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Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills such as those for advanced practice nursing.
The PMHNP Clinical Skills List and PMHNP Clinical Skills Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The skills list covers all necessary skills you should demonstrate during your practicum experiences.
For this Assignment (just as you did in PRAC 6645), you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind. As you complete your self-assessment this week, you may wish to look back over your self-assessments from prior practicums to reflect on your growth.
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
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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 needs 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 and/or any caregivers |
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Develop an age appropriate individualized plan of care |
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Provide psychoeducation to individuals and/or any caregivers |
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Promote health and disease prevention techniques |
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Self-assessment skill: |
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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:
Opportunities for growth:
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: a. Objective: b. Objective: c. Objective: 2. Goal: a. Objective: b. Objective: c. Objective: 3. Goal: a. Objective: b. Objective: c. Objective: 4. Goal: a. Objective: b. Objective: c. Objective: |
Signature:
Date:
Course/Section:
,
Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills such as those for advanced practice nursing.
The PMHNP Clinical Skills List and PMHNP Clinical Skills Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The skills list covers all necessary skills you should demonstrate during your practicum experiences.
For this Assignment (just as you did in PRAC 6645), you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind. As you complete your self-assessment this week, you may wish to look back over your self-assessments from prior practicums to reflect on your growth.
To Prepare
· Review the clinical skills in the PMHNP Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.
· Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.
· Review the resources on nursing competencies and nursing theory, and consider how these inform your practice.
· Download the PMHNP Clinical Skills Self-Assessment Form to complete this Assignment.
The Assignment
Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:
· Rate yourself according to your confidence level performing the skills identified in the Clinical Skills Self-Assessment Form.
· Based on your ratings, summarize your strengths and opportunities for improvement.
· Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.
Rubric Detail
Select Grid View or List View to change the rubric's layout.
Content
Name: NRNP_6665_Week1_Discussion_Rubric
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. | Points: Points Range: 40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s) Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources No less than 75% of post has exceptional depth and breadth Supported by at least three current credible sources Feedback: | Points: Points Range: 35 (35%) – 39 (39%) Responds to most of the Discussion question(s) Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module 50% of the post has exceptional depth and breadth Supported by at least three credible references Feedback: | Points: Points Range: 31 (31%) – 34 (34%) Responds to some of the Discussion question(s) One to two criteria are not addressed or are superficially addressed Is somewhat lacking reflection and critical analysis and synthesis Somewhat represents knowledge gained from the course readings for the module Post is supported by fewer than two credible references Feedback: | Points: Points Range: 0 (0%) – 30 (30%) Does not respond to the Discussion question(s) Lacks depth or superficially addresses criteria Lacks reflection and critical analysis and synthesis Does not represent knowledge gained from the course readings for the module Contains only one or no credible references Feedback: |
| Main Posting: Writing | Points: Points Range: 6 (6%) – 6 (6%) Written clearly and concisely Contains no grammatical or spelling errors Adheres to current APA manual writing rules and style Feedback: | Points: Points Range: 5 (5%) – 5 (5%) Written concisely May contain one to two grammatical or spelling errors Adheres to current APA manual writing rules and style with minor errors Feedback: | Points: Points Range: 4 (4%) – 4 (4%) Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors Feedback: | Points: Points Range: 0 (0%) – 3 (3%) Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style Feedback: |
| Main Posting: Timely and full participation | Points: Points Range: 9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation Posts main Discussion by due date Feedback: | Points: Points Range: 8 (8%) – 8 (8%) Posts main Discussion by due date Meets requirements for full participation Feedback: | Points: Points Range: 7 (7%) – 7 (7%) Posts main Discussion by due date Feedback: | Points: Points Range: 0 (0%) – 6 (6%) Does not meet requirements for full participation Does not post main Discussion by due date Feedback: |
| First Response: Post to colleague's main post that is reflective and justified with credible sources | Points: Points Range: 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. Feedback: | Points: Points Range: 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. Feedback: | Points: Points Range: 7 (7%) – 7 (7%) Response is on topic, may have some depth. Feedback: | Points: Points Range: 0 (0%) – 6 (6%) Response may not be on topic, lacks depth. Feedback: |
| First Response: Writing | Points: Points Range: 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in standard, edited English. Feedback: | Points: Points Range: 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources Response is written in standard, edited English. Feedback: | Points: Points Range: 4 (4%) – 4 (4%) Response posted in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. Feedback: | Points: Points Range: 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Responses to faculty questions are missing. No credible sources are cited. Feedback: |
| First Response: Timely and full participation | Points: Points Range: 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation Posts by due date Feedback: | Points: Points Range: 4 (4%) – 4 (4%) Meets requirements for full participation Posts by due date Feedback: | Points: Points Range: 3 (3%) – 3 (3%) Posts by due date Feedback: | Points: Points Range: 0 (0%) – 2 (2%) Does not meet requirements for full participation Does not post by due date Feedback: |
| Second Response: Post to colleague's main post that is reflective and justified with credible sources | Points: Points Range: 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. Feedback: | Points: Points Range: 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. Feedback: | Points: Points Range: 7 (7%) – 7 (7%) Response is on topic, may have some depth. Feedback: | Points: Points Range: 0 (0%) – 6 (6%) Response may not be on topic, lacks depth. Feedback: |
| Second Response: Writing | Points: Points Range: 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in standard, edited English. Feedback: | Points: Points Range: 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources Response is written in standard, edited English. Feedback: | Points: Points Range: 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. Feedback: | Points: Points Range: 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Responses to faculty questions are missing. No credible sources are cited. Feedback: |
| Second Response: Timely and full participation | Points: Points Range: 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation Posts by due date Feedback: | Points: Points Range: 4 (4%) – 4 (4%) Meets requirements for full participation Posts by due date Feedback: | Points: Points Range: 3 (3%) – 3 (3%) Posts by due date Feedback: | Points: Points Range: 0 (0%) – 2 (2%) Does not meet requirements for full participation Does not post by due date Feedback: |
Show Descriptions Show Feedback
Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.–
Levels of Achievement: Excellent 40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s) Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources No less than 75% of post has exceptional depth and breadth Supported by at least three current credible sources Good 35 (35%) – 39 (39%) Responds to most of the Discussion question(s) Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module 50% of the post has exceptional depth and breadth Supported by at least three credible references Fair 31 (31%) – 34 (34%) Responds to some of the Discussion question(s) One to two criteria are not addressed or are superficially addressed Is somewhat lacking reflection and critical analysis and synthesis Somewhat represents knowledge gained from the course readings for the module Post is supported by fewer than two credible references Poor 0 (0%) – 30 (30%) Does not respond to the Discussion question(s) Lacks depth or superficially addresses criteria Lacks reflection and critical analysis and synthesis Does not represent knowledge gained from the course readings for the module Contains only one or no credible references Feedback:
Main Posting: Writing–
Levels of Achievement: Excellent 6 (6%) – 6 (6%) Written clearly and concisely Contains no grammatical or spelling errors Adheres to current APA manual writing rules and style Good 5 (5%) – 5 (5%) Written concisely May contain one to two grammatical or spelling errors Adheres to current APA manual writing rules and style with minor errors Fair 4 (4%) – 4 (4%) Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors Poor 0 (0%) – 3 (3%) Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style Feedback:
Main Posting: Timely and full participation–
Levels of Achievement: Excellent 9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation Posts main Discussion by due date Good 8 (8%) – 8 (8%) Posts main Discussion by due date Meets requirements for full participation Fair 7 (7%) – 7 (7%) Posts main Discussion by due date Poor 0 (0%) – 6 (6%) Does not meet requirements for full participation Does not post main Discussion by due date Feedback:
First Response: Post to colleague's main post that is reflective and justified with credible sources–
Levels of Achievement: Excellent 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. Good 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. Fair 7 (7%) – 7 (7%) Response is on topic, may have some depth. Poor 0 (0%) – 6 (6%) Response may not be on topic, lacks depth. Feedback:
First Response: Writing–
Levels of Achievement: Excellent 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in standard, edited English. Good 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources Response is written in standard, edited English. Fair 4 (4%) – 4 (4%) Response posted in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. Poor 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Responses to faculty questions are missing. No credible sources are cited. Feedback:
First Response: Timely and full participation–
Levels of Achievement: Excellent 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation Posts by due date Good 4 (4%) – 4 (4%) Meets requirements for full participation Posts by due date Fair 3 (3%) – 3 (3%) Posts by due date Poor 0 (0%) – 2 (2%) Does not meet requirements for full participation Does not post by due date Feedback:
Second Response: Post to colleague's main post that is reflective and justified with credible sources–
Levels of Achievement: Excellent 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. Good 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. Fair 7 (7%) – 7 (7%) Response is on topic, may have some depth. Poor 0 (0%) – 6 (6%) Response may not be on topic, lacks depth. Feedback:
Second Response: Writing–
Levels of Achievement: Excellent 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in standard, edited English. Good 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources Response is written in standard, edited English. Fair 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. Poor 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Responses to faculty questions are missing. No credible sources are cited. Feedback:
Second Response: Timely and full participation–</h
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