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Establishing nurse practitioner clinical practicums

Addressing fiscal realities

Delaney, Kathleen R. PhD, PMHNP, FAAN (Professor)1; Swartwout, Kathryn PhD, APRN, FNP-BC (Associate Professor)1; Livesay, Sarah L. DNP, RN, ACNP-BC, CNS-BC (Associate Professor)1; Bavis, Margaret Perlia DNP, APRN, FNP-BC (Assistant Professor)1

Journal of the American Association of Nurse Practitioners: November 2019 - Volume 31 - Issue 11 - p 657–662
doi: 10.1097/JXX.0000000000000333

ABSTRACT As demand expands for nurse practitioner clinical practicum sites, the supply of preceptors is decreasing. The traditional model of in-kind clinical training is losing its foothold for a variety of reasons. A looming question is how quickly a “pay to precept” norm will grow and what will be the costs. The pay for precepting movement is discussed including current trends, costs, and emerging compensation models. To adapt to this trend, alternative ways of drawing the precepting value proposition are suggested, particularly decreasing preceptor and site demands while increasing students' readiness to enter clinical practicum and tapping into faculty expertise to add value to the partnership. The authors provide suggestions on building a strategy for rethinking the structure of student precepting arrangements and compensation models.

1Rush University Medical Center, School of Nursing, Chicago, Illinois

Correspondence: Kathleen R. Delaney, PhD, PMHNP, FAAN, Rush University Medical Center, School of Nursing, 600 S. Paulina Street, Chicago, IL 60612. Tel: 312-942-6208; Fax: 312-942-6226; E-mail:

Competing interests: The authors report no conflicts of interest.

Authors' contributions: K.R. Delaney wrote the initial draft of the manuscript; all authors developed at least one component of the College of Nursing initiatives that are discussed in the manuscript and revised the manuscript for final submission.

Received February 01, 2019

Received in revised form July 22, 2019

Accepted August 19, 2019

© 2019 American Association of Nurse Practitioners
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