Master of Science in Nursing Part 2: Individualized Practicum Learning 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 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: (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: • © 2020 Walden University 1 Master of Science in Nursing 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 . Number of Clinical Hours Projected for Week 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) © 2020 Walden University Number of Weekly Hours for Professional Development Number of Weekly Hours for Practicum Coursework 144 or 160 Hours 2 Master of Science in Nursing Part 4 – Signatures Student Signature (electronic): Practicum Faculty Signature (electronic)*: Date: 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 PRAC 6635 Clinical Skills Self-Assessment Form Desired 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 (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 based on assessment data Differentiating between normal/abnormal age- 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) related physiological and psychological symptoms/changes Psychotherapeutic Treatment Planning: Provide psychoeducation to individuals and/or any 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 multidisciplinary teams to improve clinical practice in mental health settings Identifies ethical and legal dilemmas with possible resolutions Demonstrates nonjudgmental 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 Identifies the need to refer to another specialty provider when applicable Accurately documents recommendations for psychiatric consultations when applicable Summary of strengths: My main areas of strength are in comprehensive psychiatric evaluation and especially in using MSE and psychosocial assessment tools. I can also comfortably interpret obtained data and link it with psychopathology knowledge to differentiate between normal and abnormal physiological and psychological changes. In treatment, I am confident enough to apply health promotion and disease prevention techniques. Besides, I can independently evaluate my goals outcomes and modify the plan through reflection of learning experiences. I am also good at maintaining professional boundaries and therapeutic relationships with clients while providing non-judgmental care and still showing empathy. In addition, I have no problem practicing within my scope and completing recommendation documents for psychiatric consultations.
Opportunities for growth: In the process of client assessment and evaluation, I encounter challenges with differentiating between conditions that are physiological from psychopathological ones. For that matter, I will need to read widely and practice more to identify differential diagnoses and formulate appropriate working diagnosis. I will also learn and practice on providing appropriate psychoeducation to clients and relatives for optimal effective treatment. I will also need to seek assistance with identifying situations that present ethical dilemmas and learn on formulating possible solutions.
Also, although I can confidently use assessment tools, I need to train on appropriate selection of screening tools and learn on their interpretation. Finally, I need to practice more on practices I have completed with and be in positon to complete them independently including interpretation of assessment data. I will also familiarize myself more with the DSM V criteria to be able to make correct diagnoses from assessment data and screening instruments results. 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.
1. Goal: Over the entire clinical practicum period, I will demonstrate and apply theories learnt in class to conduct a comprehensive psychological assessment to differentiate psychopathological conditions from physiological conditions. a. Objective: Throughout the clinical practice, I will revise my notes and extra readings from books, internet sources and the DSMV criteria on specific clinical manifestations of psychiatric conditions and apply the knowledge during history taking, physical exam and mental status examination to distinguish mental problems from other medical conditions.
b. Objective: Every time I am caring for a client; I will utilize the nursing process to help me link learnt theory with the specific clinical situation. c. Objective: By the end of the practicum period, I will have prepared concept maps for at least five patients with medical and mental comorbidities. 2. Goal: Over the entire practicum period, I will demonstrate knowledge in mental status assessment and measure my knowledge through appropriate interpretation of the data.
a. Objective: I will use the hospital’s mental status assessment tool to gather comprehensive data about client’s mental functioning.
b. Objective: During the first days into the practicum period, I will request one senior nurse to demonstrate interpretation of the information collected in order to generate both clinical and nursing diagnoses. c. Objective: At the end of every assessment session, I will interpret information collected via mental status assessment tool and generate appropriate working nursing and clinical diagnoses.
3. Goal: By the end of the of the practicum period, I will have provided psychotherapy to at least ten individual clients and conduct at least five group therapies. I will follow-up the clients to evaluate the effectiveness of the psychotherapy. a. Objective: Before conducting any individual or group therapy, I will identify the client’s problem first and read about necessary patient education prior to the actual session. b. Objective: I will organize a quite environment or room with adequate lighting and ventilation and provide comfortable seats for the clients to promote comfort throughout the period.
c. Objective: For group therapies, I will organize clients with similar condition or who need similar psychotherapy training for easy demonstration and avoid client’s feeling out of place as others take part. 4. Goal: Throughout the entire practicum period, I will demonstrate and apply effective communication skills in order to establish therapeutic with patients having mental problems and with other health care workers. a. Objective: I will always actively listen to client’s concerns and respond with respect and at timely basis. b. Objective: I will use appropriate facial expressions, gestures, touch and upright posture when conducting psychotherapy to establish a good communicative relationship with clients. c. Objective: I will use good handwriting while writing nursing notes for easy reading for other during shift handover. Signature: Date: Course/Section: