Preceptorship - Supporting the Practitioner in their New Role. Facilitators: Anne Jessop & Dave Green (SHU) Radiotherapy in Practice 5

Aims of the session Raise awareness of the concept of preceptorship and how it differs from mentorship. To consider the role of the preceptor and preceptee. Design a working definition.

History Based in nursing in 1970's. The transition from student nurse to qualified nurse described by Kramer (1974) as a "reality shock". Kramer M (1974) Reality Shock: Why nurses leave nursing, St Louis, C.V. Mosby. The months following qualification described as stressful, an intense learning curve. Rose (2007) A guide to nursing preceptorship. Mersey care NHS Trust

Preceptorship What is preceptorship?

Preceptorship Precept = Rule of behaviour A Preceptor is a teacher (radiographer) responsible to uphold a certain law or tradition, a precept. Provides support and guidance enabling “new registrants” to make the transition from student to accountable practitioner.

The role of a preceptor Definitions Preceptor = A teacher or instructor Preceptor = Generally a locally experienced radiographer "who teaches, counsels, inspires serves as a role model and supports the growth and development of an individual… into a new role" Morrow K (1984) Preceptorships in nursing staff development. Journal of Continuing Education. Vol. 24, (6), pp

Mentorship How does mentorship differ from preceptorship?

Mentoring Definition Mentor = Adviser or guide (experienced/ senior radiographer). “The mentor is often a more experienced version of the student, an older or more knowledgeable peer.” Beaty L (2005) in Fry, Ketteridge & Marshall A Handbook for Teaching & Learning in Higher Education

The Role of a Mentor Provides support, facilitate learning. Providing or highlighting learning experiences. Identifying competence & fitness to practice.

Preceptor responsibilities: To ensure that the newly qualified practitioner:- – Practices in accordance with the code of professional conduct. – Develop confidence in their competence as a radiographer

Employers “New Registrant” Responsibilities: Have a period of protected learning time - outside of induction - To have regular meetings with preceptor to discuss progress and development - can be dependant on where the new registrant trained Is all this necessary?

Should have sufficient knowledge of the pre registration syllabus to be able to help identify the current learning needs. – Different scopes of practice for different bands – Different levels of "local knowledge" The person best suited to this may be someone who has recently qualified, been through similar experiences to the new starter Preceptorship Criteria

The role of the “Preceptee” The “preceptee” has a responsibility to: Practice in accordance with the code of professional conduct and local rules; Identify and meet with their preceptor as soon as is possible after they have taken up post; Identify specific learning needs and develop an action plan for addressing these needs; Ensure that they understand the standard, competencies or objectives set by their employer that they are required to meet; Reflect on their practice and experience; and Seek feedback on their performance from their preceptor and those with whom they work.

Partnership

Problems What may be the problems with preceptorship?

Problems Department may not have a preceptorship programme in place Logistics - Other demands on staff - cost, time Lack of understanding - depts may feel mentoring is enough Personality clashes

Enablers What enables a good preceptorship experience?

Enablers Well organised Accepted as common practice / routine Afford the time to do it well Motivating New staff feel welcomed and valued

Enablers (cont) Benefits the employer / organisation – new staff are better informed – improves staff moral – smooth running of dept – staff competence can be audited – helps with staff recruitment & retention

The recruitment & retention of newly registered nurses, and trust initiatives, policies and programmes relating to preceptorship 2009 – NHS South West Discussion at the interviews with employers indicated that most trusts have not experienced problems recruiting and appointing nurses in 2008 to They are accommodating the one or two peaks in the 2 years when students complete the adult branch programmes and are available to take up an appointment. A few trusts do, however, have difficulties attracting qualified nurses. They observed, however, that a strong recruitment campaign that advertised the provision of a formal preceptorship programme had increased applications.

Shared Preceptorship Experiences

The Future Possibility of a preceptor guiding/helping a new registrant to band 6 level – Fast track. 18 Months! – Post Agenda for Change the objective of Preceptorship is to provide the same structure to enable Band 5 Radiographers to work towards achieving Band 6 using a competency based set of objectives. SoR 2006 More clinical centres using preceptorship to help prepare, retain and motivate staff. Any other ideas?

Proposed Preceptorship model

Working definition

QUESTIONS Any questions?