OHIO NURSE PRECEPTOR DEVELOPMENT
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Pre-Program Survey
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Indicates required field
Age
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21 years old or less
22-30
31-40
41-50
51-60
61-70
Over 70
Gender:
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Highest Educational Level
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Associate Degree in Nursing
Diploma
BSN
Bachelor's Degree in non-nursing field
MSN
Master's Degree in non-nursing field
Other
Number of years practicing as a RN
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Number of years serving as a preceptor to nursing students and/or newly licensed RN's
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How many hours of education/training do you estimate that have you received on precepting techniques?
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Were you required to complete a formal preceptor training program by your employer?
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Yes
No
How familiar are you with the Ohio Nurse Competency Model?
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Not at all familiar
Heard about it via an email/website
Talked to collegues about the model
Learned about it on a committee
How confident are you in providing feedback to a preceptee that will help them to think about any gaps between actual and desired performance and identify how they can narrow the gap to improve?
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Extremely confident
Very confident
Somewhat confident
Not very confident
Not confident at all
How confident do you feel in your ability to assess knowledge, skills and attitudes of preceptees in the clinical setting?
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Extremely confident
Very confident
Somewhat confident
Not very confident
Not confident at all
How confident are you in using questioning techniques to encourage critical thinking?
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Extremely confident
Very confident
Somewhat confident
Not very confident
Not confident at all
How confident are you in using questioning techniques to encourage critical thinking?
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Extremely confident
Very confident
Somewhat confident
Not very confident
Not confident at all
How confident do you feel in assisting preceptees to identify data that indicates an acute change in health status?
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Extremely confident
Very confident
Somewhat confident
Not very confident
Not confident at all
How confident do you feel in assisting preceptees to differentiate between problems needing immediate attention and those requiring subsequent action?
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Extremely confident
Very confident
Somewhat confident
Not very confident
Not confident at all
A preceptee is having difficulty administering medications via a nasogastric tube. How important is it for the preceptor to carefully observe performance and provide feedback while allowing the preceptee to complete the task?
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Extremely Important
Very Important
Moderately Important
Slightly Important
Not at all Important
How important is it for preceptors to use questioning techniques when working with preceptees in the clinical setting?
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Extremely Important
Very Important
Moderately Important
Slightly Important
Not at all Important
How important is it for preceptors to coach preceptees on how to “think like a nurse?”
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Extremely Important
Very Important
Moderately Important
Slightly Important
Not at all Important
How important is it for preceptors to provide formal and informal feedback to develop preceptee competence and confidence?
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Extremely Important
Very Important
Moderately Important
Slightly Important
Not at all Important
To what extent do you agree with the following statement: It is important for nursing schools and healthcare organizations to work together to ensure that new nurses are prepared for professional nursing practice.
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Strongly Agree
Somewhat Agree
Neither Agree or Disagree
Somewhat Disagree
Strongly Disagree
How valuable is it for nurses to be aware of changes in the ways that nursing students are being educated?
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Extremely valuable
Very Valuable
Somewhat valuable
Not very valuable
Not at all valuable
I agree to receiving marketing and promotional materials
Submit
Ohio Nurse Preceptor Development Program Pre-Test
Home
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Navigation Tips
Additional Preceptor Resources
Ohio Nurse Preceptor Program