Nurses as Teachers

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Nurses as Teachers Preceptor Workshop Module 2
Competency
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Competency
Only 35 of new RN graduates, regardless of
educational preparation and credentials, meet
entry level expectations for clinical
judgment. - Del Bueno, 2005.
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The Advisory Board Company
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• Ample Room for Improvement Even on Top-Rated
  Skills
• The following slides indicate the percentage of
  frontline nurse leaders agreeing that new
  graduate nurses are proficient on each of the 36
  competencies, rank ordered from highest to lowest
  level of proficiency.

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Activity
Look at each group of words choose the word
that best reflects the idea of competency.
Knowledge Forceful Energetic Engaged Original Dexterity Applicable Dominant Casual Imaginative Expert Skill Casual Performance Engaged Routine Forceful Ingenious Defined expectations Habit
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Reality Shock
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Technical Skills
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Interpersonal Skills
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Critical Thinking Skills
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Categories of Competency

• TECHNICAL SKILLS
• INTERPERSONAL SKILLS
• CRITICAL THINKING SKILLS

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• Assess
• What competency do I want to help my orientee
  develop?
• What does my orientee already know?

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Competency Validation Methods
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Plan How will I teach this ? What tools do I
have or need?
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Implement Am I using the right tools/methods
effectively?
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• Evaluate/Validate
• How will I know if my orientee is competent in
  this skill?
• How will I validate?

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Level of Competency Achieved
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Facilitating Competency Questioning Techniques

• Questioning techniques gain factual information
  and insight into the situation.
• Open Questions generate awareness and
  responsibility during the learning process
• Closed Yes or no questions that save people from
  having to think and close exploration

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Facilitating Competency Questioning Techniques

• Exploratory Questions
• seek to know what happened and gain a clear
  picture of the situation
• Informational Questions
• seek to clarify the outcomes, discoveries made,
  and other factors that may have influenced a
  situation
• Reflective Questions
• that hope to identify possibilities, broaden
  vision, and evaluate choices
• Reflective Solution Oriented Questions
• seek solutions to identify persons and ideas for
  the future
• Agreeing Questions
• hope to find agreed timelines, measurement, and
  objectives
• Planning Questions
• prompt creation of a future plan, prioritization
  of problem, and to develop resolutions

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Principles of Feedback!

• Positive Feedback
• -- be clear
• -- be specific
• -- be descriptive
• -- Speak for your self
• -- Issuesnot statements
• -- Listen

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When NOT to give Feedback!

• You dont have enough information
• You dont care about the person
• Time and place are inappropriate
• You dont have time
• The situation in not in the persons control
• The other person seems low in self esteem
• You are feeling low in self-esteem

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