Date of Graduation

Fall 12-15-2021

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Executive Leader DNP

First Advisor

Dr. Elena Capella

Second Advisor

Dr. Jonalyn Wallace

Third Advisor



Objective: The purpose of this paper is to review the literature on manager onboarding best practices and their impact on turnover intention, knowledge, and confidence to lead teams in primary healthcare settings.

Background: Primary care onboarding is often insufficient due to competing operational priorities, time constraints, lack of mentorship, and cost. With primary care increasingly the setting for affordable, coordinated, end-to-end patient care, primary care managers must be well-prepared to lead the care team.

Methods: A review of the literature identified best onboarding practices associated with job satisfaction and turnover, reduced time to proficiency, increased knowledge, and confidence to lead.

Findings: Appropriate onboarding can shorten the new manager’s time to proficiency, increase job satisfaction, and reduce turnover. Content-specific to onboarding managers in the primary care setting was not found.

Conclusion: Strong connections exist between structured onboarding practices and improved job satisfaction, retention, and performance. Empirical research is needed to validate best practices and their impact on outcomes, specifically, role-specific onboarding for managers in primary care.