c-06 onboarding role of the preceptor v2

On-Boarding and the Role of the Preceptor

Julie Tanner, BSN, RN-BC, CHPN

[email protected] Webb, DNP, MSN, RN-BC, CHPCA

[email protected]

HPNA Clinical Practice Forum 2020 - Sept. 10-12, 2020

1

On-Boarding and the Role of the Preceptor

Julie Tanner, BSN, RN-BC, CHPN [email protected]

Michelle Webb, DNP, MSN, RN-BC, [email protected]

1

Disclosures

Michelle and Julie have no disclosures pertaining to the educational content of this activity.

2


mailto:[email protected]

mailto:[email protected]

2

Engagement Exercise: Poll the Audience

Select the option below that best describes your role1. New to precepting role2. Practicing in preceptor role for 1-2 years3. Experienced in precepting role (3 years or greater), looking to

expand my tool kit4. I am on-boarding in a new position as a RN

3

Engagement Exercise: Let’s take a moment….

Think back on your early hospice or palliative nursing career.

Who was that nurse that believed in you and set you on your path to becoming the nurse you are today?

4


3

Mentoring, Precepting, Coaching: Similarities and Differences

Onboarding Nurses Need Preceptors

5

• to acquire transformational knowledge and skills to successfully onboard early career RN practice-level nurses to palliative nursing practice. • to link the art of being a preceptor to the science of successful on-

boarding

Desired Learning Outcomes

“Quality is never an accident; it is the result of high intention, sincere effort, intelligent direction, and skillful execution; it represents the wise choice of many alternatives, the cumulative experience of many masters of craftsmanship.”

William Foster, 1945

6


4

As a preceptor, you create a caring community for your preceptee. Byserving as a preceptor, you can create and support this caring communityfor new nurses and encourage caring practitioner relationships. This is done

through providing an environment for growth. Within this environment ofgrowth, nurses learn better in an atmosphere of a caring relationship. Ifnew nurses are expected to practice caring with their patients, then theymust be shown caring within their professional relationships.

The art of precepting….

Preceptor Tool Kit courtesy of Health Alliance of MidAmerica, LLC https://www.michigancenterfornursing.org/education/preceptor-about

7

Multiple Roles of the Preceptor

Preceptor

facilitator

teacher

validatorsocializer

role model

8


5

1. You help deliver knowledge to the new nurse of both the position and your organization.

2. As a facilitator you draw on your expertise and experience to support new employees in achieving learning goals.

3. You develop the new nurses’ fundamental skills to safely perform in the position the nurse is entering.

4. You socialize the new nurse to your organization and colleagues.

5. You support, educate, encourage reflection, and serve as a positive role model for the orienting nurse.

6. You set the tone for the rest of this new nurses’ career.

7. You offer a willingness to nurture another individual and the openness to share the wealth of experience you have gained over the years.

8. You are highly adaptable and organized, demonstrate increased critical thinking skills, and shield newly hired nurses from the notoriously harried and sometimes overwhelming work environment

Which one of the below preceptor statements do you value the most?

(L’Ecuyer, Hyde, & Shatto, 2018)

9

I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel –

Dr. Maya Angelou1928 - 2014

10


6

• Because you have a thorough history of demonstrated competence and strong clinical skills

• Because you have a proven track record of sound critical thinking

• Because you have strong interpersonal communication skills

• Because you are well-respected within your organization and represent the mission, vision and values your organization holds

Why you?

11

1. Being a learning facilitator

2. Being agile

3. Bring empathic

4. Being selfless

5. Being flexible

6. Being adaptable

7. Being culturally and racially aware

8. Being authentic

Which one of the essential preceptor success factors do you see as the most important?

12


7

Top 10 Precepting Tips1. Allow preceptees to go at their own pace within reason. Never force them to take a patient load if they are not ready.

2. Explain what you are doing at all times. Do not assume that your preceptee learned it in school or has already performed the task. You might be surprised.

3. As hard as it might be, allow the preceptee to perform the task. The preceptee needs the practice and the confidence.

4. Avoid correcting your preceptee in front of the patient, family, or other professionals.

5. Communication is key. Ask how they are doing, if they need help, or what needs further explaining.

6. Be available for questions.

7. Remember, you are ultimately responsible for the preceptee’s patient.

8. Practice patience at all times.

9. It takes time and energy to facilitate learning.

10. What tip would you add to make the “Top 10” Precepting Tips List – enter chatPreceptor Tool Kit courtesy of Health Alliance of MidAmerica, LLC https://www.michigancenterfornursing.org/education/preceptor-about

13

1. New graduates2. Nurses that have completed nurse residency programs entering the

work force3. Experienced nurses without hospice/palliative nursing know-how4. Nurses with prior hospice/palliative experience transitioning into new

roles5. Experienced hospice and palliative nurses joining your organization

Most nurses you are currently precepting are…

14


8

Asking the questions:developing an individualized orientation and career development plan

• What areas of your career do you most want to focus on and further develop?

• What do you look forward to most about your new position?

• What are you most concerned about with your new position?

• What do you most hope to gain from your orientation experience?

• How do you learn best?

• Recall three ways in which you adapt/cope with new position stress?

1. _______________________________

2. _______________________________

3. _______________________________

• What do you do well that allows you to reach your goals?

• Other thoughts on your orientation you would like to discuss?

15

Meet Molly…our preceptee of the day• Graduated from AD to BSN program in 2017

• Presents with 2.5 years clinical experience as a sub-acute rehab facility RN

• Wanted to enter the home care work environment and her mentor recommended Hospice as a future career choice

• She was hired in a Per Diem capacity as a Hospice RN

• Her qualifications include:

üGraduate of accredited RN program

üOne year of hospice care experience preferred; two years experience in any clinical setting with a demonstrated ability to manage a group of patients required

16

16


9

This orientation self-assessment questionnaire aims to assist youin assessing your perspectives of your new position.

1. What areas of your career do you most want to focus and further develop?

2. What do you look most forward to about your new position?

3. What are you most concerned about with your new position?

4. What do you most hope to gain from your orientation experience?

5. List three ways in which you adapt/cope with new position stress?

6. What do you do well that allows you to reach your goals?

Maintain this resource for:

• self-reflection

• leadership insight and guidance

• continued career development and re-assessment.

Molly’s Perspective

Molly’s RN Orientation Self-Assessment Questionnaire

17

18


10

19

20


11

21

Orientation:Molly’s Personal Loss Inventory

Source: Worden, J. W. Grief Counseling and Grief

Therapy: A Handbook for the Mental Health Practitioner. 4th ed. New York,

NY: Springer Publishing Company; 2009. 136-137. Used by permission ELNEC

Resources 2020.

Sustainable Caregiving

22


12

Molly’s Results 110

Sustainable Caregiving

23

Together Molly and her preceptor make an individualized

plan

24


13

25

Preceptor Clinical Validation Tool

26


14

1. Fatal — Failure to perform competently could result in serious harm or loss of life to a patient or staff member.

2. Fundamental — Represents a fundamental or essential aspect of competent performance for a given position

The 5Fs of Competent Performance

3. Frequent — Reflects a performance area that must be performed frequently by an employee in a specific position.

4. Fixed — Must be met within a specific time frame.

5. Facility — The health care facility mandates its inclusion in the onboarding orientation program.

(Alspach, 2000)

27

• Ensuring nurses are competent in skills related to the care they deliver is essential for any practice setting.

• In nursing practice competence can be defined, measured, and evaluated (ANA).

• The American Nurses Association (ANA) defines competency as “an expected level of performance that integrates knowledge, skills, abilities and judgment.” These are all behaviors of nursing competency.

• Competency is about competence and behaviors.

Competent and Competencies: The Difference

Knowledge

Skills

Abilities

Judgement COMPETENCY

28


15

→ Knowledge encompasses thinking, understanding of theories, professional standards of practice, and insights gained from context, practical experiences, personal capabilities, and leadership performance.

→ Skills include communication, interpersonal, and problem-solving skills.

→ Ability is the capacity to act effectively. It requires listening, integrity, self-awareness, emotional intelligence, and openness to feedback.

→ Judgment includes critical thinking, problem solving, ethical reasoning, and decision-making.

The Art of Precepting Behaviors: Knowledge, Skills, Ability and Judgement

29

Revisiting which one of the below preceptor statements do you value the most?

(L’Ecuyer, Hyde, & Shatto, 2018)

1. You help deliver knowledge to the new nurse of both the position and your organization.

2. As a facilitator you draw on your expertise and experience to support new employees in achieving learning goals.

3. You develop the new nurses’ fundamental skills to safely perform in the position the nurse is entering.

4. You socialize the new nurse to your organization and colleagues.

5. You support, educate, encourage reflection, and serve as a positive role model for the orienting nurse.

6. You set the tone for the rest of this new nurses’ career.

7. You offer a willingness to nurture another individual and the openness to share the wealth of experience you have gained over the years.

8. You are highly adaptable and organized, demonstrate increased critical thinking skills, and shield newly licensed nurses from the notoriously harried and sometimes overwhelming work environment

30


16

Revisiting which one of the essential preceptor success factors do you see as the most important?

1. Being a learning facilitator

2. Being agile

3. Bring empathic

4. Being selfless

5. Being flexible

6. Being adaptable

7. Being culturally and racially aware

8. Being authentic

31

Preceptor Pearls

• As a preceptor, you facilitate a new hire’s ability to maximize learning efforts to meet a shared goal of providing safe, quality patient care.

• As a preceptor, you integrate competent skills into competency behaviors to support your preceptee’s lifelong career success

• As a preceptor, you pay it forward by honoring those nurses throughout your career who showed you the way to being the nurse you are today.

32


17

Open Chat….

33

Please take a moment and reflect….

Take a personal reflective moment to celebrate you. Celebrate your contributions to those nurses you have guided on their paths to becoming better nurses….

34


18

• Bodine JL. Best practices for the future of preceptorship. J Nurses Prof Dev. 2019;35(2):112-114. doi:10.1097/NND.0000000000000517

• Cotter E, Eckardt P, Moylan L. Instrument development and testing for selection of nursing preceptors. J Nurses Prof Dev. 2018;34(4):185–193. doi:10.1097/NND.0000000000000464• Dahlin C. RN Education Design. Pittsburgh, PA: HPNA; 2016.• Health Alliance of Mid America LLC. Nurse Preceptor Academy Preceptor Tool Kit.

https://www.michigancenterfornursing.org/education/preceptor-about. Accessed December 13, 2019.• Schuelke S, Barnason S. Interventions used by nurse preceptors to develop critical

thinking of new graduate nurses: a systematic review. J Nurses Prof Dev. 2017;31(1):E1–E7. doi:10.1097/NND.0000000000000318

References

35

HPNA’s POLARIS https://advancingexpertcare.org/HPNAweb/Education/Polaris_Modules.aspx

36


https://advancingexpertcare.org/HPNAweb/Education/Polaris_Modules.aspx

c-06 onboarding role of the preceptor v2

Documents