Review your Clinical Skills Self-Assessment Form you submitted and think about areas for which you would like to gain application-level experience and/or con
To Prepare
- Review your Clinical Skills Self-Assessment Form you submitted (See attached document) and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims?
- Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be:
- Specific
- Measurable
- Attainable
- Results-focused
- Time-bound
- Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)
Note: Please make sure your objectives are individualized and outlined in your Practicum Experience Plan (PEP). While you may add previous objectives to continue to work toward. You must have 3 new objectives for each class, each quarter.
- Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.
- Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.
- Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.
Assignment
Record the required information in each area of the Practicum Experience Plan template (See attached), including three to four (3–4) practicum learning objectives you will use to facilitate your learning during the practicum experience.
PRAC 6635 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 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 |
X |
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Differentiating between pathophysiological and psychopathological conditions |
X |
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Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
X |
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Performing and interpreting a mental status examination |
X |
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Performing and interpreting a psychosocial assessment and family psychiatric history |
X |
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Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
X |
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Diagnostic reasoning skill in: |
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Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses |
X |
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Developing and prioritizing a differential diagnoses list |
X |
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Formulating diagnoses according to DSM 5-TR based on assessment data |
X |
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Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
X |
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Psychotherapeutic Treatment Planning: |
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Provide psychoeducation to individuals and/or any caregivers |
X |
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Promote health and disease prevention techniques |
X |
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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 |
X |
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Documenting and reflecting on learning experiences |
X |
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Professional skills: |
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Maintains professional boundaries and therapeutic relationship with clients and staff |
X |
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Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
X |
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Identifies ethical and legal dilemmas with possible resolutions |
X |
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Demonstrates non-judgmental practice approach and empathy |
X |
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Practices within scope of practice |
X |
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Selecting and implementing appropriate screening instrument(s) and interpreting results: |
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Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
X |
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Implements the screening instrument efficiently and effectively with the clients |
X |
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Interprets results for screening instruments accurately |
X |
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Identifies the need to refer to another specialty provider when applicable |
X |
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Accurately documents recommendations for psychiatric consultations when applicable |
X |
Summary of strengths:
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I demonstrate high confidence in performing and interpreting a comprehensive history and physical examination and maintaining professional boundaries with clients and staff. Additionally, I excel in professional skills especially in maintaining professional boundaries and in showing non-judgmental practice. |
Opportunities for growth:
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My growth opportunities include developing a better understanding of differentiating between pathophysiological and psychopathological conditions where I exhibit a beginning level. Another opportunity for growth involves performing and interpreting a mental status examination. Improving my ability to select appropriate evidence-based clinical practice guidelines for psychotherapeutic plans and applying age-appropriate counseling techniques also presents an area for enhancement. Strengthening skills in interpreting screening instrument results and formulating diagnoses based on DSM 5-TR criteria will contribute to a more comprehensive clinical skill set. Additionally, developing an appropriate plan of care based upon screening instruments' response and consistently evaluating outcomes for practicum goals are areas that warrant focused attention. |
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: “Enhance diagnostic reasoning skills by the end of the practicum ." a. Objective: By the end of the practicum, achieve a "confident" rating in differentiating between normal/abnormal age-related physiological and psychological symptoms/changes . b. Objective: Within the first month, demonstrate a "mostly confident" ability in formulating diagnoses according to DSM 5-TR based on assessment data. c. Objective: Improve diagnostic reasoning skills by consistently developing and prioritizing a comprehensive differential diagnoses list, reaching a "confident" rating by the midpoint of the practicum. 2. Goal: “Strengthen psychotherapeutic treatment planning by the end of the practicum." a. Objective: Develop proficiency in selecting evidence-based clinical practice guidelines for psychotherapeutic plans, achieving a "mostly confident" rating within the first six weeks . b. Objective: By the end of the practicum, apply age-appropriate psychotherapeutic counseling techniques with individuals and/or caregivers, reaching a "confident" level. c. Objective: Create age-appropriate individualized plans of care for at least five clients, demonstrating competency in psychotherapeutic treatment planning . 3. Goal: “Improve self-assessment and documentation skills by practicum end." a. Objective: Develop and consistently meet SMART goals for practicum experiences, ensuring they are specific, measurable, achievable, relevant, and time-bound. b. Objective: Evaluate outcomes of practicum goals bi-weekly and modify plans as necessary, achieving a 90% success rate by the midpoint of the practicum . c. Objective: Enhance documentation skills by maintaining accurate and reflective records of learning experiences throughout the practicum. 4. Goal: Improve screening and referral competencies by practicum end a. Objective: Within the first month, achieve a "mostly confident" rating in selecting the correct screening instrument appropriate for the clinical situation. b. Objective: Implement screening instruments efficiently and effectively with clients, reaching a "confident" level within the initial eight weeks of the practicum. c. Objective: Interpret results for screening instruments accurately, ensuring a 90%” accuracy rate by the midpoint of the practicum. |
Signature: Hector Gonzalez, RN
Date: 11/30/2024
Course/Section: PRAC 6635
,
Master of Science in Nursing
Practicum Experience Plan
Overview:
Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.
As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.
Complete each section below.
Part 1: Quarter/Term/Year and Contact Information
Section A
Quarter/Term/Year:
Student Contact Information
Name:
Street Address:
City, State, Zip:
Home Phone:
Work Phone:
Cell Phone:
Fax:
E-mail:
Preceptor Contact Information
Name:
Organization:
Street Address:
City, State, Zip:
Work Phone:
Cell Phone:
Fax:
Professional/Work E-mail:
Part 2: Individualized Practicum Learning Objectives
Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.
As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.
** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.
Objective 1: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)
Planned Activities:
Mode of Assessment: (Note: Verification will be documented in Meditrek)
PRAC Course Outcome(s) Addressed:
· (for example) Develop professional plans in advanced nursing practice for the practicum experience
· (for example) Assess advanced practice nursing skills for strengths and opportunities
Objective 2: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)
Planned Activities:
Mode of Assessment: (Note: Verification will be documented in Meditrek)
PRAC Course Outcome(s) Addressed:
·
Objective 3: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)
Planned Activities:
Mode of Assessment: (Note: Verification will be documented in Meditrek)
PRAC Course Outcome(s) Addressed:
·
Part 3: Projected Timeline/Schedule
Estimate how many hours you expect to work on your Practicum each week. * Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.
This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.
I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.
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Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site) |
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