20 expert tips for improving the quality of your mentoring

20 expert tips for improving the quality of your mentoring

The ‘tips for improving the quality of mentoring’ provided in this post were developed by Alexandria Wilson and Micaela Cassar, and were originally presented as an educational poster submitted during their undergraduate nursing degree. As Alexandria and Micaela were mentored by a number of nurses while completing their clinical placements, they are well positioned to provide these illuminative, evidence-based and practical insights about mentoring. I feel honoured that they have given me permission to share these important tips on my blog.

 

mentoring

     1.HAVE A DESIRE TO MENTOR

Important attributes for an effective mentor include commitment, motivation, enthusiasm, positivity and passion. Skilled mentors respect and value students as learners and contributing members of the nursing team. The quality of students’ clinical learning experience can be undermined by being allocated to nurses who are unwilling or unprepared to be a mentor [1].

     2. WELCOME YOUR STUDENT

Introduce yourself and the other team members to the students and orientate them to the ward/facility. Welcoming students facilitates their socialisation, belongingness and acceptance as a member of the healthcare team [2].  When students feel unwelcome or as if they are a burden they are less motivated to learn [1].

    3. CLARIFY YOUR EXPECTATIONS

Clear expectations are essential for students’ progress and success [4]. By making the ‘ground rules’ explicit, students fully understand how their performance will be evaluated [3].

    4. DEMONSTRATE EMOTIONAL INTELLIGENCE

Effective mentors have a high level of emotional intelligence. This attribute allows mentors to manage their own and others emotions, and demonstrate sensitivity to students’ needs, feelings and concerns. [1].

    5. IDENTIFY STUDENTS’ SCOPE OF PRACTICE AND LEARNING OBJECTIVES

Creating a meaningful learning experience for students requires that you first understand their scope of practice, goals and learning objectives. Students will be more motivated and responsive to feedback when specific and realistic learning objectives are agreed upon [3].

    6. CREATE A SAFE WORD

Agree on a ‘safe’ word or phrase that can be used when issues related to patient safety arise. ‘Safe’ words can be used when mentors need to step in and take over a patient’s care from the student, without making their concerns obvious to the patient [1].

    7. LINK THEORY TO PRACTICE

Facilitate transfer of learning from theory to practice by adhering to best-practice guidelines, providing rationales for your care, and asking students to explain the reasoning that underpins their decisions and actions [5].  Clinical competence is enhanced when students are able to assimilate theory and practice [6].

    8. ENCOURAGE STUDENTS TO ASK QUESTIONS AND QUESTION PRACTICE

Give students permission to ask questions and question your practice. Keeping the channels of communication open in this way empowers students to become active learners and facilitates their ability to link theory and practice [1].

    9. PROVIDE LEARNING OPPORTUNITIES

Provide a variety of challenging and practical learning opportunities for students to optimise their clinical learning and confidence [7].  Opportunistic ‘just-in-time’ teaching increases students’ satisfaction and motivation [1].

    10. ASK CHALLENGING QUESTIONS

Ask challenging questions that promote critical thinking and clinical reasoning, for example, ‘What do you think we should do for this patient and why?’ Challenging questions stimulate higher-order thinking and problem-solving skills and encourage reflection in and on practice [8].

Mentoring is an ancient archetype originating in Greek mythology. Homer described how Odysseus, King of Ithaca, left home to fight in the Trojan War and entrusted the care of his son, Telemachos, to Mentor, his wise and faithful advisor. Mentor served as Telemachos’ protector, teacher and guide for many years. The word Mentor has evolved to mean trusted advisor, friend and teacher; and mentoring refers to a developmental relationship where an experienced person invests time and energy in supporting the growth and actualisation of a less experienced protégé.

    11. SHARE KNOWLEDGE & EXPERIENCE

Share your knowledge, experience and previous mistakes with students to help them learn and avoid common errors in the future [9]. Mentors who are willing to honestly share their experiences promote students’ trust and clinical skills and knowledge development [5].

    12. THINK ALOUD

Model the ability to think aloud, for example during medication administration. This gives students insights into the cognitive and metacognitive processes than underpin expert practice.  Also encourage students to think aloud in clinical situations as this enables mentors to provide constructive feedback about their clinical reasoning processes [8].

    13. INVOLVE STUDENTS IN MULTIDISCIPLINARY COLLABORATION

Effective interprofessional communication, collaboration and teamwork are critical to patient safety. Involving students in team-based clinical activities enhances their skills and confidence in working with other members of the multidisciplinary team, aids workplace readiness [8], and facilitates a sense of belonging [2].

    14. BE WILLING TO LEARN

Demonstrate that you value the knowledge that students have gained from their undergraduate studies and that you are committed to your own  lifelong learning  [10].

    15. GIVE CONSTRUCTIVE FEEDBACK

Give regular and constructive feedback to students about their performance. Feedback must be clear, specific, accurate, immediate, sensitive, direct, and provide a balance of positive and negative examples. Appropriate and timely feedback when clearly communicated can increase students’ motivation, confidence and competence. Constructive feedback is essential to improved performance and quality patient care [3].

    16. BE MINDFUL OF ‘‘FAILURE TO FAIL’

When students are not practicing at the required level clearly communicate and document your concerns. Provide strategies, opportunities and support that will facilitate improvement.  Be prepared to fail students if they continue to practice in an unsafe or unprofessional manner [11].

    17. MANAGE CONFLICT

If conflict arises manage it politely and respectfully using negotiation, communication, compromise, and problem-solving skills. Mentors and students may hold differing opinions, values, ideas, or perceptions, therefore it is vital that mentors are confident in resolving conflict [1].

    18. DEBRIEF WITH YOUR STUDENT

Debrief should occur both spontaneously and regularly. When challenging situations arise, for example, when a student witnesses a patient’s death or a cardiac arrest for the first time,  a debrief is essential. Effective debriefing can prevent psychological harm by allowing students to talk about and process the event with the support of someone they trust [8].

    19. ENCOURAGE REFLECTION

Encourage students to reflect on their clinical performance and decisions. Reflection assists learners to examine their strengths and areas in need of improvement, and to identify meaningful strategies to improve their future practice.  Mentors can also use these reflective processes to identify students’ future learning needs [8].

    20. REFLECT ON YOUR MENTORING SKILLS

Mentors should honestly reflect on the effectiveness and outcomes of their mentoring.  Ask students to provide honest feedback about their experience of being mentored and use this information to help you identify personal strengths and areas in need of improvement as part of your ongoing professional development [5].

Mentors remind us that we can indeed survive the terror of the coming journey and undergo the transformation by moving through, not around our fear. Mentors give us the magic that allows us to enter the darkness, a talisman to protect us from evil spells, a gem of wise advice, a map, and sometimes simply courage. But always the mentor appears near the onset of the journey as a helper, equipping us in some way for what is to come, a midwife to our dreams, a ‘keeper of the promise’. Success is a lot more slippery without a mentor to show us the ropes. The mentor is clearly concerned with the transmission of wisdom. They do this by leading us on the journey of our lives. We trust them because they have been there before. They embody our hopes, cast light on the way ahead, interpret arcane signs, warn us of lurking dangers, and point out unexpected delights along the way [12; 13].

 

ted

How to be a good mentor. These TED talks will help you to help others succeed: https://www.ted.com/playlists/400/how_to_be_a_good_mentor

 

REFERENCES

  1. Sinclair, P., Pich, J., Hennessy, M., Wooding, J., Williams, J., Young, S. & Schoch, M. (2015). Mentorship in the health disciplines. Renal Society of Australasia Journal, 11(1), 41-46.
  2. Jokelainen, M., Turunen, H., Tossavainen, K., Jamookeeah, D. & Coco, K. (2011). A systematic review of mentoring nursing students in clinical placements. Journal of Clinical Nursing, 20(19/20), 2854-2867.
  3. Duffy, K. (2013). Providing constructive feedback to students during mentoring. Nursing Standard, 27(31), 50-56.
  4. Brown, B. (2012). Development of a mentoring program for nursing students with plans for implementation and evaluation. The Journal of Chi Eta Phi Sorority, 56(1), 5-10.
  5. Valente, G., Cortez, E., Cavalcanti, A., Cosme, F. & Goncalves, L. (2014). Nursing Mentoring in Primary Care: Building Skills from Practice. Journal of Nursing UFPE, 8(9), 3047-3058
  6. Haidar, E. (2007). Coaching and mentoring nursing students. Nursing Management, 14(8), 32-35.
  7. Muleya, C., Marshall, J. & Ashwin, C. (2015). Nursing and midwifery students’ perception and experiences of mentorship: a systematic review. Open Journal of Nursing, 5(6), 571-586.
  8. Ness, V., Duffy, K., McCallum, J. & Price, L. (2010). Supporting and mentoring students in practice. Nursing Standard, 25(1), 41-46.
  9. Mentoring Relationships. (2013). Minnesota Nursing Accent, 85(1), 12-20.
  10. Halcomb, E., Peters, K. & McInnes, S. (2012). Practice nurses experiences of mentoring undergraduate nursing students in Australian general practice. Nurse Education Today, 32(5), 524-528.
  11. Huybrecht, S., Loeckx, W., Quaeyhaegens, Y., De Tobel, D. & Mistiaen, W. (2011). Mentoring in nursing education: Perceived characteristics of mentors and the consequences of mentorship. Nurse Education Today, 31(3), 274-278.
  12. DalozN. Guiding the Journey of Adult Learners. San Francisco: Jossey Bass; 1999.
  13. ParkesS. The Critical Years: the Young Adult’s Search for Faith to Live By. San Francisco: Harper; 1986.

 

“I worked really hard to get here.  I wouldn’t want to go back.”  Exploring the narrative of one first-in-family nursing student during their university transition.

“I worked really hard to get here. I wouldn’t want to go back.” Exploring the narrative of one first-in-family nursing student during their university transition.

Our guest Blogger this week is Associate Professor Sarah O’Shea from the University of Wollongong. I have known Sarah for nearly ten years and for much of the time we lived next door to each other. Sarah and I have much in common … we were both the first in our families to attend university, both immigrants to Australia, both mums who struggled with ‘imposter syndrome’ as we juggled PhD candidature and full time work.  Perhaps most important though is our shared commitment to student success and the incredible joy we experience when we watch our former students cross the stage at graduation, particularly when they have struggled with challenging life experiences. 

Since moving to Wollongong Sarah’s academic journey has flourished and I have watched with admiration her inspirational First in the Family research. In this post Sarah shares Marlee’s story of transition to university, what it means to her and her family, and how it illustrates the types of hurdles that many first in family nursing students encounter.

Nursing programs are the third most popular choice of study area in Australia [1]. In 2014 over 17,000 students started a nursing degree; 2,316 of these were men [2]. Over a third of nursing students are in the lowest socio-economic band and many are returning to education after a significant gap in learning [1]. There is a tendency for many universities to operate within a discourse of deficit focusing on what students lack instead of welcoming and celebrating the cultural wealth or strength they bring with them [3]. Working within a mass university system characterised by increased student diversity also means that it can be very difficult to remain mindful of the student as an individual.

My research with students has focused on foregrounding individuals’ subjective experience of attending university with an emphasis on the narratives of learners who are defined as disadvantaged or belonging to equity categories. This work has highlighted the transformative potential of attending university [4, 5, 6, 7, 8, 9], the identity work that students (particularly women) undertake [10, 11], as well as approaches to retaining and supporting diverse student populations [12, 13].

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Listening to and telling stories fulfils a very basic need in people. As an educator hearing students’ stories has provided entry into the lived experience of attending university, offering rich insights into both the unique trajectories of learners and also providing a means to recognise common patterns or experiences across populations.

I would like to share one such student story that whilst unique also reflects common themes echoed across our First-in-Family (FiF) project. Marlee (pseudonym) participated in a study that focused on students who were first in their families to attend university [12]. FiF students are a significant proportion of the student population globally and while not recognised as a equity group in Australia are commonly regarded as being “at-risk” of attrition due to financial, cultural and academic issues [5, 6, 14,]. The FiF category can also be regarded as a ‘supra equity’ category [13] which traverses existing equity categorisations.

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Do we really need to teach health professionals to be empathetic?

Do we really need to teach health professionals to be empathetic?

Next month I am going to an Empathy conference in Oxford and needless to say I’m more than a little excited. For someone who is a self-confessed English history devotee the opportunity to meander around the 12th century university college buildings in the ‘City of Dreaming Spires’ will be wonderful. However, as an educator and researcher with a passion for exploring the concept of empathy, the conference promises to be thought provoking (even though we are forbidden from using either ppt or written notes in our presentations … eeek!).

oxford image

‘Healthcare is more than the sum of its parts. All healthcare professionals must be knowledgeable, clinically astute and able to provide empathetic care’1

I’ve become increasingly interested in empathy over the last decade. For a long time I thought that people were either born with an empathetic disposition (as I assumed most health professionals were), or they weren’t (these are the narcissistic people we’ve all met at some stage in our lives). I didn’t conceptualise empathy as a skill that should and could be taught.

Then along came Naleya Everson, an exceptionally gifted and insightful person who taught me so much about the empathy deficit. Naleya was one of my undergraduate students, she soon became an honours student and is about to commence her PhD. She set me on a path where I became determined to fully understand this elusive construct and to discover ways to teach and assess students’ empathy skills.

So often you find that the students you are trying to inspire are the ones that end up inspiring you ~ Sean Junkins

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Crossing the threshold … a journey of transformation from lay person to professional nurse

Crossing the threshold … a journey of transformation from lay person to professional nurse

 

At the lower end of the ancient Canongate in Edinburgh there is a worn sandstone lintel over a small seventeenth-century doorway. Inscribed in Latin are the words: ‘Pax intrantibus, salus exeuntibus’ … Peace to those who are entering, and safety to those about to depart. This engraving serves as a reminder that there is a threshold which marks the demarcation between what lies within, that place of familiarity and relative security, and what lies beyond … a place that is unknown and sometimes frightening ~ Meyer, Land & Baillie (2010).

Threshold

 

I deliberately titled my ‘Blog Educating Nurses … Transforming Lives’ as I believe that one of the most rewarding aspects of being an educator is guiding nursing students as they step across the threshold and embark on the journey of transformation from layperson to qualified health professional. During this process of transformative learning, disorientating dilemmas become a catalyst for growth and change (Mezirow, 2000), and students learn to question taken-for-granted ideas, attitudes, beliefs, habits of mind and feelings, as they begin to experience fundamental shifts in perspective. This transformation requires learning activities that challenge students to think more deeply and broadly, to question their assumptions and prejudices, and to see their world and the world of healthcare through a new lens.

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