PRAC 6635 Clinical Skills Self-Assessment Form

PRAC 6635 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 need supervision to feel confident) New (Have never performed or does not apply)
Comprehensive psychiatric evaluation skills in:
Recognizing clinical signs and symptoms of psychiatric illness Need supervision to feel confident
Differentiating between pathophysiological and psychopathological conditions Need supervision to feel confident
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) Need supervision to feel confident
Performing and interpreting a mental status examination Have never performed
Performing and interpreting a psychosocial assessment and family psychiatric history Need supervision to feel confident
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). Need supervision to feel confident
Diagnostic reasoning skill in:
Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses Have never performed
Developing and prioritizing a differential diagnoses list Have never performed
Formulating diagnoses according to DSM 5 based on assessment data Have never performed
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes Have never performed
Psychotherapeutic Treatment Planning:
Provide psychoeducation to individuals and/or any caregivers Have never performed
Promote health and disease prevention techniques Can complete with supervision
Self Assessment skill:
Develop SMART goals for practicum experiences Need supervision to feel confident
Evaluating outcomes of practicum goals and modify plan as necessary Need supervision to feel confident
Documenting and reflecting on learning experiences Need supervision to feel confident
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staff Can complete independently
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings Can complete with supervision
Identifies ethical and legal dilemmas with possible resolutions Can complete with supervision
Demonstrates non-judgmental practice approach and empathy Can complete independently
Practices within scope of practice Can complete independently
Selecting and implementing appropriate screening instrument(s) and interpreting results:
Demonstrates selecting the correct screening instrument appropriate for the clinical situation Have never performed
Implements the screening instrument efficiently and effectively with the clients Have never performed
Interprets results for screening instruments accurately Need supervision to feel confident
Identifies the need to refer to another specialty provider when applicable Have never performed
Accurately documents recommendations for psychiatric consultations when applicable Have never performed

 

Goals and Objectives from your Practicum Experience Plan
Clinical learning and self-assessment abilities are necessary to guarantee progress toward healthcare targets. According to Daniel (2001), Self-assessment refers to data gathered from individual interests, achievement, and character and effectiveness. The medical profession and identity existence learning require accurate self-assessment of competence performance. When it comes to self-evaluation of clinical skills, it’s common to start by performing a few tasks and then evaluating how well you did at each. In my case, I can consider myself average in terms of the practices I was given. I performed some procedures independently, while others required minimal supervision to gain confidence, and others required consultation the first time I attempted to handle them.

Summary of strengths:
I have advanced remarkably by retaining proficient limits and satisfying relationships with customers and staff, providing an open-minded behavioral method and compassion, and practicing within the scope of practice were among the activities that I felt confident about completing. In addition, under supervision, promoting health and disease prevention practices, collaboration with a collaborative approach to enhance medical care in psychological health configurations, and identifying ethical and legal difficulties and possible remedies. Furthermore, I have the skills of teamwork, which facilitate me to enrich clinical performance in mental health settings.

Growth opportunities:
To feel confident, I required supervision; to recognize clinical signs and symptoms of mental disorder, distinguish between pathophysiological and psychopathological conditions, and take a physical examination. In addition, the ability to perform and analyze a mental stability investigation, construct and favor a different diagnostic collection, define definitive diagnosis as per DSM 5 based on evaluation information, differentiate between exceptional maturity level psychologic signs, and provide psychoeducation to persons and guardians were among the new activities. Additionally, I can improve my knowledge of choosing an appropriate screening tool for psychiatric medical conditions, thus learning how to apply the screening tools proficiently with clients. Also, I can advance my skills to recommend or refer a client to another expert whenever possible. Finally, I can increase my knowledge by documenting counsels for psychiatric evaluations when applicableeffectively identifying and documenting the recommendations for clients to consult psychiatric.

 

 

Now, write three to four (34) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
1. Goal: The specific medical skills to provide proper and effective medical services psychological, sociological, physical, and mental from nursing trainees to the professional clinician (Jahan et al., 2011).
a. Objective: To evaluate my ability to complete clinical procedures on my own.
b. Objective: Within three months, I will diagnose strategic planning based on critical research results with self-confidence.
c. Objective: At the end of the practicum, I will assess risks and treatment adherence to create processes for performing specific tasks on patients with various psychological health problems.
2. Goal: To create, integrate, and apply practical abilities, understanding, and knowledge gained in the classroom to acquire specialty providers within a reliable healthcare setting.
a. Objective: By the end of the course, I will have the strength to practice the skills learned.
b. Objective: After the training, I will apply evidence-based practice to carry out diagnostic procedures effectively.
c. Objective: I will use the skills I’ve learned in the clinical in actual situations.
3. Goal: Learning bioethics of care on a professional level (Adib-Hajbaghery et al., 2012)
a. Objective: I will increase my problem-solving skills and help in emotional learning.
b. Objective: I will be able to assist in economic education, for instance, acquiring an insurance cover and billing
c. Objective: I will learn ethical issues for giving special instructions to different patients.
4. Goal: To ensure efficiency and access the practical knowledge and skills essential for a successful and fulfilling career.
a. Objective: After this course, I will assess and examine a patient’s mental status.
b. Objective: I will be to identify preventive care innovations to aid in testing
c. Objective: I will be to identify personal and cultural opinions on a particular health issue

 

In conclusion, there is room to show the personality traits, opinions, and mindset toward obtaining valuable criticism through the self-assessment, making them noticeable for identity and expansion. Assist the student in rethinking their roles and making sense of the practice environments. As a result, I will view prospective productive comments as a chance to expand as an expert (Goldsmith et al., 2006). It is simpler to comprehend the areas that require a thorough review to ensure future success. The need for additional training in advanced nursing initiatives is aided by clinical skills self-assessment (Austin and Gregory 2007).

Objective 1: Develop a differential diagnosis procedure based on the DSM 5 classification system in one month.
Planned Activities:
To refresh on the newest updates to the DSM 5 classification system.
Develop a differential diagnoses list based on the categorizations of mental disorders in DSM 5.
To submit my differential diagnoses document to the preceptor for assessment and validation.
To use the developed document in the assessment of the patients.
Mode of Assessment: (Note: Verification will be documented in Meditrek)
How comprehensive is the developed differential diagnosis list as per the opinion of the preceptor?
The developed document shall be subjected to an objective structured clinical examination of simulated and real patients to prioritize and rank various mental illnesses that may present themselves in a patient.
PRAC Course Outcome(s) Addressed:

Develop a professional assessment procedure in advanced nursing practice of patients exhibiting mental illnesses for the practicum experience.
Assess psychiatric evaluation skills for knowledge and prioritization.

Objective 2: To enhance the accuracy of diagnosis of psychiatric illness patients using clinical signs and symptoms to at least 85% during the practicum duration.
Planned Activities:
To refresh on the documented clinical signs and symptoms of psychiatric illness.
To observe the preceptor perform diagnosis of psychiatric illnesses in several patients.
To perform a psychological diagnosis with the help of the preceptor by correctly identifying the clinical signs and symptoms that present themselves in the patient.
To perform several psychological evaluations and diagnoses independently and present the cases to the preceptor for validation.
Be able to differentiate between pathophysiological and psychopathological conditions in examined patients.
Improve my psychiatric evaluation skills with each assessed patient and be confident to independently perform a psychiatric illness diagnosis using clinical signs and symptoms by the end of the practicum period.

 

Mode of Assessment: (Note: Verification will be documented in Meditrek)
There are up-to-date, well-documented notes on each assessed patient and at least one journal entry during the practicum.
The preceptor shall validate the accuracy of correct patient diagnosis based on the clinical signs and symptoms that the patient presents.
There shall be correct differentiation of pathophysiological and psychopathological patients.
PRAC Course Outcome(s) Addressed:

Development and improvement of advanced practice nursing skills for opportunities to enhance accurate diagnosis.
Evaluate advanced nursing practice skills for independence and confidence.

Objective 3: To perform and interpret at least twenty mental status examinations during the practicum duration.
Planned Activities:
To refresh on the documented procedures for a structured assessment of a patients behavioral and cognitive functioning.
To observe the preceptor, perform a structured mental examination of a patient with the key areas being: Evaluation of the level of consciousness of the patient, their appearance and overall behavior, their thought and perception process, their attitude, and finally their speech and motor activities.
To perform and interpret several mental examinations independently and present the cases to the preceptor for validation.
Improve my psychiatric evaluation skills with each assessed patient and be confident of performing a mental examination independently at the end of the practicum.

Mode of Assessment: (Note: Verification will be documented in Meditrek)
There are up-to-date, well-documented notes on each assessed patient and at least one journal entry during the practicum.
The preceptor shall undertake their evaluations to validate the diagnosis made based on the performed mental examination by the student.
PRAC Course Outcome(s) Addressed:

Develop professional procedures for performing a mental health examination for an enhanced practicum experience.
Develop advanced practice nursing skills for psychiatric evaluation.
References
Adib-Hajbaghery M., K. Karbasi-Valashani, and A. Heidari-Haratmeh, M. Adib-Hajbaghery, K. Karbasi-Valashani, K. Karbasi-Valashani, K. Karbasi-Valashani, K. Karbasi- (2012). Nursing internship trainees’ self-assessment of clinical skills and their teachers’ evaluations are correlated. Nursing and Midwifery Studies, vol. 1, no. 2, pp. 94-9.
Austin Z. and P. A. Gregory (2007). The American Journal of Pharmaceutical Education, vol. 71, is a publication dedicated to advancing pharmaceutical education (5). Assessing the accuracy of pharmacy students’ self-evaluation abilities.
Daniel R. (2001). Performance self-evaluation. The British Journal of Music Education, vol. 18, no. 3, pp. 215-226
Goldsmith M., L. Stewart, and L. Ferguson (2006). Peer learning partnerships are a novel strategy for improving nursing students’ skill acquisition. Nurse Education Today, vol. 26, no. 2, pp. 123-130.
Jahan F., S. Sadaf, S. Bhanji, S. Bhanji, N. Naeem, and R. Qureshi (2011). Importance of self-assessment 421 in Education for Health, Vol. 24, No. 2.

 


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