Relationship based care and precepting

Relationship-Based Precepting: Defined & Why It Matters in Healthcare

relationship based care and precepting

Relationship-Based Precepting is broken down into several different types of . ( This is not a direct correlation to readiness to practice, but can inform you on. the working nurse preceptor can help a new nurse or student preceptee more . Relationship-based care (RBC) is a nursing model for transforming practice. sets so that safe, competent care is delivered. The preceptor and the The formal precepting relationship ends with the completion of orientation, although the.

Preceptors in this focus group, who came from multiple specialty areas, reported not feeling adequately prepared to teach or facilitate critical thinking or clinical judgment. Of the 35 preceptors polled: Participants indicated that this perceived lack of preparation and reward contributed to their feelings of burnout and lack of desire to continue engaging in the preceptor role.

relationship based care and precepting

What is Needed for a Successful Preceptor Program? Careful preceptor selection, preparation, reward and recognition, and a solid infrastructure that supports these elements are necessary components for the development and implementation of a comprehensive, structured preceptor program.

Another often overlooked component necessary for a successful preceptor program and transition to practice is the use of a framework or model to guide the day-to-day practice of precepting. Below is an example of a precepting model: The Relationship-Based Precepting Model RBP integrates four core elements that must be addressed in the day-to-day application of precepting.

relationship based care and precepting

Supervision Supervision is defined as the observation of preceptee interactions with patients, families, and clinical support staff; this includes direct observation of hands-on skills, as well as indirect observation listening to interpersonal interactions. Without this sense of belonging, individuals often have difficulty assimilating into new routines and environments without a significant amount of stress.

Precepting methods or strategies must include a thoughtful and formal process of integrating and socializing new staff into their teams.

Relationship-Based Precepting: Defined & Why It Matters in Healthcare

Professional Practice Professional practice is the commitment to owning your practice as a preceptor. In-depth knowledge and understanding of preceptorship in an academic setting Categories How to develop as a preceptor Support, coaching and training Competence in a life-long perspective To precept in a scientific perspectives Teaching and learning models Science of education Open in a separate window Tools for effective precepting of students and healthcare professionals This theme focuses on the practical implications of preceptorship, including the three categories: The preceptors expressed the need for more knowledge about teaching and learning strategies and also about adult learning principles in order to develop their preceptorship.

relationship based care and precepting

They also requested concrete teaching tools, advice, and methods to use in their clinical teaching. The importance of communication strategies to use in difficult situations was also highlighted. Knowledge about activities, clinical teaching and learning strategies The preceptors wanted to learn more about teaching and learning strategies to ensure they can demonstrate the components students need to achieve their identified learning needs and goals. They wanted to know how to modify and match their own teaching methods into their colleagues teaching and learning styles.

relationship based care and precepting

Concrete tools were requested to facilitate discussions with new preceptors when difficult dilemmas arise: Each student needs to reach the capability to see beyond the context, and to understand and develop their own profession: They need to be autonomous when assessing students to achieve a rational assessment.

They wanted to know how to increase their ability to facilitate learning among newcomers made up of students as well as new graduates by encouraging reflection on patient care and organising a variety of reflective activities.

9 Qualities of Effective Nursing Preceptor Programs

They wanted to help students to better critique and realistically analyse their own performance. The preceptors mentioned that students do not always express realistic goals for their clinical training. Guidance on how to help the students focus on what is relevant so the students can track their progress was requested: The preceptors wanted to improve their ability to communicate with students during these circumstances.

They felt misunderstood, and their comments were sometimes taken badly by the students. The preceptors perceive these discussions as stressful for both themselves and the students, and they want to avoid these discussions as much as possible: They felt concern for the students as individuals in situations where they do not meet the expectations of the educational or the clinical setting.

The preceptors mention the difficulty of critiquing in a positive manner and had experienced a loss of self-reliance in some students.

This theme focuses on two aspects; namely, How to develop as a preceptor and preceptorship in a scientific perspective. How to develop as a preceptor The preceptors in this study wanted to develop and feel a sense of security in their preceptor role, especially given that it is regarded as a demanding responsibility.

They thought critical friends could be of help, giving support, coaching, and training to verbalise their own unique teaching style. The preceptors wanted to receive feedback on their role as a preceptor.


Someone had heard about portfolios and thought that this concept may be useful in gaining a deeper understanding of their own competence from a lifelong perspective, but wanted more knowledge before implementing it: They perceived a lack of depth and breadth in their theoretical teaching knowledge, leaving them insufficient in sorting out arguments for competent preceptorship: They wanted to be comfortable in using science and research, and thus be able to discuss precepting from a scientific perspective: Baltimore [ 5 ] argues that this approach to course development is the best starting point.

The preceptors requested knowledge and understanding of preceptorship in two areas, namely, the concrete practical level and the theoretical, scientific level. This falls in line with the literature discussing nursing preceptor programs [ 1727 ]. The preceptors in previous studies requested teaching strategies and concrete tools to better precept students during their clinical placement.

Although the preceptors that took part in the current study already had pedagogical education on undergraduate level, they argued for further education in order to improve their teaching.