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PHASES OF PRECEPTOR-PRECEPTEE WORKING RELATIONSHIP

The working Phase

Establishing the Relationship

Ending the Relationship

Establishing the Relationship

Feedback from the preceptor on a regular basis assists the new nurse in maximizing his/her strengths and systematically addressing problems that may interfere with the transition to the professional nursing role.

  • The New Nurse frequently experiences anxiety in this new learning situation and can benefit from a structure provided by the preceptor in the form of carefully scheduled meetings and conferences.

It is recommended that this review be accomplished by means of a mutual dialogue that is conducted during the evaluation phase of the practicum

Be Genuine

The working Phase

  • Over time, utilization of the preceptor changes: the preceptor becomes less directive and the nurse becomes more independent and self-reliant.

  • During the first few weeks into the new job, the focus of the relationship is to clarify roles, discuss course objectives, review the Nurse’s background, career goals and individual learning objectives, and to discuss institutional policies.

Establishing the Relationship

Establishing the relationship

  • Orientation of the new Nurse to the clinical setting is essential to a successful experience

Orientation is important for patient safety, it promotes entry of the Nurse into the system, and it communicates respect and acceptance.

Regular preceptor-nurse conferences are also important for success during the practicum.

The working Phase

The working Phase

Establishing the Relationship

THANK YOU

A sound professional relationship enables the preceptor to better assess the Nurse’s performance and promote the nurse’s achievement of practicum goals.

During the working phase, the preceptor serves as role model, resource person and consultant to the new nurse.

  • The preceptor’s availability at the beginning of the Nurse’s placement is crucial in planning the nurse’s experience

An effective strategy is to encourage the new nurse to observe and analyze the preceptor’s role as s/he works with patients and families and interacts with colleagues and staff members.

The value of Mentoring

Establishing the relationship

Evaluation Phase

Ending the Relationship

Establishing the relationship

  • Additionally, the preceptor reviews his or her work schedule with the Nurse.
  • This allows the New Nurse opportunity to establish a reasonable clinical schedule that is consistent with the availability of the preceptor yet facilitates achievement of course goals.

The observations and feedback of the preceptor are necessary and invaluable to determine satisfactory progress

during the practicum..

  • During the initial phases of the practicum, the preceptor and nurse negotiate and determine the frequency of scheduled conferences that best meets the needs of the New Nurse.

  • Similar to other professional relationships, the preceptor-preceptee relationship is time- limited.
  • Central issues involved in ending a professional relationship include emotionality and review (Stein-Parbury, 2009).

Evaluation Phase

  • Evaluation is an ongoing process to assess how the learner is achieving his/her goals.
  • A minimum of daily verbal feedback from the preceptor regarding performance is helpful.
  • Weekly conferences should include a review of new nurse progress toward goal attainment.

The working Phase

  • The implementation of an educational plan is the main focus of the working phase.
  • Reviewing the New Nurse’s experience, discussing patients, exploring feeling regarding the experience and identifying the meeting of learning objectives are all appropriate areas that can be discussed.

Theresa Gay Dimacali-Calingo BSAR, RN,MAN, PhD.C

Lead Nurse for Clinical Practice Development

By demonstrating his/her own skills as an expert clinician, the preceptor assists the nurse in role development, application of theory and science, problem solving and decision making.

The working Phase

Establishing the Relationship

The working Phase

  • Furthermore, by applying the principles of adult education, the preceptor can foster the new nurse’s self-direction and autonomy.
  • A loss may be felt by the nurse and preceptor as the relationship changes.

Evaluation Phase

Establishing trust is one of the most crucial steps in the preceptor-preceptee relationship and provides the foundation upon which the learning experience will develop.

Evaluation Phase

  • Even if the new nurse does not agree with the evaluation received, all parties involved should sign the evaluation form.
  • The Nurse has the opportunity to write a response regarding the whole course

Formal, written evaluation is scheduled at midterm and at the end of the experience, using the course evaluation forms provided.

Mutually sharing observations and discussing strategies for nursing practice enables the new nurse to enrich his/her own understanding of how the role is enacted and how problems are solved..

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