A study of the effect of nursing student preceptorship programs on the development of clinical competence in the senior baccalaureate nursing student
Dr. Linda J. Scheetz, EdD, RN, FAEN
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Many new graduate nurses lack clinical competence in the practice setting. The purposes of this study were (a) to examine the differences in the gains in clinical competence between those students who participated in summer preceptorship programs and those students who worked as nursing assistants in noninstructional clinical settings, and (b) to describe how students in each group perceived various factors of their summer work experience relative to their preferences. Nonprobability convenience sampling was used to obtain a sample of 72 female generic baccalaureate nursing students. A nonequivalent comparison group pretest-posttest design was utilized. Treatment group subjects participated in hospital-based summer preceptorship programs for nursing students. Comparison group subjects worked as nursing assistants in hospitals that did not offer these students a planned instructional program during their employment. Data were collected utilizing the self-administered Participant Information Survey and Summer Experience Survey. Head nurses utilized the Clinical Competence Rating Scale to rate subjects' clinical competence at the beginning and end of the summer experience. A chi-square analysis of the Participant Information Survey data indicated that both study groups were similar on most of the extraneous variables of concern in this study. ANCOVA was performed on mean scores for the Clinical Competence Rating Scale. Both groups achieved gains in clinical competence from pretest to posttest. However, significantly greater gains in clinical competence were achieved by the treatment group subjects. Descriptive analysis of the Summer Experience Survey data indicated that subjects in both groups enjoyed a "buddy" relationship with either their RN preceptor or an RN staff nurse on their unit. Subjects in both groups indicated that the summer experience was beneficial to them and that they improved their clinical competence. Since the preceptor-preceptee relationship was either naturally or spontaneously created for most subjects in the study, one must search further to find an explanation for the difference in the gains in clinical competence at the end of the summer work experience. Factors to be considered when examining this difference include other variables inherent in the preceptorship experience. Additionally, organizational variables may have contributed to the differences in the gains in clinical competence.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 8816007; ProQuest document ID: 303687899. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Evidence Level||Quasi-Experimental Study, Other|
|Research Approach||Quantitative Research|
|Grantor||Teachers College, Columbia University|
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