G L E N Y S M O R A N M N, R N A N D L O R I R O B B I N S M N, R N F A C U L T Y, C E N T R E F O R N U R S I N G S T U D I E S

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Preceptorship: Supporting our Future Colleagues G L E N Y S M O R A N M N, R N A N D L O R I R O B B I N S M N, R N F A C U L T Y, C E N T R E F O R N U R S I N G S T U D I E S

Objectives By the end of the session, the participant will be able to: Distinguish between preceptorship and mentorship. Identify the benefits of preceptorship as a teaching learning approach. Discuss the benefits and challenges of being a preceptor. Identify strategies for providing feedback.

Preceptorship versus Mentorship What s the Difference? These terms are used interchangeably. Both are ways of using role modelling to support the learning and professional growth of nurses and to promote the overall quality of practice environments. They are different!

Mentorship Defined Is a voluntary, mutually beneficial, and usually long-term professional relationship. In this relationship one person is an experienced and knowledgeable leader (mentor) who supports the maturation of a less-experienced person (mentee). (Canadian Nurses Association, 2004)

Preceptorship Defined Is a planned teaching and learning model using registered nurses as role models. Is a formal one-to-one relationship (of pre-determined length) between an experienced registered nurse (preceptor) and a novice (preceptee). (Canadian Nurses Association, 2004)

Preceptorship Provides learning opportunities, which are individualized to a student s learning needs. Provides the student (preceptee) with the opportunity to experience day-to-day clinical practice with guidance from a role model and resource person.

BN (Collaborative Program) Preceptors are utilized in: NURS 3523: Preceptorship all students assigned a consistent preceptor for the 8 week experience NURS 4516: Consolidated Practicum some students assigned a consistent preceptor for the 10 week experience, others are assigned a preceptor on a daily basis

Purpose of Preceptorship Preceptorship provides students with clinical experiences and opportunities to: acquire new competencies ; enhance their confidence and competence in clinical practice; develop knowledge, skills, and attitudes of a professional nurse; and facilitate professional socialization of nursing students.

Positive Outcomes of Preceptorship Programs There are numerous benefits for: students preceptors organizations the nursing profession (Muir et al., 2013)

Benefits for the Preceptor Personal and professional growth Increased job satisfaction Improved patient outcomes Improved self-esteem and increased self-awareness by being a role model

Benefits for the Organization Facilitates recruitment of new nurses Exposes seasoned nurses to new clinical knowledge and ideas Improves retention of nurses in the organization Increases organizational loyalty

Benefits for the Profession Enhances support of new graduates Strengthens teaching and leadership skills for nurses Improves retention of nursing in the organization and the profession

Who is a Preceptor? A skilled professional nurse with an interest and commitment to the education of nursing students. A clinical teacher who acts as clinical educator, supervisor, colleague, and a role model. (DeWolfe, Laschinger, & Perkin, 2010)

Preceptor as a Role Model Preceptors help students develop: Critical thinking skills Problem-solving Clinical judgement Decision-making Creativity Evidence-informed practice Empathetic caring behaviors Communication skills

Preceptor as a Role Model Role modeling involves Observation Imitation Internalization

Responsibilities of a Preceptor. Assess student learning needs Facilitate learning by assisting students to set and meet realistic learning goals Plan and implement clinical learning activities

Guide critical thinking and reflection about experiences and performance Support student s emotional, practical and informational needs Evaluate student progress on a continuous and summary basis

Challenges of being a Preceptor Increased workload Lack of support from peers Inadequate preparation for the role of preceptor Conflict with the student (Currie &Watts, 2012)

Challenges of being a Preceptor Lack of support from faculty Feeling responsible for the student s success and failure Providing feedback

Giving and Receiving Feedback Feedback is an interactive process is an informed and objective appraisal of performance provides students with insight about their performance should confirm and increase awareness of strengths is intended to improve practice

Tips for Providing Feedback Establish at the beginning of the placement how the feedback will occur. Provide feedback informally and immediately. Feedback should be direct, concrete, and frequent. Feedback should be constructive, not destructive.

Provide specific instructions of how to do things, including both practical and professional skills. Promote student self-reflection. (Wilkinson, Couldry, Phillips, & Buck, 2013)

3 Steps to Effective Feedback Let the learner go first Share your perspective Develop a plan for next time

S- specific T- timely O- objective and based on observed behaviors P- plan for improvement discussed with the student

Written Feedback Should reflect course objectives and expectations Include positive feedback/identification of strengths as well as areas requiring improvement Provide suggestions for improvement When possible support with examples Avoid general terms like good, appropriate excellent Faculty are always available to support you

Responsibilities of Clinical Faculty Maintain frequent and regular contact with the student and preceptor Act as a resource for the preceptor and student Identify student learning needs and challenges and develop strategies for improvement In collaboration with the preceptor, evaluate the student and assign the grade for the course

Summary Preceptorship is an excellent teaching-learning model. Becoming a preceptor can be a rewarding experience for registered nurses. One of the challenges of being a preceptor is providing constructive feedback. The ability to provide constructive feedback develops over time!

References References are available on request glenys.moran@mun.ca or lori.robbins@mun.ca