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The Competency-Based
Preceptor Programme
Now part of the North Glasgow University Hospitals
NHS Trust Nursing Strategy following a successful
research project
EXAMINING THE EFFECTIVENESS OF A
COMPETENCY BASED PRECEPTOR PROGRAMME
FOR NEWLY QUALIFIED / EMPLOYED
NURSES AND MIDWIVES
FINAL REPORT
Jan McClean
Margaret C Smith
July 2000
Available to read from John Carmichael, Tel. 0141 201 4121
In 1993 the UKCC recommended a period of Preceptorship, of
approximately 4 months for all newly qualified AND newly
appointed nurses and midwives.
Attention should focus on strengthening the practical clinical skills
The purpose of support and guidance is to
ensure that responsibilities are not placed too
soon or inappropriately upon a newly registered
or inexperienced practitioner
Selection and Preparation of the Preceptor
Plays a vital role in the success and quality of Preceptorship
“assist professional colleagues, in the context of your own
knowledge, experience and sphere of responsibility to
develop their professional competence, and assist others in
the care team to contribute safely and to a degree
appropriate to their roles”
UKCC 1992
Components of the C-BPP
Components of the C-BPP 1
Every ward is unique and the first step is to define its uniqueness
Clinical Speciality
Patient Population
Skill Mix
Mode of Care Delivery
Case Mix
Philosophy and Values
Ward Routine
Specific skills required
Components of the C-BPP 1
This is your
CRITICAL PATHWAY
COMPETENCY-BASED PRECEPTOR PROGRAMME: EXAMPLE CRITICAL PATHWAY
COMPETENCY STATEMENT:
WARD
Category
Develops and fulfils the Staff Nurse Role – delivering nursing care to set
Standards and co-ordinating and managing all patient related activities
Day 1 - 3
Day 3 - 7
Orientation Schedule
Physical Environment
Geography
Equipment / Devices
Communication Systems
Personnel
Nursing Teams
Procedure Manuals
Routine Activities
Ward Routine
Doctors Rounds
Medication Rounds
Multi-disciplinary Activities
Handover Report
Emergency Procedures
CPR
Fire
Medical Emergencies
Specific Clinical Skills
Documentation
Care Plans
Case Notes
Admission / Transfer / Discharge
Peri-operative CSM Chart
Role of Clerkess
Off Ward Procedures and Visits
Operating Theatres / Recovery
Pharmacy
X-Ray
Orthopaedic OPD
Patient Education/ Resources
FOLLOW PRECEPTOR
PERFORM WITH
PRECEPTOR
COMPETENCY-BASED PRECEPTOR PROGRAMME: EXAMPLE CRITICAL PATHWAY
COMPETENCY STATEMENT:
WARD
Category
Develops and fulfils the Staff Nurse Role – delivering nursing care to set
Standards and co-ordinating and managing all patient related activities
Week 2 - 4
Week 5 - 12
Orientation Schedule
Physical Environment
Geography
Equipment / Devices
Communication Systems
Personnel
Nursing Teams
Procedure Manuals
Routine Activities
Ward Routine
Doctors Rounds
Medication Rounds
Multi-disciplinary Activities
Handover Report
Emergency Procedures
CPR
Fire
Medical Emergencies
Specific Clinical Skills
Documentation
Care Plans
Case Notes
Admission / Transfer / Discharge
Peri-operative CSM Chart
Role of Clerkess
Off Ward Procedures and Visits
Operating Theatres / Recovery
Pharmacy
X-Ray
Orthopaedic OPD
Patient Education/ Resources
DIRECT PRECEPTOR
GUIDANCE
INDIRECT PRECEPTOR
GUIDANCE
Components of the C-BPP 2
Describe the essential, specific, clinical skills that the
novice Practitioner is expected to be able to perform
Insert them into your Critical Pathway
List about 6 and write broad Competency
Statements for them
Work out and Document “Measurable”
Performance Criteria
Decide and Document Learning Strategies and Resources
Insert into
Components of the C-BPP 2
LEARNING CONTRACTS
Components of the C-BPP 2
LEARNING CONTRACT
COMPETENCY STATEMENT
Provide Nursing Care for the Patient with Diabetes Mellitus (DKA)
Performance Criteria
1. Outline the pathophysiology of diabetic ketoacidosis
2. State the biochemical changes
3. State the action of Insulin
4.
Outline operational function of sliding scales
5. Demonstrate ability to alter regime as per sliding scale
6.
Prepare correct documentation
7. Assemble required equipment and prescribed therapeutic regime
8. Demonstrate ability to manage fluid replacement giving sets and
Infusion pump
9.
Calculate infusion rates as per guidelines
10.
Implement regime as per ward protocol and prescribed sliding scale
Protocol or Documented Procedure
Further Action Plan:
Learning Strategies & Resources
Method of Evaluation
1.
Strategies
Observation
Demonstration
Supervised Practice
Guided Practice
Discussion
Resources
Preceptor
DKA Protocol
Evaluation Pack
Device Management
Instruction
Hospital Procedures and
Guidelines Manual
Available: YES/NO
Criterion
Achieved 
2.
Discussion
and Questioning
3.
4.
Observed Outcome
Self Assessment
Provide total nursing care
for at least 4 patients
meeting all criteria
5.
6.
7.
8.
9.
Critical Discussion
Guided Performance
Yes/No
Yes/No
Signatures:
Preceptor ………………………
Preceptee …………………………….
Date:
Contact us if you wish any
more information or would
simply like to discuss the
Programme with someone
from the team
The Competency-Based
Preceptor Programme