Staff Nurses Who Refuse To Precept Or Teach?

Nurses General Nursing

Published

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 M/S, Pulmonary, Travel, Homecare, Psych..
Oh my what a Pandora's box I have opened.

Then I wonder what if no one on a unit wants to precept and this I ask speaking from experience.

Two years ago every nurse the manager approached refused to precept so she had to mandate someone... oh boy what do you think of that then?

Well I'm thankful for those who precepted me way back when, whether they felt like it or not at least they were professional enough not to let it show and exercise patience and I'm sure with me under their wing it wasn't that bad at all (as that I was released from orientation early as a new grad working trauma, yes I am bragging)

It's just precepting it isn't the end of your nursing career, I'm sure most of you aren't approached to precept a new nurse every 6 weeks like my current job (our turnover is horrendous) and goodness $1/hr extra for precepting, what a joke!

Hmph, like I said before: Not liking to precept and outright refusing to are completely different things.

If, as you said, "every nurse the manager approached refused", then what needs improvement is the managers approach, not the nurses viewpoint of precepting. A manager who lets insubordination become common practice can expect to have trouble finding preceptors (among other things).

we have a nurse or two, or three (ok I'll stop counting) like that on our unit, I personally think it comes down to 3 things. 1. perceived job security (if I dont share my knowledge, no one can ever take my job), 2. laziness- they have their day planned, want to get out on time, and a preceptee will slow them down/create more work for them 3. insecurity, I know many seasoned nurses who won't precept because they feel they don't know "everything", their usually the ocd type.

I think that if a staff nurse has communicated that they have no interest in teaching or precepting new nurses on the unit they should not be given that responsibility. It sets up the newer nurses up for failure. I have precepted many new nurses in the course of my career. I enjoy teaching. I find it challenging and rewarding. Also, I work in the Emergency department and in Trauma resuscitation. I think that this type of nursing depends heavily on teamwork. When I am teaching someone, I am making the team stronger and better. It improves our patient outcomes and frankly makes everyone's job easier when we are all proficient and confident in our skill level. I love my job. I found there are a few things though that you can't teach people. This are personal characteristics such as integrity, empathy, grit and respect. It's much easier to teach skills and develop critical thinking skills than instill these characteristics. Most of my preceptees have gone on and been successful but some have not. Preceptees must take ownership for their learning and be able to accept constructive criticism. I have run across a few that are only it for the paycheck. To them my response is there are much easier ways to earn a paycheck. There have been some that leave the department and even nursing because they realize that their expectation and the reality of nursing does not match. I have met wonderful nurses that I would trust with the life of my loved ones not want to teach new nurses. I think that it is admirable to voice that you would not be an effective teacher than take on a role that you know you would not do well in. Looking back when in was a new grad I wish some of my precepters would have spoke up and said they didn't want to be in that role. I had a very inconsistent and negative experience. I was hazed and mocked. I was put in situations that were dangerous just to see if I would drown or if I could handle it. I would cry on my way to work and on my way home. I made it through but I cannot say that I am a better nurse because of it. It took a more experienced nurse (who was not assigned as my preceptor) to show me kindness and the ropes and tell me that although I had a lot to learn, I was on the right track. I vowed to be that beacon of light when I was in a position to. We have to stop hazing and thinking that it is ok for nurses to eat their young. It is definitely not ok. It's not good for anyone, especially the patients that we are caring for. Our patients' lives depend on it.

Specializes in ER/ICU/Flight.
Feel free to do so, but based on the comments responding to your posts, it would seem you're in the minority.

Oh no!!!! This makes me re-think everything!! It must feel good being in the "majority" (of people responding)

Oh no!!!! This makes me re-think everything!! It must feel good being in the "majority" (of people responding)

Good. I'm not sure when this turned into you being petty about people disagreeing with your comments, but good for you.

Specializes in ER/ICU/Flight.
Good. I'm not sure when this turned into you being petty about people disagreeing with your comments, but good for you.

I'm not being petty about anything. You have characterized and judged me without understanding what I've written, even after I explained it to you in details I think are easy to get. I don't care who agrees or disagrees with me and some people try to argue the same point that's already been made. It's like talking in circles and clear you're more interested in some kind of back & forth, I was just trying to lighten it up because you made me laugh. So whatever...cheers to you sir.

This same type of nurse is probably the same type that complains how we aren't viewed as professionals. Well there ya go!

Specializes in Mental Health, Gerontology, Palliative.
...

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.

I'm enjoy sharing knowledge within the context if an actual teaching session. However I'm not a fan of taking student nurses for the most part. We had some enrolled nursing students last year in two seperate blocks. The two I had for the first block were absolutely brilliant, keen and eager to learn, more than happy to help out with cares, feeding and just spending quality time with the patients. And when I could spent time with them to impart clinical knowledge about the nursing care/issues present on our unit.

The two I had for the second block were incredibly young and I spent most of the time having to spoon feed them every single little thing which was exhausting.

My first priority is to that of my patients, their families and my Employer. If students can fit in around those, great, however if they cant, its better not to stick them with me

Its not about not wanting to teach or share the knowledge. Its about realising that we all have our own limitations and acknowledging those. And to be honest its about self care. If I dont look out for my own welling, I'm no use to my patients

Specializes in Mental Health, Gerontology, Palliative.
Every one of us were precepted, without exception. We all had to learn from someone else first. I always felt it was my JOB to precept when called upon to do so. I never minded because I never forgot that feeling of being new and knowing squat. Or at times being unwanted, feeling like a millstone around another nurse's neck. I'd rather they be with me than someone who would be hostile. Being new is scary.

This is such a polar approach. I dont want to precept. period!

That said would I every be anything less than 110% professional or refuse to help out a new nurse or point them in the right direction if i didn't know the answer, no.

Its not black and white people, one can wish to not precept, it doesnt mean they have to be hostile, rude or non helpful to the new nurse

I'm not being petty about anything. You have characterized and judged me without understanding what I've written, even after I explained it to you in details I think are easy to get. I don't care who agrees or disagrees with me and some people try to argue the same point that's already been made. It's like talking in circles and clear you're more interested in some kind of back & forth, I was just trying to lighten it up because you made me laugh. So whatever...cheers to you sir.

I don't see it as you trying to "lighten" anything up. You seem pretty salty. Your initial response to me was that you thought I was wrong. Your flawed logic has been countered by a few other posters on this board. It had nothing to do with being the popular opinion, which is how you (mis)interpreted what I wrote.

And "characterized and judged" you? Can we say drama? You are the one who has been judging those who don't want to precept. Please follow the posts you wrote and what others have responded to your post. But nice try at playing the victim here.

Specializes in ER/ICU/Flight.
I don't see it as you trying to "lighten" anything up. You seem pretty salty. Your initial response to me was that you thought I was wrong. Your flawed logic has been countered by a few other posters on this board. It had nothing to do with being the popular opinion, which is how you (mis)interpreted what I wrote.

And "characterized and judged" you? Can we say drama? You are the one who has been judging those who don't want to precept. Please follow the posts you wrote and what others have responded to your post. But nice try at playing the victim here.

Your opinions are meaningless to me. You seem to have an elementary school approach to debate, you clearly don't even understand what I've written. You use my quotes back at me in ways that don't even make sense and show your profound lack of basic understanding as you still can't explain what my position actually is. you have proven me correct, but your intellect will probably prevent you from understanding this as well. I tried to keep it civil and light, you aren't interested in anything other than trying to bait me and I'm not going to sink to your level anymore (regrettably, I did for awhile). I'm not going to respond to your childish/ignorant comments but that's not to be interpreted as you "winning" whatever it is you think you're doing. I honestly feel sorry for anyone with the misfortune of having to spend time around you.

Specializes in Cardicac Neuro Telemetry.

I think new grad nurses, newly hired yet experienced, and nursing students alike benefit more if NOT placed with a staff RN who has openly stated they hate teaching. Just because you like to teach doesn't mean everyone does. One can take pride in their profession and not want to teach. I happen to enjoy teaching and am applying to a MSN with a concentration in education track next fall. Not everyone shares my passion and that's okay.

+ Add a Comment