Utilize preceptor development and effective simulation techniques in the construction of a hospital Dedidcated Learning Unit.
Articulate key sucess factors, effective learning strategies and lessons learned in the development of a hospital based Dedicated Learning Unit.
Precepting using a Dedicated Learning Unit (DLU) concept is a new, innovative educational strategy at a Midwestern 36 bed Medical Pulmonary Unit. The unit transformed preceptorship into an organized, staffing friendly, preferred model of training. The 4-6 week preceptorship is new hire/novice opportunity and mimics the military concept of "basic training." The DLU is a place where all new medical-surgical graduates begin their career and become clinically immersed in simulations and bedside nursing care. The progression model provides standardized training, multiple simulations, competency and clinical development. The success of the unit was dependent on multiple variables.
Key success factors included:
Dedicated fte clinical educator position
Dedicated learning and simulation center conducive to learning
Engaged preceptors with advanced training
Individualized, organized competency pathway development
Customized educational planning based on strengths and weaknesses
Leadership/Manager innovation and commitment
Reduced staffing ratios
Robust rewards and recognition
Unit to unit communication
Just in time training opportunities, scenario based simulations
Ongoing coaching, feedback, evaluation
The Dedicated Learning Unit offers a blended approach to learning including online content, didactic classroom sessions with clinical educator, patient safety focused RN preceptorship and high fidelity simulations.
Ongoing improvements during the 2 year program development process were vital in the success of the program which including overcoming barriers.
Barriers and Improvements included:
Matching and re-matching of preceptors
Preceptor training fatigue
Staffing and busy work environments
Orientation extensions and remediation plans