Putting knowledge to work in clinical practice: Understanding experiences of preceptorship as outcomes of interconnected domains of learning

Authors: Allan, H.T., Magnusson, C., Evans, K., Horton, K., Curtis, K., Ball, E. and Johnson, M.

Journal: Journal of Clinical Nursing

Volume: 27

Issue: 1-2

Pages: 123-131

eISSN: 1365-2702

ISSN: 0962-1067

DOI: 10.1111/jocn.13855

Abstract:

Aims and objectives: To explore how preceptor support can assist newly qualified nurses to put knowledge to work across interconnected forms of knowledge when delegating to healthcare assistants. Background: Current literature on preceptorship in nursing has failed to explore how competence is underpinned by knowledge frameworks in clinical practice. Design: An ethnographic case study in three hospital sites in England (2011–2014). Methods: Data collection included participant observation, interviews with 33 newly qualified nurses, 10 healthcare assistants and 12 ward managers. Data were analysed using thematic analysis. A tool to assist newly qualified nurses to delegate and supervise newly qualified nurses during the preceptorship period was developed and piloted with thirteen newly qualified nurses in the same sites. A process evaluation was undertaken. Findings: Focusing on a key task for newly qualified nurses, delegation to healthcare assistants, we argue that preceptorship can support newly qualified nurses as they put knowledge to work in the transition from qualifying student to newly qualified nurses. In supportive ward cultures, limited access to formal preceptorship can be bolstered by team support. newly qualified nurses in less supportive ward cultures may have both a greater need for preceptorship and fewer compensatory mechanisms available to them when formal preceptorship is not available. We argue that organisational learning contexts and individual learning styles (interconnected domains of learning) are key to understanding effective preceptorship. Conclusions: We suggest that putting knowledge to work early in their careers with preceptorship support may assist newly qualified nurses to develop confidence and competence in delegation and supervision of healthcare assistants. Relevance to clinical practice: Our findings suggest that newly qualified nurses need to be supported by effective preceptorship in their learning as they transition from undergraduate to post graduate. Preceptorship programmes at ward and organisational level need to recognise the intensity of the learning required during this transition phase.

https://eprints.bournemouth.ac.uk/28996/

Source: Scopus

Putting knowledge to work in clinical practice: Understanding experiences of preceptorship as outcomes of interconnected domains of learning.

Authors: Allan, H.T., Magnusson, C., Evans, K., Horton, K., Curtis, K., Ball, E. and Johnson, M.

Journal: J Clin Nurs

Volume: 27

Issue: 1-2

Pages: 123-131

eISSN: 1365-2702

DOI: 10.1111/jocn.13855

Abstract:

AIMS AND OBJECTIVES: To explore how preceptor support can assist newly qualified nurses to put knowledge to work across interconnected forms of knowledge when delegating to healthcare assistants. BACKGROUND: Current literature on preceptorship in nursing has failed to explore how competence is underpinned by knowledge frameworks in clinical practice. DESIGN: An ethnographic case study in three hospital sites in England (2011-2014). METHODS: Data collection included participant observation, interviews with 33 newly qualified nurses, 10 healthcare assistants and 12 ward managers. Data were analysed using thematic analysis. A tool to assist newly qualified nurses to delegate and supervise newly qualified nurses during the preceptorship period was developed and piloted with thirteen newly qualified nurses in the same sites. A process evaluation was undertaken. FINDINGS: Focusing on a key task for newly qualified nurses, delegation to healthcare assistants, we argue that preceptorship can support newly qualified nurses as they put knowledge to work in the transition from qualifying student to newly qualified nurses. In supportive ward cultures, limited access to formal preceptorship can be bolstered by team support. newly qualified nurses in less supportive ward cultures may have both a greater need for preceptorship and fewer compensatory mechanisms available to them when formal preceptorship is not available. We argue that organisational learning contexts and individual learning styles (interconnected domains of learning) are key to understanding effective preceptorship. CONCLUSIONS: We suggest that putting knowledge to work early in their careers with preceptorship support may assist newly qualified nurses to develop confidence and competence in delegation and supervision of healthcare assistants. RELEVANCE TO CLINICAL PRACTICE: Our findings suggest that newly qualified nurses need to be supported by effective preceptorship in their learning as they transition from undergraduate to post graduate. Preceptorship programmes at ward and organisational level need to recognise the intensity of the learning required during this transition phase.

https://eprints.bournemouth.ac.uk/28996/

Source: PubMed

Putting knowledge to work in clinical practice: Understanding experiences of preceptorship as outcomes of interconnected domains of learning

Authors: Allan, H.T., Magnusson, C., Evans, K., Horton, K., Curtis, K., Ball, E. and Johnson, M.

Journal: JOURNAL OF CLINICAL NURSING

Volume: 27

Issue: 1-2

Pages: 123-131

eISSN: 1365-2702

ISSN: 0962-1067

DOI: 10.1111/jocn.13855

https://eprints.bournemouth.ac.uk/28996/

Source: Web of Science (Lite)

Putting knowledge to work in clinical practice: Understanding experiences of preceptorship as outcomes of interconnected domains of learning.

Authors: Allan, H.T., Magnusson, C., Evans, K., Horton, K., Curtis, K., Ball, E. and Johnson, M.

Journal: Journal of clinical nursing

Volume: 27

Issue: 1-2

Pages: 123-131

eISSN: 1365-2702

ISSN: 0962-1067

DOI: 10.1111/jocn.13855

Abstract:

Aims and objectives

To explore how preceptor support can assist newly qualified nurses to put knowledge to work across interconnected forms of knowledge when delegating to healthcare assistants.

Background

Current literature on preceptorship in nursing has failed to explore how competence is underpinned by knowledge frameworks in clinical practice.

Design

An ethnographic case study in three hospital sites in England (2011-2014).

Methods

Data collection included participant observation, interviews with 33 newly qualified nurses, 10 healthcare assistants and 12 ward managers. Data were analysed using thematic analysis. A tool to assist newly qualified nurses to delegate and supervise newly qualified nurses during the preceptorship period was developed and piloted with thirteen newly qualified nurses in the same sites. A process evaluation was undertaken.

Findings

Focusing on a key task for newly qualified nurses, delegation to healthcare assistants, we argue that preceptorship can support newly qualified nurses as they put knowledge to work in the transition from qualifying student to newly qualified nurses. In supportive ward cultures, limited access to formal preceptorship can be bolstered by team support. newly qualified nurses in less supportive ward cultures may have both a greater need for preceptorship and fewer compensatory mechanisms available to them when formal preceptorship is not available. We argue that organisational learning contexts and individual learning styles (interconnected domains of learning) are key to understanding effective preceptorship.

Conclusions

We suggest that putting knowledge to work early in their careers with preceptorship support may assist newly qualified nurses to develop confidence and competence in delegation and supervision of healthcare assistants.

Relevance to clinical practice

Our findings suggest that newly qualified nurses need to be supported by effective preceptorship in their learning as they transition from undergraduate to post graduate. Preceptorship programmes at ward and organisational level need to recognise the intensity of the learning required during this transition phase.

https://eprints.bournemouth.ac.uk/28996/

Source: Europe PubMed Central

Putting knowledge to work in clinical practice: understanding experiences of preceptorship as outcomes of interconnected domains of learning.

Authors: Allan, H.T., Magnusson, C., Evans, K., Horton, K., Curtis, K., Ball, E. and Johnson, M.

Journal: Journal of Clinical Nursing

Volume: 27

Issue: 1-2

Pages: 123-131

ISSN: 0962-1067

Abstract:

AIM: To explore how preceptor support can assist newly qualified nurses (NQNs) to put knowledge to work across interconnected forms of knowledge when delegating to health care assistants (HCAs). BACKGROUND: Current literature on preceptorship in nursing has failed to explore how competence is underpinned by knowledge frameworks in clinical practice. DESIGN: An ethnographic case study in three hospital sites in England (2011-2014). METHODS: Data collection included participant observation, interviews with 33 newly qualified nurses, 10 HCAs and 12 ward managers. Data were analysed using thematic analysis. A tool to assist NQNs to delegate and supervise NQNs during the preceptorship period was developed and piloted with thirteen NQNs in the same sites. A process evaluation was undertaken. FINDINGS: Focusing on a key task for NQNS, delegation to HCAs, we argue that preceptorship can support NQNs as they put knowledge to work in the transition from qualifying student to NQN. In supportive ward cultures, limited access to formal preceptorship can be bolstered by team support. NQNs in less supportive ward cultures may have both a greater need for preceptorship and have fewer compensatory mechanisms available to them when formal preceptorship is not available. We argue that organisational learning contexts and individual learning styles (interconnected domains of learning) are key to understanding effective preceptorship. CONCLUSIONS: We suggest that putting knowledge to work early in their careers with preceptorship support may assist NQNs to develop confidence and competence in delegation and supervision of health care assistants. This article is protected by copyright. All rights reserved.

https://eprints.bournemouth.ac.uk/28996/

Source: BURO EPrints