Preceptor Support in Hospital Transition to Practice Programs. 2015

Mary A Blegen, and Nancy Spector, and Beth T Ulrich, and Mary R Lynn, and Jane Barnsteiner, and Josephine Silvestre
Author Affiliations: Professor Emerita (Dr Blegen), School of Nursing, University of California San Francisco; Director (Dr Spector), Regulatory Innovations, National Council of State Boards of Nursing, Chicago, Illinois; Senior Partner (Dr Ulrich), Innovative Health Resources, Lakeway, and Professor, University of Texas Health Science, Houston; Professor (Dr Lynn), School of Nursing, and Assistant Director, Quality and Training, Office of Human Research Ethics, University of North Carolina at Chapel Hill; Professor Emerita (Dr Barnsteiner), Pediatric Nursing, School of Nursing, University of Pennsylvania, Philadelphia; Associate Regulatory Innovations (Ms Silvestre), National Council of State Boards of Nursing, Chicago, Illinois.

OBJECTIVE The aim of this study was to describe newly licensed RN (NLRN) preceptorships and the effects on competency and retention. BACKGROUND Preceptors are widely used, but little is known about the benefit from the perspective of the NLRN or about the models of the relationships. The National Council of State Boards of Nursing added questions about the preceptor experience in a study of transition-to-practice programs. METHODS Hospitals were coded as having high or low preceptor support in regard to scheduling NLRN on the same shifts as their preceptors, assignment sharing, and preceptor release time and a low number of preceptors per preceptee. RESULTS Half of the 82 hospitals were classified as high, and half as low preceptor support. NLRNs and their preceptors in high-support hospitals evaluated the preceptor experience and NLRN competence higher. In addition, NLRN retention was higher in the high-support hospitals. CONCLUSIONS To improve NLRN competence and retention, preceptors should have adequate time with each NLRN, share shift and patient assignments, and have few preceptees assigned to each preceptor concurrently.

UI MeSH Term Description Entries
D007087 Illinois State bounded on the north by Wisconsin, on the east by Lake Michigan, Indiana, and Kentucky, on the west by Missouri and Iowa, and on the south by Kentucky.
D007318 Inservice Training On the job training programs for personnel carried out within an institution or agency. It includes orientation programs. Employee Orientation Programs,Orientation Programs, Employee,On-the-Job Training,Training, Inservice,Employee Orientation Program,On the Job Training,Orientation Program, Employee,Program, Employee Orientation,Programs, Employee Orientation,Training, On-the-Job
D008137 Longitudinal Studies Studies in which variables relating to an individual or group of individuals are assessed over a period of time. Bogalusa Heart Study,California Teachers Study,Framingham Heart Study,Jackson Heart Study,Longitudinal Survey,Tuskegee Syphilis Study,Bogalusa Heart Studies,California Teachers Studies,Framingham Heart Studies,Heart Studies, Bogalusa,Heart Studies, Framingham,Heart Studies, Jackson,Heart Study, Bogalusa,Heart Study, Framingham,Heart Study, Jackson,Jackson Heart Studies,Longitudinal Study,Longitudinal Surveys,Studies, Bogalusa Heart,Studies, California Teachers,Studies, Jackson Heart,Studies, Longitudinal,Study, Bogalusa Heart,Study, California Teachers,Study, Longitudinal,Survey, Longitudinal,Surveys, Longitudinal,Syphilis Studies, Tuskegee,Syphilis Study, Tuskegee,Teachers Studies, California,Teachers Study, California,Tuskegee Syphilis Studies
D008297 Male Males
D009657 North Carolina State bounded on the north by Virginia, on the east and Southeast by the Atlantic Ocean, on the south by Georgia and South Carolina, and on the west by Tennessee.
D009741 Nursing Staff, Hospital Personnel who provide nursing service to patients in a hospital. Hospital Nursing Staff,Hospital Nursing Staffs,Nursing Staffs, Hospital,Staff, Hospital Nursing,Staffs, Hospital Nursing
D009820 Ohio State bounded on the north by Michigan and Lake Erie, on the east by Ohio River and Pennsylvania, on the south by Ohio River, and on the west by Indiana.
D010563 Personnel Turnover A change or shift in personnel due to reorganization, resignation, or discharge. Employee Turnover,Personnel Retention,Employee Turnovers,Personnel Retentions,Personnel Turnovers,Retention, Personnel,Turnover, Employee,Turnover, Personnel
D011231 Preceptorship Practical experience in medical and health-related services that occurs as part of an educational program wherein the professionally-trained student works outside the academic environment under the SUPERVISION of an established professional in the particular field. Clinical Mentoring,Clinical Supervision,Clinical Practicum,Field Study, Medical,Field Training, Medical,Field Work, Medical,Clinical Mentorings,Clinical Supervisions,Field Studies, Medical,Medical Field Studies,Medical Field Study,Medical Field Training,Medical Field Work,Mentoring, Clinical,Mentorings, Clinical,Practicum, Clinical,Practicums, Clinical,Studies, Medical Field,Study, Medical Field,Supervision, Clinical,Supervisions, Clinical,Training, Medical Field,Work, Medical Field
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical

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