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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
Preceptorship: Supporting our Future Colleagues
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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.
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Preceptorship versus MentorshipWhat’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!
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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)
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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)
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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.
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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
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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.
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Positive Outcomes of Preceptorship Programs
There are numerous benefits for:
students
preceptors
organizations
the nursing profession
(Muir et al., 2013)
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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
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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
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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
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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)
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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
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Preceptor as a Role Model
Role modeling involves…
Observation
Imitation
Internalization
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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
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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
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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)
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Challenges of being a Preceptor
Lack of support from faculty
Feeling ‘responsible’ for the student’s success and failure
Providing feedback
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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
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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.
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Provide specific instructions of ‘how to’ do things, including both practical and professional skills.
Promote student self-reflection.
(Wilkinson, Couldry, Phillips, & Buck, 2013)
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3 Steps to Effective Feedback
Let the learner go first
Share your perspective
Develop a plan for next time
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S- specific
T- timely
O- objective and based on observed behaviors
P- plan for improvement discussed with the student
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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
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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
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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!
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References
References are available on request