Carol Thorn: Ice Sculpting
Carol Thorn uses ice sculpting as a metaphor, thinking about what the ice and experience of carving it bring to the sculpture as well as what she can offer as a teacher.
Diane Pestolesi: Coaching
Diane Pestolesi’s metaphor is coaching. This opens up possibilities for situated teaching and learning in actual clinical practice. She asks questions, assesses students’ approaches and practical understandings, and offers situated coaching.
Sarah Shannon: Boat Keel
Clinical ethics teacher, Sarah Shannon, uses a boat keel as her metaphor. Forming a keel is integral to the formation of a student’s ethical comportment in practice. It keeps them from capriciously changing, veering off into conflicting or multiple directions at once. She teaches by examples, active dialogue, and asking questions, so that students learn to navigate …
Lisa Day: Bird Watching
Lisa Day’s metaphor of bird watching challenges her to be attentive, engaged and curious. She is comfortable with long pauses, waiting for students to show up. She learns from them rather than only imposing her ideas and information.
Precepting for Autonomy, Nurse Patient Relationships, Clinical Imagination, Time Management, Teamwork and Curiosity
Copyright May 8, 2019 Patricia Benner, R.N., Ph.D., FAAN We continue to examine the teaching and learning required by all new graduate nurses; how preceptors transmit local knowledge, engage in situated coaching, and role model nurse-patient caring relationships that are respectful, discerning, and attuned. Here we focus on preceptor Marye Fuqua, who is a relatively …
Coaching for Autonomy, and Authenticity with Marye Fuqua pt 1
Marye Fuqua provides some valuable insight into what makes an effective preceptor of new graduates. Since she is relatively new to nursing herself, she has a clear memory of the learning challenges of transitioning school to work, and what coaching practices did and did not work for her when she was a preceptee. She fosters autonomy in …
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Learning Time Management and Organizational Skills with Marye Fuqua pt 2
Marye Fuqua provides some valuable insight into what makes an effective preceptor of new graduates. Since she is relatively new to nursing herself, she has a clear memory of the learning challenges of transitioning school to work, and what coaching practices did and did not work for her when she was a preceptee. She fosters autonomy in …
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Vickie Sattler: Learning from a “Bad Outcome” pt 2
In Part 2 of our interview with Preceptor Vickie Sattler, we hear how a preceptee is coached through a patient’s death to provide the best care and comfort to both the patient and family.
Vickie Sattler: Two Key Roles for Preceptors pt 1
A strong preceptor program can dramatically improve a hospital’s retention rate of new nurses. However, the of the emergency department preceptor faces unique challenges as they work quickly in situations that may fall outside the orientee’s experience and clinical knowledge. Vickie Sattler of Spokane, WA, meets the challenge with excellent situated coaching and local knowledge …
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Two Key Roles of Preceptors: Situated Coaching and Teaching Local Knowledge
copyright 2019 by Patricia Benner, R.N., Ph.D., FAAN Health care institutions are complex organizations with many moving parts and players who must coordinate and share their local work knowledge (Geertz, 2000). Geertz points out that a study of local knowledge is necessarily a study of the particular, concrete in relation to the general, or …
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