College of Nursing Objectives List preceptor role & responsibilities Describe adults learning styles Explore effective communication, including giving feedback & resolving conflict Discuss techniques for.
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Transcript College of Nursing Objectives List preceptor role & responsibilities Describe adults learning styles Explore effective communication, including giving feedback & resolving conflict Discuss techniques for.
College of Nursing
Objectives
List preceptor role & responsibilities
Describe adults learning styles
Explore effective communication, including giving
feedback & resolving conflict
Discuss techniques for stimulating critical thinking
Review components of the UTB CON preceptor
handbook
Complete preceptor post-test
Role of the Preceptor
Modeler--demonstrates how
competent staff perform their job-most familiar, most comfortable
Socializer—integrates student into
the unit culture--less familiar, less
comfortable &helps student feel
welcome
Educator—assists student to
assess orientation learning needs,
plan learning experiences,
implement the plan, evaluate
performance--least familiar, least
comfortable
Educator
What is a Role Model?
Role Model-- “an individual who exemplifies through his or her behavior
how a specific role is to be enacted” (JG Alspach, 2000)
Nurse role model exhibits these qualities-Caring
Positive interactions
Empathetic
Respected by peers
Good communicator
Strong patient advocate
Expert practitioner
Willing resource person
Shares knowledge with others
Respects dignity in all people
Critical thinker
Honest, accountable
Compare--your usual job activities
with teaching others how to perform
their job
Major Role with Preceptee--teaching
rather than doing
Conflict--can arise if you “do for” the
preceptee rather than guiding to do for
themselves
Challenge--balancing dual role of
caregiver and preceptor
Think back to your own orientation-how you felt, new circumstances
Reality Shock--4 phases
HONEYMOON
SHOCK
RECOVERY
RESOLUTION
Adult Learning Principles
How Communication is
Received
Generational Values
Learning Styles
Self-directed--want to be actively
involved
Relate new knowledge to life
experiences/previous knowledge
Goal-oriented
Must have a reason for learning
Practical--want learning to be useful
Want to state their views, be
recognized, be accepted, feel
important, be respected
60%
30%
10%
MATURES--<1946-- “duty” work ethic, follow orders, productive,
“fixers”
BABY BOOMERS--1946-1964--teamwork, process oriented, desire
recognition, uncomfortable with conflict
GENERATION Xers--1965-1980--self-reliant, skeptical, casual
about authority, tech savvy, resourceful
MILLENIALS--1981-1991--tech savvy, less focused on problem
solving & more on choices, buy into team concept, look for
mentors, accepting of other cultures, expect management to be
competent, demand equity
Left Brain vs. Right Brain
LEFT
Analytical
Uses automatic codes
Arranges details in order
Auditory rather than visual
RIGHT
Global
Wholes, not parts
Novelty
Intuitive
Spatial
Visual over auditory
Goal: To IMPROVE Performance
•I…Identify learning objectives
•M…Make a feedback-friendly learning environment
•P…Performance--assess it
•R…Respond to your learner’s self-assessment
•O…Objectivity--always keep it
•V…Validate good work, suggest alternatives in weak areas
•E…Establish a plan
• Feedback should be
Immediate
Clear
Positive
Objective
Task
Interdependence
Individual
Differences
Scarce
Resources
Communication
Failures
Goal
Incompatibility
Poorly
Designed
Reward
Systems
How to Create Peace
Take responsibility
Agree to disagree
Define the problem
Allow venting
Establish ground rules--honesty, everyone will be
heard, all listen, support feelings with facts
Ask open-ended questions
Listen objectively
Restate problem, set goals, establish action plans
Follow-up
Improving the Learning
Create a climate of curiosity/questioning
Environment
Ask Open-ended vs. Close-ended questions, qualify answers-correct, partially correct, incorrect
Prepare for the unexpected-- “What if…”
Think out loud--Verbalize your processes
Compare assessment findings with report
Reflect on activities/findings of the day
Challenge assumptions
Seek meanings, connections, group data
Keep professional humility--readily admit erroneous conclusions,
seek the truth always
1 Plan ahead—tell staff date preceptee is coming to unit,
outline daily plans
2 First day—ask your learner to share their goals/needs, share
your goals/expectations
3 Introduce to staff—integrate, welcome, include in break times
4 Give specifics about what you expect
5 Get/Give feedback often during the day
6 Reflect on activities, skills completed
Identify student’s learning needs—ask for critical skills list,
clinical objectives
Let student observe what you do, maybe only one client for
student care
Seek opportunities for student to perform identified highanxiety procedures first—reduces fear, stress
Have a brief conference with the student to double-check
assessment priorities, medications changes
Ask the student to reflect on the day’s activities and discuss
situations, ask questions
Practice good time management
Coach your learner towards excellence in
practice
Follow NPA delegation guidelines
Create opportunities for learning
Encourage people to have fun, enjoy their
work
Move from preceptor to mentor--assist new
staff, peers in learning
Preceptor Program
Preceptor Orientation Information
Preceptor Agreement, Benefits
Clinical Guidelines
Evaluation Tool
Student Medication Administration
Incident Report Form
Student Objectives/Skills
Medications
--RN must be at bedside with IV
“push”administration by student
--RN alone can access narcotics, sign narcotics
forms for student
--RN must supervise student narcotic
administration and co-sign MAR
Needle sticks/Exposures
Student will:
--report incident to preceptor immediately and clinical
faculty then notify appropriate person in clinical agency
--Complete agency incident report
--Follow agency protocols regarding wound care, reporting
and notify clinical faculty as soon as possible
--Seek treatment from Campus Health Center or private
provider within 2 hours of incident
Freiburger, O. (2001). A tribute to clinical preceptors. Journal for
Nurses in Staff Development, Vol. 17, No. 6, 320-327.
Alfaro-LeFevre, R. (2002). Improving your ability to think critically. RN,
MSN Nursing Spectrum—Career Fitness Online.
http://nsweb.nursingspectrum.com/ce168.htm
Ohrlin,K. & Hallberg, I. (2000). Student nurses’ lived experience of
preceptorship. International Journal of Nursing Studies, 37, 13-23.
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