Preceptorships for newly qualified staff (2022)

The beginning of a newly qualified practitioner's career can be a challenging time and their initial experiences can shape how they develop in their career. To ensure the best possible start for newly qualified nurses, nursing associates, midwives and allied health professionals, a quality preceptorship programme is essential.

Preceptorship is a period of structured transition to guide and support all newly qualified practitioners from student to autonomous professional in order to develop their practice further.

A preceptorship should be a structured period for newly qualified nurses, nursing associates, midwives or allied health professionals when they start employment in the NHS. During this time, they should be supported by an experienced practitioner, a preceptor, to develop their confidence as an independent professional, and to refine their skills, values and behaviours. Having expert support, and learning from best practice in dedicated time gives a foundation for lifelong learning and allows them to provide effective patient-centred care confidently.

The standards for pre-registration nursing educationby the Nursing and Midwifery Council (NMC) recognise that nurses will need to be more independent, autonomous and innovative in the future. Having a strong preceptorship programme in place will be vital to achieving these aims.

(Video) Preceptorship & Newly Qualified Nurse Advice

Following the Health and Care Professions Council (HCPC) registration every individual is seen as competent and accountable. Preceptorship is the transition phase that allows professionals to develop from novice practitioner, developing as a professional and is not meant to compensate for any shortfall in pre-registration education.

Benefits of a preceptorship

It is recognised that where preceptorship is well embedded as part of the organisational culture, there are significant benefits for the newly qualified staff, teams, patients and the organisation itself in terms of retention, recruitment and staff engagement. Investing in a preceptorship programme can deliver a variety of benefits for the preceptee and employer, such as:

  • enhanced patient care and experience
  • improved recruitment and retention
  • reduced sickness absence
  • more confident and skilled staff
  • increased staff satisfaction and morale.

Employers are encouraged to track, measure and evaluate the success of their preceptorship programmes to be able to demonstrate value and make improvements where necessary.

Resources

In partnership with UNISON, we have pulled together resources and guidance for those new to the workforce and how preceptorship offers can be enhanced when supporting newly qualified registered healthcare professionals during the pandemic.

The NMC has developed a set of principles for employers to help them deliver high quality and effective preceptorships for newly qualified nurses, midwifes and nursing associates. Download the principles of preceptorship document (pdf).

(Video) Preceptorship Programme

A selection of resources from the CapitalNurse programme, including a preceptorship framework and presentation can be found on Health Education England’s website. These can be adapted for different professions and there are examples of good practice from a number of NHS organisations in the 'case studies' section.

The pan-London region has also created a framework for health and care organisations to support the practice of newly registered nurses. This recommended best practice approach to preceptorships has been developed through an extensive stakeholder engagement exercise and recognises that a positive preceptorship experience offers significant benefits to both the newly qualified professional and organisations. View the pan-London resource.

Amulti-professional preceptorship programmedeveloped for newly qualified primary care staff can be found on the Sussex Training Hub website. The programme is designed to support all multi-professional clinical colleagues who arenew to the primary care environmentto transition into their new role with confidence and competence.

HEE has developed a useful online learning programme for second and third year nursing students supporting them as they transition into their first post as a registered nurse. The programme is freely available on the HEE Learning Hub, and includes topics such as ‘what to expect as a nurse’ and ‘how to make the most of your early years as a nurse’

Examples of good practice

  • At University Hospitals of Derby and Burton there is an embedded preceptorship programme led by a dedicated colleague. Preceptees receive a green lanyard to wear in their role and therefore are easily identifiable on the wards across the different professions, which may mean they require extra support in their duties. They also gain access to peer support sessions and six themed workshops, based on soft skills including resilience and wellbeing, communication and personal development to name a few, these are opportunities to learn and also network in their new organisation.

    The skeleton structure can suit any profession and could also be used during supervision for any band or student. The trust has used their online portal to keep things electronic, including the ability to complete sections of the preceptorship online.

    Progress reviews take place across the year between the preceptor and preceptee, at least every three months, to monitor progress and share parts of the programme they can get involved with. The trust has also recently implemented a pilot project which is backed by a chief nurse, where trained bank nurses support newly qualified nurses, one to one supernumerary on shifts. The bank nurses receive training and are provided with a lanyard to show their role. This has been successful so far in nursing across all departments at all sites and is due to be rolled out inter-professionally to support the next generations of newly qualified preceptees across the trust.

  • Herefordshire and Worcestershire Health and Care NHS Trust understands the importance of preceptorships and has continued to support newly-qualified clinical staff from a variety of professions virtually throughout the pandemic. As part of this approach, they have tailored virtual study days ensuring the Health Education England standards are fulfilled. They were keen to explore preceptees views and ensure individual learning styles were met, therefore created a diverse learning approach, which included information sharing, storytelling, videos, and lots of time for peer to peer discussion in breakout rooms online, to facilitate an effective adult learning environment.

    The trust has recently become part of an ICS and therefore is keen to meet the Nursing and Midwifery Council requirements for preceptorship about working closely with Higher Education Institutes. As part of this, they recently co-organised a multi-collaborative pilot project with other NHS Trusts and private organisations in the region to support third year students for them at University. The organisations delivered virtual events in conjunction with the local University to give short sessions to share how each support newly qualified staff and the employment opportunities available to give these students a more informed decision about where to seek employment. An important session for students to understand whether each of the employers preceptorship programme’s meet the individual needs.

    (Video) Elysium Perceptorship Academy for Newly Qualified Nurses
  • University Hospitals Sussex have developed their own in house multi-disciplinary preceptorship model. The preceptor year has been adapted to a virtual training module accredited by the University of Surrey, so at the end of that year they can do a reflective assignment and receive academic credits, including for overseas nurses of which they have around 140 in one cohort.

    The first year is an opportunity to establish their needs as new staff in the NHS and gain confidence. After the first year, preceptees can go into a year two module which looks at nursing in the acute care environment, an opportunity to enhance skills in their area. Then finally the third year looks at leadership which is mapped to the advanced clinical practice pillars. The three year preceptorship programme then leads them to revalidation at which point have experience to already be considering pathways to explore further or specialise.

  • The trust works to the Greater Manchester/North West preceptorship framework standards that are aligned in the area for employers to work to. They allow a period of being supernumerary to enable the multi-professional preceptee to settle in to the role and organisation once joined. The trust also offers a number of workshops about operational, leadership, health and wellbeing and transitional sessions throughout the first year of being in role. This approach has been advantageous to preceptees joining the trust and supports retention of staff.

  • (Video) Evaluation of Preceptorship Programme for newly qualified midwives

    FAQs

    How much experience should a nurse preceptor have? ›

    Preceptors may be working with a nurse in her first job or a nurse with 20 years of experience, but is new to the unit.

    What does a preceptorship involve? ›

    Preceptorship is a period of structured transition to guide and support all newly qualified practitioners from student to autonomous professional in order to develop their practice further.

    What can I expect from a nursing preceptorship? ›

    A preceptor's role is to help you learn how to manage and care for your patients. To make the most of your preceptorship, you want to listen, ask questions, and speak to your nurse manager or nurse educator if you run into any issues. Advocating for yourself not only benefits you, but it also benefits your patients.

    How do you precept a new nurse employee? ›

    7 Ways to be an Amazing Preceptor to a New Grad Nurse
    1. Assume they don't know. ...
    2. Answer questions objectively. ...
    3. Address the social atmosphere. ...
    4. Encourage work/life balance. ...
    5. “See one, do one, teach one.” ...
    6. Don't be afraid to pass on precepting. ...
    7. Be open to new nurses' observations and feedback.
    Oct 2, 2019

    How long should you be a nurse before Precepting? ›

    Most hospitals and clinical practices will require that preceptors have at least a four-year degree in the nursing field.

    Can any nurse be a preceptor? ›

    Who Can Be a Preceptor? Preceptor roles for most nursing programs are open to advanced practice registered nurses (APRNs) and physicians. The requirements to become a preceptor vary by program. Generally, preceptors must have an unencumbered license to practice in the state where the preceptorship will take place.

    Can you fail nursing preceptorship? ›

    Persistent unsafe and/or unprofessional behaviour may lead to failure of the practicum, regardless of accumulative grades or success in other clinical competencies. Occasionally, a student will find that being a nurse is not what s/he expected and choose to leave.

    What can a newly qualified nurse do? ›

    nursing career paths

    Once qualified, nurses normally specialise in one of four areas: adult nursing, child nursing, mental health or learning disabilities nursing. Within these, you can specialise further in areas such as dermatology, haematology, intensive care and long-term care.

    What is preceptorship training? ›

    The Preceptor Training Program is an educational program designed to help you make the transition from staff/team member to preceptor. Learning to be a preceptor requires that you acquire and integrate new knowledge, attitudes, and skills.

    How do I impress my nursing preceptor? ›

    5 Pearls on How to Impress Your Preceptor on Clinical Rotations
    1. Never Be Late. I know, I know, its a double standard that your preceptor can be. ...
    2. Ask questions. Asking questions shows that you are genuinely interested in what you are doing. ...
    3. Speak at Appropriate Times. ...
    4. Be Bold. ...
    5. Be a “Yes” Man or Woman.
    Nov 4, 2015

    How does a nursing preceptorship work? ›

    Nurse preceptors use evidence-based practices to help new RNs or RNs new to a unit by providing useful feedback, setting learning objectives, teaching hospital protocols, and encouraging critical thinking. Preceptor relationships have been found to support the next generation of nurses.

    How long is a preceptorship in nursing? ›

    4.23 How long does preceptorship last for? t's generally recommended that your preceptorship period will last anything from six months to 12 months. Some people might need a little bit longer, but that's what most people are expected to finish their preceptorship in.

    What makes a good Preceptorship? ›

    An effective preceptor needs to be capable of: assessing learning needs and setting goals. developing and implementing learning plans. teaching time management and prioritization in patient care.

    What qualities make a good preceptor? ›

    Being an Effective Preceptor
    • Possesses and demonstrates broad knowledge.
    • Explains the basis for actions and decisions.
    • Answers learner questions clearly and precisely.
    • Open to conflicting ideas and opinions.
    • Connects information to broader concepts.
    • Communicates clear goals and expectation.
    • Captures learners attention.

    What makes an excellent preceptor? ›

    An effective preceptor will minimize the intern's stress by being patient, encouraging, and supportive but will also have high expectations. 5. is knowledgeable, confident, and enthusiastic about continuing their own learning.

    What is preceptor pay in nursing? ›

    The average hourly wage for an RN Preceptor in the United States is $37 as of , but the salary range typically falls between $34 and $42.

    Why is Preceptorship important in nursing? ›

    What is preceptorship? The main aim of preceptorship is to welcome and integrate newly registered professionals into their new team and place of work. It helps these professionals translate their knowledge into everyday practice, grow in confidence and understand how to apply the Code in their day to day work.

    How do you retain a preceptor? ›

    Strategies for retaining preceptors

    Appoint someone to oversee the preceptor program and serve as a mentor for preceptors. Provide administration support to acknowledge that the preceptor needs time to work with the orientee. Resist the urge to give the preceptor-orientee pair an increased patient assignment.

    How long is a preceptorship? ›

    The recommended length of a preceptorship programme is 12 months from the date of joining the organisation. It is an organisational decision to wait until a newly registered nurse receives their pin number. The length of preceptorship may be flexible for some in terms of individual needs or organisational requirements.

    What makes a great nurse preceptor? ›

    A good nursing preceptor is; an expert in their field, enthusiastic about their job and educating others, a transparent communicator, patient and a great role model. They provide ongoing feedback and formally document discussions at required intervals, aiding in the development of the preceptee.

    Is a preceptor considered a supervisor? ›

    The supervisor is also sometimes referred to as a preceptor. The umbrella term of 'supervisor' can include roles as an educator, role model and assessor.

    Can you fail a preceptorship? ›

    You cannot fail Preceptorship. You might get proof of completion of a period of Preceptorship, but this is not always the case. If you do get something, keep it! If you are going for job interviews, ask about the Preceptorship programme they offer.

    Who is responsible for nursing student? ›

    Typically, practicing nursing as a student who is enrolled in an approved nursing program is one of the exempted (or excepted) practices. The nursing student is accountable for his or her nursing actions and behaviors to patients, the instructor, the facility and the nursing program.

    What are the challenges newly qualified nurses face? ›

    Newly qualified nurses face many challenges - being in charge of the care needs of patients who are seriously ill, having to delegate and often taking higher than expected levels of responsibility at short notice due to staff shortages.

    What level is a newly qualified nurse? ›

    Band 5 Newly Qualified Nurse or Staff Nurse

    Newly qualified registered nurses start at Band 5. Generally, you'll start in a hospital setting and then progress within your ward – gaining experience as you move up within your banding. Many wards have a clear career progression path in place which helps you to plan ahead.

    What are your fears of being a newly qualified nurse? ›

    Newly qualified nurses (NQNs) may experience a lack of confidence and feelings of isolation (Bjerknes and Bjork, 2012), along with the pressure that goes with being a decision maker and directly responsible for patients' lives. This highlights one of the most challenging changes for NQNs: accountability.

    What are the three main competencies of an effective preceptor? ›

    An effective preceptor must develop instructing, interpersonal, and competency assessment skills.

    What role is typically the most challenging for preceptors? ›

    Certification measures the nurse's level of education. 13. Which role is the most challenging for preceptors? Educator.

    What is another word for preceptor? ›

    In this page you can discover 12 synonyms, antonyms, idiomatic expressions, and related words for preceptor, like: guru, tutor, instructor, expert, specialist, teacher, spiritual director, spiritual father, supervisees, mentor and lecturer.

    How do you build a rapport with a preceptor? ›

    Creating Great Relationships with Preceptors
    1. Always show up early, ready to learn and eager to lend a hand. ...
    2. Dress (and act) the part. ...
    3. One way or another, reference. ...
    4. Ask questions. ...
    5. Don't pass judgment. ...
    6. Pack a lunch. ...
    7. Practice your patient presentations. ...
    8. Master your histories and sharpen your physical exam.
    Mar 29, 2016

    How you're building your relationship with your preceptor? ›

    You've gotten this far, always remember that. Working with a preceptor is just another part of this big adventure.
    ...
    5 tips to build a great relationship with your preceptor
    1. Start by thinking out loud. ...
    2. Be on time. ...
    3. Ask (the right) questions. ...
    4. Be a 'yes' person. ...
    5. Act like a professional.
    Oct 7, 2020

    How can I improve my nursing skills? ›

    How to Improve Your Skills for Nursing
    1. Continue Your Education. ...
    2. Explore Advanced Nursing Education. ...
    3. Learn How to Effectively Communicate. ...
    4. Join a Professional Nursing Organization. ...
    5. Make a Commitment to Service and Knowledge.
    Mar 23, 2022

    Who is a mentor in nursing? ›

    A nurse mentor is a nurse who has more experience in a nursing field than you do and is willing to share their knowledge and time to help you achieve your goals. Mentoring can be done formally or informally.

    What are some challenges preceptors might face while working with a student in an administrator in training model such as this? ›

    The main challenges faced by preceptors included discrepancies in applying theory to practice; lack of trust; lack of time, and perceived lack of knowledge.

    What is a preceptor leader? ›

    The preceptor plays a critical role in the educational process and development of leaders by monitoring and guiding the student's learning experience while acting as a role model.

    What band are newly qualified nurses? ›

    Band 5 – Newly Qualified Nurse.

    How long are you a newly qualified nurse? ›

    How long will it last? The recommended length of time of a preceptorship can be anything from 4 months to 12 months with some NHS Trusts having preceptorship programmes in place to support the development of the new nurses coming through.

    Do you get paid during a preceptorship? ›

    Teachers all around the US get paid. Preceptors for MDs and PAs sometimes get paid as well, also in the form of honorariums, in most cases.

    What to write in a preceptor thank you note? ›

    Dear preceptor, Thank you so much for taking me on as a student during my rotation. I truly appreciate all the time and effort you put into teaching me and helping me grow as a medical student. I am grateful for the opportunity to learn from you and shadow you during your rounds.

    What do you write in a preceptor card? ›

    I am honored to work under your guidance. Thank you for believing in me and for providing guidance which helped me in developing unique techniques. I always look forward to learning more from you. I am thankful to have you as a mentor as well as a clinical preceptor.

    What is the meaning of preceptorship? ›

    [ prĭ-sĕp′tər-shĭp′ ] n. A period of practical experience and training for a student, especially of medicine or nursing, that is supervised by an expert or specialist in a particular field.

    How do you precept a new nurse employee? ›

    7 Ways to be an Amazing Preceptor to a New Grad Nurse
    1. Assume they don't know. ...
    2. Answer questions objectively. ...
    3. Address the social atmosphere. ...
    4. Encourage work/life balance. ...
    5. “See one, do one, teach one.” ...
    6. Don't be afraid to pass on precepting. ...
    7. Be open to new nurses' observations and feedback.
    Oct 2, 2019

    What is the difference between a mentor and a preceptor? ›

    Preceptorships, which are prearranged, are time limited—they last for the length of orientation. Mentors provide support, guidance, and encouragement to student nurses, new graduates, and nurses making a specialty or practice transition.

    How do you precept experienced nursing? ›

    Top Tips to Prepare You to Precept a New Nurse Graduate
    1. 1) Know your role. Nurse preceptors are integral components of a given institution's safe and effective healthcare delivery machinery, in a manner of speaking. ...
    2. 3) Clarify your goals. ...
    3. 4) Communicate. ...
    4. 5) Be prepared. ...
    5. 6) Beware cockiness. ...
    6. 7) Hold a daily mini-review.
    Mar 2, 2017

    What is your ideal preceptor like? ›

    An effective preceptor needs to be capable of: assessing learning needs and setting goals. developing and implementing learning plans. teaching time management and prioritization in patient care.

    How can I be a better preceptor? ›

    How to be an Efficient and Effective Preceptor
    1. Establish a teaching environment. ...
    2. Communicate with everyone involved. ...
    3. Tailor your teaching to the student's needs. ...
    4. Share teaching responsibilities. ...
    5. Keep observation and teaching encounters brief. ...
    6. Broaden student responsibilities.

    What is a nursing preceptor program? ›

    Nurse preceptors use evidence-based practices to help new RNs or RNs new to a unit by providing useful feedback, setting learning objectives, teaching hospital protocols, and encouraging critical thinking. Preceptor relationships have been found to support the next generation of nurses.

    What are the three main competencies of an effective preceptor? ›

    An effective preceptor must develop instructing, interpersonal, and competency assessment skills.

    What attributes did you admire in your preceptor? ›

    Students consistently cite the support, willingness to help, and caring attitude of their preceptors as some of the most important attributes that made the learning experience valuable.

    What to write in a preceptor thank you note? ›

    Dear preceptor, Thank you so much for taking me on as a student during my rotation. I truly appreciate all the time and effort you put into teaching me and helping me grow as a medical student. I am grateful for the opportunity to learn from you and shadow you during your rounds.

    Why you should be a preceptor? ›

    Helps you stay current with knowledge and best practice. Connects you to the next generation of clinicians. Contributes to the profession and teaching. Allows you to develop leadership skills.

    Why do you want to be a preceptor? ›

    As a preceptor, you help the next generation of RNs and advanced practice RNs translate classroom learning into hands on patient care. You're supporting your profession, watching them gain confidence in practice, and you may even learn a few things—new nurses are full of fresh ideas.

    How do you impress a nursing preceptor? ›

    HOW TO IMPRESS YOUR NURSING PRECEPTOR - YouTube

    Which actions should the nurse manager take when facilitating a preceptorship program? ›

    3Which actions should the nurse manager take when facilitating a preceptorship program? Promote a culture of teamworkThe manager should inspire the nurses by promoting a culture of teamwork, which will facilitate collaboration and preceptorships.

    How long is a preceptorship in nursing? ›

    4.23 How long does preceptorship last for? t's generally recommended that your preceptorship period will last anything from six months to 12 months. Some people might need a little bit longer, but that's what most people are expected to finish their preceptorship in.

    Is a preceptor considered a supervisor? ›

    The supervisor is also sometimes referred to as a preceptor. The umbrella term of 'supervisor' can include roles as an educator, role model and assessor.

    What makes a successful preceptor training program? ›

    A preceptor program is only successful if the preceptee felt that they were trained well. Leadership should gain feedback from new hires to evaluate the preceptor, and coach the preceptor as needed.

    What is preceptorship training? ›

    The Preceptor Training Program is an educational program designed to help you make the transition from staff/team member to preceptor. Learning to be a preceptor requires that you acquire and integrate new knowledge, attitudes, and skills.

    Videos

    1. What Is A Preceptorship Programme For Midwives? Shifts, Band 5/6, Competences WorkBook & My Journey
    (Nadine Nayy)
    2. Support for newly-qualified nurses at Northampton General Hospital
    (Northampton General Hospital NHS Trust)
    3. Preceptorship - preceptorship project lead Jenny
    (Health Education England - HEE)
    4. Newly Qualified Nurse | 5 things you should do ! | Advice for Newly Qualified Nurses
    (Maria Avi Nursing Personal Statement)
    5. Advice For Newly Qualified Nurses
    (Nurses.co.uk)
    6. Preceptorship at DBTH
    (Doncaster and Bassetlaw Hospitals NHS Foundation Trust)

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