Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identi
Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.
Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.
Assignment: Journal Entry
Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.
Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.
To Prepare
· Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
· 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 and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
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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 three 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?
Communicating and Feedback
· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
· Answer the questions: How am I doing? What is missing?
· Reflect on the formal and informal feedback you received from your Preceptor.
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Rubric Detail
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Content
Name: PRAC_6645_Week11_Assignment_Rubric
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| Assimilation and Synthesis: Content Reflection | Points: Points Range: 45 (45%) – 50 (50%) Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Insightful and relevant connections are made through contextual explanations and examples. Feedback: | Points: Points Range: 40 (40%) – 44 (44%) Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Connections are made through explanations and/or examples. Feedback: | Points: Points Range: 35 (35%) – 39 (39%) Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Minimal connections made through explanations and/or examples. Feedback: | Points: Points Range: 0 (0%) – 34 (34%) Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments. Feedback: |
| Assimilation and Synthesis: Personal Growth | Points: Points Range: 27 (27%) – 30 (30%) Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications. Feedback: | Points: Points Range: 24 (24%) – 26 (26%) Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of student’s current experience. Feedback: | Points: Points Range: 21 (21%) – 23 (23%) Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of student’s current experience. Feedback: | Points: Points Range: 0 (0%) – 20 (20%) Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked. Feedback: |
| Written Expression and Formatting | Points: Points Range: 14 (14%) – 15 (15%) Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors. Feedback: | Points: Points Range: 12 (12%) – 13 (13%) Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. Feedback: | Points: Points Range: 11 (11%) – 11 (11%) Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. Feedback: | Points: Points Range: 0 (0%) – 10 (10%) Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work. Feedback: |
| APA | Points: Points Range: 5 (5%) – 5 (5%) Contains no APA errors. Feedback: | Points: Points Range: 4 (4%) – 4 (4%) Contains one to two (1–2) APA errors. Feedback: | Points: Points Range: 3.5 (3.5%) – 3.5 (3.5%) Contains three to five (3–5) APA errors. Feedback: | Points: Points Range: 0 (0%) – 2 (2%) Contains more than five (>5) APA errors. Feedback: |
Show Descriptions Show Feedback
Assimilation and Synthesis: Content Reflection–
Levels of Achievement: Excellent 45 (45%) – 50 (50%) Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Insightful and relevant connections are made through contextual explanations and examples. Good 40 (40%) – 44 (44%) Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Connections are made through explanations and/or examples. Fair 35 (35%) – 39 (39%) Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Minimal connections made through explanations and/or examples. Poor 0 (0%) – 34 (34%) Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments. Feedback:
Assimilation and Synthesis: Personal Growth–
Levels of Achievement: Excellent 27 (27%) – 30 (30%) Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications. Good 24 (24%) – 26 (26%) Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of student’s current experience. Fair 21 (21%) – 23 (23%) Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of student’s current experience. Poor 0 (0%) – 20 (20%) Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked. Feedback:
Written Expression and Formatting–
Levels of Achievement: Excellent 14 (14%) – 15 (15%) Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors. Good 12 (12%) – 13 (13%) Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. Fair 11 (11%) – 11 (11%) Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. Poor 0 (0%) – 10 (10%) Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work. Feedback:
APA–
Levels of Achievement: Excellent 5 (5%) – 5 (5%) Contains no APA errors. Good 4 (4%) – 4 (4%) Contains one to two (1–2) APA errors. Fair 3.5 (3.5%) – 3.5 (3.5%) Contains three to five (3–5) APA errors. Poor 0 (0%) – 2 (2%) Contains more than five (>5) APA errors. Feedback:
| Total Points: 100 |
|---|
Name: PRAC_6645_Week11_Assignment_Rubric
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5
PMHNP PRAC 6645 Clinical Skills
Your Name
Department of ABC, University of ABC
ABC 101: Course Name
Professor (or Dr.) Firstname Lastname
Date
PMHNP PRAC 6645 Clinical Skills
Self-Assessment Form
Conducting a self-assessment of my clinical skills is important because it is enables me to be fully effective in my clinical performance is a begin this course. Self-assessment will enable me to identify my strengths and areas where I need to improve in terms of knowledge, performance, and communication. Setting goals and objectives based on my self-assessment will help to guide the quality of my educational process during the course (Anselmo-Witzel et al., 2017). The purpose of this paper is to provide a clinical skills self-assessment, a summary of my strengths and opportunities for improvement based on the ratings, and three measurable goals and objectives for the practicum experience.
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Desired Clinical Skills for Students to Achieve |
Confident (Can complete independently) |
Mostly confident (Can complete with supervision) |
Beginning (Have performed with supervision or need supervision to feel confident) |
New (Have never performed or does not apply) |
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Comprehensive psychiatric evaluation skills in: |
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Recognizing clinical signs and symptoms of psychiatric illness across the lifespan |
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Differentiating between pathophysiological and psychopathological conditions |
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Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
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Performing and interpreting a mental status examination |
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Performing and interpreting a psychosocial assessment and family psychiatric history |
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Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
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Diagnostic reasoning skill in: |
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Developing and prioritizing a differential diagnoses list |
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Formulating diagnoses according to DSM 5 based on assessment data |
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Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
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Pharmacotherapeutic skills in: |
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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) |
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Evaluating patient response and modify plan as necessary |
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Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
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Psychotherapeutic Treatment Planning: |
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Recognizes concepts of therapeutic modalities across the lifespan |
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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) |
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Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups |
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Develop an age appropriate individualized plan of care |
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Provide psychoeducation to individuals, family, and/or groups |
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Promote health and disease prevention techniques |
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Self-Assessment skills: |
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Develop SMART goals for practicum experiences |
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Evaluating outcomes of practicum goals and modify plan as necessary |
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Documenting and reflecting on learning experiences |
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Professional skills: |
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Maintains professional boundaries and therapeutic relationship with clients and staff |
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Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
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Identifies ethical and legal dilemmas with possible resolutions |
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Demonstrates non-judgmental practice approach and empathy |
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Practices within scope of practice |
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Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: |
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Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
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Implements the screening instrument efficiently and effectively with the clients |
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Interprets results for screening instruments accurately |
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Develops an appropriate plan of care based upon screening instruments response |
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Identifies the need to refer to another specialty provider when applicable |
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Accurately documents recommendations for psychiatric consultations when applicable |
Summary of strengths:
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Communication is one of my core strengths as evidenced by my excellent verbal and written communication skills. This skill helps me to communicate with different groups in the health care setting such as patients, nurses, and doctors, in a way that provides a ground for understanding the current situation. This strength will specifically help me to explain various issues to patients such as their diagnoses or test results, and how their treatment plans can be developed (Anselmo-Witzel et al., 2017). Empathy is also one of my other strengths which comes in handy especially as I interact with patients. This strength helps me to help patients and their families in coping with their problems. The strength is also important because it can assist in comprehending and sharing the feelings of the patient and their loved ones, hence working towards helping them to achieve optimal health outcomes (Anselmo-Witzel et al., 2017). Attention to detail is the other strength. Nurses interact with very many patients on a typical day and the interaction can crossover to other nurses, physicians, and hospital staff. Attention to detail as strength will help me to ensure that every piece of information is valid in terms of its accuracy and reliability (Dahinten et al., 2016). This strength can be useful for creating effective treatment plans for patients. The strengths can also inspire positive care quality when it is placed on the frontline of providing care. Flexibility is one of my strengths and it is a skill that every night should possess (Dahinten et al., 2016). The day-to-day work activities in a nursing environment change rapidly and flexibility enables a nurse to adapt quickly. As a strength, flexibility helps me in managing changes in the healthcare environment efficiently and effectively (Dahinten et al., 2016). |
Opportunities for growth:
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Conducting Research This is an opportunity for me to gain knowledge regarding my areas of improvement. Conducting research will enable me to obtain information from evidence-based research that can be instrumental in driving me towards my desired clinical goals (Santillan-Garcia et al., 2020). Through conducting research, I will be able to advance my knowledge and skills in specific areas of weaknesses by using evidence-based strategies to address these areas. Learning new skills Working in a practical environment will provide an opportunity where I will be able to develop my skills in various ways such as being assigned to various specialties. This means that without limiting myself to routines and procedures confined in my area of specialty, I will be able to learn new skills and enhance my clinical knowledge as I perform the assigned duties (Santillan-Garcia et al., 2020). Opportunity for collaboration Working in an environment with different members will provide an opportunity for interprofessional collaboration since nursing is not an isolated practice (Kurth et al., 2016). Collaboration with other members will enable me to gain knowledge in various ways, such as how to understand and respond to the needs of the client (Kwok et al., 2016). Advice and guidance from other members will be instrumental in advancing my knowledge for including patient care. |
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.
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1. Goal: To enhance skills in psychotherapeutic treatment planning a. Objective: To effectively identify therapeutic modalities concepts. b. Objective: To identify effective evidence-based clinical practice guidelines. c. Objective: To develop a relevant and effective plan of care for clients based on their age. 2. Goal: To enhance skills in selecting and implementing screening instruments and interpreting results. a. Objective: To develop skills for implementing screening instruments effectively and efficiently. b. Objective: To develop skills for accurately interpreting results for the screening instruments. c. Objective: To accurately document recommendations for psychotherapy consultations based on the interpreted results. 3. Goal: To enhance professional skills. a. Objective: To work in collaboration with other professional teams for improving clinical practice. b. Objective: To organize and resolve various ethical and legal dilemmas. c. Objective: To maintain professional boundaries with staff and clients. |
Conclusion
The development of the goals and objectives is important because it will help by providing a clear direction for progress. The developed goals and objectives will also be important in evaluating personal clinical performance. The goals and objectives are developed based on the strengths and opportunities for growth. They are designed to maximize the strength and opportunities while minimizing any areas of weaknesses. Once followed to the latter, the clinical self-assessment and developed goals and objectives will be essential in fostering educational and clinical improvements.
Signature:
Date:
Course/Section:
References
Anselmo-Witzel, S., Orshan, S. A., Heitner, K. L., & Bachand, J. (2017). Are generation Y nurses satisfied on the job? Understanding their lived experiences. JONA: The Journal of Nursing Administration, 47(4), 232-237.
Dahinten, V. S., Lee, S. E., & MacPhee, M. (2016). Disentangling the relationships between staff nurses’ workplace empowerment and job satisfaction. Journal of nursing management, 24(8), 1060-1070.
Kurth, A. E., Jacob, S., Squires, A. P., Sliney, A., Davis, S., Stalls, S., & Portillo, C. J. (2016). Investing in nurses is a prerequisite for ensuring universal health coverage. Journal of the Association of Nurses in AIDS Care, 27(3), 344-354.
Kwok, C., Bates, K. A., & Ng, E. S. (2016). Managing and sustaining an aging nursing workforce: identifying opportunities and best practices within collective agreements in Canada. Journal of nursing management, 24(4), 500-511.
Santillan-Garcia, A., Zaforteza-Lallemand, C., & Castro-Sanchez, E. (2020). Nurses as political knowledge brokers, opportunities for growth in the Spanish context. International Journal of Nursing Studies, 110, 103690.
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PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:
1). ZERO (0) PLAGIARISM.
2). AT LEAST 5 REFERENCES, NO MORE THAN 5 YEARS (WITHIN 5YRS, OR LESS THAN 5YRS)
3). PLEASE SEE THE ATTACHED: Rubric details, Assignment Journal Entry Direction, Previous Self-Assessment Clinical Skill
4). Please review and follow the grading rubric details, and include each component in the assignment as required. Also, follow the APA 7 writing rules and style/Format.
Thank you.
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