PreceptorshipSr. Elective Team May 13, 2011

Lay outy Identify the views of the participants y Divide in groups y Jigsaw strategy y Presentation y Course grid discussion y Refreshment

Objectivesy Define preceptorship y Discuss the significance of preceptorship y Describe the roles of an effective preceptor y Discuss the qualities/attributes of an effective preceptor y Identify the challenges of the preceptorship and ways to

overcome those challengesy Discuss the limitations of the preceptorship

PreceptorshipA period of structured transition for the newly registered practitioner during which he or she will be supported by a preceptor, to develop their confidence as an autonomous professional, refine skills, values and behaviours and to continue on their journey of life-long learning (Keen, 2009, p.11)

Historical Back Groundy The preceptorship model was introduced by Kramer (1974) into

nursing to ease the reality shock that often occurs when students become registered nurses.y Nursing theorist Patricia Banner (1984) proposed the novice to

expert theory which asserts that professional growth occur in distinct stages and realized on constructive, nurturing relation ship taken to mentoring. ( Black & Korrow, 2005) y Practical wisdom

Who can be a preceptor?y a competent, confident, and experienced nurse who

assists another nurse or nursing student in giving quality nursing care by guiding, directing, or training (Smith, 2006, p. 9).

Who is a preceptee?y a qualified practitioner, a returnee or someone new to a

practice area requiring support. His/her expertise may range from that of a novice to that of someone who has a great deal of experience (Central Manchester and Manchester Childrens University Hospital 2005, p. 6).

Preceptorship is not;y intended to replace mandatory training programmes; y intended to replace regulatory body processes to deal

with performance;y a further period of training; y formal coaching; y intended to replace induction to employment; or y mentorship;

Difference between Mentor and PreceptorCharacteristics 1. Selection 2. Goal of relationship 3. Duration Preceptor Variable, usually assigned Instructional enabling R/t to intended outcomes required Short term Mentor Self selection or assigned Personal and professional enabling Determined by the needs of those involved Long term

Characteristics4. Socialization

PreceptorInstructional: student, novice & transition period.

Difference conti.. MentorCareer development: social, educational, research

5. Learning support 6. Evaluation

Structured practice Unstructured practice Observation, interview, return demonstration Observation, interview, self assessment, review of diaries.

7. Benefits

Often favors learner reciprocal1

Significance of Preceptorshipy High turnover rates y Shortage of nurses y Patients acuity y Advancement in technology y Demands for cost effectiveness y Ease the transition y Reduces theory practice gap

Attributes of an effective preceptory constructive feedback; y setting goals and assessing competency; y facilitating problem-solving; y active listening skills; y reflective-practice ability in the working environment; y good time-management and leadership skills;

y prioritizing care;

Attributes cont.y appropriate clinical decision-making and evidence-based

practice;y recognizing their own limitations and those of others; y being an effective and inspirational role model y understanding of the regulatory impact of the care y providing a high standard of practice at all times.

100 90 80 70 60 50 40 30 20 10 0 Teaching ability Interpersonal Relation Ship Age Factor Personality Traits Nursing Competencies Education50

Survey report, perception of effective preceptor among BSc Nursing students

76 52 50

n=11

81 89 81

Availability Diverse Experience Flexiability24

83 83

Benefits of PreceptorshipFor preceptory Develops appraisal, supervision,

For preceptee Develops confidence. Professional socialization Increased job satisfaction leads to improved customer satisfaction.

mentorship and supportive skillsy Enhances ability to progress y Identifies commitment to their

profession and the regulatory requirementsy Supports their own lifelong learning y Enhances future career aspirations.

Enhances future career aspirations Develops understanding of the commitment to working within the profession Personal responsibility for maintaining up-to-date knowledge.

Benefits of PreceptorshipFor employery Enhanced quality of patient care. y Enhanced recruitment and retention. y Reduced sickness and absence. y Enhanced service user experience. y Enhanced staff satisfaction. y Reduced risk of complaints. y An outcome/evidenced-based approach. y Identify staff that require further

For profession Providing a high standard of practice and care at all times. Making care the priority, treating service users as individuals and respecting their dignity. Working with others to protect and promote the health and well-being Being open and honest, acting with integrity and upholding the reputation of the profession. Enhancing the image of health care professionals.

support.

Challenges of the preceptorshipy Time constraints y Lack of Support y Pressure to take on mentoring role

LimitationsFor preceptory Delegate the unwanted job y Lack of requisite skills y Lack of knowledge on the integration of theory research

and practice into teachingy Lack of teaching learning skills y Preceptee acts passively

Limitation Cont....For Precepteey Jealousy and gossip y Having the preceptor who does not keep commitment y Unrealistic expectation y Over protected y Unfriendly y Unapproachable

Recommendationy Not to over use preceptor y Work load assignment for preceptor y Incentives and reorganization y Evidenced based practice research is needed.

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Referencesy

Department of Health (2008). A High Quality Workforce: NHS Next Stage Review. London: Department of Health Central Manchester & Manchester Children s University Hospitals. (2005). Preceptorship, the right start in your new post. Educational Development Team. http://www.cmmc.nhs.uk/directorates/PersonalDevelopment/preceptorship.asp Keen , A. (2009) Preceptorship Framework: for Newly Registered Nurses, Midwives and Allied Health Professionals. Myrick, F., Younge, O., & Billay, D. (2010). Preceptorship and practical wisdom: a process of authentic Nursing practice. Smith, L. (2006). The joys and responsibilities of preceptors. Nursing, Fall 2006 Supplement. 9 10. Turner, R. S. (2007). Preceptorship In Nursing: Preceptors And Preceptees Experiences Of Working In Partnership.

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5/19/2011