Utilization of Invitational Theory in the PCTU’s Critical Care Preseptorship Program

Connie Myres RN, MSN, CCRN, CNOR

Purpose

Background

Methods

Results

Discussion

Conclusion

.

• N=12: Twenty six surveys were distributed

• Preceptee’s reported their preceptor to be proficient (33%) or expert (67%) based on Benner’s Novice to Expert Theory.

• Limitations: Orientees who did not complete orientation were not included in the survey. The data may be skewed in a positive manner by those who chose to complete the survey versus those who did not.

The use of Invitational Theory as a theoretical model for preceptor education demonstrated that PCTU nurses demonstrate professionally inviting behaviors.

Theoretical Framework: This project utilized Benner’s Novice to Expert and Invitational Theory and is an adaptation of the IORTS tool in a different clinical setting.Methods: The modified IORTS were given to the 30 nurses that went through orientation from January 2010 through March of 2011. Participation in the survey is voluntary and confidential. Permission for use of the survey and its adaptations was obtained from its authors. Surveys were completed by the nurse orientees by July 15th of 2011. The survey is a likert-type survey. Pecent responded to each category will report out the orientees experiences. Data regarding retention of nurses will also be presented.

• Recognizing the professionally inviting practices used by PCTU nurse preceptors using a modified IORTS, a validated tool for preoperative nurses

• Evaluation of preceptees views of preceptors as defined by the novice to expert model

• Evaluate the attitudes of preceptees toward preceptors and how it relates to retention

• The PCTU held a preceptor action day in June 2010 to give professional development around Invitational Theory and its application for orientation as we prepare to hire for the new Mott hospital in November 2011.

• Specialty clinical areas require extensive orientation periods. The Invitational Operating Room Teaching Survey (IORTS) was used in the perioperative setting and has been adapted to the specialty of pediatric cardiac critical care.

• While an earlier project demonstrated increased satisfaction for preceptors (Quality Month Poster Day 2010) after learning about this research, this study will evaluate the preceptee’s experience.

The Preceptor: Listed as % responded

Very Seldom

Seldom

Seldom

Occasionally

Often Very Often

• Expressed pleasure with precepting

• Explains evaluation procedures

• Used a variety of teaching methods

• Promoted a trusting atmosphere

• Asked questions/stimulate thinking

• Encouraged self confidence• Involved preceptee in

decisions

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These behaviors are proven to help with retention of new nurses. One group of RN’ that started Summer 2010.