Abstract
BACKGROUND: Preceptorship programs have been implemented in several hospitals across Indonesia to support new nurses during their transition period in the workplace. Many factors influence new nurses successfully transitioning into this new role. However, few studies have examined the factors that affect new nurses' competency. OBJECTIVE: This study aimed to identify the factors influencing the competency of new nurses in a preceptorship program. METHODS: This study used a quantitative approach with a cross-sectional design. Participants were 169 nurses who had been employed for less than 1 year in 2 hospitals. Participants were nurses undergoing an orientation period who were part of a preceptorship program. The study used instruments developed by the researchers and their team, which were tested for validity and reliability. The variables were self-efficacy, new nurses' adaptation, preceptor commitment, preceptor competency, and mentoring method. Data were analyzed using descriptive statistics, the χ2 test, and multiple logistic regression. RESULTS: The median age of the 169 participants was 24 years, with the ages ranging from 22 to 30 years. Most of the participants were female (n=136, 80.5%), held a bachelor's degree (n=164, 97%), and had worked at Hospital X for 0 to 6 months (n=128, 75.7%). In terms of training experience, most participants had completed Basic Cardiac Life Support training (n=142, 84%). The independent variables that influenced new nurses' competency were gender (P=.02), training (P=.05), mentoring method (P=.001), preceptor commitment (P=.03), and preceptor competency (P=.001). A multiple logistic regression test further indicated that the mentoring method (P=.001; α=.05; OR .198), preceptor commitment (P=.03; α=.05; OR .296), and preceptor competency (P=.001; α=.05; OR .202) were influential variables for new nurses' competency. CONCLUSIONS: The mentoring method, preceptor commitment, and preceptor competency were identified as the factors that most strongly influence new nurses' competency. These results can be used to develop more effective preceptor programs. An effective preceptorship program requires preceptors who demonstrate both professional competence and personal characteristics. Preceptors have to possess adequate knowledge and skills to support the development of new nurses' competency.