Advanced practice registered nurse students and preceptor incivility : a needs assessment

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Nature and scope of the project: An overwhelming number of nursing students reported some form of preceptor incivility during their clinical practicum (Budden et al., 2017; Ahn & Choi, 2019 ; Tecza et al., 2018). Current research focused primarily on the experience of the undergraduate nurse. This project’s objectives are to perform a needs assessment of APRN student’s experience with preceptor incivility. Synthesis and analysis of supporting literature: Supporting literature highlights the prevalence and types of preceptor incivility. Power dynamics between preceptors and students, combined with uncivil verbal behaviors, lead to adverse effects on student development and patient care. Project implementation: The project utilized a modified version of the Uncivil Behavior in Clinical Nursing Education tool (Anthony et al., 2014) to assess student experiences, ensuring a rigorous and validated approach. An online survey was administered to a purposive sample of APRN students at a midwestern public university. Evaluation criteria: An examination of prevalence, types of uncivil behavior demonstrated by preceptors, and students’ narratives was completed. Outcomes: The objectives were met, with 39% of respondents (n = 28) experienced preceptor incivility. Of the ten preceptor uncivil behaviors assessed, “making snide remarks” was the only statistically significant finding, with DNP students recording a higher occurrence. (df = 2, p = .02), and a noted difference between degree tracks. Uncivil behaviors scored higher in the DNP cohort including inappropriate tone, raised voice, and not being included in decision-making. Behaviors that scored higher in the MSN cohort include preceptors avoiding hearing “report” from the student and incompetence. Subjective narrative reports from the APRN students highlighted feelings of desperation and comments on physical appearance. Recommendations: The study provides valuable insights into the prevalence and types of preceptor incivility experienced by APRN students, highlighting the need for future validation and broader sampling. The differences in uncivil preceptor behaviors across degree tracks suggest potential areas for tailored interventions. These findings underscore the importance of fostering respectful and supportive learning environments for APRN students to enhance their educational experiences and professional development.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.