Professional Documents
Culture Documents
If you would like to contribute to the art and science section contact: Gwen Clarke, art and science editor, Nursing Standard,
The Heights, 59-65 Lowlands Road, Harrow-on-the-Hill, Middlesex HA1 3AW. email: gwen.clarke@rcnpublishing.co.uk
&
art & science clinical education Roles of a mentor
Morton-Cooper and Palmer (2000) identified
numerous roles that mentors undertake while
opportunities to practise the theory they have guiding and supporting students in the clinical
learned outside the practice setting and helps them setting. Some of the most important roles
to develop a professional identity (Fishel and include the following:
Johnson 1981). To enhance the clinical Adviser As an adviser the mentor offers support
experience, it is important to provide students and advice to students about their career,
with appropriate support, guidance and developing social contacts and building
supervision in the clinical area (English National networks. During this process mentors assess
Board and Department of Health (ENB and DH) and take into account the student’s capabilities
2001a, Andrews and Roberts 2003). An effective and limitations.
mentor who can help students to clarify any Role model By being a role model, the mentor
misconceptions, raise questions and work in a safe ‘…provides an observable image for imitation,
clinical environment can provide such facilitation. demonstrating skills and qualities for the mentee
Evidence suggests that various factors, such as the to emulate’ (Morton-Cooper and Palmer 2000).
mentor-student relationship and the mentor’s The importance of this role as a positive model
knowledge, competencies, attitude and cannot be overestimated.
communication skills play an important role in Coach While acting as a coach, the mentor not
students’ learning (Wright 1990, Baillie 1993, only provides students with constructive
Campbell et al 1994, Andrews and Chilton 2000, feedback to improve their clinical practice, but
Andrews and Roberts 2003, Pellatt 2006). also promotes a flexible approach to accepting
feedback.
Problem solver The role requires a mentor to
Background
help the student critically analyse and solve
The concept of mentorship emerged in nursing problems, thereby promoting the development
literature from 1980 onwards, when it was first of critical thinking, problem solving and
applied to learning in the clinical environment. decision-making skills.
However, it has been suggested that Florence Teacher As a teacher, the mentor shares his or her
Nightingale might have been the first nurse knowledge and experience with the student,
mentor (Pellatt 2006). The ENB and DH (2001b) identifies the student’s individual learning needs
defined mentorship as ‘…the role of the nurse, and learning style, and provides a conducive
midwife or health visitor who facilitates learning learning environment to maximise learning.
and supervises and assesses students in the Supporter The mentor, as a supporter, provides
practice setting’. Since mentors spend most time the student with professional and moral support
with students in the clinical area, they are in the whenever required. Such support enables the
best position to judge students’ capabilities and to student to develop personally and professionally.
guide and assist them in developing and achieving Organiser and planner By organising learning
their learning objectives. experiences for students to help them achieve the
The NMC (2006) state that nurses who take required competencies, the mentor undertakes
on the role of mentor must be registered with the role of an organiser and planner.
the NMC and be on the same part of the register Counsellor The role of counsellor requires
as the student they assess. Mentors are expected the mentor to encourage self-development in
to have been on the register for at least 12 students by helping them to think about and
months and have completed an NMC-approved reflect on their practice (Gallinagh et al 2000,
mentor preparation course, or a comparable Price 2005).
programme. They are required to support Guide Being a guide, the mentor introduces the
students’ learning in an interprofessional student to helpful contacts and power groups in
environment and to assess and judge their the organisation.
proficiency. Mentors should be able to support Throughout the period of mentorship
students in meeting continuing professional mentors assume many or all of these roles to
development needs in accordance with The enhance a student’s learning. The importance
Code (NMC 2008). This description highlights and emphasis of each role varies and depends on
the importance the NMC places on the support the learning stage and level of personal and
of students in the clinical placement area. It also professional development that the student has
reflects the fact that the mentor’s own already achieved. The mentor therefore requires
experience in a particular field is vital to help the skill of identifying which of these roles is to
the student develop the essential skills for be used in which particular circumstances to
clinical practice. optimise the student’s development.
&
art & science clinical education turn promotes student learning (Wallace 2003).
The provision of a conducive learning
environment for the student is also important.
A good learning environment is one in which
self-reliant and confident, the relationship students are treated as respected adult learners,
moves towards the termination phase. who have had experience – personal if not
The third and final phase is the termination academic – and who can take responsibility for
phase during which the mentor-student their learning. Such an environment provides
relationship ends either positively or negatively the student with ample opportunities for
(Morton-Cooper and Palmer 2000). When the supervised clinical practice, and supports an
relationship ends positively, a supportive exchange of ideas.
friendly relationship develops. However, when it A good learning environment also encourages
ends negatively, the mentor and student are left students to ask questions, and clarify queries and
with a sense of emotional tension and general misconceptions (Wallace 2003). As part of the
dissatisfaction. The success or demise of the support, guidance and supervision given to
mentor-student relationship depends on a range students, it is important that they are given timely
of factors, which includes the reason for ending and constructive feedback. This helps the student
the relationship. Reasons such as successful to develop or modify learning objectives to fulfil
progress to the next stage of education, a change his or her learning needs (Gray and Smith 2000,
of career for the mentor or student, a period of Wallace 2003). Giving feedback that is
absence due to illness or any other problem or a constructive and promotes learning, as opposed
mismatch of personal qualities all influence the to critical and destructive feedback, requires the
outcome. In reality, the mentor and student mentor to be self-aware and have the trust and
relationship appears to go through all of these respect of the student. To ensure that student
phases. However, the transition from one phase feedback is unbiased, supportive and
to the other is almost unnoticeable. developmental, it should be based on observed
behaviour and experience, not on personality
and presumptions.
Building a mentor-student relationship
To establish a good mentor-student relationship,
Challenges for mentors
Bennett (2003) suggests the use of certain
strategies. These include organising an While fulfilling such demanding responsibilities,
introductory meeting, orientation of the student mentors have to face various challenges. These
to the clinical placement area, provision of a include limitations on time, dual responsibilities
good learning environment and offering of patient care and student teaching, high
appropriate support to the student. An workload (Bennett 2003), the mentor’s own
introductory meeting with the student is crucial personality, the student’s level of learning, the
because it helps the mentor to get to know the number of students allocated to a mentor
student, his or her personality, clinical (Moseley and Davies 2008), and the high level of
experience and learning needs. This commitment required (Mills et al 2005). Other
information helps the mentor to devise challenges include collaboration between the
appropriate strategies to aid the student’s student’s teacher and mentor, the mentor’s
learning (Wallace 2003). Such a meeting serves knowledge about the theoretical aspect of
as an ‘icebreaker’ and helps the student to feel learning, learning theories, assessment methods
comfortable with the mentor. In the introductory and ways to provide constructive feedback.
meeting, the mentor and the student should
discuss their roles and responsibilities as well as
Conclusion
their expectations of each other. Skilled
management of expectations influences Mentorship is an integral part of the
interpretation of the mentor-student experienced nurse’s role – either formally when
relationship. If mentors inform the student mentoring nursing students on clinical
about their availability, accessibility and their placement, or informally when helping less
expectations of the relationship, this can help to experienced colleagues to develop their
reduce student anxiety and enhance learning. practice. Nurses have increasing responsibility
Another important factor in developing for assessing students and therefore it is
an effective mentor-student relationship is essential that nurses who are considering
orienting the student to the clinical placement becoming mentors appreciate the expectations,
setting, and introducing the learner to the staff responsibilities and accountability involved in
working there. This helps to relieve anxiety and this role. They need to recognise that once they
enhances the student’s comfort level, which in take on the role of mentor, they will need
managerial and institutional support, and priority in clinical practice if these nurses are to be
relevant in-service training and higher fully prepared to undertake their clinical roles.
education opportunities to equip themselves Whether nurses actively seek out the role
with up-to-date knowledge (Wilkes 2006). of mentor, or find themselves in the position
Managerial and institutional support might be of supervising, managing and helping less
lacking in a system that is under constant pressure experienced colleagues, knowledge of the roles
to improve its clinical output and provide a and responsibilities, and competence in the
cost-effective service. However, the need to skills and abilities required, enables
support students who are the nurses of the future professional development on an individual
cannot be consistently considered a secondary and professional basis NS
References
Adams VJ (2002) Consistent clinical using the theoretical framework of Morton-Cooper A, Palmer A (2000)
assignment for nursing students learning environment studies to assess Mentoring, Preceptorship and Clinical
compared to multiple placements. Journal nursing students’ perceptions of the Supervision. Second edition. Blackwell,
of Nursing Education. 41, 2, 80-82. hospital as a learning environment. Oxford.
Journal of Nursing Education.
Andrews M, Wallis M (1999) Moseley LG, Davies M (2008) What do
41, 2, 69-75.
Mentorship in nursing: a literature mentors find difficult? Journal of Clinical
review. Journal of Advanced Nursing. Dunn SV, Ehrich L, Mylonas A, Nursing. 17, 12, 1627-1634.
29, 1, 201-207. Hansford BC (2000) Students’
perceptions of field experience Nursing and Midwifery Council (2006)
Andrews M, Chilton F (2000) Student Standards to Support Learning and
in professional development: a
and mentor perceptions of mentoring
comparative study. Journal of Nursing Assessment in Practice: NMC Standards
effectiveness. Nurse Education Today. 20,
Education. 39, 9, 393-400. for Mentors, Practice Teachers and
7, 555-562.
Teachers. NMC, London.
English National Board for Nursing,
Andrews M, Roberts D (2003)
Midwifery and Health Visiting and Nursing and Midwifery Council (2008)
Supporting student nurses learning in and
Department of Health (2001a) The Code: Standards of Conduct,
through clinical practice: the role of the
Placements in Focus. ENB and DH, Performance and Ethics for Nurses and
clinical guide. Nurse Education Today. 23,
London. Midwives. NMC, London.
7, 474-481.
English National Board for Nursing, Papp I, Markkanen M,
Baillie L (1993) Factors affecting student
Midwifery and Health Visiting and von Bonsdorff M (2003) Clinical
nurses’ learning in community
Department of Health (2001b) environment as a learning
placements: a phenomenological study. Preparation of Mentors and Teachers:
Journal of Advanced Nursing. 18, 7, environment: student nurses’
A New Framework of Guidance. ENB
1043-1053. perceptions concerning clinical
and DH, London.
learning experiences. Nurse Education
Banning M, Hill Y, Rawlings S (2006) Fishel AH, Johnson GA (1981) The Today. 23, 4, 262-268.
Student learning in care homes. Nursing three-way conference: nursing student,
Older People. 17, 10, 22-24. Pellatt GC (2006) The role of mentors
nursing supervisor and nursing educator.
Journal of Nursing Education. 20, 6, in supporting pre-registration nursing
Bennett CL (2003) How to be a good
18-23. students. British Journal of Nursing,
mentor. Nursing Standard. 17, 36, insert.
15, 6, 336-340.
Billings DM, Halstead JA (Eds) (1998) Gallinagh R, Campbell L,
Teaching in Nursing: A Guide for Faculty. Getty M, Mitchell F, McKenna P Price B (2005) Mentoring learners in
Second edition. WB Saunders, St Louis (2000) Clinical supervision at work. practice. Building a rapport with the
MO. Elderly Care. 12, 3, 15-17. learner. Nursing Standard. 19, 22, insert.
Cahill HA (1996) A qualitative analysis Gray MA, Smith LN (2000) The qualities Wallace B (2003) Practical issues of
of student nurses’ experiences of of an effective mentor from the student student assessment. Nursing Standard.
mentorship. Journal of Advanced Nursing. nurse’s perspective: findings from a 17, 31, 33-36.
longitudinal qualitative study. Journal of
24, 4, 791-799. Wilkes Z (2006) The student-mentor
Advanced Nursing. 32, 6, 1542-1549.
Campbell IE, Larrivee L, Field PA, relationship: a review of the literature.
Mills JE, Francis KL, Bonner A (2005) Nursing Standard. 20, 37, 42-47.
Day RA, Reutter L (1994) Learning to
Mentoring, clinical supervision, and
nurse in the clinical setting. Journal of Wright CM (1990) An innovation in a
preceptoring: clarifying the conceptual
Advanced Nursing. 20, 6, 1125-1131.
definitions for Australian rural nurses. diploma program: the future potential of
Chan D (2002) Development of the A review of the literature. Rural and mentorship in nursing. Nurse Education
Clinical Learning Environment Inventory: Remote Health. 5, 3, 410. Today. 10, 5, 355-359.