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Home > MS in Nursing > Preceptor Handbook > Principles of Clinical Teaching > Coaching
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"The term coaching is derived from a French term that means to convey a valued person from one point to another."  (Haas, 1993).  While the term in that sense referred to travel by a stagecoach-like conveyance, that meaning fits well in the context of precepting a student in your practice.

Long recognized as an effective means of improving performance in sports and the performing arts, coaching has more recently received attention as a means of supporting professional development and improving performance of the management team.  The coaching process parallels the precepting process:  defining goals, planning means to achieve goals, sharing information and demonstrating techniques, role modeling, giving corrective feedback, changing strategy to address changing situations, and clarifying and validating perceptions.

Characteristics of the Coaching Relationship Applied to Precepting
(adapted from Farley, 1990)

  1. Preceptor and student forge a partnership.
  2. Preceptor and student commit to produce a result.
  3. Preceptor and student accept each other nonjudgmentally.
  4. Preceptor agrees to encourage the student to improve.  Student agrees to listen to coach's interpretations.
  5. Preceptor acknowledges the uniqueness of each student, each relationship and each situation.
  6. Preceptor and student prepare for coaching encounters and practice their roles in the coaching relationship.
  7. Preceptor and student must give and receive information and feedback.
  8. Preceptor and student integrate into the team and exhibit a willingness to go beyond what is already achieved.

Effective coaches use five techniques, sometimes blended in various combinations.  These techniques, when to use each, the intended outcome, and the skills that each requires are shown below.

Coaching Techniques When to use Intended Outcome Coach's Skills
Educate When goals, roles, or conditions change New knowledge and skills are required Articulate performance expectations clearly
To orient a newcomer Confidence increases Recognize "real life" learning laboratories
When the coach is new A broader perspective is gained Reinforce learning
When new skills are needed Role model
Sponsor When an individual can make a special contribution Outstanding skill or contribution is showcased "Debureaucratize"
To let an outstanding skill speak for itself Skill is fine-tuned or perfected Dismantle barriers to performance
Individual is recognized Let go of control
Provide access to information and people
Encourage Before or after a first-time experience Enhanced confidence and skills Express genuine appreciation
When affirming good performance Improved performance Listen
When simple, brief corrections are needed
Counsel When problems interfere with performance Behavior is redirected Listen
When educating and encouraging fail to attain desired level of performance Enhanced sense of ownership and accountability Give clear, useful feedback
Responding to setbacks and disappointments to speed recovery Renewed commitment Facilitate problem-solving
Confront When emotions have cooled after a conflict Open up communication Listen
When privacy can be assured Establish mutual understanding Give direct, useful feedback
When performance does not match the expectation Effect a change in behavor Discuss sensitive issues with "over-emotionalizing"
Establish trust Communicate objectively, directly, clearly
Reassignment

 

Notice that the skill of listening is considered important in more than one of the coaching techniques.  Listening is also of great importance throughout the precepting process--from the time of the initial contact with the student, when you are identifying and clarifying objectives and plans and throughout your precepting relationship.  Careful, attentive listening is a communication tool which has probably already proven valuable in your practice.  One recommended listening technique is called active listening.  When using active listening, you listen carefully to what another person says to you and then repeat the essence of the message back to the person for his or her verification.  Active listening is of special importance early in the student/preceptor relationship to assure mutual understanding and avoid erroneous assumptions.

Decide which coaching techniques to apply in the situations in the boxes that follow.   

Which Coaching Technique(s) Would You Use in These Situations?
  1. When the student performs well
  2. When the student does not meet expectations and you do not know the reason
  3. When the student fails to try or tries to fail
Possible Reason
  • Student does not match role expectations
  • Student is unclear about performance expectations
  • Student's perception that performance expected is not really important
  • Student lacks skill
Possible Coaching Techniques

Possible Reason

  • Student lacks desire or motivation to perform at expected level
  • Real or imagined barriers interfere with performance
  • Student may receive more reward (e.g., attention) for poor performance than for good performance
  • Student has not received adequate performance feedback
  • Student does not perceive positive outcomes (or rewards) for good performance
Possible Coaching Techniques
Coaching Techniques for Particular Situations

 1.  When the student performs well

  • Encourage the student by recognizing good performance and giving positive feedback
  • Sponsor if there are opportunities to showcase the student

2.   When the student does not meet expectations and you do not know the reason

  •  Confront the student with his/her deficiencies re:  expectations.  Ask for feedback.
  • Depending upon reasons for failure to meet expectations, education or counseling may be appropriate

3.   When the student fails to try or tries to fail

  • Gather more information about the student's failure to perform
    Note:   As you gather more information about the student's failure to perform, you may discover
    that one recommended technique is more appropriate than another.  For example, simply
    giving information or instruction (educate) may be all that the student needs to succeed.
    However, if the failure is due to more than a simple lack of information, some counselin
    gapproaches to explore reasons for failure, or some confronting approaches may be
    effective.

 

Possible Reasons for a Student's Failure Recommended Coaching Technique(s):

Student does not match role expectations.

Confront
Student is unclear about performance standards. Educate
Student's perception that the performance expected is
not really important.
Educate; Encourage; Counsel
Student lacks skill. Confront; Educate; Encourage; Counsel
Student lacks desire or motivation to perform at
expected level.
Confront; Counsel
Real or imagined barriers interfere with performance. Sponsor
Student may receive more reward (e.g., attention) for poor performance than for good performance. Confront; Counsel; Encourage
Student does not perceive positive outcomes
(or rewards) for good performance.
Confront; Counsel; Encourage; Sponsor

As a preceptor, you may seek coaching as a useful means of refining your preceptor skills.  The faculty member or a peer might serve as your coach.  Cognitive coaching is a peer coaching technique.  One acts as coach, the other as the partner who receives coaching.  The coach and partner:

  • Discuss the teaching goals of the partner.
  • Describe the student encounter in which the partner will work toward these goals.  The coach asks clarifying questions in order to fully explore the situation and the alternatives for the partner's actions.
  • Identify a few specific actions that the partner will take during a student encounter and the alternatives for the partner's actions.
  • Identify a few specific actions that the partner will take during a student encounter to work toward these goals.
  • Agree that the coach will observe the encounter and later give feedback to the partner.

The peer coach then observes the partner during the encounter with the student.  The peer coach gives feedback to the partner.  They discuss how well the planned approaches worked and what additional approaches might be tried in the future.  They may agree to continue goal setting, planning, and observing with feedback.  The cognitive coaching technique can be applied in a single episode or as an ongoing approach to faculty development.

You might find peer coaching helpful when you are trying new approaches such as Socratic questioning with students.  You might also serve as a peer coach for another preceptor.


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