Preparation for Mentorship and Assessing
Introduction.
Learning in practice is an important part of the curriculum and accounts for approximately 50% of the pre-qualifying nursing programme in the UK (Andrews and Roberts, 2003). Supporting students to learn is an important function for both educators and practitioners and thus teaching, assessing and mentoring are fundamental aspects of nurses' roles and responsibilities.
The quality of the clinical learning environment is a national priority for both Trusts and Higher Education Institutes (Rapson, Holding and Shepherd, 2003). In recent years, the impetus for review can be attributable to a variety of sources including recommendations
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Ashworth and Morrison (1991, cited in Stuart 2003 p34) consider that assessing involves the perception of evidence about performance by an assessor, and the arrival at a decision concerning the level of performance of the person being assessed. The teacher function, according to Morton-Cooper and Palmer (2002), involves sharing knowledge through experience and critical enquiry, facilitating learning opportunities and focusing on individual needs and learning styles to promote ownership and responsibility for continuing professional education. Activities that mentors and assessors are expected to provide include planning learning opportunities for and with students to enable them to achieve their individual learning needs, facilitating and supporting the learning process, assessing learning and, providing feedback to students on their performance (Neary, 2000; Eraut et al, 1995; cited in Stuart 2003 p33). However, Pulsford, Boit and Owen (2002) recognize that the distinct activities that each term implies have often become blurred together. I favour Bennett (2003) who defines the mentor simply as 'the nurse who supervises students, enables learning and assesses students in the practice setting'. This fits with what seems to be the case
46). The registered nurse mentor will acts as teachers by sharing knowledge and expertise, counselors by providing psychological support. May act as interveners by providing access to resources and protection, and sponsors by promoting the prestige as he or she facilitates self- reliance. This will provide the mentor with self-assurance, job approval, promotions, managerial skills, and problem-solving skills (Gordon, 2000)
The aim of this assignment is to critically reflect on the experience of mentoring and assessing a student in clinical practice. As the student was on a four week placement the assessment process will be discussed incorporating the qualities of the mentor and the effect it can have on the mentor/student relationship. In turn evaluating the learning environment and teaching strategies used including learning styles, reflecting on how they were applied to help the student. Finally, the evaluation of overall performance as a mentor. For the purpose of this work a pseudonym will be used to maintain confidentiality hence the student will be known as ’A’. ( NMC Code of Conduct 2007)
Issues such as staff shortage, increased workload, staff feeling threatened by the student nurses, and poor teaching skills can contribute to students not feeling supported (Burns and Paterson, 2005). Nursing students had identified that anxiety as their main concern in the research done by Masoumi and Sharif (2005). The unfamiliarity of tending for patients and worrying of making mistakes during the clinical attachment are the factors that students feel anxious. Mentor can diminish anxiety by utilizing simulation, where genuine case studies and scenarios are being simulated and roles and responsibilities of student nurse are being discussed (Burns and Paterson, 2005).Gradual encouragement in helping student nurse to gain control over their own learning may aid to construct their confidence which will reduce their
Nurses are responsible first for assessing their own competence. When a nurse, specifically a student
The assignment will allow me to reflect on my own experiences in my new role as a mentor and will follow the journey of a student nurse and her
The challenge Brooks& Moriarty(2009) feel is whilst providing sufficient support and supervision for fellow colleagues and learners it is of equal importance that the needs of the patient are being adequately met. They feel the main challenge that mentors face is upholding and overseeing the student and their learning, is equally as important that the needs of the patient and that they are being sufficiently met. Nettleton&Bray(2008) suggests that the mentors knowledge , attitude and communication skills are all influential factors that can affect a student’s ability to learn. This is recognised by Cassidy(2009) who advocates that by ensuring quality mentor-student relationships a more positive learning environment for the student will be achieved. However Pearcy&Elliot(2004) argue that due to the ever changing practice environment, the clinical setting has the potential to restrict and impede on the student nurse. They feel this location can be unstructured, unpredictable and overwhelming, thus generating feelings of vulnerability and anxiety amongst students(Papp et al,2003). A further constructive aspect of this situation was the immediate apology given to Mabel. Armstrong (2009) recognises the weight of a genuine apology and feels that although this is sometimes a difficult process, it undoubtedly has huge benefits and the potential help the both the patient and the nurse.
For this assignment I will address Morton- Cooper & Palmer (2005) enabling traits and discussed the core skill of a mentor. I will analyse and reflect on how I’ve utilised these skill with a third year student nurse in my practice area (cardiology) I will also reflect and evaluate my mentoring experience with my learner to see if there is any area of improvement or changes to be amended.
For many clinical experiences, the instructor assigns a nurse mentor to work with the student for that clinical experience. Some nurse mentors may have negative feelings about having to mentor students, may not take the time to explain things to students, or teach them how to do nursing care. The nurse mentor has the potential to positively or negatively affect the student’s learning experience based on their willingness to work with and teach nursing students.
The Nursing and Midwifery council (NMC) standards of proficiency for pre-registration nursing education (2010) sets out exactly what student nurses must achieve to enable registration onto the first part of the register. Another NMC publication; Standards to support learning and assessment in practice (2006) lays out what a post registration nurse requires to fulfil in order to formally assess student nurses. These two sets of standards make it clear what is expected of both students and mentors when learning in the clinical environment. This makes the process of mentoring sound simple, however, the reality of working on a busy ward coupled with staffing shortages and low morale makes this a complex and challenging task (Ref). As a
Six relevant systematic reviews were identified, with two of the reviews focused on the significance of mentoring to promote retention of experienced registered nurses as well as the effect student mentoring has on empowering nursing students and promoting their growth in the profession (Jokelainen et al.,
Teaching and learning in the clinical setting is not a new concept and the teaching of clinical skill to nursing student ranks high on the current agenda of nurse education (Pfeil, 2003). Therefore, has be the duty of teachers to continue to provide ongoing guidance during teaching and learning taking place. According to While (2004), the mentor is required to feel personally and professionally confident when assessing the student’s performance. This allows the development of the students will become better and more effective.
As a Registered Nurse I have had the opportunity to be a preceptor to a number of nursing students. I take this role very seriously as I am aware of the impact that my mentoring has on the students’ learning experience, competence and satisfaction
This friend was a mentor to the king’s son (Hodgson & Scanlan, 2013; Metcalfe, 2010). In nursing history Florence Nightingale was chronicled as a mentor (Metcalfe, 2010). As well as clinical practice placement settings are utilized for mentoring of students (Metcalfe, 2010).
Mentors now have to be aware of the NHS Institute for Innovation and Improvement, NHS leadership Qualities Framework, which gives mentors clear instructions about their responsibilities (Kinnell and Hughes 2010). However, meeting these requirements alone will not make a nurse a successful mentor. Mentors have to plan and provide appropriate opportunities for teaching and learning activities, with clinical experience to achieve learning outcomes and develop professional competencies (Choun and Suen 2001). This will enable them to assess students performance,
A Nursing Times survey identified that, while mentors are aware of the value of mentoring students (Gainsbury, 2010), they are challenged as to how to commit fully to the role within the constant demands of their core job. They identified that work demands had a significant impact on their ability to engage in mentor activities, such as mentoring students and attending updates and relevant courses. Mentors have also expressed concerns about accountability and supporting failing students (Duffy and Hardicre, 2007). Mentorship preparation and the ongoing development of nurse mentors www.nursingtimes.net / Vol 107 No 21 / Nursing Times 31.05.11 15 Nursing Practice Review 5 key points 1 Nurses and midwives have a responsibility to continually develop themselves for professional growth Mentors play a pivotal role in protecting the public by ensuring students are fit for purpose and practice 2 3