Mentors and Preceptors: Expanding Roles in Professional Development Linda Thornbrugh BSN, RN Anne Burnett MSN, RN-BC, CRRN Purpose: To present a successful application of mentor and preceptor roles for expert nurses pursuing professional development activities. Describe mentor and preceptor roles Identify supporting nursing theory Adapt traditional mentor/preceptor roles for the expert nurse clinician who is a novice presenter Correlate application of roles with successful outcomes Analysis of process and program Purpose and Learning Objectives For VHSO nursing staff, will educational support from an Evidence Based Practice (EBP) Council mentor and preceptor increase staff participation in EBP projects resulting in professional nursing presentations? PICOT EBSCO Host Search Preceptors 871 Results 1981-2012 Narrow Dates 2006-2012 376 Results Full Text only 156 Add nursing 0 Results Literature Search Skills Mentoring 2455 Hits 1983-2012 Narrow date 20062012 1249 hits Full Text Only 584 Add Nursing 14 Results • Literature review includes currently available information on the subject •Applying that information to the area of interest. Literature Review EBSCO Host Article Title Target Population/ Applicable here? What was tested? Applicable? Strengths of the Study Weakness (es) of the study Roles and Responsibilities of the student nurse mentor. 2011 Casey & Clark; British Journal of Nursing 20(15) pp933-937 Mentoring: A meaningful collaboration between two people. 2011 Seislove, Journal of Trauma Nursing 18(3), pp.139-140. Nursing school instructors, Nurse management, educators, &/or staff Defined role and responsibilities of the mentor. Listing some benefits of a formal mentoring program. Editorial continuing a theme on professional collaboration. Peer reviewed Journal Article giving the research support for mentoring practitioners. Nurse Midwifery Council in England. Not a study Experiential exploration on the role of a mentor in professional development. 30 articles, 20 research studies, 10 non-research topical articles from 1981 to 2009 Integrative Lit review; total of 1486 nurses in the review studies. 3 studies were too wide audience & used pilot studies. Some studies limited by convenience samples. Used mentor/preceptor interchangeably President’s message for Journal of Trauma Nursing Staff nurses’ experiences as preceptors and mentors: An integrative review. 2010 Omansky, Journal of nursing management, 18, pp.697-703. Nursing management, information for setting up orientation programs for student nurses Scholarship and mentoring: An essential partnership? 2010 Turnbull, International journal of nursing practice (16), pp.573-578. Nursing academics Explores study participant Descriptive of mentoring experiences of mentoring & & how it can be used to increasing scholar activities. reduce professional Describes mentoring skills development barriers. and the need for more mentors. Appraising the Evidence 23 subjects, interview format using a hermeneutic, phenomenological approach. Dr. Jean Watson developed her Theory of Human Caring proposing the idea that human interactions are at the core of nursing as a caring profession. Caritas 6 and 7 speak to mentoring and preceptor process. • • Use creative scientific problem-solving methods for caring decision making. Share teaching and learning that addresses the individual needs and comprehension styles. Dr. Jean Watson Mentor A nursing mentor is an experienced nurse who shares knowledge with less experienced nurses to help advance their careers. The mentor has a long term impact on the mentee and affects all areas of the mentee's career. There is no assigned time limit. Preceptor The definition of preceptor implies a teaching relationship. This teaching relationship ends when the novice is considered educated and able to perform independently. Task oriented with a finite time frame. Fawcett, 2002 Chitty, 2001 Definitions Nursing clinical skills check list mandated by required proficiencies relative to a clinical position Nursing department monitors and tracks skills competency Relationship with the mentor or preceptor is limited to that assigned by the checklist completion Mentored Professional Projects vs. Nursing Clinical Skills Competency Nurses are already considered proficient to expert in their practice area according to Benner’s Stages of Clinical Competence Well acquainted with hospital policies and procedures Not based on current clinical position/skill How is it different from Hospital Orientation? Expert staff nurses may be assigned: To councils and committees Performance Improvement Projects Systems Redesign Projects Research projects How does it Apply to Seasoned Nurses? Professional mentors and preceptors focus on professional role development Assist with appropriate venues for presentations or publications Facilitate abstract edit and presentation materials Completely voluntary for both participants Can be an ongoing relationship over years Professional Mentors & Preceptors Preceptor Role/Process Determine focus within a project Seek venue for novice presenter Develop abstract to fit submission format Abstract accepted Assist with presentation requirements Making it Work Abstract formats vary by venue Read each call for abstracts carefully and repeatedly Be prepared to give additional information 1. Some type of CV 2. Brief bio sheet 3. Conflict of Interest statement Formats Increased opportunities for presentation Expanded mentorpreceptor roles Additional collaborative relationships that enhance professional development VHSO Number of presentations 25 2 Articles 20 20 17 1 Article 15 FY08 13 FY09 10 FY10 5 FY11 1 0 FY08 FY09 FY10 FY11 80% of presentations by nursing staff outside of senior nursing leadership Outcomes FY12 YTD = 20 Presentations Develop Nursing in-services for all interested staff Encourage expert nurses to share their experiences as novice presenters 1 Article currently in final peer review for FY 12 Where do we go from here? A Mentor is a Friend at Work • • • Focus: Help protégé's focus on the job at hand Relationship: Help build relationships between the VA and protégé Involvement: Involved in the protégé's successful employment at the VA Enjoyment: Help the protégé find enjoyment here at the VA Nurture: Nurture the protégé's progress within the VA Direction: Give advice to direct the protégé through the maze of the VA • • Attention: Give undivided attention to the protégé success at the VA Training: Provide training and skill enhancement opportunities. • • • • Willingness: Always be willing to help, it’s the VA WAY! Orientation: Guide the protégé through the VA orientation process Retention: Our overall goal is to retain the protégé employed at the VA Key: We will be the “key "to the protégé's success in the VA • • • Annie Yaktiyol BSN,RN - staff nurse Mentor Poem Contact Information: Linda.Thornbrugh@va.gov Anne.Burnett@va.gov Questions Alspach, J. G. (2000). From staff nurse to preceptor: A preceptor development program (2nd ed.). Aliso Viejo, CA: AACN. Benner, P. (2001) From Novice to expert. Commemorative edition. Upper Saddle River, NJ: Prentice Hall Health. Casey, D., & Clark, L. (2011). Roles and responsibilities of the student nurse mentor: An update. British Journal of Nursing 20(15) pp933-937. Chitty, K.K. (2001)Professional Nursing: Concepts and Challenges, third edition. W B Saunders Co, Philadelphia, PA. Fawcett, D.L. (2002) Mentoring: What it is and how to make it work. AORN Journal. McEwen, M., Wills,E. (2007) Theoretical Basis for Nursing (2nd Ed.). Omansky, G.(2010). Staff nurses’ experiences as preceptors and mentors: An integrative review. Journal of Nursing Management 18, 697-703. Seislove, E. (2011). Mentoring: A meaningful collaboration between two people. Journal of Trauma Nursing, 18(3), pp139,140. Turnbull, B. (2010). Scholarship and mentoring: An essential partnership? International Journal of Nursing Practice (16), pp 573-578. Watson Caring Science Institute, International Caritas Consortium retrieved 3/11/2012 from: http://www.watsoncaringscience.org/caring_science/10caritas.html References: