Journal of nursing management · 2026
The Effect of an Orientation Program Supported by GROW Model-Based Coaching on Nurses' Turnover Intention, Organizational Commitment, and Performance Levels.
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Sarıoğlu Emine, Kutlu Adalet
Аннотация
AIM: This study aimed to examine the effect of an orientation program supported by coaching based on the GROW model on nurses' turnover intention, organizational commitment, and performance levels.
BACKGROUND: Effective orientation programs support the adaptation of newly recruited nurses to the organization. However, evidence regarding the effects of GROW model-based coaching within orientation programs on nurses' turnover intention, organizational commitment, and performance is limited.
METHODS: This quasiexperimental study with intervention and control groups was conducted between January 2023 and January 2025. In the preliminary phase, interviews were conducted with nurses to determine the topics for pre-coaching orientation training. Newly recruited nurses were assigned to the intervention group (n = 35) and the control group (n = 35). Nurses in the intervention group received coaching-supported orientation training, a face-to-face coaching session, and a follow-up telephone session. Data were collected using a Descriptive Information Form, the Adaptation Performance Scale, Turnover Intention Scale, Organizational Commitment Scale, and Employee Performance Scale. Descriptive statistics, chi-square test, and Mann-Whitney U test were used for data analysis.
RESULTS: The mean Employee Performance Scale score was significantly higher in the intervention group compared to the control group (p < 0.05). No significant differences were found between the groups in turnover intention or organizational commitment (p > 0.05).
CONCLUSIONS: Coaching-supported orientation training based on the GROW model was found to increase employee performance among nurses. Incorporating coaching-based educational approaches and appropriate communication styles into nurse orientation programs is recommended.
IMPLICATION FOR NURSING MANAGEMENT: The results indicate that incorporating GROW model-based coaching into nurse orientation programs can enhance the performance of newly recruited nurses. Nursing managers should consider integrating structured coaching practices and effective communication strategies into orientation processes to support nurses' professional development, facilitate adaptation to the clinical environment, and improve workforce performance.
BACKGROUND: Effective orientation programs support the adaptation of newly recruited nurses to the organization. However, evidence regarding the effects of GROW model-based coaching within orientation programs on nurses' turnover intention, organizational commitment, and performance is limited.
METHODS: This quasiexperimental study with intervention and control groups was conducted between January 2023 and January 2025. In the preliminary phase, interviews were conducted with nurses to determine the topics for pre-coaching orientation training. Newly recruited nurses were assigned to the intervention group (n = 35) and the control group (n = 35). Nurses in the intervention group received coaching-supported orientation training, a face-to-face coaching session, and a follow-up telephone session. Data were collected using a Descriptive Information Form, the Adaptation Performance Scale, Turnover Intention Scale, Organizational Commitment Scale, and Employee Performance Scale. Descriptive statistics, chi-square test, and Mann-Whitney U test were used for data analysis.
RESULTS: The mean Employee Performance Scale score was significantly higher in the intervention group compared to the control group (p < 0.05). No significant differences were found between the groups in turnover intention or organizational commitment (p > 0.05).
CONCLUSIONS: Coaching-supported orientation training based on the GROW model was found to increase employee performance among nurses. Incorporating coaching-based educational approaches and appropriate communication styles into nurse orientation programs is recommended.
IMPLICATION FOR NURSING MANAGEMENT: The results indicate that incorporating GROW model-based coaching into nurse orientation programs can enhance the performance of newly recruited nurses. Nursing managers should consider integrating structured coaching practices and effective communication strategies into orientation processes to support nurses' professional development, facilitate adaptation to the clinical environment, and improve workforce performance.