Week 2 – practicum experience plan (pep)
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2
Clinical Skills Self-Assessment
Ariel Cordova Lopez
Walden University
PRAC 6665/6675 – PMHNP Across Lifespan II
Dr. Nisha Kirk, AGPCNP-BC, PMHNP-BC
December 1, 2022
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 |
Confident |
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Differentiating between pathophysiological and psychopathological conditions |
Mostly confident |
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Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
Mostly confident |
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Performing and interpreting a mental status examination |
Mostly Confident |
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Performing and interpreting a psychosocial assessment and family psychiatric history |
Mostly Confident |
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Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
Mostly confident |
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Diagnostic reasoning skill in: |
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Developing and prioritizing a differential diagnoses list |
Mostly confident |
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Formulating diagnoses according to DSM 5-TR based on assessment data |
Mostly confident |
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Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
Mostly confident |
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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) |
Mostly confident |
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Evaluating patient response and modify plan as necessary |
Mostly Confident |
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Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
Mostly confident |
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Psychotherapeutic Treatment Planning: |
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Recognizes concepts of therapeutic modalities across the lifespan |
Confident |
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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) |
Confident |
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Applies age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers |
Mostly confident |
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Develop an age-appropriate individualized plan of care |
Mostly confident |
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Provide psychoeducation to individuals and/or any caregivers |
Mostly confident |
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Promote health and disease prevention techniques |
Mostly confident |
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Self-assessment skill: |
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Develop SMART goals for practicum experiences |
Mostly confident |
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Evaluating outcomes of practicum goals and modify plan as necessary |
Mostly confident |
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Documenting and reflecting on learning experiences |
Mostly confident |
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Professional skills: |
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Maintains professional boundaries and therapeutic relationship with clients and staff |
Confident |
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Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
Confident |
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Identifies ethical and legal dilemmas with possible resolutions |
Confident |
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Demonstrates non-judgmental practice approach and empathy |
Confident |
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Practices within scope of practice |
Confident |
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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 |
Mostly confident |
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Implements the screening instrument efficiently and effectively with the clients |
Mostly confident |
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Interprets results for screening instruments accurately |
Mostly confident |
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Develops an appropriate plan of care based upon screening instruments response |
Mostly confident |
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Identifies the need to refer to another specialty provider when applicable |
Mostly confident |
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Accurately documents recommendations for psychiatric consultations when applicable |
Mostly confident |
Summary of strengths:
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My greatest strength in my everyday interactions with patients is providing patient-centered care. I can gather pertinent historical data and conduct a thorough physical and mental state exam because of my patient-centered approach. I know patients’ empathic interviewing approaches because of my culturally competent communication skills. In order to treat patients with respect and dignity, a nurse practitioner must practice patient-centered care (Park et al., 2018). Another asset is my ability to provide my customers with individualized and supportive care. I learned over time how to communicate with patients while keeping a cheerful attitude to prevent upsetting them. I can do a thorough evaluation of patients using empathic interviewing techniques to determine the condition they are experiencing. I use them daily in hospital wards and community health clinics to maintain these abilities. The patient’s presentation can vary depending on the patient’s age and cultural background. I find that identifying and suggesting the potential use of psychotropic medicines is another crucial ability to have. I typically adopt a friendly approach when speaking with my patients because it is crucial to get historical data from many sources. I can discuss typical anomalies and their causes since I fully comprehend each part of the mental status examination (Norris et al., 2016). The communication concept has helped me behave professionally, become more sympathetic while receiving criticism, and learn from my mistakes. Another noteworthy strength is my ability to document clinical facts, diagnoses, and clinical reasoning. It’s possible that laboratory results won’t always be available, so I utilize my communication skills to get information from the patient and other professionals. In particular, the early detection of psychopathology symptoms has benefited greatly from my multifaceted skill sets. |
Opportunities for growth:
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I need to improve my interviewing skills for difficult scenarios like dealing with aggressive, perhaps violent, and mentally deficient patients. The diagnosis of mental and behavioral diseases is fraught with difficulties. I need to develop a deeper understanding and more vital evaluation abilities because most psychological and pathophysiological diseases are difficult to identify because they necessitate significant knowledge. Since it has taken precedence, I must concentrate on the differential diagnosis of psychopathology. Separating pathophysiology from psychopathology, two broad domains that call for deeper comprehension is another area that may be better. The mental diagnosis procedure is drawn out since it starts with a physical examination of the patient. After that, a psychological evaluation is conducted to exclude differential diagnoses and reach a precise psychosocial diagnosis. I have provided care for patients with behavioral problems for many years, and I have seen that diagnosing and treating psychopathology requires in-depth understanding and evaluation abilities. Since psychopathological illnesses are difficult to diagnose, most diagnostic tests are ineffective. To strengthen these areas, I need to increase my understanding of psychopathological disorders (Blomberg et al., 2016). During the clinical rotations, I must use each chance to put the new information into practice. Performing and interpreting mental status exams is another area where I may be held accountable. I need to start engaging in rigorous clinical training sessions to increase my proficiency in interpreting mental status exams. I can also increase my expertise in clinical sites through ongoing practice and professional growth. As a PMHNP, the newly gained abilities will promote the delivery of patient-centered, evidence-based care. |
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. a. b. c. 2. a. b. c. 3. a. b. c. |
Signature: Ariel Cordova Lopez
Date: December 1, 2022
Course/Section:
PRAC-6675-37/PRAC-6675C-37/PRAC-6675F-37 – PMHNP Across Lifespan II Pract-Winter 2022
References
Blomberg, K., Griffiths, P., Wengström, Y., May, C., & Bridges, J. (2016). Interventions for compassionate nursing care: A systematic review.
International journal of nursing studies,
62, 137-155.
Park, M., Lee, M., Jeong, H., Jeong, M., & Go, Y. (2018). Patient-and family-centered care interventions for improving the quality of health care: A review of systematic reviews.
International journal of nursing studies,
87, 69-83.
Norris, D. R., Clark, M. S., & Shipley, S. (2016). The mental status examination.
American family physician,
94(8), 635-641.
PRACTICUM EXPERIENCE PLAN (PEP)
As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.
For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. For this practicum experience, be sure to develop goals and objectives that allow you to synthesize knowledge and skills related to assessment, diagnosis, and treatment planning.
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.
· Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.
THE ASSIGNMENT- INSTRUCTIONS
· Use the attached document (Practicum Experience Plan)to complete this week assignment.
· Complete ONLY section # 2. – Part 2: Individualized Practicum Learning Objectives
· After the objectives 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. ( at least 3 references)
· The 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. (See attached document – WK1Assgn2_Cordova Lopez_A)
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) |
Number of Weekly Hours for Professional Development (these are not practicum hour) |
Number of Weekly Hours for Practicum Coursework (these are not practicum hours) |
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Week 1 |
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Week 2 |
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Week 3 |
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Week 4 |
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Week 5 |
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Week 6 |
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Week 7 |
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Week 8 |
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Week 9 |
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Week 10 |
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Week 11 |
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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.
© 2020 Walden University 3
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