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An Evidence-Based Approach to Precepting New Nurses

Barba, Michael, MSN, RN; Valdez-Delgado, Krystal, BSN, RN; VanFosson, Christopher A., PhD, MHA, RN; Caldwell, Nicole W., BA, RN; Boyer, Susan, DNP, MEd, RN-BC; Robbins, Johnnie, EJD, MSN, RN; Mann-Salinas, Elizabeth A., PhD, RN, FCCM

AJN The American Journal of Nursing: March 2019 - Volume 119 - Issue 3 - p 62–67
doi: 10.1097/01.NAJ.0000554036.68497.61
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While developing a standardized approach to orient new staff in the U.S. Army Institute of Surgical Research Burn Center at Fort Sam Houston in Texas, nurse leaders identified the need to also standardize preceptor selection and instruction. A multidisciplinary research team conducted a two-year pilot project based on the evidence-based Vermont Nurses in Partnership Clinical Transition Framework, which provides a structured method for preceptor selection, development, and evaluation. Minimum preceptor qualifications; preceptor validation processes; and modifiable, unit-specific coaching tools were established. The authors previously published a description of the preceptor program implementation process and their findings. In this article, they discuss lessons learned during the project, highlighting the challenges and obstacles encountered when implementing this preceptorship program.

The authors discuss lessons learned during implementation of a structured preceptor development program.

Michael Barba is a clinical nurse specialist, Army Burn Center, U.S. Army Institute of Surgical Research (USAISR) at Fort Sam Houston, TX. Krystal Valdez-Delgado is a research nurse, Christopher A. VanFosson is a nurse scientist, Nicole W. Caldwell is a research nurse, and Elizabeth A. Mann-Salinas is a senior nurse scientist, all in Trauma Outcomes and System Research, USAISR. Susan Boyer is executive director of Vermont Nurses in Partnership, Perkinsville, VT. Johnnie Robbins is an EnRoute Care branch director in the U.S. Army School of Aviation Medicine, Fort Rucker, AL. This project was supported by TriService Nursing Research Program grant no. HT9404-12-I-TS08, N12-PO4. The authors would like to acknowledge burn ICU preceptor coordinators Hope Greeley and Colleen Mitchell, and chief educator Elizabeth Hayes, for their contributions to data collection. Contact author: Michael Barba, michael.g.barba.civ@mail.mil. The authors have disclosed no potential conflicts of interest, financial or otherwise.

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