Ohio Nurse Preceptor Development Program Satisfaction Survey
Thank you for completing the Ohio Nurse Preceptor Development Program. This form is provided to gather your feedback regarding the course. Please answer questions 1 to 7 using the following scale:
1= Strongly Disagree, 2= Disagree, 3= Neither Disagree or Agree, 4= Agree, 5= Strongly Agree
Please type in your responses for questions 8 and 9.
1. "The learning objectives were clearly stated"
1 2 3 4 5
2. "The content provided was sufficient to meet the stated objectives."
1 2 3 4 5
3. "Completing the program will help me to be a more effective preceptor."
1 2 3 4 5
4. "I would recommend this program to other preceptors”
1 2 3 4 5
5. "The content was organized."
1 2 3 4 5
6. "The length of the program was appropriate”
1 2 3 4 5
7. "The presentation, learning activities and other course materials were helpful."
1 2 3 4 5
8. What did you like most about this program?
9. What did you like least about this program?”
Directions: Please read each question carefully and select the answer that best represents your current level of knowledge, skills and attitudes.
1. You are working with a preceptee caring for a newly admitted patient. After checking the electronic health record (EHR), you notice that the healthcare provider has ordered a new medication. You are familiar with the medication and the prescribed dose is triple the usual recommended dosage. The preceptee identifies the need to check this order but says she doesn’t know what to do first. Which of the following is an open-ended question that could be used to encourage critical thinking?
a. “Where have you looked already?”
b. “What kind of information do you need from me?”
c. “Does this sound like the answer to your question?”
2. How do questioning techniques help preceptees to think critically?
a. They assist students to view a situation from different perspectives and explore assumptions
b. They encourage students to move toward lower level thinking
c. They discourage reflection on action and thinking.
3. Critical thinking is
a. a complex process that’s highly influenced by emotions and changes depending on what you are trying to accomplish.
b. the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process
c. the conclusion or enlightened opinion at which a nurse arrives following a process of observation, reflection and analysis of observable or available information or data.
4. Clinical judgment is:
a. a complex process that’s highly influenced by emotions and changes depending on what you are trying to accomplish.
b. the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process
c. the conclusion or enlightened opinion at which a nurse arrives following a process of observation, reflection and analysis of observable or available information or data.
5. Coaching is a technique preceptors can use when working with preceptees in the clinical setting. Which of the following is an effective coaching technique?
a. avoiding difficult situations
b. motivating to achieve desired results
c. consulting with others only when absolutely necessary
d. building trust and bonds if the relationship will be long-term.
6. The Ohio Nurse Competency Model is a hybrid model created by using a combination of which two competency frameworks?
a. QSEN (Quality and Safety Education for Nurses) and Massachusetts Nurse of the Future Core Competencies
b. QSEN and NLN (National League of Nursing) Competencies
c. Massachusetts Nurse of the Future Core Competencies and IOM (Institute of Medicine) Competencies
7. In a coaching relationship, which of the following may be a barrier to providing effective feedback?
a. fear of doing more good than harm
b. concern about upsetting the preceptee
c. consistent feedback from multiple sources
Use the following case study to answer questions 8 and 9.
A 69-year-old terminally ill female patient cries out for help from her room. She tells the preceptee that her pain is unbearable. She says, "I need more pain medicine, it hurts too much, I can't sleep, I can't stand it any longer." She seems very anxious and irritable. The preceptee asks the patient to rate her pain on a scale from 0 for no pain to 10 for the worst pain, and the patient says her pain is a 9.
The preceptee reviews the physician orders and is surprised to see that a placebo has been ordered to be alternated with a low-dose pain medication. She approaches the physician with her concerns about the patient's poorly managed pain. He pulls up a picture on his computer of a man who was carrying another man, over his shoulder, as a means to get him to the hospital. He said, "In my country, one has to tolerate much more pain than Americans do, and no one complains. Here in America, there is so little tolerance for pain." He also said, "She has a history of being a drug addict, which is the real reason she wants these drugs. And I would hasten her death if I gave her as much pain medication as she wants."
The preceptee suggests he replace the placebo with pain medication; he rejects her suggestion. The doctor tries to reassure her that research has proven that placebos are effective in alleviating pain. He said, "The placebo works on the psychological part of the pain." (Adapted from: The Right to Pain Treatment: A Reminder for Nurses Source: Dimensions of Critical Care Nursing June 2008, Volume 27 Number 3 , p 93 – 101.)
8. The preceptee comes to you to ask what she could have done differently. As the preceptor, you want to encourage self-reflection. Which of the following questions would you use to encourage a deeper level of student thinking?
a. “What happened?”
b. “If you were dealing with a similar situation again, what would you do the same next time and what would you do differently?”
c. “What questions do you have about the incident that I can answer for you?”
9. How confident are you in coaching the preceptee to resolve this type of ethical dilemma?
a. extremely confident
b. very confident
c. somewhat confident
d. not very confident
e. not at all confident
10. 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?
a. extremely confident
b. very confident
c. somewhat confident
d. not very confident
e. not at all confident
11. How confident do you feel in your ability to assess knowledge, skills and attitudes of preceptees in the clinical setting?
a. extremely confident
b. very confident
c. somewhat confident
d. not very confident
e. not at all confident
12. How confident are you in using questioning techniques to encourage critical thinking?
a. extremely confident
b. very confident
c. somewhat confident
d. not very confident
e. not at all confident
13. How confident do you feel in assisting preceptees to identify data that indicates an acute change in health status?
a. extremely confident
b. very confident
c. somewhat confident
d. not very confident
e. not at all confident
14. How confident do you feel in assisting preceptees to differentiate between problems needing immediate attention and those requiring subsequent action?
a. extremely confident
b. very confident
c. somewhat confident
d. not very confident
e. not at all confident
15. 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?
a. extremely important
b. very important
c. somewhat important
d. not very important
e. not at all important
16. How important is it for preceptors to use questioning techniques when working with preceptees in the clinical setting?
a. extremely important
b. very important
c. somewhat important
d. not very important
e. not at all important
17. How important is it for preceptors to coach preceptees on how to “think like a nurse?”
a. extremely important
b. very important
c. somewhat important
d. not very important
e. not at all important
18. How important is it for preceptors to provide formal and informal feedback to develop preceptee competence and confidence?
a. extremely important
b. very important
c. somewhat important
d. not very important
e. not at all important
19. 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.
a. strongly agree
b. agree
c. neither agree or disagree
d. disagree
e. strongly disagree
20. How valuable is it for nurses to be aware of changes in the ways that nursing students are being educated?
a. extremely valuable
b. very valuable
c. somewhat valuable
d. not very valuable
e. not at all valuable
TeamSTEPPS- ASTD Coaching Self-Assessment Pre-test/Delayed Post-test Form
For each of the following competency areas, please select how you see yourself when working as a nurse preceptor. Write an X in one of the boxes to the right of each competency, depending on how you see yourself right now. For the last column, indicate the percentage of time that you demonstrate each behavior when working with preceptees.
Communicating Instructions. Showing the person you are coaching how to accomplish the task and clarifying when, where, how much, and to what standard it should be done.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Setting Performance Goals. Collaborating with others to establish short- and long-term goals for performance on particular tasks.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Providing Feedback. Carefully observing performance on individual tasks and sharing these observations in a nonthreatening manner.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Rewarding Improvement. Using a variety of means to provide positive reinforcement to others for making progress on the accomplishment of important tasks.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Dealing With Failure. Working with others to encourage them when they do not meet expectations.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Working With Personal Issues. Listening empathically and without judgment and offering emotional support for non-work difficulties.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Confronting Difficult Situations. Raising uncomfortable topics that are affecting task accomplishment.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Responding to Requests. Consulting with others on an as-needed basis. Responding to requests in a timely manner.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Following Through. Keeping commitments. Monitoring outcomes of the coaching process and providing additional assistance when necessary.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Listening for Understanding. Demonstrating attention to and conveying understanding of others.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Motivating Others. Encouraging others to achieve desired results. Creating enthusiasm and commitment in others.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Assessing Strengths and Weaknesses. Identifying root causes of individual performance. Probing beneath the surface of problems. Keenly observing people and events. Defining and articulating issues effectively.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Building Rapport and Trust. Showing respect for others. Acting with integrity and honesty. Easily building bonds with others. Making others feel their concerns and contributions are important.
Choose one of the following:
One Of My Strengths
Doing Okay On This
Need To Develop This
Lacking This Skill
When working with preceptees, what percentage of the time do you demonstrate this behavior?
Choose One:
0-20% 20-40% 40-60% 60-80% 80-100%
____ %
Reference: Adapted from: Chen, Chris, Coaching Training, ASTD, 2003.
Page last reviewed November 2012
Internet Citation: ASTD Coaching Self-Assessment Form. November 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/longtermcare/module9/ltcselfasmt.html