A COLLABORATIVE APPROACH TO OFFERING A PRECEPTED CLINICAL NURSING RESIDENCY EXPERIENCE FOR SENIOR LE

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A COLLABORATIVE APPROACH TO OFFERING A PRECEPTED
CLINICAL NURSING RESIDENCY EXPERIENCE FOR SENIOR
LEVEL BSN UNDERGRADUATE STUDENTS

• Muriel M. Shore, EdD, RN, CNAA, BC
• Dean and Professor, Felician College, Division of
  Nursing and Health Management
• Linda Fasciani, MSN, RN
• Clinical Instructor, Saint Barnabas Medical
  Center, Department of Nursing Education and
  Research

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Clinical ResidencyProgram

• Senior level, 6 credit, 15 week required
  intensive clinical practicum
• Specialty specific
• One-on-one with clinical preceptor
• Faculty clinical educator on site
• 
  

3
Purpose

• Transition to professional role
• Competent practitioner
• Advanced beginner
• Focused orientation
• Recruitment retention
• Quality patient care

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Vision Partnership Model

• Felician College
• Small, private, Catholic college
• Saint Barnabas Health Care System
• Large, integrated health care delivery system
• 
  
  

5
Planning Phase

• Two year collaborative process
• Regulatory issues addressed
• Guidelines developed
• Coordinator of Clinical Residency Program
  identified by Felician College
• Liaison clinical educator identified by Saint
  Barnabas Medical Center
• 
  

6
Planning Phase Selection of Specialty

• Students list first three choices
• Felician College faculty and SBHCS educators meet
• Assign student to unit
• SBHCS selects preceptors in consultation with
  nurse managers
• 
  

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Planning Phase Student Preparation

• Completion of 7 semesters including successful
  completion of the following clinical courses
• Health assessment, foundations, medical-surgical,
  mental health, maternity, pediatrics, community
  health
• Nursing Intervention Tracking Form
• Submitted to agency prior to orientation
• Self-study modules
• Completed prior to orientation
• 
  

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Guidelines Hospital Roles Responsibilities

• Director of Nursing Education Research
• Provide masters prepared clinical instructor
• Consult with nurse managers regarding preceptor
  selection
• Clinical Educator
• Facilitate and assist preceptor, student, and
  faculty
• Assure preceptor availability for clinical
  resident
• Clinical Preceptors
• Collaborate with clinical educator and faculty
• Guide clinical resident in performance of patient
  care
• 
  

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Guidelines College Roles Responsibilities

• Dean Coordinator of the Clinical Residency
  Program
• Submit student specialty requests to hospital
  directors
• Meet with hospital directors to determine student
  placement
• Provide faculty
• Faculty
• On-site liaison between clinical residents,
  preceptors and clinical instructor
• Evaluate progress of clinical residents
• Students
• Identify own learning needs
• Gradually increase number and complexity of
  patients in collaboration with preceptor
• 
  
  

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Cost

• Hospital
• Clinical educator
• Preceptors
• Luncheons
• Office supplies

• College
• Coordinator
• Faculty
• Recognition activities
• Office supplies

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Funding

• Saint Barnabas Health Care System
• Two 70,000 grants from the Wachovia Foundation
• Felician College
• 50,000 grant from the Edward W. Stella C. Van
  Houten Memorial Fund
• 
  

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Implementation

• Student orientation
• Luncheon to meet preceptors
• Thirteen hour day
• Gradual increase in patient care from 1?4
• Faculty clinical educator rounds
• 
  
• 
  

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Collaboration
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Evaluation Students Preceptors

• Student Feedback
• Midsemester final meeting with Director of
  Nursing Education Research
• SBMC program evaluation
• Felician course evaluation
• Felician residency evaluation (12 open-ended
  questions)
• Preceptor Feedback
• Meeting with Director of Nursing Education
  Research

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Outcomes Student

• Independence
• Confidence
• Competence
• Sense of belonging

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Outcomes Agency

• Focused orientation
• Recruitment
• Retention
• Preceptor recognition

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Recognition
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Future Endeavors

• Expand residency program to other hospitals
  within SBHCS
• Joint Research Committee
• Research
• Publication