1
|
O'Connor JM, MacCulloch P. The Impact of an Online Preceptorship Training Program on Preceptor Self-Efficacy among Nurse Case Managers Working in an Acute Care Setting. Prof Case Manag 2024:01269241-990000000-00020. [PMID: 38888387 DOI: 10.1097/ncm.0000000000000753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/20/2024]
Abstract
PURPOSE/OBJECTIVES The U.S. health care system is experiencing a critical workforce shortage of nurse case managers exacerbated by an older workforce and looming retirements and the growth of this specialty. This quality improvement project aimed to develop an online case manager preceptor training program and examine its impact on the nurse case manager preceptors' self-efficacy. PRACTICE SETTING This project was implemented at a 395-bed acute care, community-based hospital in the northeast. METHODOLOGY AND SAMPLE The target population for the intervention included a convenience sample of 13 nurse case managers who were assigned a preceptor role. The intervention was an abbreviated version of an online preceptorship program by Lippincott. The Preceptor Self-Efficacy Questionnaire (PSEQ), with a Cronbach's alpha of 0.96, measured nurse preceptors' confidence in various skills including fostering critical thinking and providing feedback. Data from pre- and post-intervention PSEQ surveys were analyzed using a Wilcoxon rank sum test in SPSS version 28. RESULTS The Wilcoxon rank sum test revealed a statistically significant improvement in preceptor confidence scores ( p = .043) between pre- and post-intervention PSEQ results. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE This project demonstrated feasibility of an online nurse case manager preceptor training program while also identifying improved preceptors' self-efficacy. Future research can include investigating the impact of a preceptor training program on the nurse case manager learners receiving role training from the trained case manager preceptor.
Collapse
Affiliation(s)
- Jonelle M O'Connor
- Jonelle O'Connor, MSN, RN, CMGT-BC, is a Nurse Case Manager at Mass General Brigham. She is the DNP student noted during the implementation of this quality improvement project, and her interests include improving care transitions, population health, and generational differences in the workforce
- Patricia MacCulloch, PhD, DNP, ANP-C, FNAP, is an Associate Clinical Professor at the University of Massachusetts Lowell Solomont School of Nursing and board-certified Adult Nurse Practitioner at UMass Memorial Healthcare. She is a National Hartford Center of Geriatric Nursing Excellence Distinguished Educator and a Fellow of the National Academies of Practice
| | - Patricia MacCulloch
- Jonelle O'Connor, MSN, RN, CMGT-BC, is a Nurse Case Manager at Mass General Brigham. She is the DNP student noted during the implementation of this quality improvement project, and her interests include improving care transitions, population health, and generational differences in the workforce
- Patricia MacCulloch, PhD, DNP, ANP-C, FNAP, is an Associate Clinical Professor at the University of Massachusetts Lowell Solomont School of Nursing and board-certified Adult Nurse Practitioner at UMass Memorial Healthcare. She is a National Hartford Center of Geriatric Nursing Excellence Distinguished Educator and a Fellow of the National Academies of Practice
| |
Collapse
|
2
|
Ahn SH, Jeong HW. Content Analysis of Feedback Journals for New Nurses From Preceptor Nurses Using Text Network Analysis. Comput Inform Nurs 2023; 41:780-788. [PMID: 37326509 PMCID: PMC10581421 DOI: 10.1097/cin.0000000000001040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
This study aimed to identify keywords, core topic areas, and subthemes by analyzing feedback journals written by preceptor nurses to new nurses during the preceptorship period and to derive implications through word clustering. A total of 143 preceptor nurses' feedback journals for new nurses from March 2020 to January 2021 were converted into a database using Microsoft Office Excel. Text network analysis was performed using the NetMiner 4.4.3 program. After data preprocessing, simple frequency, degree centrality, closeness centrality, betweenness centrality, and community modularity were analyzed. In the feedback journals, the most central words were "study," "medication," "practice," "nursing," "method," "need," and "effort," whereas frustration, "new nurses" had low centrality. Five subthemes were derived: (1) learning necessity to strengthen new nurses' competency, (2) independence of new nurses, (3) emphasis on accuracy in nursing skills, (4) difficulties in understanding the nursing tasks expected of new nurses, and (5) basic competency of new nurses. The results of this study highlighted the experiences of new nurses and allowed for an assessment of journal feedback content provided by preceptor nurses. As such, the study provides basic data to develop a standardized education and competency empowerment program for preceptor nurses.
Collapse
|
3
|
Hardie P, Murray A, Jarvis S, Redmond C. Experienced based co design: nursing preceptorship educational programme. RESEARCH INVOLVEMENT AND ENGAGEMENT 2022; 8:53. [PMID: 36115973 PMCID: PMC9482750 DOI: 10.1186/s40900-022-00385-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 08/28/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Patients play a central role in nursing preceptorship relationships, a professional educational relationship between a staff nurse and student nurse that is grounded in providing patient care. Yet the patient experiences and perspectives are largely uncaptured in the literature or represented in current preceptorship education programmes. Furthermore, the lack of student, staff nurse & patient involvement in the design of preceptorship education programmes has been noted. OBJECTIVE To use a co-design process to develop an innovative educational programme for developing interpersonal and communication skills among nurses who act as preceptors. We sought to (a) clarify experiences and events from all three members involved in a preceptorship relationship (student nurse, preceptor, and patient (SPP) in order to develop a shared understanding of nursing preceptorship relationships and (b) identify the key informational and educational needs recommended by SPP for the educational programme. METHODS Using the principles and the iterative process of Experienced Based Co Design (EBCD), data was collected from qualitative interviews and used to inform a series of co-design workshops and the co-production of the new educational programme. RESULTS Twenty-six individuals, including undergraduate student nurses, staff nurses, patients, and a team of nursing, educational and educational technologist experts, contributed to developing a blended learning preceptorship educational programme that consists of three core elements (1) six online reusable learning objects, (2) two role play simulations and (3) a virtual reality storytelling simulated experience. CONCLUSIONS The EBCD process ensured that the educational programme was developed to meet SPP viewpoints associated with fostering positive interpersonal relationships in a nursing preceptorship. EBCD is a valuable framework for developing human-centred educational resources that combine experiential knowledge (experiences) and scientific knowledge (literature-based knowledge). It facilitated the identification and the development of Interpersonal and Communications skills (IP & C skills) training required within a nursing preceptorship relationship, creating an authentic and memorable learning programme. The structure of EBCD harnesses SPP involvement throughout the research and development process, ensuring transparency and continuity of message, scope, and outcomes.
Collapse
Affiliation(s)
- Philip Hardie
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | | | - Suzi Jarvis
- Innovation Academy, University College Dublin, Dublin, Ireland
| | - Catherine Redmond
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| |
Collapse
|
4
|
Gholizadeh L, Shahbazi S, Valizadeh S, Mohammadzad M, Ghahramanian A, Shohani M. Nurse preceptors' perceptions of benefits, rewards, support, and commitment to the preceptor role in a new preceptorship program. BMC MEDICAL EDUCATION 2022; 22:472. [PMID: 35715778 PMCID: PMC9206333 DOI: 10.1186/s12909-022-03534-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Nurse preceptorship is a new concept emerging in the Iranian health care system. The purpose of this research was to assess preceptor nurses' perceived benefits, rewards, support, and commitment to the role in a new nurse preceptorship program in Iran and to examine the relationships between these concepts. METHODS A descriptive correlational study was employed, and using total population sampling method, 45 preceptor nurses were recruited from a tertiary referral teaching hospital in Iran. Data were collected using the Preceptor's Perception of Benefits and Rewards Scale, the Preceptor's Perception of Support Scale, and the Commitment to the Preceptor Role Scale. Descriptive statistics and correlational analysis were used to analyse data. RESULTS Preceptors' commitment to their role was positively and moderately associated with their perceived benefits and rewards (r = 0.503, p = 0.001) and perceived support (r = 0.430, p = 0.003). None of the examined demographic and practice variables showed statistically significant association with commitment to the preceptor role. CONCLUSIONS Commitment to the preceptor role was associated with benefits, rewards and support that preceptor nurses perceive in relation to their role. To optimise the effectiveness of nurse preceptorship programs, benefits, rewards, recognition, and support should be integral to planning of these programs.
Collapse
Affiliation(s)
- Leila Gholizadeh
- Faculty of Health, University of Technology Sydney, Sydney, Australia
| | - Shahla Shahbazi
- Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, PO Box 51745347, Tabriz, Iran
- Clinical Research Development Unit, Sina Educational, Research and Treatment Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sousan Valizadeh
- Department of Paediatrics, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Akram Ghahramanian
- Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, PO Box 51745347, Tabriz, Iran
| | - Masoumeh Shohani
- Faculty of Allied Medical Sciences, Ilam University of Medical Sciences, Ilam, Iran
| |
Collapse
|
5
|
Jeong HW, Ju D, Choi ML, Kim S. Development and Evaluation of a Preceptor Education Program Based on the One-Minute Preceptor Model: Participatory Action Research. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111376. [PMID: 34769891 PMCID: PMC8582714 DOI: 10.3390/ijerph182111376] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 10/22/2021] [Accepted: 10/27/2021] [Indexed: 11/16/2022]
Abstract
This participatory action research study was conducted to confirm the implementation process and effect of developing and applying a preceptor education program based on the One-Minute Preceptor Model to foster the competence of preceptor clinical nurses. The study was conducted for eight weeks from March 2020 on 30 preceptor nurses in South Korea. Nursing standards were developed for two weeks and six cycles (comprising four stages) were performed. Data collection was integrated using both quantitative and qualitative approaches. For quantitative data, the Clinical Core Competency of Preceptor (CCCP) and General Communication Competence Scale (GICC-15) results were collected from preceptor nurses through questionnaires. Reflection journals of nurses' experiences were also analyzed through content analysis and frequency of keywords using WordClouds. There was no significant change in CCCP or GICC-15 results among preceptor nurses. However, nurses' experiences were associated with the growth and development of competencies such as evidence-based practice, quality feedback, and self-reflection. The program was effective in developing nurse competencies. Therefore, it is necessary to encourage One-Minute Preceptor Model activities among preceptors through an action research approach and to actively support research and practice in clinical settings, as well as to provide organizational and systematic support.
Collapse
Affiliation(s)
- Hye Won Jeong
- Department of Nursing, Chonnam National University Hospital, Gwangju 61469, Korea; (H.W.J.); (D.J.); (M.L.C.)
| | - Deok Ju
- Department of Nursing, Chonnam National University Hospital, Gwangju 61469, Korea; (H.W.J.); (D.J.); (M.L.C.)
| | - Myoung Lee Choi
- Department of Nursing, Chonnam National University Hospital, Gwangju 61469, Korea; (H.W.J.); (D.J.); (M.L.C.)
| | - Suhyun Kim
- Department of Nursing, Nambu University, Gwangju 62271, Korea
- Correspondence: ; Tel.: +82-62-970-0249
| |
Collapse
|
6
|
Don't Forget About Us! Nurse Leaders May Benefit From Orientation Education to Support Their Preceptors and New Hires. J Nurses Prof Dev 2021; 38:2-6. [PMID: 34678804 DOI: 10.1097/nnd.0000000000000808] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Nurse managers play an important role in supporting preceptors and new hires. Unless a nurse manager had previous experience and preparation as a preceptor, they may not fully understand the role nor have the foundational knowledge needed to support preceptors and new hires throughout orientation. Educating nurse managers on preceptor core skills had a positive impact and added value to their practice.
Collapse
|
7
|
Fernández-García D, Giménez-Espert MDC, Castellano-Rioja E, Prado-Gascó V. What Academic Factors Influence Satisfaction With Clinical Practice in Nursing Students? Regressions vs. fsQCA. Front Psychol 2020; 11:585826. [PMID: 33391105 PMCID: PMC7775413 DOI: 10.3389/fpsyg.2020.585826] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 11/24/2020] [Indexed: 12/01/2022] Open
Abstract
Clinical practices are considered one of the cornerstones in nurses' education. This study provides a framework to determine how factors in the academic environment, influence nursing student's satisfaction with their practices. A cross-sectional analytical study was conducted in a convenience sample of 574 nursing students at a private university in Valencia, during the 2016/2017 academic year, 79% (456) were women. Two statistical methodologies were used for data analysis: hierarchical regression models (HRM) and fuzzy sets qualitative comparative analysis (fsQCA). The HRM indicate that the students' mean score influences all dimensions of satisfaction. Furthermore, in the fsQCA, the type of service and center, as well as the type of management, the preference in the choice of the practice center and the number of students per period per clinical educator influence satisfaction with clinical practices. These results could be used to understand how academic factors influence nursing students' satisfaction with their clinical practices and to create intervention programmes that improve it. This will help prepare students to be the future nursing workforce.
Collapse
Affiliation(s)
| | | | | | - Vicente Prado-Gascó
- Social Psychology Department, Faculty of Psychology, University of Valencia, Valencia, Spain
| |
Collapse
|
8
|
Liao L, Xiao LD, Chen H, Wu XY, Zhao Y, Hu M, Hu H, Li H, Yang X, Feng H. Nursing home staff experiences of implementing mentorship programmes: A systematic review and qualitative meta-synthesis. J Nurs Manag 2020; 28:188-198. [PMID: 31532048 PMCID: PMC7328728 DOI: 10.1111/jonm.12876] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Revised: 09/05/2019] [Accepted: 09/14/2019] [Indexed: 12/19/2022]
Abstract
Aim To determine nursing home staff experiences in mentorship programmes, and staff perceptions of the enablers and barriers to implement mentorship programmes. Background Mentorship programmes are perceived as playing an important role in improving the quality of care in nursing homes. However, little is known about research evidence across the global about staff's experiences in the programmes. Methods A search for studies published from the earliest available date to April 2019 was undertaken. Two reviewers performed data extraction and an appraisal of eight studies using tools from the Joanna Briggs Institute. A pragmatic meta‐aggregative approach was applied to synthesise the findings. The qualitative research that was included was analysed to identify 63 findings that were organised into 12 categories and combined into three syntheses. Results The implementation of effective mentorship programmes is influenced by three factors: mentor capability, opportunity in the mentorship programmes, and motivation in the mentorship programmes. Conclusions There are a number of studies of nursing home staff experiences of mentorship programmes. However, systematic reviews that synthesise findings in this field are lacking. It is crucial to tailor the programme design to suit each unique nursing home care setting. We identified barriers and enablers, and learned that no barriers are insurmountable. Implications for Nursing Management Findings will inform nurse managers of an ideal environment for the implementation of a successful mentorship programme. Nursing homes need to establish and sustain mentorship programmes to help improve workforce capacity in delivering high‐quality care for residents.
Collapse
Affiliation(s)
- Lulu Liao
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Lily Dongxia Xiao
- Xiangya School of Nursing, Central South University, Changsha, China.,College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
| | - Huijing Chen
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Xin Yin Wu
- Department of Epidemiology and Biostatistics, Xiangya School of Public health, Central South University, Changsha, China
| | - Yinan Zhao
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Mingyue Hu
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Hengyu Hu
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Hui Li
- Third Xiangya Hospital of Central South University, Changsha, China
| | - Xiufen Yang
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Hui Feng
- Xiangya School of Nursing, Central South University, Changsha, China.,Xiangya-Oceanwide Health Management Research Institute, Central South University, Changsha, China
| |
Collapse
|
9
|
Pramila‐Savukoski S, Juntunen J, Tuomikoski A, Kääriäinen M, Tomietto M, Kaučič BM, Filej B, Riklikiene O, Vizcaya‐Moreno MF, Perez‐Cañaveras RM, De Raeve P, Mikkonen K. Mentors' self‐assessed competence in mentoring nursing students in clinical practice: A systematic review of quantitative studies. J Clin Nurs 2019; 29:684-705. [DOI: 10.1111/jocn.15127] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 10/28/2019] [Accepted: 11/10/2019] [Indexed: 11/26/2022]
Affiliation(s)
| | - Jonna Juntunen
- Research Unit of Nursing Science and Health Management University of Oulu Oulu Finland
| | - Anna‐Maria Tuomikoski
- Research Unit of Nursing Science and Health Management University of Oulu Oulu Finland
| | - Maria Kääriäinen
- Research Unit of Nursing Science and Health Management University of Oulu Oulu Finland
- The Finnish Centre for Evidence‐Based Health Care: A Joanna Briggs Institute Centre of Excellence Helsinki Finland
| | - Marco Tomietto
- Research Unit of Nursing Science and Health Management University of Oulu Oulu Finland
- Hospital Administration Department Azienda per l'Assistenza Sanitaria n.5 “Friuli Occidentale” Pordenone Italy
| | | | | | - Olga Riklikiene
- Faculty of Nursing Lithuanian University of Health Sciences Kaunas Lithuania
| | | | - Rosa M Perez‐Cañaveras
- Nursing Department, Clinical Nursing Research Group University of Alicante Alicante Spain
| | - Paul De Raeve
- European Federation of Nurses Associations Brussels Belgium
| | - Kristina Mikkonen
- Research Unit of Nursing Science and Health Management University of Oulu Oulu Finland
| |
Collapse
|
10
|
Zhang Y, Steege LM, Pavek KU, Brown RL, Zhang Y. Identifying patterns of occupational stress trajectories among newly graduated nurses: A longitudinal study. Int J Nurs Stud 2019; 99:103332. [DOI: 10.1016/j.ijnurstu.2019.03.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 03/27/2019] [Accepted: 03/27/2019] [Indexed: 10/27/2022]
|
11
|
Hart T, Bird D, Farmer R. Using blackboard collaborate, a digital web conference tool, to support nursing students placement learning: A pilot study exploring its impact. Nurse Educ Pract 2019; 38:72-78. [DOI: 10.1016/j.nepr.2019.05.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 04/18/2019] [Accepted: 05/26/2019] [Indexed: 11/30/2022]
|
12
|
Souza PD, Cucolo DF, Perroca MG. Nursing workload: influence of indirect care interventions. Rev Esc Enferm USP 2019; 53:e03440. [PMID: 31166457 DOI: 10.1590/s1980-220x2018006503440] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Accepted: 08/20/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate nurses' perception of the degree of interference of indirect care interventions on the team's workload and to verify the association between these interventions and the professional and institutional variables. METHOD A research survey through e-mail conducted with clinical nurses, unit managers and service managers from eight Brazilian states. A questionnaire containing 28 indirect care interventions and their definitions proposed by the Nursing Interventions Classification was applied. RESULTS A total of 151 clinical nurses participated, and a response rate of 14.8% was obtained. The indirect care interventions reported as those which most increase the workload were: Preceptor: employee (M = 3.2), Employee Development (M = 3.1), Physician Support (M = 3.0) and Conflict mediation (M = 3.0). Statistically significant associations between the investigated interventions and the institutional variables (legal nature and size) were evidenced. CONCLUSION Nurses in different practice scenarios perceive that indirect care interventions influence the workload in a differentiated way, with emphasis on the demands related to the monitoring and qualification of employees.
Collapse
Affiliation(s)
| | | | - Marcia Galan Perroca
- Faculdade de Medicina de São José do Rio Preto, Departamento de Enfermagem Especializada, São José do Rio Preto, SP, Brazil
| |
Collapse
|
13
|
Roldán-Merino J, Miguel-Ruiz D, Roca-Capara N, Rodrigo-Pedrosa O. Personal tutoring in nursing studies: A supportive relationship experience aimed at integrating, curricular theory and professional practice. Nurse Educ Pract 2019; 37:81-87. [DOI: 10.1016/j.nepr.2019.05.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 04/08/2019] [Accepted: 05/16/2019] [Indexed: 01/28/2023]
|
14
|
Raines D. Effective mentoring is key to enhancing practice and developing the next generation of nurses. Evid Based Nurs 2018; 22:30. [PMID: 30559306 DOI: 10.1136/ebnurs-2018-103002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 11/09/2018] [Accepted: 11/13/2018] [Indexed: 11/03/2022]
Affiliation(s)
- Deborah Raines
- College of Graduate Health Sciences, AT Still University, Kirksville, Missouri, USA
| |
Collapse
|