The 1-minute preceptor to improve diagnostic reasoning in a primary care nurse practitioner residency program

被引:1
作者
Kopelson, Kristin [1 ,2 ]
de Peralta, Shelly [1 ,2 ]
Pike, Nancy A. [2 ,3 ,4 ]
机构
[1] Vet Adm Greater Los Angeles, Dept Med, Los Angeles, CA 90073 USA
[2] Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90095 USA
[3] Childrens Hosp Los Angeles, Los Angeles, CA USA
[4] Univ Calif Irvine, Sue & Bill Gross Sch Nursing, Irvine, CA USA
关键词
Diagnostic reasoning; one-minute preceptor; quality improvement; reporter-interpreter-manager-educator; self-efficacy; ONE-MINUTE PRECEPTOR; TOOL;
D O I
10.1097/JXX.0000000000001029
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The One-Minute Preceptor (OMP) model to teach diagnostic reasoning and Reporter, Interpreter, Manager, and Educator (RIME) framework to measure progress are used in physician training. Little is known about the use of these tools in nurse practitioner (NP) training. Local problem: Precepting NP trainees at the Veterans Affairs (VA) is not standardized. A standardized approach to precepting NP residency trainees using the OMP model and RIME scoring was evaluated for improvement and helpfulness. Methods: A quality-improvement project with two Plan-Do-Study-Act (PDSA) cycles were conducted over a 12-week period. Mean RIME scores, preceptor self-efficacy, and use of teaching skills were measured preintervention and postintervention. Data were analyzed using a paired sample t-test and descriptive statistics. Interventions: A convenience sample of preceptors and trainees was recruited from a large VA medical center. A 1-hour workshop educated preceptors with role playing and return demonstrations on OMP techniques and RIME scoring. The teachings were applied to standardize precepting and assess diagnostic reasoning. Trainee self-scoring and results triggered conversations to fulfil the identified gaps. Results: Mean RIME scores improved (1.62 [0.17] vs. 2.23 [0.38], p < .001) post 12-week intervention. Mean RIME scores improved between PDSA cycle 1 and cycle 2 (2.07 [0.25] vs. 2.48 [0.39], p < .001). Preceptors (91%) and trainees (100%) found the OMP model and RIME framework helpful. Conclusion: Use of the OMP improved diagnostic reasoning in NP trainees. The OMP and RIME framework provided standardization of precepting and trainee discussions on improvements.
引用
收藏
页码:491 / 500
页数:10
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