Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as a
TO PREPARE
- Review your Clinical Skills Self-Assessment Form you submitted last week 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, including 3–4 measurable practicum learning objectives you will use to facilitate your learning during the practicum experience.
***** I will complete part 1
PMHNP PRAC 6645Clinical 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 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, finances, 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 |
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Summary of strengths:
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I have confidence in self-assessment and goal development. In addition, I am confident in comprehensive psychiatric evaluation skills, psychotherapeutic treatment planning, and in self-assessment skills. |
Opportunities for growth:
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I need to improve my diagnostic reasoning skills and pharmacotherapeutic skills, which require supervision. In addition, I need further development in my professional abilities and in selecting and implementing the proper diagnostic instrument. |
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: Improve diagnostic reasoning skills by the end of the practicum a. Objective: Come up with and prioritize a minimum of three differential diagnoses lists based on evaluation information, with less need for supervision. b. Objective: Accurately formulate at least two psychiatric diagnoses according to DSM-5 guidelines, with less supervision. c. Objective: Increase “confidence in normal and abnormal age-related physiological and psychological symptoms differentiation.” 2. Goal: Enhance pharmacotherapeutic skills by the end of the practicum a. Objective: Progress towards selecting proper evidence-based clinical practice guidelines for medications with less supervision, considering the consequences, patients’ preference, and development factors. b. Objective: Gain more independence in the evaluation of patient responses and in modification of medication plans as appropriate. c. Objective: Improve documentation of medication-related information, including adverse reactions and plan of care changes, with fewer errors and supervision. 3. Goal: Strengthen screening and referral skills by the end of the practicum a. Objective: Become more proficient in the independent selection of the proper diagnosis tool appropriate for clinical situations. b. Objective: Increase efficiency and effectiveness in implementing screening tools with clients. c. Objective: “Develop the skills to identify the need for referrals to specialty providers when applicable and accurately document recommendations for psychiatric consultations with decreasing supervision.” 4. Goal: Enhance professional skills and ethical practices by the end of the practicum a. Objective: Maintain professional boundaries and therapeutic relationships with clients and staff independently, consistently demonstrating professionalism. b. Objective: Collaborate effectively and proactively with multi-disciplinary teams in various clinical practice situations, actively contributing to improvements in mental health care. c. Objective: Demonstrate a deep understanding of ethical principles and legal guidelines, consistently identifying ethical and legal dilemmas and providing sound resolutions. |
Signature: Daniela Duran
Date: 09/03/2023
Course/Section:
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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.
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 objecti
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