Quote from Avid reader
Fail her! People's lives are at risk and you would be doing her a favor anyway. It's a serious job with serious consequences. People like her throw others under the bus to cover for their own mistakes and I would blame you for any of hers. It's also part of your job re evaluation. This isn't about your feelings but future possible lives. You need to be evaluated as well it seems. After so many clues of her deficiencies, you still need reassurance. Fail her, then help her or find someone else to better remonstrate her failings and lack of alacrity.
With all due respect, it's not that easy to decide to fail someone, even if all S&Sx point to the fact that they need to be failed. A failure could potentially end a nursing student's education, especially if she's failed before and/or her program is very strict about the number of times a student can fail. And, as you can very well read by the number of sob stories in the nursing student forums, being failed is quite a crushing blow to the student. Often, it is a very much needed blow. But that doesn't make it any less crushing.
I'm not saying OP should pass a student that is not performing at passing standards. If the student is performing poorly, then the student should definitely fail.
But IMO it's OK for the OP to feel what he/she is feeling. It doesn't necessarily mean OP is a poor preceptor.
OP: You've already talked to her, you've talked to her facility...at this point, Alice has the next 3-4 shifts to prove she got the message. It's really on Alice, not YOU, to determine if Alice can pass. If at the end of the preceptorship, nothing has changed in Alice's attitude or performance, then she deserves to fail. You've done your job--now Alice needs to do hers.
And should she manage to pull it together and improve enough to pass, you are in no way obligated to provide a positive reference (or even any reference) to employers about Alice's performance.