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5. Observes carefully for signs of knowledge or skill deficit in new employees and
intervenes appropriately
6. Assists employees in developing personal strategies to cope with role transition
7. Applies adult learning principles when helping employees learn new skills or
information
8. Coaches employees spontaneously regarding knowledge and skills deficits
9. Is sensitive to the unique socialization and education needs of a culturally and
ethically diverse staff
10.Continually promotes aspects of the learning organization to employees
11.Assists nursing staff in overcoming organization barriers to effective evidencebased practice
Management Functions
1.
2.
3.
4.
5.
Is aware of and clarifies organizational and unit goals for all employees
Clarifies role expectations for all employees
Uses positive and negative sanctions appropriately to socialize new employees
Carefully selects preceptors and encourages role modeling of the senior staff
Provides methods of meeting the special orientation needs of new graduates,
international nurses, and experienced nurses changing roles
6. Works with the education department to delineate shared and individual
responsibility for staff development
7. Ensures that there are adequate resources for staff development and makes
appropriate decisions regarding resource allocation during periods of fiscal
restraints
8. Assumes responsibility for quality and fiscal control of staff development
activities
9. Ensures that all staff are competent for roles assigned
10.Provides input in formulating staff development policies
11.Ensures that the organization provides resources to promote evidence-based
nursing practice
The Key Characteristics of Senge's Model(Learning Organization)
Theories of Learning
Adult Learning Theory
Androgogy- adult learning- are mature, self-directed people who have learned a
great deal from life experiences and are focused towards solving problems that exist
intheir immediate environments.
Pedagogy- child learning
Obstacles and Assets to Adult Learning
Obstacles Learning
Institutional barriers
Time
Self-confidence
Situational obstacles
Family reaction
Special individual obstacles
High self-motivation
Self-directed
A proven learner
Knowledge experience reservoir
Special individual assets
Readiness
Motivation to learn
Reinforcement
Task learning
Transfer of learning
Span of memory
Chunking
Knowledge of results
Learner's reaction
Behavior change
Organizational impact
Cost-effectiveness
Prevost suggests numerous strategies that the organization can use to encourage
best practices:
Role Theory
- the behaviors that accompany each role are learned socially and by instruction,
observation, and trial and error.
1. Socialization occurs during nursing school and continues after graduation.
2. Occurs when individuals are forced to learn new values, skills, attitudes, and
social rules as a result of changes in the type of work they do, the scope of
responsibility they hold, or in the work setting itself.
Clarifying Role Expectations Through Role Models, Preceptors, and
Mentors
Role Model is defined as someone worthy of imitation. Role models in nursing are
experienced, competent employees.
Preceptor is an experienced nurse who provides knowledge and emotional support,
as well as clarification of role expectations, on a one-to-one basis.
Mentors take on an even greater role in nursing education as a means for role
clarification. It is a distinctive interactive relationship between two individuals,
occuring most commonly in professional setting.
Stages of the Mentoring Relationship
1. Initiation- relationship is established
2. Cultivation- coaching, protection, and sponsorship as well as counseling,
acceptance, and the creation of a sense of competence.
3. Separation
relationship takes on a new from or ends
4. Redefinition
Positive Sanctions can be used as an interactional or educational process of
socialization.
Negative Sanctions, like rewards, provide cues that enable people to evaluate
their performance consciously and to modify behavior when needed.
4 Phases of Role Transition from Student Nurse to Staff Nurse:
1. Honeymoon phase
2. Shock
3. Recovery
4. Resolution
Specific orientation needs arise for Experienced Nurse in a New Position:
Transition from expert to novice
Transition from the familiar to the unfamiliar
Coaching is one person helping the other to reach an optimum level of performance.