Rounds with Leadership

Welcome to Rounds with Leadership, a forum for AACN’s Board Chair and President/CEO to offer commentary on issues and trends impacting academic nursing.

June 24, 2020 - Is Paying for Clinical Preceptors in Our Future?

In response to the recent increase in anecdotal reports from nursing schools on paying for preceptors and access to clinical sites, AACN and the American Organization for Nursing Leadership (AONL) launched a joint survey last fall to better understand the issues around payment for clinical preceptors. AACN sent a survey to the deans of our 825 member schools and received completed surveys from 306 schools (37% response rate).

The survey found that the majority of schools in this representative sample are not currently paying, nor have they paid in the past, for clinical preceptors or clinical placement sites. However, a large majority of schools are concerned about the future demand to pay. The survey also found that the most difficult types of clinical placement sites for baccalaureate programs to find were pediatric acute care, obstetrics, and mental health sites/experiences. The most difficult placement sites for graduate programs to find were family practice/primary care, pediatric primary care, and women’s health sites.

Specific findings include:

  • Only 9% of schools with baccalaureate programs have or are paying for preceptors, and 9% have or are paying for clinical placements.
  • For schools with graduate programs, 10% and 9% are paying for preceptors and clinical placement sites, respectively.
  • The data show there are some areas of the country that are more likely to pay and that there are certain types of schools paying as well. For baccalaureate programs, a slightly higher percentage of schools were paying for preceptors in the North Atlantic and for clinical placements in the Midwest. For graduate programs, a slightly higher percentage of schools in the South were paying for preceptors; a slightly higher percentage of schools in the North Atlantic and in the South were paying for clinical placement sites.
  • Many schools (47%) are part of a regional or state consortium whose purpose is to address clinical placements. 

​In March 2020, at the request of the AACN Board of Directors, a new analysis of the data was conducted to see if schools in those states where Graduate Nursing Education (GNE) monies had been awarded to expand nurse practitioner clinical education were continuing to pay for preceptors or clinical sites at a higher rate than other states. As part of the GNE Demonstration Project, the Centers for Medicare and Medicaid Services provided funding to five eligible hospitals in partnership with schools of nursing in five states from 2012 to 2015. Some of these monies were used to pay preceptors and for clinical sites. Not surprisingly, schools in the GNE states expressed higher levels of concern with having to pay for preceptors and clinical sites within the next two years than schools in states without GNE funding. In addition, a higher percentage of schools in the GNE states were paying for graduate program preceptors and clinical sites  than schools in states without GNE funding.

The AACN-AONL Advisory Committee believes that the survey results are representative of AACN’s membership. While a majority of member schools report they are currently not paying for clinical placements or preceptors, they are concerned about a future demand for payment. AACN will continue to monitor this issue and work with stakeholders to help shape the future of clinical nursing education on behalf of the schools we serve.

Complete survey results are posted here on the AACN website.

Past Rounds with Leadership

May 27, 2020 -  Investing in the Future of Academic Nursing
April 29, 2020 -  Sustaining Nursing Education Pathways
March 25, 2020 -  Rising to Meet the Challenge
February 19, 2020 -  The Year of the Nurse Educator
January 29, 2020 -  A 2020 View of the Nursing Workforce
October 23, 2019 -  Building on the Past, Envisioning the Future
September 25, 2019 - A Legacy of Risks and Rewards
August 28, 2019 -  Academic Nursing and the Fourth Industrial Revolution
July 31, 2019 - A Time for Generative Thinking
June 26, 2019 - Celebrating the Power of Compassionate Care
May 29, 2019 - On the Front Line of the Opioid Crisis
April 24, 2019 - Galvanizing Support for Nursing Now USA
March 27, 2019 - Advocating for the Future of Nursing
February 27, 2019 - Monitoring Trends in Higher Education
January 30, 2019 - Taking Action to Champion the PhD in Nursing
November 28, 2018 - Artificial Intelligence
October 24, 2018 - AACN LEADS: Your Leadership Journey Accelerated!
September 26, 2018 - The Nursing Community Coalition Celebrates 10 Years
August 29, 2018 - Collaborating to Advance the PhD in Nursing
July 25, 2018 - Exercising Thought Leadership
June 27, 2018 - Moving Nursing Science from the Margin to Mainstream
May 23, 2018 - Rallying Support for Nursing Education
April 25, 2018 - Watching the Numbers
March 28, 2018 - Surveying the Landscape of Higher Education
February 28, 2018 - With Appreciation
January 31, 2018 - Strengthening the Pipeline to the PhD
November 29, 2017 - From Dialogue to Collaboration
October 25, 2017 - Bridging the Nurse Faculty Shortage
September 27, 2017 - Joining the Conversation about Competency-Based Education
August 23, 2017 - A Time for Moral Courage
July 26, 2017 - Leading the Way
June 28 - 2017 - Understanding Health Equity
May 24, 2017 - A Global Commitment to Advancing Academic Nursing
April 26, 2017 - Why We Need to Talk About Nursing Science
March 22, 2017 - Vital Directions for Nursing
February 22, 2017 - Standing on the Shoulders of Giants
January 25, 2017 - New Year, New Home Base for AACN
November 16, 2016 - The Lame-Duck Session and the New Administration
October 26, 2016 - Harnessing the Power of Technology
September 28, 2016 - Contemplating the Future of Higher Education
August 24, 2016 - Taking the Lead on Information Curation