PRAC 6635 Assignment: Clinical Skills Self-Assessment Form

To prepare:

Review the clinical skills in the PRAC 6635 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.
Download the PRAC 6635 Clinical Skills Self-Assessment Form to complete this Assignment.

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Assignment
Use the PRAC 6635 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 three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.

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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		Mostly confident
Differentiating between pathophysiological and psychopathological conditions				New
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)				New
Performing and interpreting a mental status examination		Mostly confident
Performing and interpreting a psychosocial assessment and family psychiatric history			Beginning
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).		Mostly confident
Diagnostic reasoning skill in:
Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses			Beginning
Developing and prioritizing a differential diagnoses list				New
Formulating diagnoses according to DSM 5 based on assessment data				New
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes				New
Psychotherapeutic Treatment Planning:
Provide psychoeducation to individuals and/or any caregivers			Beginning
Promote health and disease prevention techniques			Beginning
Self Assessment skill:
Develop SMART goals for practicum experiences				New
Evaluating outcomes of practicum goals and modify plan as necessary				New
Documenting and reflecting on learning experiences			Beginning
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staff	Confident
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings			Beginning
Identifies ethical and legal dilemmas with possible resolutions			Beginning
Demonstrates non-judgmental practice approach and empathy	Confident
Practices within scope of practice	Confident
Selecting and implementing appropriate screening instrument(s) and interpreting results:				New
Demonstrates selecting the correct screening instrument appropriate for the clinical situation				New
Implements the screening instrument efficiently and effectively with the clients				New
Interprets results for screening instruments accurately				New
Identifies the need to refer to another specialty provider when applicable				New
Accurately documents recommendations for psychiatric consultations when applicable				New

Summary of strengths:

I am a good communicator, I always maintain boundaries, and I am also empathetic and a good listener. Concerning the skills I am supposed to acquire, I am already confident in maintaining professional boundaries and starting and keeping healthy therapeutic (and working) relationships with clients and fellow staff. I am also confident in demonstrating non-judgmental practice approach and empathy towards patients and clients. Lastly but not least, I am also confident in exercising my practice within my scope of practice.

Opportunities for growth:

I recognize that there are still numerous opportunities for growth for me during this course. One of them is being comfortable with preceptor feedback which will lead to a huge opportunity for self growth. Accepting constructive criticism along with positive reinforcement will also help me develop sharper skills over time, and subsequently enable me to work more independently towards the end of the semester. Yet another opportunity for growth is networking; which can open many doors providing different opportunities throughout the practicum and beyond. I recognize this opportunity and that is why I strive to always practice interprofessional communication and collaboration as that is where networking starts. Lastly but not least I also acknowledge the fact that joining online groups with like minded people within the psychiatric nurse practitioner community can lead to new connections and career opportunities. This in itself is a powerful form of networking given the current digital communication space.

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: Teaching the disease process to the family is just as important as teaching it to the patient. By the end of the semester I want to feel confident enough to provide disease process teaching to both the patient and family without preceptor help.

a. Objective: By the end of month 1, I will have observed my preceptor provide disease process teaching to patients and their families related to different psychiatric diagnosis.

b. Objective: By the beginning of month 2, I want to feel mostly confident providing disease process teaching to patients and family with preceptor supervision.

c. Objective: By the end of the semester I want to be able to provide patients and their family with disease process teaching.

Goal: Differentiation between pathophysiological and psychopathological conditions.

a. Objective: By the end of the first month, I will have been present in over ten instances when the preceptor or a senior staff member writes patient notes differentiating between pathophysiological and psychopathological conditions.

b. Objective: By the end of the second month, I will have differentiated between the two in at least five instances under the supervision of the preceptor.

c. Objective: By the end of the semester, I will have independently and without supervision differentiated between the two in at least ten instances.

Goal: Performing and interpreting a comprehensive and/or interval history and physical examination.

a. Objective: By the end of the first month, I will have observed the preceptor or a senior APRN who is a member of the staff perform and interpret a comprehensive and/or interval history and physical examination for at least 10 patients.

b. Objective: By the end of the second month I will have performed and interpreted comprehensive and/or interval history and physical examinations under supervision for at least 5 clients.

c. Objective: By the end of the semester, I will have independently and without any supervision performed and interpreted comprehensive and/or interval history and physical examinations for at least 10 clients.

Goal: Demonstration of selection of the correct screening instrument appropriate for the clinical situation.

a. Objective: By the end of the first month of practicum I will have observed my preceptor select the correct screening instrument appropriate for the clinical situation for at least 10 clients.

b. Objective: By the end of the second month of practicum, I will have under supervision selected the correct screening instrument appropriate for the clinical situation for at least 10 clients.

c. Objective: By the end of the semester, I will have independently and without supervision selected the correct screening instrument appropriate for the clinical situation for at least 10 clients.