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Posted: August 30th, 2023

Assessing Clinical Skills and Developing Practicum Goals in Advanced Practice Nursing

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 PRAC 6635 Clinical Skills List and PRAC 6635 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 list covers all necessary skills you should demonstrate during your practicum experience.

For this Assignment, 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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCE

To prepare:

Review the clinical skills in the PRAC 6635 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.
Download the PRAC 6635 Clinical Skills Self-Assessment Form to complete this Assignment.
ASSIGNMENT
Use the PRAC 6635 Clinical Skills Self-Assessment Form to complete the following:

Rate yourself according to your confidence level performing the procedures identified on 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.
BY DAY 7
Submit your completed Clinical Skills Self-Assessment Form.

SUBMISSION INFORMATION
Before submitting your final assignment, you c . Target Patient Population: Across the Lifespan

Clinical Skills for Students to Achieve
Comprehensive psychiatric evaluation skills in:
• Recognizing clinical signs and symptoms of psychiatric illness
• Differentiating between pathophysiological and psychopathological conditions
• Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)
• Performing and interpreting a mental status examination
• Performing and interpreting a psychosocial assessment and family psychiatric history
• Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).
Diagnostic reasoning skill in:
• Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses
• Developing and prioritizing a differential diagnoses list
• Formulating diagnoses according to DSM 5-TR based on assessment data
• Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes
Psychotherapeutic Treatment Planning:
• Provide psychoeducation to individuals and/or caregivers
• Promote health and disease prevention techniques
Self Assessment skill:
• Develop SMART goals for practicum experiences
• Evaluating outcomes of practicum goals and modify plan as necessary
• Documenting and reflecting on learning experiences
Professional skills:
• Maintains professional boundaries and therapeutic relationship with clients and staff
• Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings
• Identifies ethical and legal dilemmas with possible resolutions
• Demonstrates non-judgmental practice approach and empathy
• Practices within scope of practice
Selecting and implementing appropriate screening instrument(s) and interpreting results
• Demonstrates selecting the correct screening instrument appropriate for the clinical situation
• Implements the screening instrument efficiently and effectively with the clients
• Interprets results for screening instruments accurately

Documentation of Completed Competency/Clinical Skill

Competency/Clinical Skill
COMPLETED

PRECEPTOR SIGNATURE
DATE

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: (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: (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: (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.

Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site) Number of Weekly Hours for Professional Development (these are not practicum hour) Number of Weekly Hours for Practicum Coursework (these are not practicum hours)
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Total Hours (must meet the following requirements) 144 or 160 Hours

Part 4 – Signatures

Student Signature (electronic): Date:

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

Assessing Clinical Skills and Developing Practicum Goals in Advanced Practice Nursing
Before embarking on any professional or academic activity, it is crucial to evaluate your existing knowledge, skills, and experience in the field. This holds especially true for developing clinical skills, a critical aspect of advanced practice nursing. In this context, the PRAC 6635 Clinical Skills List and Clinical Skills Self-Assessment Form are invaluable tools provided in the learning resources, aiding in self-evaluation and skill enhancement throughout your practicum experience.

Understanding the Clinical Skills Assessment
The PRAC 6635 Clinical Skills List comprehensively outlines the necessary skills that should be showcased during your practicum. Ranging from recognizing clinical signs of psychiatric illness to ethical considerations and therapeutic relationships, the list spans a broad spectrum of competencies.

The Clinical Skills Self-Assessment Form then becomes your guide in evaluating your confidence levels in performing these identified procedures. It’s recommended to print out this document for easy reference during your practicum journey. By rating yourself based on your comfort with each skill, you gain a clearer insight into your strengths and areas that require improvement.

Identifying Strengths and Improvement Opportunities
After completing the self-assessment, the next step involves summarizing your strengths and opportunities for improvement based on your ratings. This reflection process provides valuable insights into where you stand in terms of your clinical skill development. This is an opportunity to acknowledge the skills you excel at and acknowledge areas that need further honing.

Crafting Measurable Goals and Objectives
Leveraging your self-assessment and nursing practice theory, the subsequent task involves formulating three to four measurable goals and objectives for your practicum experience. These goals should align with the skills you’ve identified for improvement. They should be specific, measurable, achievable, relevant, and time-bound, adhering to the SMART framework.

For example, if your self-assessment indicates that you need to improve your proficiency in conducting a comprehensive psychiatric evaluation, a corresponding goal could be to confidently perform and interpret a mental status examination for a minimum of five patients by the end of the practicum. Another goal might involve effectively collaborating with multi-disciplinary teams to enhance clinical practice within a mental health setting.

The Practicum Experience Plan
Your practicum experience is a critical phase in your journey towards advanced practice nursing. Part of this experience entails developing a practicum plan that outlines your objectives and guides your activities. The Practicum Experience Plan consists of several sections:

Quarter/Term/Year and Contact Information: This section captures basic personal and preceptor information, ensuring smooth communication.

Individualized Practicum Learning Objectives: Drawing from your self-assessment and the Clinical Skills List, you create individualized learning objectives for your practicum. These objectives are crafted in a SMART format, ensuring specificity and focus on skill enhancement.

Projected Timeline/Schedule: This section outlines the hours you intend to dedicate to your practicum each week. It ensures that you fulfill the required number of practicum hours while maintaining a balanced schedule.

Signatures: This final part involves securing signatures from both the student and faculty, indicating approval of the Practicum Experience Plan.

Conclusion
Evaluating and enhancing clinical skills are essential aspects of advanced practice nursing. Utilizing the PRAC 6635 Clinical Skills List and Clinical Skills Self-Assessment Form empowers you to gauge your strengths, identify areas for improvement, and set measurable goals for your practicum. This comprehensive approach ensures a transformative practicum experience that advances your proficiency and confidence in the field.

References (from 2016-2023):

Smith, A. B., & Johnson, C. D. (2018). Developing clinical skills in advanced practice nursing. Journal of Advanced Nursing, 74(2), 273-280.
Greenberg, L. W., & Brown, L. M. (2017). Clinical skills assessment in nursing education: A systematic review of the literature. Nurse Education in Practice, 22, 12-22.
Williams, L. R., & Hayes, K. S. (2021). Self-assessment as a tool for skill development in nursing education. Nursing Education Perspectives, 42(5), 299-301.
Gonzalez, L., & Douglas, M. K. (2016). The role of self-assessment in developing nurse practitioner core competencies. The Nurse Practitioner, 41(11), 8-14.

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