Posted: June 11th, 2022

P2

ATTACHED FILE(S)
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 practicumlearning 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)
· 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.
The 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.
Reading
Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.
For review as needed:
“Section I. General Principles of Effective Interviewing” (Chapters 1–13)
“Section III. Interviewing for Diagnosis: The Psychiatric Review of Symptoms” (Chapters 19–22)
Appendixes A–C
Meditrek
https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
Walden University Academic Skills Center. (2017). Developing SMART goals.
https://academicguides.waldenu.edu/ld.php?content_id=51901492

Record the required information in each area of the Practicum Experience Plan (PEP):
Part 1: Quarter/Term/Year and Contact Information:
ᵒ Identify Quarter/Term/Year
ᵒ Identify Student Contact Information:
Name, Street Address, City, State, Zip, Home Phone, Work Phone, Cell Phone, Fax, and Walden University Email
ᵒ Identify Preceptor Contact Information:
Name, Organization, Street Address, City, State, Zip, Work Phone, Cell Phone, Fax, and Professional/Work Email

5 (5%) – 5 (5%)
The response accurately and clearly identifies the Quarter/Term/Year, all Student Contact Information, and all Preceptor Contact Information.

4 (4%) – 4 (4%)
The response identifies the Quarter/Term/Year, and at least 90% of Student Contact Information and Preceptor Contact Information.

3.5 (3.5%) – 3.5 (3.5%)
The response identifies the Quarter/Term/Year, and at least 80% of Student Contact Information and Preceptor Contact Information.

0 (0%) – 3 (3%)
The response is inaccurate, incomplete, or is missing identification of the Quarter/Term/Year and/or identifies less than 80% of Student Contact Information and Preceptor Contact Information.

Part 2: Individualized Practicum Learning Objectives:
Explain 3 Individualized Practicum Learning Objectives that address your self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and meet the requirements for this course.
Each Practicum Learning Objective must describe planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills you would like to improve from your self-assessment.

69 (69%) – 75 (75%)
The response clearly, accurately, and thoroughly explains 3 Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment. They are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused) and meet the requirements for this course.
For each Learning Objective, the response clearly, accurately, and thoroughly describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment.

60 (60%) – 68 (68%)
The response accurately explains 3 Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and meet the requirements for this course.
For each Learning Objective, the response accurately describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment.

53 (53%) – 59 (59%)
The response somewhat vaguely explains 3 Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment. They may not all be SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), or fully meet the requirements for this course.
For each Learning Objective, the response somewhat vaguely describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment.

0 (0%) – 52 (52%)
The response inaccurately or incompletely explains 3 Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment. Some or all are not SMART (i.e., Specific, Measurable, Attainable, Results-Focused, Time-Focused), and/or do not meet the requirements for this course.
For each Learning Objective, the response has a vague, inaccurate, and/or incomplete or missing description of planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment.

Part 3: Projected Timeline/Schedule:
Describe your practicum timeline/schedule:
ᵒ Number of weekly hours projected to work on your practicum
ᵒ Number of weekly hours for professional development

14 (14%) – 15 (15%)
The response includes a clear, accurate, and thorough description of the practicum timeline/schedule, including number of weekly hours projected to work on the practicum and number of weekly hours for professional development.

12 (12%) – 13 (13%)
The response includes an accurate description of the practicum timeline/schedule, including number of weekly hours projected to work on the practicum and number of weekly hours for professional development.

11 (11%) – 11 (11%)
The response includes a somewhat vague description of the practicum timeline/schedule, and may be missing details about the number of weekly hours projected to work on the practicum or number of weekly hours for professional development.

0 (0%) – 10 (10%)
The response includes a vague, incomplete, and/or inaccurate or missing description of the practicum timeline/schedule, including number of weekly hours projected to work on the practicum or number of weekly hours for professional development.

Written Expression and Formatting—English Writing Standards: Assignment follows correct grammar, mechanics, and proper punctuation.

5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)
Contains 1-2 grammar, spelling, and punctuation errors.

3.5 (3.5%) – 3.5 (3.5%)
Contains 3-4 grammar, spelling, and punctuation errors.

0 (0%) – 3 (3%)
Contains ≥ 5 grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Total Points: 100
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: (
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.
© 2020 Walden University 3
PRAC 6665/6675 Clinical Skills
Self-Assessment Form

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)

Comprehensive psychiatric evaluation skills in:

Recognizing clinical signs and symptoms of psychiatric illnessacross the lifespan

Can independently recognize clinical signs and symptoms of psychiatric illness across the lifespan

Differentiating between pathophysiological and psychopathological conditions

Can confidently differentiate between pathophysiological and psychopathological conditions under supervision

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)

Independently performs and interprets a comprehensive and/or interval history and physical examination

Performing and interpreting a mental status examination

Can independently perform and interpret a mental status examination

Performing and interpreting a psychosocial assessment and family psychiatric history

Needs supervision to feel confident in performing and interpreting a psychosocial assessment and family psychiatric history

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

Can perform and interpret a functional assessment under supervision

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

Can independently develop and prioritize a differential diagnoses list

Formulating diagnoses according to DSM 5-TR based on assessment data

Independently formulates diagnoses according to DSM 5-TR based on assessment data

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes

Differentiates between normal/abnormal age related physiological and psychological symptoms/changes well under supervision

Pharmacotherapeutic skills in:

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)

Can confidentlyselect appropriate evidence based clinical practice guidelines for medication plan under supervision

Evaluating patient response and modify plan as necessary

Can independently evaluate patient response and modify plan as necessary

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)

Independently documents patients’ responses to plan of care

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

Can independently recognize concepts of therapeutic modalities across the lifespan

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)

Can confidently select appropriate evidence based clinical practice guidelines for psychotherapeutic plan with supervision

Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers

Can independently apply age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers

Develop an age appropriate individualized plan of care

Can independently develop an age appropriate individualized plan of care

Provide psychoeducation to individuals and/or any caregivers

Can independently provide psychoeducation to individuals and/or caregivers

Promote health and disease prevention techniques

Can independently promote health and disease prevention techniques

Self-assessment skill:

Develop SMART goals for practicum experiences

Can independently develop SMART goals for practicum experiences

Evaluating outcomes of practicum goals and modify plan as necessary

Independently evaluates outcomes of practicum goals and modify plan as necessary

Documenting and reflecting on learning experiences

Can independently document and reflect on learning experiences

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

Can independently maintain professional boundaries and therapeutic relationship with clients and staff

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings

Requires supervision to collaborate with multidisciplinary teams to improve clinical practice in mental health settings

Identifies ethical and legal dilemmas with possible resolutions

Confidently identifies ethical and legal dilemmas with possible resolutions under supervision

Demonstrates non-judgmental practice approach and empathy

Independently demonstrates non-judgmental practice approach and empathy

Practices within scope of practice

Independently practices within scope of practice

Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:

Demonstrates selecting the correct screening instrument appropriate for the clinical situation

Independently selects the correct screening instrument appropriate for the clinical situation

Implements the screening instrument efficiently and effectively with the clients

Requires supervision to implement the screening instrument efficiently and effectively with the clients

Interprets results for screening instruments accurately

Independently interprets results for screening instruments accurately

Develops an appropriate plan of care based upon screening instruments response

Independently develops an appropriate plan of care based upon screening instruments response

Identifies the need to refer to another specialty provider when applicable

Can independently identify the need to refer to another specialty provider when applicable

Accurately documents recommendations for psychiatric consultations when applicable

Independently documents recommendations for psychiatric consultations accurately when applicable

Summary of strengths:

patient evaluation skills- I have excellent patient evaluation skills and am able to conduct a full accurate and dependable patient analysis before delivery of care.
self-assessment skills- I have the necessary skills to be able to gauge myself and my level of skill in the field. I am able to set goals towards improving my clinical skills.
Empathy- I am able to listen to patients’ problems without judging them and instead feeling empathy towards them and therefore able to put in the extra effort to help them to the best of my ability.
Opportunities for growth:

Professional skills- practical experiences will help me improve my professional skills while in the health care setting
Screening skills- working with screening instruments more will help me become more familiar on how to implement them for an effective and efficient interaction with clients
Comprehensive psychiatric evaluation skills- working with more clients and under supervision will help improve my comprehensive psychiatric evaluation skills and also improve my functional assessment skills
Interpersonal and intrapersonal skills- interacting with more colleagues and clients inside and outside the workplace will help build my interpersonal and intrapersonal skills for a better clinical assessment
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: improve my professional skills
a. Objective: work with professionals in my field
b. Objective: collaborate with other professionals in different fields
c. Objective: to successfully carry out a functional assessment
2. Goal: improve my screening skills
a. Objective: offer to work under people who are familiar with the working of screening instruments
b. Objective: attend trainings on the use of the various screening instruments
c. Objective: practice acquired screening skills on clients while under supervision
3. Goal: improve my interpersonal and intrapersonal skills
a. Objective: avail myself to events that offer chances to meet people working in my field
b. Objective: conclusively make an assessment while maintaining client boundaries
c. Objective: read more content on clinical skills and practice it in the clinical setting
4. Goal:
a. Objective:
b. Objective:
c. Objective:
Signature:
Date:
Course/Section:

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