Giving Back: Actions Speak Louder Than Words

Monday, 18 November 2013

Gena M Gibling, RN, BSN1
Alejandra Briseno, BSN, RN2
Cindy Rowlett, BSN, PHN2
(1)Pediatric Intensive Care Unit/Emergency Transport, Children's Hospital Los Angeles, Los Angeles, CA
(2)Pediatric Intensive Care Unit, Children's Hospital Los Angeles, Los Angeles, CA

Learning Objective 1: The learner will be able to state two challenges preceptors face in teaching professionalism.

Learning Objective 2: The learner will be able to list five role modeling behaviors that convey professionalism.

Purpose:  Professionalism and understanding what it means is an important concept in the journey from novice to expert for preceptors and RN Residents as well as insuring a future of high professional standards.  As role models for our new nurses, preceptors are in a position to exemplify and teach the different guises of professionalism.  As past RN Residents we wanted to foster professionalism and elevate the preceptor role in an effort to give back.

Methods: One cohort of RN Residents was given the preceptor evaluation prior to implementing changes.  In our subsequent Preceptor Workshops we had a lecture emphasizing Preceptor Best Practices as outlined by our RN Residency Program.  We also implemented a Preceptor Application to be completed in order to attend the workshop including, manager approval, peer recommendations and active involvement in unit committees.  Lastly, we gave a Preceptor Evaluation to each RN Resident after completion of the Residency Program.

Results: Since implementing our changes, we have noticed improvement in the professional practices of our preceptors.  Since 2011, we have improved in many areas.  For example our personal cell phone use went from 41% “using seldom” to 95% “using never”.   Referencing Policy and Procedures with teaching improved from 55.9% “frequently” to 68.4% “always.”  Socializing with other staff remained “occasionally” from 55.9% to 80%, but was accompanied by a note from the RN Resident that it was usually at the end of their orientation and that they did not feel neglected but rather part of the team.

Conclusion: Based on these results, the addition of the Preceptor Applications, and Emphasizing Preceptor Best Practices in our workshop were effective interventions towards professionalism.  We expect as we continue to evaluate our preceptors that we will continue to see the same results so that we continue to deliver safe, high-quality, professional nursing care.