Preceptorship: The Process of Guiding Reflection in Clinical Teaching and Learning
Notice bibliographique
Résumé
Since the 1970s, preceptorship has become the leading approach to clinical teaching in nursing programs across Canada, with 70 percent to 85.9 percent of North American baccalaureate nursing programs employing preceptorship programs. Considering the present faculty shortages, the benefits of preceptorship for student learning and development, the student demand, and the flexibility of implementing a preceptorship program to meet the needs of small, rural and northern clinical settings, the dependence on preceptorship for clinical teaching of nursing students will most likely increase. Thus, it became prudent to examine how preceptorship provides an effective learning environment. Although a considerable amount of research has been conducted concerning preceptorship, to date, no studies have been conducted specifically to examine the process involved in creating an environment conducive to student learning in the preceptorship approach to clinical teaching. Thus, a grounded theory method was utilized to examine the social psychological process involved in creating an environment conducive to student learning in preceptorship. Participants comprised nursing students, preceptors, faculty advisors and staff nurses were drawn from a small town in northwestern Canada. Findings from this study revealed that a preceptored clinical learning environment is one which entails a process of guiding reflection which is informed by the following ambient conditions: a) the balancing act; b) making time; c) belonging; d) paying tribute and e) grappling with challenges. As a result of these findings, several implications for nursing education emerged. These include: 1) the process of guiding reflection is influenced by teaching/learning pedagogy and thus can be facilitated by a variety of educational theories such as those posited by Schön and Dewey. With that said, from a pedagogical perspective, it is important that preceptorship be informed by a variety of educational theories that support the process of guiding reflection in the clinical setting; 2) considering the findings of this study demonstrate that all members of the nursing team with whom students participate in preceptorship have an enormous impact on the process of guiding reflection, it is incumbent upon nurse educators to develop and provide preceptorship orientations and preparatory sessions that are inclusive of all members of the nursing unit; and 3) taking into account one of the challenges that impeded the process of guiding reflection in the preceptorship was bullying, the preparation of nursing students in preceptorship settings requires an understanding of horizontal violence and how students can effectively identify and confront bullying behaviours.
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,022 | 0,049 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,001 |
| Études des sciences et des technologies | 0,005 | 0,013 |
| Communication savante | 0,009 | 0,004 |
| Science ouverte | 0,002 | 0,010 |
| Intégrité de la recherche | 0,002 | 0,004 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
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Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».