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The Experiences of Preceptors with New Graduate Nurses in Inpatient Units

2016· article· en· W2561299889 on OpenAlexaffabout
F. Bruno, Tammy M. Brady, A. Lang, Rosetta Antonacci

Bibliographic record

VenueInternational Journal of Evidence-Based Healthcare · 2016
Typearticle
Languageen
FieldNursing
TopicNursing education and management
Canadian institutionsMcGill UniversitySt Mary's Hospital Centre
Fundersnot available
KeywordsPreceptorCompetence (human resources)NursingWorkforceMedicineMedical educationPsychology

Abstract

fetched live from OpenAlex

Background: To effectively retain and transition the new graduate nurse into the workforce, inpatient units rely heavily on the support and commitment of preceptors. While the preceptorship experience of new graduate nurses is greatly examined in the literature, little attention has been paid to understanding this process from the point of view of the preceptor. Objective: This study sought to explore the experience of precepting newly minted professional nurses on medical-surgical units. By uncovering patterns across nurses’ experiences in navigating the preceptor role, this study aimed to raise the visibility of preceptors and their supportive needs around the preceptorship period. Methods: For this qualitative descriptive study, semi-structured face-to-face interviews were conducted with ten nurse preceptors of a university teaching hospital in Montreal, Canada. Although this study sought to recruit participants from two medical and two surgical inpatient units, no surgical nurses expressed interest in participating. Results: Findings indicate that the experience of precepting new graduate nurses is driven and shaped by an unvarying sense of accountability in the workplace. Preceptors are focused on ensuring the safety of patients, the new graduate nurse, and the unit by assuming concomitant roles. Nurses also report having to constantly adapt according to the neophyte's confidence and competence. Preceptors also report navigating the role by relying on various sources of knowledge, namely their own experiences as new graduate nurses, their colleagues, and skills acquired beyond the nursing domain. Findings also indicate that precepting new graduate nurses prompts nurses to reflect upon their confidence and their competence in undertaking the role. Conclusion: Findings from this study can be used to develop preceptor programs that enhance the preceptorship experience for preceptors and improve the onboarding process for both new graduate nurses and preceptors. This study also provides a starting point for critical reflection and discussion about the role of preceptorship in enhancing the professional identity of nurses.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.015
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.012
Threshold uncertainty score0.040

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.015
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0090.009
Scholarly communication0.0050.004
Open science0.0020.008
Research integrity0.0020.004
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.168
GPT teacher head0.406
Teacher spread0.238 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2016
Admission routes2
Has abstractyes

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