Development and evaluation of the implementation of a preceptorship program for the novice nurse in the intensive care unit
Notice bibliographique
Résumé
Context: In Quebec, 61 % of new nurses begin their career with a college degree. New graduates begin their careers early in intensive care units (ICU). That said, most are poorly prepared to assume their role in a critical care unit since critical care is an advanced skill. In Quebec, a preceptorship program has been established by the Ministry of Health and Social Services to support novices during their transition. In Abitibi-Témiscamingue (Ab.-T.), a remote region of Quebec, ICU preceptors often state that they receive little support and report a lack of resources as well as a lack of content to address with their learners. Objectives: The main objective of this study was to develop a preceptorship program for ICU novice nurses, adapted to the reality of practice in Ab.-T., and assess its implementation. Methods: Guided by the skills acquisition model adapted from Dreyfus and Dreyfus (1980) by Benner (1984/2001) and Caffarella’s interactive program planning model (2002), four cycles of action research led to the development of a preceptorship program in collaboration with preceptors using focus groups and the literature review of two existing programs. Individual interviews were conducted with 14 nurses (five preceptors and nine novices from two ICUs in the region where the study took place) who participated in the implementation of the program, were processed by vertical thematic analysis, then transversal, and allowed the evaluation of the implementation of the program. Results: The participation of the preceptors led to the development of a preceptorship program and several complementary tools adapted to the reality of practice in Ab.-T. The key learning outcomes as perceived by the novices relate to the improvement of their interventions and their ability to carry out new ones, which testifies to the development of competencies in compliance with Benner’s model (1984/2001). The preceptors now state that they are better equipped to provide clinical support to novices. This study has shone a light on the satisfaction of participants regarding the program at hand, whose content is considered consistent with the reality of practice in remote regions. Conclusion: The development of this program made it possible to support the preceptors. As for novices, they now state that they are better prepared to respond to complex ICU care situations in remote regions. The results of this study may be of interest to hospitals located outside major cities wishing to establish or review the offer of preceptorship to their novice nurses in the ICU.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,022 | 0,028 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,003 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,004 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
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
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».