Precepting new nurses

BACKGROUND AND OBJECTIVES: The COVID-19 pandemic worsened the shortage of clinical training opportunities for health professions learners. During the pandemic, additional barriers to precepting health professions learners emerged. Understanding preceptors' perceptions of barriers is a first step to providing learners with the best clinical learning opportunities. METHODS: In February 2021, the Emory Primary Care Consortium surveyed primary care providers eligible to precept health professions learners to determine their current precepting status and associated barriers encountered during and since COVID-19...

Nurses are the backbone of healthcare. Their retention and recruitment are essential to the success and sustainability of healthcare providers. For many years, Portland, Oregon-based Legacy Health enjoyed the luxury of a registered nurse (RN) turnover rate consistently as low as 7.6 percent and a vacancy rate of 2.49 percent. Suddenly, COVID-19 and a confounding exodus of nurses from the profession overran this excellent track record. Today, Legacy Health is rebuilding its RN workforce and staff resilience through new initiatives...

The need for neonatal nurse practitioner (NNP) preceptors has never been greater. Precepting is a professional responsibility with both rewards and challenges. The recent pandemic has brought about new challenges, not the least of which is burnout from clinical, learner, and environmental demands. A new educational model from the American Association of Colleges of Nursing and the National Task Force outlines educational and preceptor requirements aimed at improving the advanced practice educational experience for students and preceptors...

Frontline nurse leadership is foundational to career progression and succession planning, but preparation is often limited. COVID-19 has further complicated this process by limiting access to professional development resources typically available to new leaders. This article discusses the implementation of an innovative onboarding program that combined a web-based toolkit, mentor network, and precepted shadow shifts to navigate challenges associated with the pandemic and overcome barriers to frontline nurse leader preparation in the ambulatory care setting...

Nurse educators must prepare the future RN workforce to practice in emerging primary care roles. This program evaluation report describes the approach taken to develop and evaluate a novel preceptor education program designed to prepare RNs to precept nursing students in primary care coordination and disease self-management roles. The program was designed as a three-stage hybrid learning intervention with the goals of preparing RNs to (a) provide primary care coordination and disease self-management support and (b) precept nursing students...

Hiring nurses during and after the coronavirus disease 2019 (COVID-19) pandemic was challenging because of limited availability of travel nurses and a decreased volume of experienced RNs, particularly in specialty areas. A tailored on-boarding and orientation structure was designed to support the new graduate nurse resident's successful transition into specialty practice. For each specialty area, a standardized six-part process was developed for determination of specialty area standards of practice, collaboration with department leaders, use of a standardized precepting model, identification and implementation of an orientation pathway, and finally, evaluation of outcomes...

OBJECTIVES: to understand the repercussions of teaching work in remote teaching during the COVID-19 pandemic in Higher Education Institutions in northern Santa Catarina. METHODS: a qualitative participatory action research, based on Paulo Freire's theoretical-methodological precepts. Seventeen health professors participated in two Virtual Culture Circles held in the first half of 2021. RESULTS: six generating themes emerged for discussion, which aroused in participants' feelings and perspectives regarding the remote teaching process in the pandemic context, with an emphasis on the connectivity theme, which generated dialogue through reports of personal experiences...

AIM: The aim of this study was to describe the experiences of a master's-level critical care nursing program for trainees in postoperative and intensive care units. DESIGN: An exploratory design with a multidimensional approach was chosen. METHODS: The study was conducted from 2018 to 2019 at a university hospital in southern Norway in collaboration with a university college of nursing. Data were collected through seven focus group interviews with trainees, preceptors, heads of departments, clinical nurse educators and professors (n = 26)...

AIMS AND OBJECTIVES: The aim of this quasi-experimental longitudinal intervention study was to investigate new graduate nurses' professional competence development after preceptors' participation in an education intervention. BACKGROUND: New graduate registered nurses are expected to be competent in many areas of nursing. Expectations that are sometimes unrealistic may cause a sense of inadequacy and stress, and this may in turn prevent them from fully deploying their competencies...

BACKGROUND: The future of the clinical nurse specialist (CNS) role depends on nurses enrolling in CNS programs and having access to clinical experiences. At 1 institution, challenges with CNS recruitment and variations in how students were precepted were noted. This article describes a successful CNS student program and its value in creating a talent pipeline. PROJECT: A revision to student placements was initiated to create a formalized program including enhanced academic partnerships, standardized expectations and goals, assigned clinical projects and end-of-semester presentations, appointment of a student coordinator, and structured preceptor preparation...

BACKGROUND: Advanced practice registered nurses (APRNs) and physician assistants (PAs) are integral to health care delivery in the United States. However, the cultivation of APRNs and PAs relies heavily on the model of precepting. Advanced practice registered nurses and PAs frequently precept students or new hires, yet limited data are available to describe the motivations, incentives, and barriers associated with precepting. PURPOSE: The purpose of this mixed-method, cross-sectional study was to better understand APRN and PA preceptors' perceived levels of support during precepting, facilitating factors, and barriers to the precepting process...

BACKGROUND: Preceptorship in nursing has been a valued concept in nursing. Speciality area such as mental health nursing has a massive gap in research study. To develop sturdy mental health nursing workforce, it is necessary to conduct more studies. AIM: This literature review aims to explore preceptor's experience in precepting undergraduate nursing students in mental health. DESIGN: Systematic review of literature. METHODS: The systematic review was conducted from January 2021 to August 2021...

BACKGROUND: Palliative care (PC) education should be an important part of both the graduate and undergraduate nursing curriculum. Nursing's philosophy of holistic care, which aims to improve the quality of life of patients and families, aligns with the primary objective of PC, positioning nurses to take the lead in expanding and improving PC delivery to all patients with a life-threatening diagnosis. The best way to facilitate this level of care is when staff nurses and advanced practice nurses work collaboratively...

Background: Artificial Intelligence (AI) is developing at a rapid pace and finding new applications across the health service team. Some professionals have voiced concerns over the implementation of AI, whilst others predict greater job opportunities in the future. Nursing practice will be directly affected and further information is required on the knowledge and perceptions of nurses regarding the integration of AI in practice. The study aims to assess the knowledge, attitude, willingness, and organizational readiness in integrating AI into nursing practice...

Interprofessional precepting can advance team-based collaboration. We evaluated the impact of nurse-led precepting of medical students on perceptions of nurse-physician relationships. Forty-six frontline nurses precepted 73 third year medical students in New York for a three-part clinical and classroom experience. Nurse preceptor and medical student attitudes toward healthcare teams and medical student attitudes toward nurse-physician collaboration improved after participation using validated scales. This pilot study suggests nurse-led interprofessional precepting can improve attitudes toward interprofessional collaboration...

OBJECTIVE: to know the experiences of family members of adolescents with gender incongruence. METHOD: this is a qualitative case study, supported by the Calgary Family Assessment and Intervention Models theoretical-methodological framework. Data collection took place through semi-structured interviews, participant observation in family groups and document analysis, with eight family members. Data analysis was performed following the precepts of content analysis...

Frontline nurse leadership is foundational to career progression and succession planning, but preparation is often limited. COVID-19 has further complicated this process by limiting access to professional development resources typically available to new leaders. This article discusses the implementation of an innovative onboarding program that combined a web-based toolkit, mentor network, and precepted shadow shifts to navigate challenges associated with the pandemic and overcome barriers to frontline nurse leader preparation in the ambulatory care setting...

PURPOSE: A unit-shared governance model was established in the NICU at Tampa General Hospital to enhance nursing autonomy and improve job satisfaction, teamwork, and patient outcomes. SIGNIFICANCE: Shared governance models have been introduced within health systems to shape healthy work environments. STRATEGY AND IMPLEMENTATION: The NICU experienced an extended hiring freeze that led to a significant nursing shortage and staff dissatisfaction...

OBJECTIVES: To identify and analyze the perceptions of nursing teachers on the new configurations of the job world and the repercussions for their labor activities. METHODS: Qualitative, descriptive, exploratory research, carried out at two federal nursing colleges in Rio de Janeiro. Data collection occurred with 27 nursing teachers, between May and June 2016, through semi-structured interviews. The data were treated using the thematic content analysis technique...

BACKGROUND: Global oppressive power structures in healthcare systems and between professions hinder care delivery. The family nurse practitioner is a new role in Israel. Through an innovative international collaborative education partnership, 19 Israeli nurses were trained as family nurse practitioners. Israeli physician preceptors integrated them into a national health maintenance organization despite national and organizational resistance. OBJECTIVES: Explore Israeli physicians' experiences while providing clinical mentorship to family nurse practitioners and develop strategies for the implementation of the new community role...