Perceptership
The transition from student status to qualified practitioner can be a daunting and traumatic time for the majority of individuals. Feelings of inadequacy and the inability to cope with this change can prove extremely stressful for the newly registered nurse and place new, ill-prepared for demands on them. Kramer (1974) describes this as 'Reality Shock'. It could even result in a change of career for some people. Allanach and Jennings (1990) stated that 'by easing the transition into the professional practice role, preceptorships may be useful in mitigating negative affective states which, in turn may effectively reduce the premature exit of new nurses from the profession'. There could also be a damaging effect on the standard of client care caused by lack of experience and skill incompetence. Lathlean and Corner (1991) conclude that 'most newly qualified nurses require further knowledge and development of skills and the traditional initial training does not prepare the student adequately for their first staff nurse post'.
The word Preceptor dates back to fifteenth century England and means tutor or instructor. The concept of preceptorship has been recognised in the United States of America since the nineteen seventies. The United Kingdom Central Council state in the Post Registration Education Practice document that preceptors should be first level practitioners with at least twelve months clinical experience in their relevant field, (UKCC 1990).
So what is preceptorship? There are various definitions as to exactly what it is from 'the one to one teaching of new employees or nursing students by clinical nurses' (Shamian and Inhaber 1985), to Chickerella and Lutz (1981) def...
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... Prentice Hall Int. (UK) Ltd.
May K.M. et al., (1982): Mentorship for scholarliness: Opportunities and Dilemmas. Nursing Outlook, 30, 22-26
Munton R., (1995): Preceptorship and Mental Health Nursing. Mental Health Nursing, 15, 4: 8-10
Moore N., (1984): Concept of Adult Education. Milton Keynes: OU Press
Rogers C., (1983): Freedom to Learn. New York: Merrill
Shamian J. and Inhaber R., (1985): The concept and practice of Preceptorship in contemporary nursing, a review of pertinent literature. The International Journal of Nursing Studies, 22, 79-88
United Kingdom Central Council, (1993): Registrars letter - the councils position concerning a period of support and Preceptorship. London: UKCC
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United Kingdom Central Council, (1990): The report of the post-registration, education and practice project (PREPP). London: UKCC
Twibell and Pierre explain why mentoring residency programs play a huge role in employee retention rates. Mentors rather than preceptors are investing in new grad nurses for longer than just a few months. NGNs are receiving constructive criticism from their mentors and serve as mediators between workplace issues. High levels of anxiety are reported in the first few weeks of employment, but with mentors there to have a caring attitude, the levels of anxiety can be greatly decreased and learning can be much easier facilitated (2012).
Role clarity and title confusion pose barriers to the amalgamation of advanced practice nursing roles. Colleagues and the public are unaware of the precise roles of the APN. Much of what the public knows about medicine is associated with a doctor, and the “doctor knows best” (Safriet, 2011). The public i...
Transition shock or reality shock in the NGN is the stress faced whilst moving from the university study phase to hospital based professional practice (Kramer, Brewer & Maguire, 2013). The NGN faces various challenging transition issues, mostly in the first twelve months of their entry into the profession.... ... middle of paper ... ...
Nursing leaders ' responsibility extends to become a voice for the nurses and for offering quality in patient care, not just at their organizations but spanning the whole communities, interacting with law makers in revising regulations and laws, with researchers and educators. Nurse leaders, in particular those at manager and supervisory levels are spread sparsely. They are involved in business planning, human resources, information management and writing reports. It is advisable for them to refocus the leadership on care which matters to patients which is the essence of
Kearney, N.R. (2012). Advancing your career: Concepts of professional nursing (5th ed.). Philadelphia, PA: FA Davis
Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nursed who have received graduate-leveling nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialist when necessary. Some Nurse practitioners work under the supervision of a physician; while others run their own practices.
As we begin our nursing career, it is vital to have an experienced preceptor to guide a new graduate nurse to becoming an accomplished and knowledgeable nurse. It just doesn’t take experience to make a good nurse preceptor but one that possesses qualities such as being patient, knowledgeable, give constructive feedback, and able to be a supportive role model. As stated by Korzon and Trimmer, “A supportive preceptorship relationship is a well-established primary support mechanism aimed at the successful integration of new nurse” (p.14). This statement doesn’t only apply to new nurses but nurses that are joining a new organization or a nursing specialty.
Nurse Practitioning is a very important job in the field of medicine. In the nursing field the highest degree attainable while holding the status of “Nurse” is Nurse Practitioner (NP). This career has influenced the nursing world in several ways throughout the years. A few key things that set Nurse Practitioning apart from other medical professionals are the history and background of the job, the quality care provided by the nurse practitioner, and the different responsibilities help by an NP as opposed to those of an RN. These are important because nurse practitioners can be compared to other physicians, the history changed how people looked at and thought of nurses, and NPs can perform different and possibly more advanced activities than other level nurses. The history of nurse practitioning is more detailed and complex than one would think. Throughout the history of the profession, small detail have been refined such as the education, training, and responsibilities required to be effective in the career and the job prospect that come from being trained and certified. There are several things that go into the finely tuned care provided by nurse
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being enlightened and challenged to expand my experience of nursing. I will attempt to explain my personal journey and experience thus far including how and why I got here, my beliefs about nursing and related values, and my visions for the future.
The process of role development goes beyond networking and taking on a new role as an APN. According to Brykczynski’s study of clinical nurse specialists, role development involves a complete makeover of one’s professional identity and the ability to integrate the seven core advanced practice competencies.1 New graduate APNs go through phases during their transitioning period, from a registered nurse to an APN; these phases include orientation, frustration, implementation, integration, frozen, reorganization and complant.2
O’Brien, J. M. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. Retrieved from http://www.medscape.com/viewarticle/464663
Masters, K.(Ed.). (2005). Role Development in Professional Nursing Practice (p. 186). Sudbury, MA: Jones & Bartlett Learning.
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
In this paper I will discuss how preceptors and educational leaders have contributed to my nursing career and many others. The mentors who have the most influence on nurses are those that stick with the nurses and help give them the motivation they need to move through obstacles. In the first few paragraphs, I will discuss my personal experience with a mentor and the characteristics they possessed that were beneficial to me. Mentors have become a great influence in my career and many others. In the last section of this paper, I will discuss some of my personal experiences in example and support why I value the characteristics by referring back to peer reviewed articles. Preceptors are essential and irreplaceable in the nursing profession and in this paper will describe how they are active in every nurse’s life and profession.
Hood, J. (2010). Conceptual bases of professional nursing. (7th ed. ed.). Philadelphia: Lippincott Williams & Wilkins.