nursing, 32(7–8), 1354–1369. https://doi.org/10.1111/jocn.16317
Chen, F., Liu, Y., Wang, X., & Dong, H. (2021). Transition shock, preceptor support and nursing competency among newly graduated registered nurses: A cross-sectional study. Nurse Education Today, 102. https://doi.org/10.1016/j.nedt.2021.104891
Chen, T. T., Hsiao, C. C., Chu, T. P., Chen, S. H., Liao, M. N., & Hung, C. C. (2021). Exploring core competencies of clinical nurse preceptors: A nominal group technique study. Nurse Education in Practice, 56. https://doi.org/10.1016/j.nepr.2021.103200
Chipwanya, E., Downing, C., & Nkosi, E. (2024). The effect of a preceptorship programme on newly hired experienced professional nurses’ self-efficacy in nursing clinical competency in Saudi Arabia. International Journal of Africa Nursing Sciences, 20. https://doi.org/10.1016/j.ijans.2024.100682
Choi, E., & Yu, S. (2022). Effects of preceptors’ mentoring function on novice nurses’ self-efficacy and organizational commitment: A cross-sectional study. Nurse Education in Practice, 64. https://doi.org/10.1016/j.nepr.2022.103431
Kim, J. H., & Shin, H. S. (2020). Exploring barriers and facilitators for successful transition in new graduate nurses: A mixed methods study. Journal of Professional Nursing, 36(6), 560–568. https://doi.org/10.1016/j.profnurs.2020.08.006
Kim, K. H., & Shin, S. (2025). Factors influencing preceptor nurses’ clinical teaching behavior: A cross-sectional study. Nurse Education Today, 146. https://doi.org/10.1016/j.nedt.2024.106555
Lima, M. S., & Alzyood, M. (2024). The impact of preceptorship on the newly qualified nurse and preceptors working in a critical care environment: An integrative literature review. Nursing in Critical Care, 29(5), 1178–1189. https://doi.org/10.1111/nicc.13061
Lindfors, K., Flinkman, M., Kaunonen, M., Huhtala, H., & Paavilainen, E. (2022). New graduate registered nurses’ professional competence and the impact of preceptors’ education intervention: a quasi-experimental longitudinal intervention study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01133-4
Mashayekh, R., Ebadi, A., Nehrir, B., & Moayed, M. S. (2024). The effect of the preceptorship training program on the participation of clinical nurses in training nursing internship students: a quasi-experimental study. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-02034-4
Motefakker, S., Shirinabadi Farahani, A., Nourian, M., Nasiri, M., & Heydari, F. (2022). The impact of the evaluations made by mini-cex on the clinical competeny of nursing students. BMC Medical Education, 22(1). https://doi.org/10.1186/s12909-022-03667-2
Nielsen, K., Finderup, J., Brahe, L., Elgaard, R., Elsborg, A. M., Engell-Soerensen, V., Holm, L., Juul, H., & Sommer, I. (2017). The art of preceptorship. A qualitative study. Nurse Education in Practice, 26, 39–45. https://doi.org/10.1016/j.nepr.2017.06.009
Pohjamies, N., Haapa, T., Kääriäinen, M., & Mikkonen, K. (2022). Nurse preceptors’ orientation competence and associated factors—A cross-sectional study. Journal of Advanced Nursing, 78(12), 4123–4134. https://doi.org/10.1111/jan.15388
Renning, K., Thompson, J. A., Hartman, A. M., Nyondo, A. N., Mann, J., Chepuka, L., Mula, C., Gowero, N., Wilson, G., Ramwell, C., & van de Water, B. (2024). Effectiveness of a pediatric critical care pilot preceptor program: Improved confidence and competency outcomes among a cohort of professional nurses in Blantyre, Malawi. Nurse Education Today, 142. https://doi.org/10.1016/j.nedt.2024.106351
Song, Y., Lafond, C. M., Vincent, C., Kim, M. J., Park, C. G., & McCreary, L. L. (2024). Critical soft skill competencies that clinical nurse educators consider important to evaluate in nurses. Nursing Open, 11(10). https://doi.org/10.1002/nop2.70047
Tulleners, T., Ryan, L., Stratton-Maher, D., Elliott, J., Terry, D., Southern, J., Jayasinghe, T., Roderick, G., Ng, L., Tan, J. Y., Gleeson, D., Buckley, J., & Peck, B. (2025). Exploring the development of early career nurses: Insights 4 years after graduation. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16987
Xu, H., Dong, C., Lv, Y., & Yu, L. (2025). Determining core components of clinical competency for the students of master of nursing specialists: a descriptive qualitative study. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-025-06974-6
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