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1.
J Nurs Adm ; 49(10): 463-465, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517754

RESUMO

This article describes an innovative academic-practice partnership designed to promote new nurse competency and meet employer needs for graduates with in-demand knowledge and competencies in specialty patient populations. Three practice partners identified areas of need and with the school of nursing developed specialty nursing elective courses with precepted clinical experiences.


Assuntos
Currículo , Bacharelado em Enfermagem/organização & administração , Relações Interinstitucionais , Colaboração Intersetorial , Recursos Humanos de Enfermagem no Hospital/educação , Preceptoria/organização & administração , Adulto , Feminino , Humanos , Masculino , Estados Unidos , Adulto Jovem
2.
Clin Nurse Spec ; 33(5): 228-236, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31404001

RESUMO

PURPOSE: Develop an evidence-based clinical nurse specialist (CNS) preceptor protocol to enhance preceptor's skills and effectiveness and strengthen the preceptor-preceptee relationship and outcomes. DESCRIPTION: An effective CNS preceptor is a key variable to quality, timely, and fiscally responsible CNS transition and retention. Most preceptors receive no formal education or skill development. Literature searched from the previous 10 years explored CNS preceptor, preceptee, and preceptorship process. OUTCOMES: Protocol key components are development of the mutual collaborative relationship, shared meaning, understanding, goal setting, timelines, and evaluations. The planning phase of the protocol includes face-to-face meeting to identify overarching goals and establish a trusting collaborative relationship. The mutual iterative learning and growing phase includes identification of learning needs, goals, and strategies such as debriefing, reflective journaling, and mutual ongoing evaluation. The concluding phase includes formal evaluation. The outcome phase includes safe autonomous CNS practice, along with mutual growth and satisfaction. CONCLUSIONS: The literature informed the CNS preceptor protocol development. The protocol may be evaluated within a preceptor-preceptee relationship across multiple settings. Higher levels of CNS research are vital to identify evidence-based CNS preceptorship strategies. As CNSs are integrated into advanced practice roles, a structured preceptor protocol and education program is critical to provide quality outcomes.


Assuntos
Educação em Enfermagem/métodos , Enfermeiras Clínicas/educação , Preceptoria/organização & administração , Prática Clínica Baseada em Evidências , Humanos
3.
J Nurs Adm ; 49(9): 430-435, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436741

RESUMO

OBJECTIVE: The purpose of this integrative literature review is to examine the effects that nurse residency programs (NRPs) have on the retention of new graduates. BACKGROUND: The Institute of Medicine recommends implementing NRPs and evaluating their effectiveness. Nursing leaders need to understand if an investment in a residency program is beneficial to their organization. METHODS: A database search was performed for research from 2010 to 2016 reporting outcomes of new graduate NRPs relating to retention. RESULTS: In the articles reviewed, the 1-year retention was higher than the national average for new graduate nurses ranging from 74% to 100%. Higher rates were associated with national programs such as the University Hospital Consortium/American Association of Colleges of Nursing or Versant compared with organization-based programs. CONCLUSIONS: NRPs can increase 1-year retention of new graduate nurses. More controlled and comparative studies are needed to evaluate program differences. Nurse leaders need evidence to ascertain which programs are the most effective in supporting retention and return on investment.


Assuntos
Competência Clínica , Educação de Pós-Graduação em Enfermagem/organização & administração , Admissão e Escalonamento de Pessoal/organização & administração , Reorganização de Recursos Humanos/estatística & dados numéricos , Preceptoria/organização & administração , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Fatores de Tempo , Estados Unidos , Adulto Jovem
4.
Nurs Manag (Harrow) ; 26(4): 29-35, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31468827

RESUMO

BACKGROUND: Being able to speak up is a prerequisite for establishing safe communication in healthcare settings. The nursing preceptorship programme represents an opportunity for newly qualified nurses to develop and practise assertive communication skills. AIM: To examine newly qualified nurses' views on how nursing preceptorship programmes contribute to shaping their assertive communication skills. METHOD: 42 newly qualified nurses from four acute hospital trusts in east England completed open-ended questions included in a cross-sectional survey. Participants' qualitative comments were analysed using thematic analysis. FINDINGS: Three themes related to speaking up during the nursing preceptorship programme emerged: enthusiastic versus sceptical, the role of a supportive working culture, and logistical challenges. CONCLUSION: Nursing preceptorship programmes can develop newly qualified nurses life-enhancing assertive communication skills if they provide inspiring preceptors who act as role models, create a supportive working culture and support nursing preceptors to deliver effective preceptorship. It is imperative that nursing preceptorship programmes are adapted to enable newly qualified nurses to learn and practise assertive communication skills.


Assuntos
Assertividade , Comunicação , Recursos Humanos de Enfermagem no Hospital/psicologia , Preceptoria/organização & administração , Inglaterra , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Qualitativa
5.
Nurs Outlook ; 67(6): 765-775, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31378414

RESUMO

BACKGROUND: The abundant knowledge on nursing students' competencies in clinical safety, and the multiple approaches adopted make it difficult to obtain an overview of the current status of this question. PURPOSE: To review the literature on undergraduate nursing students' safety competencies during their clinical placements. METHOD: A scoping review was carried out. Searches were executed in PubMed, CINAHL, WOS, MEDES, and websites of relevant organizations. The framework proposed by the Joanna Briggs Institute was adopted. FINDINGS: A total of 43 studies were selected for the final sample. The review identified four major topics: the presence of adverse events in clinical placements, the acquisition of competencies in clinical safety, student experiences regarding clinical safety, and pedagogical approaches for clinical safety. DISCUSSION: Nursing students encounter adverse events and clinical safety incidents throughout their clinical training. Faculties should assign the highest priority to this question, due to its importance in the creation of a culture of safety.


Assuntos
Competência Clínica , Bacharelado em Enfermagem/organização & administração , Segurança do Paciente , Preceptoria/organização & administração , Gestão da Segurança/organização & administração , Estudantes de Enfermagem/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
7.
Am J Health Syst Pharm ; 76(8): 543-550, 2019 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-31361860

RESUMO

PURPOSE: Leveraging pharmacy technicians to take on advanced roles can enable pharmacists to practice at the highest level of their license. Technicians trained through traditional venues may not have the necessary knowledge and skills to adequately take on these roles. To meet this need, a technician residency program was developed and implemented in a health-system pharmacy. SUMMARY: The technician residency program was designed to develop competency in the medication use process as assessed through achievement of 30 objectives based on successful completion of rotations, projects, and didactic examination. The program duration was 50 weeks with rotations which included compounding, technician-check-technician cart fill and floor stock replenishment, investigational drug services, regulatory compliance, and other functions. The resident also completed several projects to improve data analytics, communication, and leadership skills. By the end of the program, the residency program director and preceptors determined that the resident achieved 83% (25/30) of objectives and had developed competency in the medication use process superior to technicians with several years of experience. The resident was ultimately hired in a specialty technician position and was found to perform effectively in that role. CONCLUSION: The program allowed the technician resident to gain a comprehensive understanding of health-system pharmacy practice and continue to develop skills and abilities that would typically take several years of work experience to be achieved.


Assuntos
Residências em Farmácia/organização & administração , Serviço de Farmácia Hospitalar/organização & administração , Técnicos em Farmácia/educação , Preceptoria/organização & administração , Centros de Atenção Terciária/organização & administração , Comunicação , Implementação de Plano de Saúde , Humanos , Liderança , Farmacêuticos/organização & administração , Técnicos em Farmácia/psicologia , Papel Profissional , Avaliação de Programas e Projetos de Saúde
8.
Am J Nurs ; 119(5): 61-65, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31033558

RESUMO

: This article is one in a series on the roles of adjunct clinical faculty and preceptors, who teach nursing students and new graduates to apply knowledge in clinical settings. One of the first steps to becoming a preceptor is learning about the resources and support available within one's organization. This article offers tips to help preceptors prepare for and navigate the precepting experience.


Assuntos
Bacharelado em Enfermagem/organização & administração , Preceptoria/organização & administração , Estudantes de Enfermagem , Competência Clínica , Educação em Enfermagem , Docentes de Enfermagem/organização & administração , Humanos
9.
J Nurs Educ ; 58(3): 144-151, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30835801

RESUMO

BACKGROUND: An authentic learning environment fosters socialization of nursing students to a particular community context and unique culture of the individuals who reside in that culture. The final preceptorship provides an extended clinical practice experience allowing for this immersion, while providing consolidation of learning as preparation to enter practice. METHOD: PhotoVoice was used as an innovative data collection method to engage participants throughout the research process. Participants self-selected photographic images that represented the unique rural preceptorship experience through their eyes. RESULTS: Rurality was described by participants as more than a geographic location, but as a sense of place, or a way of being and doing, that represented rural life. Rurality was depicted more specifically by participants in terms of community spirit and cultural contexts. CONCLUSION: Rural practice placements have the potential to enrich undergraduate nursing education and to expose undergraduate nursing students to the role of the rural nurse. More research is needed about rural health to understand the cultural and contextual factors that uniquely affect the health status of rural Canadians. [J Nurs Educ. 2019;58(3):144-151.].


Assuntos
Preceptoria/organização & administração , Área de Atuação Profissional , Saúde da População Rural , Autoeficácia , Estudantes de Enfermagem/psicologia , Adulto , Canadá , Escolha da Profissão , Bacharelado em Enfermagem/métodos , Feminino , Humanos , Masculino , Pesquisa em Educação de Enfermagem , Socialização
10.
J Nurs Educ ; 58(3): 160-164, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30835803

RESUMO

BACKGROUND: In nurse practitioner (NP) programs, NP faculty are responsible for evaluating student progress via clinical site visits. The purpose of this pilot study revolved around investigating the following aims: virtual clinical site visit feasibility, faculty perspectives related to implementing virtual and face-to-face clinical site visits, and exploration of student learning and related experiences with both virtual and face-to-face site visits. METHOD: This mixed-methods pilot study included cross-sectional assessment of faculty and preceptor perspectives, as well as an open-ended qualitative descriptive survey for students. RESULTS: Three themes of student experience were found: We Discussed Strengths and Weaknesses, I Had a Better Experience, and I Had Trouble. Faculty years in practice was significantly associated with preference of face-to-face visits and preference of observing preceptor teaching methods. CONCLUSION: Student learning needs for clinical site visits are multifactorial. Virtual site visits are feasible, cost effective, and time efficient for faculty and nursing administration needs. [J Nurs Educ. 2014;53(3):160-164.].


Assuntos
Educação de Pós-Graduação em Enfermagem/organização & administração , Profissionais de Enfermagem/educação , Preceptoria/organização & administração , Interface Usuário-Computador , Videoconferência/organização & administração , Estudos Transversais , Humanos , Pesquisa em Educação de Enfermagem , Projetos Piloto , Estudantes de Enfermagem
11.
Nurs Outlook ; 67(4): 433-440, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30819506

RESUMO

BACKGROUND: The Doctor of Nursing Practice (DNP) facilitator/mentor is a collaborative member of the project team, yet little has been reported about this role. This qualitative study explored the experiences of DNP project facilitators. METHODS: Focus groups were conducted using a purposeful sample of project facilitators. Focus group questions were developed using Gitlin, Lyons, and Kolodner's five-stage model of collaboration. Data were transcribed and content analyzed using Kruger and Casey methods. RESULTS: Three focus groups included 21 facilitators who were affiliated with an academic health system. Six themes emerged: (a) exploring student interest, (b) establishing a collaborative fit, (c) connecting with key stakeholders, (d) overcoming barriers, (e) role clarity, and (f) interaction. CONCLUSION: DNP project facilitators have an important role not only in students' formation, but also in contributing to the academic-practice partnership. The importance of the facilitator role as the student progresses through their DNP project cannot be overstated.


Assuntos
Prática Avançada de Enfermagem/organização & administração , Educação de Pós-Graduação em Enfermagem/organização & administração , Colaboração Intersetorial , Mentores/psicologia , Preceptoria/organização & administração , Preceptoria/estatística & dados numéricos , Estudantes de Enfermagem/psicologia , Centros Médicos Acadêmicos/estatística & dados numéricos , Adulto , Prática Avançada de Enfermagem/estatística & dados numéricos , Currículo , Educação de Pós-Graduação em Enfermagem/estatística & dados numéricos , Feminino , Grupos Focais , Humanos , Masculino , Mentores/estatística & dados numéricos , Pessoa de Meia-Idade , Papel Profissional/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Estados Unidos , Adulto Jovem
13.
Br J Nurs ; 28(3): 168-173, 2019 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-30746973

RESUMO

There is a shortfall of over 10% of the NHS workforce in the UK and the Nursing and Midwifery Council has reported that an estimated 18% of nurses leave the profession altogether within 3 years of qualification. Canada and the USA also face retention issues. The transition period from student to registered nurse is considered an important period during which the newly qualified nurse (NQN) gains experience. This article aims to analyse how the transition from student to registered nurse can be more effectively facilitated, thereby enhancing the delivery of patient care. It examines how NQNs perceive the transition period and discusses how effective transition supports the optimal management of patient care.


Assuntos
Modelos Organizacionais , Enfermeiras e Enfermeiros/psicologia , Assistência ao Paciente/normas , Preceptoria/organização & administração , Estudantes de Enfermagem/psicologia , Atitude do Pessoal de Saúde , Humanos , Pesquisa em Avaliação de Enfermagem , Reorganização de Recursos Humanos/estatística & dados numéricos , Medicina Estatal/organização & administração , Reino Unido
14.
Fam Med ; 51(2): 159-165, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30736041

RESUMO

In late 2015, the Society of Teachers of Family Medicine (STFM) was charged with Family Medicine for America's Health's (FMAHealth) Workforce Education and Development Core Team's task of identifying, developing, and disseminating resources for community preceptors. The charge from FMAHealth came at a time when STFM was discussing strategies to address the critical shortage of clinical training sites for medical students. STFM hosted a summit to identify the most significant reasons for the shortage of community preceptors and shape the priorities, leadership, and investments needed to ensure the ongoing education of the primary care workforce. Summit participants were asked to propose solutions to achieve the following aims: (1) decrease the percentage of primary care clerkship directors who report difficulty finding clinical preceptor sites, and (2) increase the percentage of students completing clerkships at high-functioning sites. The outcome of the summit was an action plan with five tactics that are being implemented now: Tactic 1: Work with the Centers for Medicare and Medicaid Services (CMS) to revise student documentation guidelines. Tactic 2: Integrate interprofessional/interdisciplinary education into ambulatory primary care settings through integrated clinical clerkships. Tactic 3: Develop a standardized onboarding process for students and preceptors and integrate students into the work of ambulatory primary care settings in useful and authentic ways. Tactic 4: Develop educational collaboratives across departments, specialties, professions, and institutions to improve administrative efficiencies for preceptors. Tactic 5: Promote productivity incentive plans that include teaching and develop a culture of teaching in clinical settings.


Assuntos
Estágio Clínico , Medicina de Família e Comunidade/organização & administração , Preceptoria/organização & administração , Medicina de Família e Comunidade/educação , Humanos , Estudantes de Medicina
15.
Am J Nurs ; 119(3): 62-67, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30801318

RESUMO

While developing a standardized approach to orient new staff in the U.S. Army Institute of Surgical Research Burn Center at Fort Sam Houston in Texas, nurse leaders identified the need to also standardize preceptor selection and instruction. A multidisciplinary research team conducted a two-year pilot project based on the evidence-based Vermont Nurses in Partnership Clinical Transition Framework, which provides a structured method for preceptor selection, development, and evaluation. Minimum preceptor qualifications; preceptor validation processes; and modifiable, unit-specific coaching tools were established. The authors previously published a description of the preceptor program implementation process and their findings. In this article, they discuss lessons learned during the project, highlighting the challenges and obstacles encountered when implementing this preceptorship program.


Assuntos
Educação em Enfermagem/organização & administração , Preceptoria/organização & administração , Currículo , Humanos , Projetos Piloto , Critérios de Admissão Escolar
16.
Eval Program Plann ; 73: 195-203, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30685736

RESUMO

South Africa's department of health devoted themselves to the clinical nursing education and training model, which indorses preceptors as essential stakeholders to promote competence in students. A preceptor-training programme was developed that build on this model and implemented through an intervention. The initial programme theory hypothesised that trained preceptors would promote support and develop competence in students in comparison to untrained preceptors. Results showed a poor outcome because few preceptors participated and a high student attrition rates. The authors then posed the question "Why did the preceptorship training programme not work?" This article offers insight into the context, mechanism, and outcome of the preceptor-training programme through a realist evaluation. Reflective field notes, gathered during the intervention, were used and gave insight regarding how, for whom, and under which circumstances the programme could work and offered a refined programme theory for preceptorship. The main conclusion drawn showed that a preceptor-training programme alone is not the sole determining factor to ensure preceptors' motivation to transfer their learning; a systems approach, ensuring the effectiveness of the programme, should be followed. Reflection on findings indicated the implementation context as a major determining factor of the training programme.


Assuntos
Mentores/educação , Preceptoria/organização & administração , Desenvolvimento de Pessoal/organização & administração , Atitude do Pessoal de Saúde , Competência Clínica , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem/organização & administração , Preceptoria/normas , Avaliação de Programas e Projetos de Saúde , Pesquisa Qualitativa , África do Sul , Desenvolvimento de Pessoal/normas
18.
Issues Ment Health Nurs ; 40(3): 215-222, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30376390

RESUMO

A significant challenge related to nurse practitioner (NP) training is the shortage of clinical sites with qualified faculty to precept NP interns. The problem is compounded in rural communities with provider shortages, restricting their opportunities to train (and potentially recruit) new APRNs. Consequently, these underserved communities have difficulty accessing specialty providers, such as Psychiatric Mental Health Nurse Practitioners (PMHNPs). Combined with geographic distance from urban communities and generally lower pay, many rural and/or remote communities struggle with the disparity in contrast to more populated regions. A needs assessment of an underserved county with poor access to psychiatric services suggests that contracted telepsychiatry was costly and failed to address the long-term dearth of local psychiatric providers. Stakeholders reported that local RNs (and possibly FNPs) were employed by the local hospital and that a subgroup may have aptitude and interest in psychiatry if a university program and preceptors were available. Collaborating with an urban PMHNP program, televideo technology for clinical training and preceptor development offers a solution to the dearth of preceptors. A pilot intervention will use teleprecepting aimed at establishing best practice guidelines for implementation of this novel approach to expanding the clinical training and capacity in rural and under-served communities.


Assuntos
Educação a Distância/organização & administração , Profissionais de Enfermagem/educação , Preceptoria/organização & administração , Enfermagem Psiquiátrica/educação , Serviços de Saúde Rural/organização & administração , Telemedicina/organização & administração , Humanos , Área Carente de Assistência Médica , Projetos Piloto
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