Preceptor Workshop Curriculum Revision: Meeting the Needs of Today’s Preceptor Monica Brock, MS, RN, CPAN Clinical Scholar Preceptor Program Coordinator University of Colorado Hospital
Learning Objectives • Describe historical approaches to the preceptor model • Review literature recommendations for preceptor training • Describe a process for revising a preceptor workshop that is based on adult learning principles and current best evidence • Demonstrate outcomes associated with effective curriculum revision 2 Set footer with Insert > Header & Footer
Preceptor Education- What do we Know? • Preceptor Model established in 1960 • Traditional assumption • Access to education for preceptors varies • Courses for preceptors don’t always provide content that preceptors request Source: Bengtsson and Carlson, BMC Nursing (2015) 14:51. 3
Considerations for Improving Preceptor Education ● Preceptors who are inconsistent in teaching or less experienced may breed frustration/negativity in preceptees ● Formalized training is important; needs to be well-planned ● Adults learn best by integrating their own experience and knowledge ● Need to integrate professions to acquire interprofessional knowledge and skills which could be helpful to precepting Source: Chesnutt & Everhart; Washington, 2013; Haggerty et al; 2012, Bengstton and Carlson 2015 4
UCHealth Preceptor Workshop: Original Curriculum ➢ 4 hour face to face interdisciplinary class ➢ No RN overtime to attend ➢ Manager approval to attend is required ➢ Attendance is required for pay differential ➢ Power point heavy 5
Annual UCH Preceptor Education Needs Assessment Leadership Survey- Managers and Educators 6
The Preceptor Workshop Adequately Prepares New Preceptors for Their Role Strongly Disagree 1 Disagree 6 Agree 36 Strongly Agree 12 0 5 10 15 20 25 30 35 40 Total N= 55 7
Check the 5 most important topics for continuing education for preceptors in your department 8
What is the biggest challenge facing your preceptors? Consistency in teaching Time to teach Precepting fatigue/burnout Volume of new hires needing precepting Inexperienced/precepting early in career Giving feedback 9
UCH Preceptor Workshop Evaluation Participant Survey Results 10
Original Curriculum: Participant Survey Results ● 7/2017- 4/2018 ○ 103 of 323 participants provided comments via course evaluation ■ 25% of comments were positive ■ 75% of comments were constructive ● Themes Identified: ● Content too basic or a review ● Desired more content on feedback/conflict/difficult personalities ● Format, delivery, teaching strategies used ● Desired additional training or resources ● Wanted more specific and practical tips and tools ● Felt course was geared towards nursing 11 Set footer with Insert > Header & Footer
Based on leadership and preceptor feedback, a need for curriculum revision was identified 12
The Driving Motto Behind Revision “The topics identified by Preceptors were ones that had a direct impact on their work…they focused on ‘doing’ not ‘knowing’. Classes for Preceptors should include some basic knowledge about topics such as roles of the Preceptor and learning styles, but it is best to present these as a background of how the Preceptor will use this information” . Foy and Carlson (2013) 13
Workshop Changes: What’s New in 2019 ❖ Focused on interaction ❖ Removed nursing theory ❖ Incorporated interdisciplinary case studies ❖ Added a participant worksheets, additional activities and videos ❖ Threaded preceptor evaluation contents throughout the slide deck ❖ Incorporated content on burnout, self-care, and the struggling preceptee ❖ Expanded feedback and conflict content ❖ Moved nursing specific content to the end 14
Workshop Agenda 800-830 Introductions Definitions, trends and evidence for precepting Behavior, Characteristics and Motivation for precepting 830-855 Preceptor Roles: Advocate/Protector, Socializer, Workplace Incivility and Bullying 855-920 Assessor, Evaluator and Goals 930-1005 Preceptor Role: Educator/Facilitator and Role Model 1005-1035 Giving Feedback 1035-1045 The Struggling Preceptee 1055-1110 Conflict Management 1110-1120 Working with students 1120-1130 Reflection and Self-Care 1130-1140 Post Class Expectations and Questions 1140-1155 RN Specific Information 1155-1200 Course Evaluation 15 Set footer with Insert > Header & Footer
Table Resources 16 Set footer with Insert > Header & Footer
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Slide Example 18 Set footer with Insert > Header & Footer
UCHealth Preceptor Workshop Didactic Methods based on Student- active learning activities 19
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Preliminary Results of Revised Curriculum: Participant Course Evaluations
N= 99 N= 99 N= 99 23
N= 99 N= 99 24
May - Dec Jan-March 2018 2019 Difference n=160 n=99 The learning outcomes for this activity were 4.46 4.76 .30 met I found this activity worthwhile for my 4.39 4.66 .27 professional practice This activity will my enhance knowledge, skills, and practice as a 4.37 4.63 .26 healthcare provider The speaker was knowledgeable about 4.63 4.85 .22 the topic The speaker provided information in an interesting manner that 4.56 4.71 .15 facilitated my learning 25
Participant Comments "This workshop was very helpful for the multimodal learner that I am. It had a good balance of interactive components, while covering many concepts. It also compliments other course I’ve participated in, such as feedback for success “ and Communicating Clearly and Effectively” I feel much more confident to put what I learned into practice moving forward.” "This class was a vast improvement from other preceptor classes. I would stick with the 4 hour time frame and I really enjoyed the groupwork that involve drawing and the Kahoot.” "Great class! I really enjoyed the topic Preceptor Burnout. I recognized that in myself and had to step back for a bit. I felt guilty but now I realize that it can happen to others and its ok to take a break. Thank you for that!” 26
Participant Diversity by Discipline N=323 Other : PT, OT, Speech, Pharmacy, Quality Assurance, Practice Coordinator, Office Operations, Care Manager, Clinical Coordinator, Patient N=99 Access Rep 27 Set footer with Insert > Header & Footer
Thank you! Questions? A special thanks to Jennifer Higgins and Vicky Lee who helped lead the UCHealth Preceptor Workshop revision process 28
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