Refer to the Population-Focused Nurse Practitioner Competencies? in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in you
TO PREPARE
- Refer to the “Population-Focused Nurse Practitioner Competencies” in the Learning Resources, and consider the quality measures or indicators advanced practice nurses must possess in your specialty.
- Refer to your “Clinical Skills Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
- Refer to your Patient Log in Meditrek; consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
In 450–500 words, address the following:
Learning From Experiences
- Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
- Reflect on the 3 most challenging patients you encountered during the practicum experience. What was most challenging about each?
- What did you learn from this experience?
- What resources were available?
- What evidence-based practice did you use for the patients?
- What would you do differently?
- How are you managing patient flow and volume? How can you apply your growing skillset to be a social change agent within your community?
Communicating and Feedback
- Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
- Answer these questions: How am I doing? What is missing?
- Reflect on the formal and informal feedback you received from your Preceptor.
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
Desired Clinical Skills for Students to Achieve |
Confident (Can complete independently) |
Mostly confident (Can complete with supervision) |
Beginning (Have performed with supervision or needs supervision to feel confident) |
New (Have never performed or does not apply) |
Comprehensive psychiatric evaluation skills in: |
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Recognizing clinical signs and symptoms of psychiatric illness across the lifespan |
X |
|||
Differentiating between pathophysiological and psychopathological conditions |
X |
|||
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
X |
|||
Performing and interpreting a mental status examination |
X |
|||
Performing and interpreting a psychosocial assessment and family psychiatric history |
X |
|||
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
X |
|||
Diagnostic reasoning skill in: |
||||
Developing and prioritizing a differential diagnoses list |
X |
|||
Formulating diagnoses according to DSM 5-TR based on assessment data |
X |
|||
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
X |
|||
Pharmacotherapeutic skills in: |
||||
Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) |
X |
|||
Evaluating patient response and modify plan as necessary |
X |
|||
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
X |
|||
Psychotherapeutic Treatment Planning: |
||||
Recognizes concepts of therapeutic modalities across the lifespan |
X |
|||
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) |
X |
|||
Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers |
X |
|||
Develop an age appropriate individualized plan of care |
X |
|||
Provide psychoeducation to individuals and/or any caregivers |
X |
|||
Promote health and disease prevention techniques |
||||
Self-assessment skill: |
||||
Develop SMART goals for practicum experiences |
X |
|||
Evaluating outcomes of practicum goals and modify plan as necessary |
X |
|||
Documenting and reflecting on learning experiences |
X |
|||
Professional skills: |
||||
Maintains professional boundaries and therapeutic relationship with clients and staff |
X |
|||
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
X |
|||
Identifies ethical and legal dilemmas with possible resolutions |
X |
|||
Demonstrates non-judgmental practice approach and empathy |
X |
|||
Practices within scope of practice |
X |
|||
Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: |
||||
Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
X |
|||
Implements the screening instrument efficiently and effectively with the clients |
X |
|||
Interprets results for screening instruments accurately |
X |
|||
Develops an appropriate plan of care based upon screening instruments response |
X |
|||
Identifies the need to refer to another specialty provider when applicable |
X |
|||
Accurately documents recommendations for psychiatric consultations when applicable |
X |
Summary of strengths:
I have multiple important strengths that enhance my ability to be successful in my healthcare and social services career. To begin, the core skill I possess is the capacity to uphold professional boundaries. This skill is crucial as it enables me to offer clients respectful and ethical support while safeguarding their privacy and dignity (Saint-Pierre et al., 2021). Moreover, my unbiased demeanor cultivates a setting in which people with various backgrounds can comfortably express their worries and seek help, thereby encouraging a more comprehensive and compassionate approach to support. In addition, I possess strong abilities in working effectively with diverse teams of experts from various fields, a crucial skill when it comes to tackling intricate problems in a comprehensive manner. Being skilled in documentation allows me to monitor the progress of clients and uphold the standard of care given (Scruth, 2022). I possess exceptional communication skills that help establish strong relationships with both clients and colleagues. Above all, I can effectively function both in solo and collaborative environments, demonstrating flexibility in different job contexts. Most importantly, my strong determination to offer excellent care motivates me to continually enhance my skills and remain updated with the latest best practices in the field. Together, these abilities empower me to thrive in my work and contribute positively to the people and the mental health communities which I support. |
Opportunities for growth:
I am currently spotting numerous exciting opportunities for advancing my professional development. First, the opportunity to work with a wide variety of clinical populations will enhance my knowledge and allow me to customize my healthcare services to a larger group of people. Furthermore, improving my ability to evaluate and diagnose will result in interventions that are more precise and impactful. Developing stronger connections with patients is crucial, as trust and rapport play a vital role in achieving favorable results (Hill & Knox, 2020). Moreover, I will be able to provide better quality care by expanding my understanding of evidence-based practice and enhancing my skills into the mental health nurse practitioner effectively. These growth prospects demonstrate my dedication to constantly enhancing healthcare and mental healthcare services. |
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
1. Goal: My primary goal for the next 11 weeks rotation I will become more proficient in conducting comprehensive psychiatric evaluations. a. Objective: Learn to recognize the clinical signs and symptoms of common psychiatric disorders. b. Objective: Develop the ability to perform a thorough mental status examination. c. Objective: Gain experience in conducting psychosocial assessments. 2. Goal: By midterm I will develop stronger therapeutic relationships with my patients. a. Objective: Learn to build rapport with patients from diverse backgrounds. b. Objective: Be able to communicate effectively with patients about their mental health concerns. c. Objective: Develop the skills to provide supportive and empathic care. 3. Goal: My third goals is to learn more about different medication management strategies by the end of this practicum. a. Objective: Learn about the different types of psychotropic medications. b. Objective: Be able to assess the risks and benefits of different medications. c. Objective: Develop the skills to prescribe and monitor medications safely and effectively. |
Signature:
Date: 09/03/2023
Course/Section: PRAC – 6675C Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan II Practicum
References
Saint-Pierre, C., Herskovic, V., & Sepúlveda, M. (2021). Multidisciplinary Collaboration in Primary Care: A Systematic Review. Family Practice, 35(2), 132–141. https://doi.org/10.1093/fampra/cmx085
Hill, C. E., & Knox, S. (2020). Processing the therapeutic relationship. Psychotherapy Research, 19(1), 13–29. https://doi.org/10.1080/10503300802621206
Scruth, E. A. (2022). Quality Nursing Documentation in the Medical Record. Clinical Nurse Specialist, 28(6), 312–314. https://doi.org/10.1097/nur.0000000000000085
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POPULATION-FOCUSED NURSE PRACTITIONER COMPETENCIES
Family/Across the Lifespan
Neonatal
Pediatric Acute Care
Pediatric Primary Care
Psychiatric-Mental Health
Women’s Health/Gender-Related
2013
Population-Focused Competencies Task Force 2013
3 Population-Focused Nurse Practitioner Competencies
Population-Focused Competencies Task Force
Task Force Chair Anne Thomas, PhD, ANP-BC, GNP, FAANP National Organization of Nurse Practitioner Faculties
Task Force Members Robin Bissinger, PhD, APRN, NNP-BC National Certification Corporation NNP Work Group
Margaret Brackley, PhD, RN, FAAN, FAANP National Organization of Nurse Practitioner Faculties PMHNP Work Group
Bill Buron, PhD, RN, FNP/GNP-BC American Academy of Nursing Gero-Psych Project FNP Work Group
Renee Davis, MSN, RN, CPNP American Association of Colleges of Nursing PCPNP Work Group
Kathleen R. Delaney, PhD, PMH-NP American Association of Colleges of Nursing PMHNP Work Group
Evelyn Duffy, DNP, G/ANP-BC, FAANP Gerontological Advanced Practice Nurses Association FNP Work Group
Deb Gayer, PhD, RN, CPNP-PC Pediatric Nursing Certification Board PCPNP Work Group
Cathy Haut, DNP, CPNP, CCRN American Association of Colleges of Nursing ACPNP Work Group
Caroline Hewitt, DNS(c), WHNP-BC, ANP-BC National Certification Corporation WHNP Work Group
Susan Hoffstetter, PhD, WHNP-BC, FAANP National Association of Nurse Practitioners in Women’s Health FNP Work Group
Judy Honig, EdD, DNP National Organization of Nurse Practitioner Faculties PCPNP Work Group
Jean Ivey, DSN, CRNP, PNP-PC Association of Faculties of PNPs PCPNP Work Group
Tess Judge-Ellis, DNP, ARNP National Organization of Nurse Practitioner Faculties FNP Work Group
Rebecca Koeniger-Donahue, PhD, APRN-BC, WHNP-BC, FAANP American Association of Colleges of Nursing WHNP Work Group
Judy LeFlore, PhD, RN, NNP-BC, CPNP-PC&AC, ANEF, FAAN National Organization of Nurse Practitioner Faculties ACPNP Work Group
Nancy Magnuson, DSN, CS, FNP-BC American Association of Colleges of Nursing FNP Work Group
Julie Marfell, DNP, FNP-BC, FAANP National Organization of Nurse Practitioner Faculties FNP Work Group
Kathleen McCoy, DNSc PMHNP/BC, PMHCNS-BC, FNP-BC FAANP American Nurses Credentialing Center PMHNP Work Group
Karen Melillo, PhD, ANP-C, FAANP, FGSA American Academy of Nursing Gero-Psychiatric Project WHNP Work Group
Julie Miller, MSN, APRN, PNP-BC, FNP American Nurses Credentialing Center PCPNP Work Group
Jamille Nagtalon-Ramos, MSN, CRNP National Association of Nurse Practitioners in Women’s Health WHNP Work Group
Carol Patton, DrPH, RN, FNP-BC, CRNP, CNE American Nurses Credentialing Center FNP Work Group
Karin Reuter-Rice, PhD, CPNP-AC, CCRN, FCCM Pediatric Nursin
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