Preceptorships

1. Preceptorships Erin Kibbey, BS, RN, CCRN

2. Learning Objectives Define a preceptorship Describe the benefits of preceptorships Recognize the characteristics of preceptorships with positive outcomes Distinguish between the current preceptorship program at Munson/A2 to current research Evaluate a plan for improvement

3. Definition (Alspach, 2000) Organized instructional programs that facilitate the integration of newly employed nursing staff into their role responsibilities in the work setting

4. Preceptor Characteristics (Moore, 2008) Role model Facilitator Socializer Communicator Teacher Evaluator Provider of feedback What is the least comfortable aspect of the preceptor role?

5. Benefits Contribute to ability to adapt to change Retention Recruitment Fosters better prepared nurses and increased confidence Increased efficiency and time management skills Improved problem-solving Advantages to preceptor (Bratt, 2009; Moore, 2008; Ullrich & Haffer, 2009; Wright Shpritz & O’Mara, 2006)

6. What Makes a Good Preceptorship? (Baltimore, 2004; Moore, 2008; Morris et al., 2007; Myrick & Yonge, 2001; Wright Shpritz & O’Mara, 2006 ) Preceptor preparation in the form of a workshop or class identified as most important prerequisite Process of selecting individuals Time for preparation, resources, practice Creating a climate conducive to learning Adult centered Consistency Feedback that is timely, provided in an encouraging manner, and related to identified goals Ongoing recognition & support

7. Example Model for Critical Care (Morris et al., 2007)

8. How Does Munson/A2 Measure Up? • Preceptor workshop • Varying preceptor eligibility requirements • Inconsistent preparation to the precepting role • Outdated/lack of resources for preceptors to guide orientation • Skills checklists • Lack of instruction on how to promote higher order cognitive skills during bedside teaching • ECCO - Online learning • Munson’s Strategic Plan for Nursing Services 2013-2016

9. Plan for Improvement • Combined self-study and team based approach • Software/training modules and books • http://www.aacn.org/WD/Elearning/Content/preceptor/preceptor.content • Precepting in Nursing: Developing an Effective Workforce by Ullrich & Haffer • More resources • http://a2ccnursingeducation.weebly.com/critical-care-topics.html • Development of a case study guide for preceptors • Educator blog • http://cardiothoracicnursingeducation.blogspot.com/ • Simulation training for both orientees and preceptors

10. Outcome Measures (Munson Medical Center, 2013) Revise preceptor program by end of 2013 Decreased new graduate RN turnover Safety culture survey increases in “this organization does a good job in training new staff" Increase in employee engagement question “this organization provides opportunity to improve professional knowledge and skill” Increase in the number of hours where the simulation lab is used

11. Review One minute paper What was the most important thing you learned in this teaching session?

12. Conclusion “You cannot hope to build a better world without improving the individuals. To that end each of us must work for his own improvement, and at the same time share a general responsibility for all humanity, our particular duty being to aid those to whom we think we can be most useful.” - Marie Curie

13. References Alspach, J. G. (2000). The educational process in nursing staff development. Annapolis, MD: American Association of Critical Care Nurses. Baltimore, J. J. (2004). The hospital clinical preceptor: Essential preparation for success. Journal of Continuing Education in Nursing, 35(3), 133-140. Bratt, M. (2009). Retaining the next generation of nurses: the Wisconsin Nurse Residency Program provides a continuum of support. Journal of Continuing Education in Nursing, 40(9), 416-425. doi:10.3928/00220124-20090824-05 Fulmer, T. (2006). Foreword. In J. P. Flynn & M. C. Stack (Eds.), The role of the preceptor: A guide for nurse educators, clinicians, and managers (2nd ed.). (pp. xi-xii). NY: Springer Publishing Company, Inc. Munson Medical Center. (2013). Strategic plan for nursing services: 2013-2016. Retrieved from Munson Medical Center’s intranet. Moore, M. L. (2008). Preceptorships: Hidden benefits to the organization. Journal for Nurses in Staff Development, 24, E9-E15. Morris, L. L., Pfeifer, P. B., Catalano, R., Fortney, R., Hilton, E. L., McLaughlin, J., . . . Goldstein, L. (2007). Designing a comprehensive model for critical care orientation. Critical Care Nurse, 27(6), 37-60. Myrick, F., & Yonge, O. (2001). Creating a climate for critical thinking in the preceptorship experience. Nurse Education Today, 21(6), 461-467.

14. References Continues Ullrich, S. and Haffer, A. (2009). Precepting in nursing: Developing an effective workforce. Sudbury, MA: Jones and Bartlett Publishers. Wright Shpritz, D. and O’Mara A. M. (2006). A model preceptor program for student nurses . In J. P. Flynn & M. C. Stack (Eds.), The role of the preceptor: A guide for nurse educators, clinicians, and managers (2nd ed.). (pp. 28-53). NY: Springer Publishing Company, Inc