Staff Nurses Who Refuse To Precept Or Teach?

Nurses General Nursing

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Of course I understand that not everyone wants to be a teacher or professor but a few of my coworkers lately have down right refused to precept or even be a resource to newer or less experienced nurses.

The education department had placed a sign up sheet for preceptor training courses and one of my colleagues very adamantly professed her disdain for teaching or precepting and that it "just wasn't in her to teach".

ok fine, but IMO it sounded a bit condescending and selfish of one to refuse to share nursing knowledge. She does everything to get out of precepting or cross training nurses. Seems unprofessional to me.

I was giving bedside report to a MICU RN who recently transferred to the SICU and the patient was a postop neurosurgery case with an EVD and ICP monitoring. I gave her an overview of what the drain was, how to manage it and transduce for IC pressures. I then told her to refer to Ms. Senior RN who is real good with neuro for any questions after I left. I then spoke to Ms. Senior RN and told her that I endorsed an EVD/ICP monitoring to Ms. New SICU RN and perhaps she could guide her throughout the shift on the neuro patient, she then promptly rolled her eyes and asked why I had to refer the new SICU RN to her?? (Mind you she is one of the most knowledgeable nurses in our ICU but I've never seen her precepting and she doesn't offer up knowledge freely either)

Like really? After almost 12 years of nursing this issue still grinds my gears. We should all be willing to help/guide one another. Sure sometimes I'm not in the mood to teach, or my orientee is not a fast learner or another RN asks for my help when I'm super busy, but either way I roll up my sleeves and get it done because if the shoe was on the other foot (like it has been many times) I would want someones help to guide-teach-assist me.

I don't mean to make this medicine vs nursing but physicians are expected to teach and mentor from the time they graduate medical school they are thrust into mentoring those behind them.

IMO nursing lags behind with this. Is it because we lack pride in our profession?, or feel like victims that we cannot and often do not embody a leadership mentality?

Perhaps its it's just part of the nurses eating their young/lateral violence that is far too prevalent in our profession.

On my unit its the same RNs who precept everyone while others flat out refuse and go years without precepting. I love to teach and came to this job with experience and for that reason I've literally been precepting since I came off orientation/probation myself (yes crazy I know) because many nurses just refuse to teach on my unit.

Heck when I was new to this facility myself a few years back my assigned preceptor (who didn't realize I was sitting nearby) flat out refused to orient anyone (she later apologized saying it was nothing personal when she realized I was in an earshot of her comment)

All nurses should have pride in their work/profession enough to want to share their wealth of knowledge at some level. You may not pursue a masters in nursing education or a PhD but you can still be a resource for you unit and colleagues, that's at least the minimum that should be required of you.

*sigh* just venting.

Specializes in ER/ICU/Flight.
It's not that simple. Clearly you don't know what you don't know. Precepting is a very difficult job, especially if you're trying to do it well (rather than collecting your $.75/hour for "babysitting" while the new nurse flounders). Some folks are good at it, others aren't. Some enjoy it; others tolerate it and a few hate it. Some nurses who enjoyed precepting have been precepting continuously for YEARS on end and are burned out and have begun to hate it.

Precepting used to be rewarding, but these days new grads are more and more entitled. They want the preceptor to change her schedule to accomodate the newbie's preferences. They want any feedback wrapped in rainbows and sprinkled with fairy dust to the point where any NEGATIVE feedback can be ignored. Everything is all about "my learning" to the point where even the patient is lost in the shuffle. They rush to "report someone" every time they have a negative interaction because they're certain that every negative interaction is "bullying." Preceptors are then bullied by their orientees who are rushing to complain to the manager because "Ruby wouldn't eat lunch with me, WAH!" (My sister was in town for 24 hours for a conference at my hospital and I chose to have lunch with her so we could talk about my mother's latest nursing home eviction and where we might place her instead. I explained that, even though I shouldn't have had to. The orientee is an adult -- she can eat one meal by herself!) Or "Anne didn't say hello to me in the lobby!" (Anne had driven to work wearing her sunglasses, left them in the car and was headed up to the unit more or less by braille to put in her contacts. She didn't SEE the orientee, but probably would have greeted her warmly had the orientee said hello first.)

Until you have actually precepted -- and tried to do it well -- you have NO idea. Perhaps it would be best not to rush to judgement until you have actually walked a mile in a preceptor's shoes.

Ruby Vee, I have read your posts for many years and am a little taken aback by this one. I have been a preceptor for over 20 years and have received more than a couple awards for teaching/precepting. Not bragging on myself, just giving a little context for me to use your words back to you: clearly YOU don't know what you don't know and it would be best for YOU not to rush to judgment.

Ruby Vee, I have read your posts for many years and am a little taken aback by this one. I have been a preceptor for over 20 years and have received more than a couple awards for teaching/precepting. Not bragging on myself, just giving a little context for me to use your words back to you: clearly YOU don't know what you don't know and it would be best for YOU not to rush to judgment.

yeah but people like you and the OP are the ones who are judging. If someone doesn't want to precept they don't want to precept. I'm not sure why that is a hard concept to grasp. If I don't want to precept, I don't feel indentured to do so simply because another nurse taught me when I was new, which is basically your philosophy on this topic given what you wrote. Everybody has a part to play in the organization. This is why there are nurse educators and nurse preceptors: people who apply for and accept positions that allow them to do what they want. Where the line gets blurry (and has been pointed out here too) is when people who do not want to do so are tasked to do so - so they're forced to do something they don't like, are not even compensated fairly for it, and are tasked with taking on a full patient load of their own. That is not called being selfish or not being a team player or any of the other derisive adjectives that I've seen thrown around in this thread; it's unfair and unsafe.

Specializes in ER/ICU/Flight.
yeah but people like you and the OP are the ones who are judging. If someone doesn't want to precept they don't want to precept. I'm not sure why that is a hard concept to grasp. If I don't want to precept, I don't feel indentured to do so simply because another nurse taught me when I was new, which is basically your philosophy on this topic given what you wrote. Everybody has a part to play in the organization. This is why there are nurse educators and nurse preceptors: people who apply for and accept positions that allow them to do what they want. Where the line gets blurry (and has been pointed out here too) is when people who do not want to do so are tasked to do so - so they're forced to do something they don't like, are not even compensated fairly for it, and are tasked with taking on a full patient load of their own. That is not called being selfish or not being a team player or any of the other derisive adjectives that I've seen thrown around in this thread; it's unfair and unsafe.

not sure why you feel that is a hard concept to grasp based on my post. I never said anyone should be tasked to precept when they don't want to, in fact I believe that they shouldn't have a student or new orientee assigned to them if that's the way they feel. I've had many nurses say they don't want a student and many students/orientees request a new preceptor. there's nothing wrong with that, I haven't suggested there is and your charge of me "judging" is totally off-base and ignorant (in my opinion, not a characterization of you, just of your comment about me).

I'm not one who has said it's selfish or not being a team player. But I will say that if a nurse doesn't want to help someone learn a new skill/concept/procedure/etc then they don't appreciate the ones who taught them in a way that makes them want to return the favor for someone in a similar boat-to use your philosophy given what you wrote. That's not derisive, just a professional observation. But no one should be forced to precept someone else, it's not fair to either person.

Specializes in ER.

So, what I am hearing from the 'everyone should precept' camp is: 'I love precepting, and everyone should be like me. If they don't want to precept, they aren't as good as me, and aren't helping the nursing profession, and might actually be bullies, who want to eat young instead of help them'.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I've always wondered if the nurses who don't like teaching or precepting also didn't like it when their teachers and preceptors were helping them learn new things.... Seems like a double standard at times

Ruby Vee, I have read your posts for many years and am a little taken aback by this one. I have been a preceptor for over 20 years and have received more than a couple awards for teaching/precepting. Not bragging on myself, just giving a little context for me to use your words back to you: clearly YOU don't know what you don't know and it would be best for YOU not to rush to judgment.

Your post indicated judgement about a nurse who would dare express a preference not to precept, not to precept right NOW or not to precept THIS person. It seems to express that it is unacceptable for a nurse who has been the recipient of teaching and precepting in the past to decline the role of teacher or preceptor. The post I quoted is the one I was responding to, not your entire posting history.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
So, what I am hearing from the 'everyone should precept' camp is: 'I love precepting, and everyone should be like me. If they don't want to precept, they aren't as good as me, and aren't helping the nursing profession, and might actually be bullies, who want to eat young instead of help them'.

Yup, that seems to be the gist of it. Only we cannot accuse them of saying that, because they're all much better than those who don't wish to precept.

Specializes in ER.
Yup, that seems to be the gist of it. Only we cannot accuse them of saying that, because they're all much better than those who don't wish to precept.

And less judgmental! ;)

I see nothing has changed in nursing, as far as relationships go. Over 30 years ago, while working on a busy IV team in our local hospital, one nurse would always mention me to guide a new nurse or Senior nursing student, to travel with me, on a particular day. She would consistently "get out of" a new orientation or a student nurse with her. Now retired after 45 years of being a RN, I can see I first should have spoken out about this situation to our manager, and had a talk with the 3 of us together, on my observations. This must have truly affected me, because I still remember this particular nurse! Gentle Suggestion: Tell the nurse what you told us, and see if the nurse changes; if not, go to your supervisor/manager.

Specializes in Critical Care.

I don't think there's any basis for arguing you shouldn't have to do something that's an obligatory part of nursing just because it's not your favorite thing to do. I don't like cleaning up patient's poop, does that mean it's reasonable for me to say I shouldn't have to do it and it should be up to other nurses to do it? I don't like caring for obnoxious and agitated alcohol withdrawal patients, would it be reasonable for me to declare I'm just not going to take these patients? It's part of the job, put on your big boy/girl pants and get to it.

That's not derisive, just a professional observation. But no one should be forced to precept someone else, it's not fair to either person.

Your professional observation is derisive...

So, what I am hearing from the 'everyone should precept' camp is: 'I love precepting, and everyone should be like me. If they don't want to precept, they aren't as good as me, and aren't helping the nursing profession, and might actually be bullies, who want to eat young instead of help them'.

I don't think everyone should be like me... but to be honest, I am in the "suck it up, buttercup" camp about it. New nurses (new to nursing, new to the field/hospital etc) have to learn on the job and someone has to show them the ropes. There's things in nursing that aren't my favorite things to do, but guess what? I suck it up and do it. In this thread I'm seeing a lot of, "It's not MY job." "I don't want the extra responsibility." "I don't get paid enough for this." Okay, well, that doesn't change the fact that someone has to do it. It's your chance to teach and impart your wisdom/knowledge upon someone. It's a chance to guide, to be a role model. It's an opportunity, and it is what you make of it. Can't teach? Why not learn something new. Regardless of "personality", everyone has something that they can pass on.

If someone is worried they won't be a good preceptor or mentor, that's one thing. If they are just whining and stamping their foot because of the extra responsibility, then that's just called having a crummy attitude.

I had a crappy preceptor. It was obvious she didn't want to deal with me and she didn't use her time with me constructively. Had she put forth the effort, I think our time together could have meant something. All she managed to do successfully was watch me like a hawk and scorn me when I didn't do something right. Having that experience motivated me and showed me what not to do when precepting someone.

Specializes in ER/ICU/Flight.
Your professional observation is derisive...

You're entitled to your opinion and I'm entitled to think you're wrong

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