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Posted: December 8th, 2022

Clinical skills self-assessment

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:

Fall 6635/2022

Student Contact Information
Name:
Street Address:
City, State, Zip:
Home Phone:
Work Phone: N/A
Cell Phone:
Fax: None
E-mail:

Preceptor Contact Information
Name:
Organization:
Street Address: 8225
City, State, Zip:
Work Phone:
Cell Phone:
Fax: 1877 669 2745
Professional/Work E-mail:

Part 2: Individualized Practicum Learning Objectives

a. Objective 1: To improve my skills to Independently complete patient’s mental health assessment

Mode of Assessment: During initial clinic visits and follow ups

PRAC Course Outcome(s) Addressed and Planned Activities:

-To improve my skills collecting data and accurately perform psychiatric assessment appropriate for a comprehensive and focused examination by the end of the practicum

-To demonstrate knowledge of psychopathology through discussion with various age groups that have different types of mental challenges with least 10 adults and 5 pediatric patients before the end of the practicum

-To demonstrate the ability to conduct individual and group psychotherapy at least 5 time with each category by the end of the practicum period.

Objective 2: To improve my skills using diagnostic and/or screening testing to formulate reasonable patient’s diagnoses.

Mode of Assessment: During initial clinic visits and follow ups

PRAC Course Outcome(s) Addressed and Planned Activities:

– To improve my skills and knowledge with selecting an appropriate psychometric test according to the patient’s presenting symptoms, then demonstrating with at least 20 patients by the end of the practicum period.

– To improve my skills formulating accurate diagnoses according to the DSM-5 based on the collecting data and the used psychometric report with at least 12 patients by the end of the practicum period.

– To develop and analyze appropriate differential diagnoses for presenting problem while prioritizing care and intervene in dysfunctional coping patterns and psychiatric disorders with at least 10 individuals by the end of this practicum

Objective 3: To acquire more knowledge regarding psychotherapeutic medications to provide an appropriate treatment plan for my patients.

Mode of Assessment: During initial clinic visits and follow ups

PRAC Course Outcome(s) Addressed and Planned Activities:

-To demonstrate ability to develop treatment plans for acute and chronic psychiatric disorders and mental health problems by the end of this praticum period and demonstrate with at least 12 patients in various age groups.

-To modify treatment plan/approaches based on the patient’s ability and readiness to learn and demonstrate with a least 12 patients by the end of the practicum period

-To teach patients, families, and groups about treatment options with respect to their developmental, physiological, cognitive, cultural ability and readiness to learn and demonstrate it with at least 12 patients.

– .

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 16 6 6
Week 2 16 6 6
6Week 3 16 6 6
Week 4 16 6 6
Week 5 16 6 6
Week 6 16 6 6
Week 7 16 6 6
Week 8 16 6 6
Week 9 16 6 6
Week 10 16 6 6
Week 11 6 6
Total Hours (must meet the following requirements) 160 Hours 66 66

Part 4 – Signatures

Student Signature (electronic): Date: September 11, 2022

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.

Clinical skills self-assessment

College of Nursing-PMHNP, Walden
PRAC 6645: Psychotherapy with Multiple Modalities
Introduction
Nurse practitioners collaborate with a wide range of healthcare professionals to provide high-quality, timely, secure, and effective care. Clinicians must possess a diverse set of skills in order to provide high-quality care. Clinical expertise is required for accurate diagnosis and effective treatment of a wide range of mental health issues. Clinical competence must be assessed in order to determine current abilities and identify areas for improvement (Bennett, 2017). The emphasis of the essay should be on the positive aspects and areas for improvement of the practicum, as well as the overall purpose of the experience.
Self-Evaluation Form
Clinical Competencies Desired by Students
Confident (Can complete independently) (Can complete independently)
Mostly certain (Can complete with supervision)
Beginning (Have performed with supervision or need supervision to feel confident) (Have performed with supervision or need supervision to feel confident)
New (Have never performed or does not apply) (Have never performed or does not apply)
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan X Comprehensive psychiatric evaluation skills
Distinguishing pathophysiological from psychopathological conditions
X
Conducting and interpreting a thorough and/or interval history and physical examination (including laboratory and diagnostic studies)
Conducting and interpreting a mental status examination X Conducting and interpreting a psychosocial assessment and family psychiatric history X Conducting and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).
X
Diagnostic reasoning ability in: creating and prioritizing a list of differential diagnoses X
Forming diagnoses based on assessment data in accordance with the DSM 5 X
Identifying normal and abnormal age-related physiological and psychological symptoms/changes X
Selecting appropriate evidence-based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, informed consent process, symptom management) X
Evaluating patient response and revising plan as needed X
Documentation (for example, adverse reactions, patient responses, and changes to the plan of care) X
Psychotherapeutic Treatment Planning: Recognizes therapeutic modalities concepts across the lifespan X
Choosing appropriate evidence-based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, informed consent process, symptom management, appropriate modality for situation) X
Individuals, families, and/or groups are counseled using age-appropriate psychotherapeutic techniques.
Create an age-appropriate, individualized care plan X
Psychoeducation for individuals, families, and/or groups X
Encourage health and disease prevention methods X
Self-Assessment Capabilities: Create SMART goals for practicum experiences X
Evaluating the outcomes of practicum goals and modifying the plan as needed X
Keeping track of and reflecting on learning experiences X
Maintains professional boundaries and therapeutic relationships with clients and staff X
Work with multidisciplinary teams to improve clinical practice in mental health settings.
Identifies ethical and legal quandaries and possible solutions X
Exhibits a nonjudgmental practice approach and empathy X
Practices that fall within the scope of practice X
Choosing and implementing the best screening instrument(s), interpreting the results, and making recommendations and referrals:
demonstrates selecting the appropriate screening instrument for the clinical situation X
Implements the screening instrument with clients in an efficient and effective manner X
Accurately interprets screening instrument results X
Creates an appropriate care plan based on screening instrument response X
When applicable, identifies the need to refer to another specialty provider X
When appropriate, accurately documents recommendations for psychiatric consultations X

Strengths summary:
One of my strengths in healthcare is getting along with a wide range of professionals, patients, and their families. There are three types of communication: spoken, nonverbal, and textual. I always try to communicate with patients and their loved ones with compassion. When doctors and nurse practitioners share information, patients benefit from increased security and well-being (Durmaz et al., 2018). To avoid causing unnecessary harm to patients, I, for one, make every effort to provide precise details to nurse practitioners during handoffs. When communicating with patients and their loved ones, word choice and empathy are especially important (Durmaz et al., 2018). If a nurse truly wants to help a patient, it will be evident in the way she treats them. Two-way communication is required to build trust between a nurse and a patient (Durmaz et al., 2018). It is critical to communicate the treatment strategy and educate patients about their illness in order to achieve positive results. A patient’s family requires up-to-date information about their loved one’s condition.
I am skilled at identifying clinical indicators of mental illness. I’ve evaluated a diverse range of people suffering from a diverse range of mental disorders. During my clinical rotation, I interacted with a diverse range of people dealing with a variety of issues. I try to determine whether a patient has lost interest in regular activities or is consistently depressed. A precise identification of symptoms is required for an accurate diagnosis (Percy & Richardson, 2018).
I am skilled at establishing and maintaining a trusting relationship with my patients. I never want to have multiple relationships with a patient. I know when to refer a patient to the next available therapist if I believe their emotional attachment to me will have a negative impact on their treatment. The achievement of positive health outcomes and the development of patient trust are both dependent on a healthcare system that adheres to ethical and legal standards (Percy & Richardson, 2018). I treat all patients with respect and compassion, regardless of their race, sexual orientation, gender, age, or health. Individuals should have access to quality medical care regardless of their differences, in my opinion. Maintaining a nonjudgmental attitude in the healthcare setting is one of the most effective ways to increase patient trust and diversity (Bennett, 2017).

Opportunities for advancement: Improving nursing practices is critical for meeting the needs of patients from all backgrounds. The first development opportunity I have is to connect with my mentor as a nurse. I need to make an effort to spend more time with my advisor in order to get clarification on the many issues that require attention. One such topic is improving the process of conducting and analyzing a psychosocial evaluation and family psychiatric background. My knowledge of psychological evaluations is limited. It is critical to assess a patient in order to make an accurate diagnosis (Pelin & Ayise, 2019). It would be beneficial if I could combine this information with my family’s psychological history. I’ll be able to make more informed diagnoses on a wider range of patients thanks to the data. My mentor’s expertise in conducting and analyzing a psychosocial evaluation and family mental history will be invaluable. Second, virtual events such as webinars and conferences allow you to grow your business. This website is critical for nurse practitioners’ education (Pelin & Ayise, 2019). Nursing organizations, prominent medical professionals, and hospitals, for example, will address new concerns during webinars and seminars. Webinars will cover topics such as prejudice and the development of patient-specific treatment plans.
Participating in nursing groups is the third way to grow. Both the ANA and the NLO are organizations that I would like to join and hope to do so soon. Organizations are the only way for a nurse’s career to progress (Wills et al., 2020). Participation provides opportunities to learn and grow as an individual, make new connections, obtain financial aid, and further one’s education. As a nurse, for example, networking allows me to broaden my knowledge base and gain access to additional professional tools. The fourth development opportunity is to provide mental healthcare to low-income families through volunteer work. Volunteering will allow me to interact with a diverse range of patients and gain insight into the many aspects of mental health treatment (Wills et al., 2020). On weekends and certain weekdays, I intend to volunteer some of my free time. Examples include widespread mental health issues, such as depression, among the state’s diverse Louisiana population as they prepare for Hurricane Ida’s onslaught. The Covid-19 epidemic has had a negative impact on the state’s economy and many people’s lives. I may learn advanced technological skills by gathering a group of students and bringing a preceptor to talk about using various screening instruments for mental health disorders. The frequent meetings of this group will assist me in becoming more proficient in a variety of areas (Pelin & Ayise, 2019). I want to use Walden Library to expand my knowledge and skills. I intend to search peer-reviewed publications for current, correct, and evidence-based data. Because of the reliable data you’ve provided, I’ll be able to identify trends in mental healthcare more effectively (Percy & Richardson, 2018).

Write down three to four (3-4) potential goals and objectives for this practicum experience. Ascertain that they adhere to the SMART Strategy, as outlined in the Learning Resources.
1. Objective: Learn to effectively communicate knowledge to patients, relatives, and multidisciplinary groups.
a. Goal: Please use a variety of methods to provide information to patients and their loved ones.
b. Goal: Establish open lines of communication in order to foster productive collaborations with interdisciplinary groups.
c. Goal: Demonstrate that you can connect with them through your words and build trusting relationships with them.

2. Objective: Learn how to properly select which mental diagnostic screening techniques will be most useful for a specific patient.
a. Goal: Use your nursing knowledge to identify and evaluate potential screening methods.
b. Objective: Use your extensive nursing knowledge to identify the specific signs of a mental disorder.
c. Goal: Demonstrate expert nursing judgment in the selection and use of diagnostic equipment.

3. Objective: Develop an appropriate analysis, differential, treatment, and monitoring strategy.
a. Goal: A variety of methods should be used to arrive at a diagnosis.
b. Goal: Using your expert nursing judgment, develop a possible diagnosis.
c. Goal: Develop a viable therapy and monitoring strategy.

4. Goal: Instill trust in patients by always doing what is right in terms of the law and professional ethics.
a. Goal: Maintain constant, cordial contact with patients.
b. Goal: Follow the law and ethical guidelines while caring for patients from various backgrounds.
c. Goal: Using your nursing expertise, improve your understanding of cultural differences and shifts.

Rosine Ngwana’s signature
Date: 12/2/2022 Section/Course: NURS 6645/WINTER 2022
References
L. L. Bennett (2017). The Disconnect Between Nursing Education and Clinical Competence. 28th ABNF Journal (4).
Y. C. Durmaz, E. K. Serin, and H. T. Polat (2018). Determination of Nursing/Midwifery Students’ Problem-Solving and Communication Skills Eleventh International Journal of Caring Sciences (3).
K. Pelin and K. Ayise (2019). Mentorship applications in nursing clinical education are being evaluated. 869-876 in International Journal of Caring Sciences, 12(2).
M. Percy and C. Richardson (2018). Introducing nursing practice to student nurses: How can we foster compassion, empathy, and care? Practice-based nurse education, 29, 200-205.
J. Wills, C. Hancock, and M. Nuttall (2020). The nursing workforce’s health. National Nurses Associations were polled. 294-299 in International Nursing Review.

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.

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