Exploring Models of Preceptorship to Enhance Clinical Learning in Nursing: An Integrative Review

In Aotearoa New Zealand, there is a strong commitment to providing clinical placements for undergraduate nursing students; however, sustaining the traditional one-to-one preceptorship model presents increasing operational and nursing workforce challenges. This integrative review, guided by Whittemore and Knafl’s methodology, aimed to identify effective preceptorship models that support undergraduate and postgraduate nursing student learning in clinical settings, alongside the dedicated one-to-one model. A comprehensive literature search was conducted across five databases (CINAHL, EBSCO, PubMed, Ovid and Discovery), focusing on primary research published in English between 2017 and 2024 that involved the key concepts of preceptorship of nursing students or nursing as precepetees in clinical settings. A total of 1446 articles were identified and following the removal of duplicates, application of inclusion/exclusion criteria and quality screening, 15 articles were selected for thematic analysis. Findings were grouped into three main models of preceptor allocation: 1) one preceptor to one student; 2) one preceptor to many students; and 3) many preceptors to one student. The findings highlight the need for flexible and responsive preceptorship models that can adapt to workforce demands while maintaining quality learning experiences. In conclusion, each model demonstrated distinct strengths and limitations shaped by the clinical context, with implications for how preceptor roles are structured and operationalised. To ensure effective clinical education, it is essential to strengthen preceptorship programmes through collaborative partnerships between academic institutions and clinical settings, with nurse educators playing a central role in designing and supporting these adaptable models. Te reo Māori translation Te tūhura tauira whakaakoranga hei whakapiki i te akoranga tiaki tūroro i te ao tapuhi: He arotake torowhānui Ngā Ariā Matua Ka nui te piripono o te tangata i Aotearoa ki te hora tūranga tiaki tūroro mō ngā ākonga tapuhi paetahi; ahakoa taua hiahia, kua uaua te kawe i taua tauira, nā te uaua o te kimi tūranga whakaako takitahi, nā ngā uauatanga hoki o te whakahaere, o te ohu kaimahi tapuhi. Ko tā tēnei arotake torowhānui, he mea ārahi e ngā tikanga rangahau a Whittemore rāua ko Knafl, he whai kia tautohutia ētahi tauira whakaako whai hua hei tautoko i te akoranga o ngā ākonga tapuhi paetahi me te paerua i ngā horopaki tiaki tūroro, i te taha o te tauira whakaako takitahi pū. I kawea tētahi rapunga tuhinga mā ētahi pātengi raraunga e rima (CINAHL, EBSCO, PubMed, Ovid me Discovery), i arotahi rā ki ngā rangahau taketake i whakaputaina ki te reo Ingarihi i waenga i 2017 me 2024, i uru atu ai ngā ariā matua o te whakaakoranga o ngā ākonga tapuhi, me te noho o ngā ākonga hei ākonga i roto i ngā horopaki tiaki tūroro. I tautohutia ētahi tuhinga 1446, ā, i muri i te mukunga o ngā mea taurite, me te hoatuanga o ngā paearu whakauru/aukati, me te tātaritanga kounga, 15 ngā tuhinga i tīpokangia mō te tātari tāhuhu. I rohea ngā kitenga kia rere ētahi tauira matua e toru mō te momo kaiwhakaako: 1) kotahi kaiako mō te ākonga kotahi; 2) kotahi kaiako mō ngā ākonga maha; ā, 3) he maha ngā kaiako mā te kaiako kotahi. Nā ngā kitenga ka mōhio pea tātou me kimi ētahi tauira pīngawingawi, atamai hoki, kakama hoki te urutau ki ngā hiahia o te ohu kaimahi, me te whakaputa wheako akoranga kounga nui. Hei kupu whakamutunga, ko tā ia tauira he hora i ngā kahanga me ngā ngoikoretanga i takea mai i te horopaki tiaki tūroro, me ngā tikanga ka puta i muri mō te whakatāhuhu me te whakatinana i ngā tūranga whakaako. E puta ai he akoranga tiaki tūroro whai take, me mātua whakapakari ngā hōtaka whakaako, mā ngā pātuitanga pāhekoheko i waenga i ngā whare whakaako tiketike me ngā horopaki tiaki tūroro, me te noho mai o ngā kaiako tapuhi ki te kawe i ngā mahi nunui o te hoahoa me te tautoko i ēnei tauira ka taea te whakaurutau.