Periop Talk

Association of periOperative Registered Nurses (AORN)

Keeping surgical patients safe is the top concern of perioperative nurses. Each month, join AORN’s periop-specific podcast, Periop Talk, for Q&As with AORN Guideline for Perioperative Practice nurse authors and discussions with industry thought leaders to interviews with frontline OR nurses, we strive to make surgery safer by discussing today’s top perioperative topics. read less
Health & FitnessHealth & Fitness


How to build trust with your new hire
Feb 19 2024
How to build trust with your new hire
At the foundation of any clinical relationship is trust: trust between clinicians and patients, trust among the interprofessional team members, and trust between a new hire and the preceptor. Building a trusting relationship between the new hire and preceptor takes time, but there are some things that a preceptor can do to develop the trusting relationship.Be Explicit About ExpectationsExpectations within nursing practice are often divided into two buckets: the written competency-based activities and the unwritten rules of practice. Quite different from nursing school curriculum, where grades are generated on very specific evaluation criteria, the OR requires new hires to integrate into the culture of daily practice that varies among services and surgeons. The idea that the same procedure can differ due to a surgeon’s preference for instruments is a concept with which new hires struggle.Create Opportunities for Clinical ExperiencesOne of the most challenging aspects of precepting is entrusting clinical care to the new hire. Preceptors often find themselves in close proximity of the new hire because they cannot relinquish control of patient care, which presents challenges when the new hire is nearing the completion of the orientation period. Additionally, preceptors question whether or not the new hire is competent to practice independently and, therefore, can be entrusted with patient care.Form an Environment of FeedbackNew hires require feedback from their preceptors to correct behaviors and grow professionally. The preceptor should establish the frequency and format of feedback delivery, such as by summarizing feedback at the end of each shift, taking time to emphasize what went well and what needs improvement.Create a Psychologically Safe EnvironmentPsychological safety, according to Edmundson and Lei, is the “perceptions of consequences of taking interpersonal risks in a particular context such as a workplace.”3 Psychological safety occurs when the orientee can anticipate how the preceptor gives feedback, responds to questions, and acts as a backup when the team asks specific questions regarding the procedure or care of the patient. Providing a structure for how feedback will be given and inviting the orientee to give feedback about the preceptor’s style of teaching can help create a psychologically safe environment, as can encouraging the orientee to ask questions in a place where others will not overhear the questions and make judgments about the orientee’s knowledge level. Another way for the preceptor to foster psychological safety is to stay close by the orientee, especially early in the orientation period, to help answer questions that team members may ask.Take a look at written rules versus unwritten rules, action steps to develop clinical experiences, and download a feedback form at:'s more Periop Talk at: #nurselife #nurse #healthcareSupport the show