Post on 17-Dec-2015
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Core Curriculum for Clinical Coaching Intro - VNIP Model
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Vermont Nurses In PartnershipSusan A. Boyer, RN, M.Ed.
Collaborative approach
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Origins: Nurse leadership group Inclusive of various practice settings,
specialty services, academia, & regulation Goal: Implement nurse internship
Supports “transition to practice” Applicable in multiple HC settings Environment of nurture & support
Process: Based in Preceptor Program Requires preceptor development/support
Transition to practice
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3 levels of internship needed 1. New graduate transition2. New to specialty3. Undergraduate
Program Outcomes:
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Statewide use of competency toolSame expectations for all staff Performance outcomes vs grocery list of “tasks & procedures”
Concept vs. case-basedFosters critical thinking development
Program Outcomes:
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Prioritizes evaluation, assessment, management, human caring relationships & critical thinking
Concepts and framework fits across continuum of care
Applicable for allied healthcare team
Statewide standardization of preceptor development and support
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Why Preceptorship?
Builds one on one relationship Improves satisfaction, retention, and
orientation process Provides bridge between theory and
reality Develops capability Collects evidence of competence Protects safety for . . . .
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Why mentorship?
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Ongoing development of clinical capability
Support through 2nd & 3rd phase of initial transition to practice
Development of nursing judgment Development towards proficient practice
Transition within the profession Deciding how and where you fit within
the nursing profession
VNIP Preceptor development
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Preceptor Development & Support Multi-disciplinary approach Need to:
Revise/update the preceptor modelDevelop high level preceptor workshopsConsider recognition and reward Prioritize protector role Delineate evaluator/validator role Establish protocols
Determining content?
What's the goal?
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How do we determine “what to teach” in regards to development of preceptors and clinical coaches?
Establish our goal
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Preceptors will collect evidence of clinical
capability of the novice care provider.
Must effectively develop capability, where it is missing
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PsychomotorFollow directionsDevelop technical skillsNaturalization Integrate related skillsBecome automaticArticulation & Precision
Affective Attitude/feelings Internalize values Adopt behavior Organize personal Develop value system Value - to understand & act upon
Developing Nursing Judgment Develop & utilize cognitive foundation to:
Analyze – Evaluate - Synthesize
Goal: To effectively develop & collect evidence of capability
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Preceptors will require: Effective Communication Supportive Interpersonal Skills Core teaching/learning principles
Foster critical thinking skills Team process:
Relationship-based careRelationship-based development
To develop capability
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Preceptor roles & responsibilities Teaching and learning theory
Learning styles, Novice to expert, Simple to complex, Principles of adult learning
Story-telling, Use of case scenarios, and/or practice with difficult situations
Collaborative team approach Relationship-based process, Interpersonal issues,
conflict management, Socialization
To validate capability
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Define “competent practice” Delegation, accountability, liability Nurse practice act, job descriptions, P & P
Performance management Communication & feedback Assessment & evaluation of capability
Data collection Validating performance, collecting evidence,
complete documentation tools
VNIP: Collaborative Outreach Core Concepts
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Theory and evidence-based Clearly defined expectations Competency-based – COPA model Concept focus rather than task, procedure,
case-based Preceptor development and support
Critical thinking development Data collection/evaluation Clinical coaching – plan for teaching
VNIP: Collaborative Outreach
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Electronic manuals with site license, Roles, JD, and protocols How to teach, how to foster critical
thinking development Tools for competency assessment Tools for clinical coaching PowerPoint Presentations, activities,
notes, etc. for preceptor development Same for intern development
VNIP: Collaborative Outreach
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Consulting services & collaborative workgroup Explanation of VNIP framework, core
concepts, and key processes Instruction specific to use & roles of
various resource materials Cyber-communications network Expert contributors adding to
resource pool Web-based updates as they occur Linkages for shared workshop
delivery/participation
VNIP: Collaborative Outreach
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Key processes Preceptor development and support Critical thinking & critical thinking
development Data collection/evaluation of process
change &/or effectiveness Clinical coaching with instruction specific to
various learning styles Clinical Coaching plan development & use Competency based evaluation – COPA
model Concept focused rather than case-based
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Preceptor
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VNIP Annotated Bibliography 2009 Nurses reported missing an alarming amount of care and when
nurses cannot provide the care they feel is necessary, it leads to turnover and nurses leaving the field of nursing. (Kalisch et al, 2009)
The foundation of the preceptor’s role is the “Protector”, but formative and summative data collection have shown the vital importance of the “Evaluator” role as well. (Boyer, 2008)
Preceptorship programs facilitate development of confidence, competence, self-sufficiency and accountability (Bell and Deans, 2000; Boyer, 2008; Hilligweg, 1993)
Preceptors need core instruction, ongoing support, recognition, and access to reference resources (Boyer, 2008; Reid, et al., 2002)
Early identification and intervention of unsafe practice are critical and consist of red flags regarding knowledge, attitudes, skills, and professionalism. (Luhanga et al, 2008)
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VNIP Annotated Bibliography 2009 Ten years of research shows that new graduates meet basic entry
level expectations only 35% of the time. (del Bueno, 2005) Research reveals the ‘transition to practice’ as a continuum that
requires twelve months. During that year, specific stages of development result in evolving nursing judgment. (Boychuk, 2008)
Students need more opportunity to acquire broad general competencies that facilitate transition to practice. These include critical thinking and clinical judgment skills, teamwork, cost awareness, and accountability. The millennial nurse views the first year as a process and needs/wants support for this process . (Olson, 2009)
Graduates are not prepared for the realities of today's practice. Gaps in capability include problem solving and clinical decision making . When they enter the workforce, it is essential that those in the field implement strategies to promote their success. (Hickey, 2009)
S. Boyer, RN, MEd, FAHCEP, Executive Director , VNIP
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VT Nurses In Partnership
Go to www.vnip.org Check the links and learning page for
connections to additional resources and other web sites
Utilize the VNIP outcomes to validate or modify your own systems for intern or preceptor development
Print our 2009 Bibliography list & peruse the supporting literature and concepts that we apply for development and delivery of the evolving VNIP framework
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