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Precepting nurse practitioner students in the graduate nurse education demonstration

A cross-sectional analysis of the preceptor experience

Todd, Barbara A. DNP, CRNP (Director of Graduate Nursing)1,2; Brom, Heather PhD, APRN, (Postdoctoral Fellow)2; Blunt, Elizabeth PhD, CRNP (Clinical Professor and Coordinator NP Programs)3; Dillon, Patricia PhD, RN (Professor and Chair of Graduate, RN to BSN and RN to MSN Nursing Programs)4; Doherty, Caroline MSN, CRNP (Advanced Senior Lecturer)2; Drayton-Brooks, Shirlee PhD, CRNP (Professor of Nursing and Director Doctor of Nursing Practice Program)5; Hung, Irene MPH (Administrative Director)2; Montgomery, Kymberlee DNP, CRNP (Associate Clinical Professor and Associate Dean of Nursing & Interprofessional Education)6; Peoples, Lynda DNP, CRNP (Assistant Professor and Co-Director Emergency Nurse Practitioner Program)7; Powell, Mary PhD, CRNP (Associate Dean of Graduate Nursing)8; Vanacore, Denise PhD, CRNP (Professor of Nursing and Graduate Program Director)9; Whalen, Dara PhD, CRNP (Assistant Professor and Graduate Nursing Program Coordinator)10; Aiken, Linda PhD, RN (The Claire M Fagin Leadership Professor of Nursing and Director Center for Health Outcomes and Policy Research)2

Journal of the American Association of Nurse Practitioners: November 2019 - Volume 31 - Issue 11 - p 648–656
doi: 10.1097/JXX.0000000000000301
Research: Quantitative
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Background: The Graduate Nurse Education (GNE) Demonstration seeks to increase the number of advanced practice registered nurses (APRNs) in clinical practice. With the overall increase in APRN programs and, particularly, enrollment in nurse practitioner (NP) programs, there is growing competition among students to secure quality clinical precepting experiences.

Purpose: This study describes NPs' and physicians' experiences with precepting APRN students within the Greater Philadelphia GNE Consortium.

Methods: This was a cross-sectional descriptive survey of 1,021 NP and physician preceptors who provided clinical practicum experiences for at least one of the nine Greater Philadelphia GNE Consortium schools.

Results: Differences between NP and physician precepting experiences regarding the importance of various factors in their decisions to precept were explored. Both NP and physician preceptors provide clinical practicum experiences to APRN students because they enjoy doing so. However, they differ regarding what they find important in their decisions to precept such as having protected time to precept and educational opportunities.

Implications for practice: As universities work to recruit quality preceptors, they should consider tailoring their approach based on the preceptor's clinical role. In addition, schools located within the same region should consider streamlining administrative processes to form sustaining and productive clinical partnerships.

1Hospital University of Pennsylvania, Philadelphia, Pennsylvania,

2University of Pennsylvania, Philadelphia, Pennsylvania,

3Villanova University, Villanova, Pennsylvania,

4LaSalle University, Philadelphia, Pennsylvania,

5Widener University, Chester, Pennsylvania,

6Drexel University, Philadelphia, Pennsylvania,

7Thomas Jefferson University, Philadelphia, Pennsylvania,

8Widener University, Chester, Pennsylvania,

9Gwynedd Mercy University, Gwynedd Valley, Pennsylvania,

10College of New Jersey, Ewing, New Jersey

Correspondence: Barbara A. Todd, DNP, CRNP, Hospital University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104. Tel: 215-720-9864; 215-615-1556; Fax: 215-615-2302; E-mail: Barbara.todd@uphs.upenn.edu

Competing interests: The authors report no conflicts of interest.

Authors' contributions: All authors (except H. Brom) contributed to the development of the survey instrument. All authors participated in the conception of the work. B. Todd and H. Brom completed data analysis and developed the first draft. All authors provided revisions and approved the final version.

Received June 06, 2019

Received in revised form July 08, 2019

Accepted July 09, 2019

© 2019 American Association of Nurse Practitioners
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