Assignment: PRAC 6645 Clinical Skills Self-Assessment

Assignment: PRAC 6645 Clinical Skills Self-Assessment

Assignment: PRAC 6645 Clinical Skills Self-Assessment

PMHNP PRAC 6645 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 across the lifespan √
Differentiating between pathophysiological and psychopathological conditions  √
Performing and interpreting a comprehensive and/or interval history and physical examination (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). √

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Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list √
Formulating diagnoses according to DSM 5 based on assessment data  √
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes √
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)  √
Evaluating patient response and modify plan as necessary  √
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) √
Psychotherapeutic Treatment Planning:
Recognizes 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)  √
Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups √
Develop an age appropriate individualized plan of care √
Provide psychoeducation to individuals, family, and/or groups √
Promote health and disease prevention techniques
Self-Assessment skills:
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 multi-disciplinary teams to improve clinical practice in mental health settings  √
Identifies ethical and legal dilemmas with possible resolutions √
Demonstrates non-judgmental practice approach and empathy √
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  √
Implements the screening instrument efficiently and effectively with the clients √
Interprets results for screening instruments accurately √
Develops an appropriate plan of care based upon screening instruments response √
Identifies the need to refer to another specialty provider when applicable √
Accurately documents recommendations for psychiatric consultations when applicable √

Summary of strengths:
I have some strengths that will help me achieve the desired competencies in this practicum experience. Firstly, I have adequate professional skills. I can maintain professional boundaries and therapeutic relationships with my clients. I can also identify ethical and legal dilemmas with possible resolutions in my practice. I can collaborate with other healthcare providers in resolving ethical dilemmas in my practice. I can also practice within my scope of practice and demonstrate a non-judgmental attitude toward my clients and other healthcare providers. Psychiatric mental health nurse practitioners should demonstrate professionalism in their practice. They should offer care that respects diversity and promotes safety, quality, and efficiency. I can also provide patients and their families with psychoeducation. I can educate them on strategies to achieve optimum outcomes in mental health treatment. This includes health education on lifestyle and behavioral modifications for health promotion (Shim, 2021; Sweet et al., 2021). I can also document accurately the care given to patients. This includes providing detailed information about patient assessment findings, care plans, interventions offered, monitoring, and evaluation of care outcomes. Accurate documentation in nursing is important to prevent the risk of adverse outcomes in the care process (Jasem & Younis, 2024). I am also competent in evaluating care outcomes. I use evaluation data to determine the effectiveness of care interventions and recommend new approaches to meet the patient’s needs.

Opportunities for growth:
The clinical setting provides several growth opportunities. Firstly, the practice site has highly skilled professionals who provide psychiatric care. I will collaborate with them in developing my desired competencies. I will seek my preceptor’s support to ensure I identify my areas of weaknesses and opportunities that I need to explore to achieve the stated competencies. I also need to develop adequate knowledge of the use of evidence-based interventions in treating mental health problems. Evidence-based interventions optimize safety, quality, and efficiency outcomes. I will research more on the evidence-based pharmacological and non-pharmacological treatments used in treating mental health problems. I also need to develop competencies in performing age-appropriate screening and use of screening data to diagnose patients and develop treatment plans. Age-appropriate screenings augment the use of history taking and physical assessment to diagnose mental health problems. I will read extensively about the various screening tools used in mental health and interpreting them. My knowledge and skills in formulating diagnoses using the DSM-5 tools are inadequate. As a result, I will assess as many patients as possible during the practicum experience and use the data to develop and prioritize diagnoses (Kaas, 2020; Pinilla et al., 2020). I will also collaborate with my preceptor in performing mental status examinations and using the findings to develop appropriate care plans.

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.
Goal: By the end of the practicum experience, I should be competent in developing psychotherapeutic treatment plans for patients I see in my practice
Objective: I will implement clinical practice guidelines for at least 10 patients seen weekly during my practicum experience
Objective: I will counsel at least 5 patients and families weekly on the effective management of mental health problems
Objective: I will develop age-appropriate individualized care plans for at least 10 patients weekly during my practicum experience

Goal: By the end of the practicum experience, I should be competent in selecting different screening tools for mental health problems
Objective: I will collaborate with my preceptor during the first two weeks in using different screening tools for mental health problems
Objective: I will seek my preceptor’s feedback on my competencies and areas of improvement in using different screening tools for mental health problems
Objective: I will develop age-appropriate care plans based on screening tools results for optimum care outcomes in my practice

Goal: By the end of the practicum experience, I should be able to recommend evidence-based pharmacological and non-pharmacological treatments for mental health problems
Objective: I will collaborate with the care teams in prescribing pharmacological and non-pharmacological treatments for mental health problems
Objective: I will research extensively on the different pharmacological and non-pharmacological interventions used for mental health problems
Objective: I will follow up at least 5 patients weekly to assess their response to pharmacological and non-pharmacological treatments and make necessary adjustments

Signature:
Date:
Course/Section:

References
Jasem, W. M., & Younis, N. M. (2024). Assessment of Nurses’ Performance Regarding Nursing Documentation in Pediatric Wards at Mosul Hospitals. Journal of Current Medical Research and Opinion, 7(04), Article 04. https://doi.org/10.52845/CMRO/2024/7-4-12
Kaas, M. J. (2020). Will We Be Ready? Preparing Psychiatric-Mental Health Nurses for Future Practice. Journal of the American Psychiatric Nurses Association, 26(1), 112–119. https://doi.org/10.1177/1078390319878767
Pinilla, S., Lenouvel, E., Strik, W., Klöppel, S., Nissen, C., & Huwendiek, S. (2020). Entrustable Professional Activities in Psychiatry: A Systematic Review. Academic Psychiatry, 44(1), 37–45. https://doi.org/10.1007/s40596-019-01142-7
Shim, R. S. (2021). Dismantling Structural Racism in Psychiatry: A Path to Mental Health Equity. American Journal of Psychiatry, 178(7), 592–598. https://doi.org/10.1176/appi.ajp.2021.21060558
Sweet, J. J., Klipfel, K. M., Nelson, N. W., & Moberg, P. J. (2021). Professional practices, beliefs, and incomes of U.S. neuropsychologists: The AACN, NAN, SCN 2020 practice and “salary survey.” The Clinical Neuropsychologist, 35(1), 7–80. https://doi.org/10.1080/13854046.2020.1849803

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Clinical Skills Self-Assessment

Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills such as those for advanced practice nursing.

The Psychiatric-Mental Health Nurse Practitioner (PMHNP) Clinical Skills List and Clinical Skills Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum experiences.

Just as you did in PRAC 6635, for this Assignment, you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Learning Resources

Required Readings

Required Resource for Assignment 1

Document: Practicum Site Information Form

Download Practicum Site Information Form (Word document)

Required Resources for Assignment 2

The National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies.

Download Nurse practitioner core competencies. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf

Petiprin, A. (2016). Psychiatric and mental health nursing theories and models.

Links to an external site. https://www.nursing-theory.org/theories-and-models/psychiatric-and-mental-health-nursing.php

Walden University. (2017). Developing SMART goals.

Download Developing SMART goals.

https://academicguides.waldenu.edu/ld.php?content_id=51901492

Xtreme1. (2020, May 27). Using nursing theory to guide professional practice Claywell [Video].

Links to an external site. YouTube. https://www.youtube.com/watch?v=y65hsuYzCIg

Document: PMHNP Clinical Skills List

Download PMHNP Clinical Skills List (Word document)

Document: PMHNP Clinical Skills Self-Assessment Form

Download PMHNP Clinical Skills Self-Assessment Form (Word document)

Required Resource for Assignment 3

Meditrek

Links to an external site.

https://edu.meditrek.com/Default.html

Note:?Use this website to log into?Meditrek?to report your clinical hours and patient?encounters.

General Advanced Practice Nursing Resources

The American Academy of Child and Adolescent Psychiatry. (2018). CPT code training module

Download CPT code training module. https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/business_of_practice/cpt/2018_CPT_module_revised_March_2018.pdf

American Association of Nurse Practitioners. (2019). Discussion paper: Standards of practice for nurse practitioners.

Download Discussion paper: Standards of practice for nurse practitioners. https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf

American Psychiatric Association. (n.d.). CPT coding and reimbursement

Links to an external site.. https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-and-reimbursement

American Psychiatric Nurses Association. (2013). Population-focused nurse practitioner competencies.

Links to an external site. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/compilationpopfocuscomps2013.pdf

Note: Review the Psychiatric Mental Health Nurse Practitioner Competencies.

International Council of Nurses. (2020). Guidelines on advanced practice nursing.

Download Guidelines on advanced practice nursing. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf

The National Organization of Nurse Practitioner Faculties

Links to an external site.

https://www.nonpf.org/

Walden Practicum Guides

Keep the following practicum resources on-hand for review as needed throughout the quarter:

Walden University. (2019).?Field experience: School of Nursing.

Links to an external site.?https://academicguides.waldenu.edu/fieldexperience/son/home

Walden University. (2019).?MSN nurse practitioner practicum manual.

Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Walden University Field Experience. (2019). Practicum orientation for NP students.

Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Recommended Resources

American Association of Nurse Practitioners. (2019). State practice environment.

Links to an external site. https://www.aanp.org/advocacy/state/state-practice-environment

ANCC NurseCredentialing. (2011). APRN beyond [Video].

Links to an external site. YouTube. https://www.youtube.com/watch?v=KRRu4DeU9oo

NCSBNInteract. (2011). The consensus model for APRN regulation – Full-length version [Video].

Links to an external site. YouTube. https://www.youtube.com/watch?v=Fo-7iNMziwI

Document: Practicum Experience Plan Template

Download Practicum Experience Plan Template (Word document)

To Prepare

Review the resources and clinical skills in the PMHNP Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.

Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.

Review the resources on nursing competencies and nursing theory and consider how these inform your practice.

Download the?Clinical Skills Self-Assessment Form?to complete this Assignment.?

Assignment

Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:

Rate yourself?according to?your confidence level?performing the procedures identified on the Clinical Skills Self-Assessment Form.?

Based on your ratings, summarize?your strengths and opportunities for improvement.??

Based on your self-assessment and theory of nursing practice, develop?3–4?measurable goals and objectives for this?practicum?experience.?Include them on the designated area of the form.??

By Day 7

Submit your completed Clinical Skills Self-Assessment Form.

submission information

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