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PRAC 6635 WEEK 1 Clinical Skills Self-Assessment

PRAC 6635 WEEK 1 Clinical Skills Self-Assessment

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

 

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Summary of strengths:

It is necessary to use a multidimensional approach while providing treatment for those who have mental illness. This involves the application of a variety of skills and competencies in order to evaluate and treat a wide range of patient groups. However, I have obtained most of these abilities and competencies via years of clinical practice. I am proficient in conducting comprehensive evaluations and making accurate diagnoses of patients by thoroughly assessing their medical history. I can devise an optimal treatment plan to enhance the patient’s mental well-being. Maintaining proper professional boundaries and demonstrating effective communication skills have allowed me to enhance interaction with both patients and members of interdisciplinary teams (Kverno & Frosch, 2022). I consistently prioritize providing comprehensive patient education concerning their mental health condition and effective self-care strategies after they depart from the clinic.

 

Growth opportunities:

As a result of doing this self-evaluation, I have been able to determine the areas in which I need to improve to provide patients suffering from mental illnesses with treatment that is both safe and of high quality. Choosing the right diagnostic tool for patients with comorbidities, for example, continues to be a difficult task for me (Fraino & Selix, 2021). Identifying comorbidities, such as post-traumatic stress disorder and major depressive disorder, in patients with mental disorders is challenging due to the similarity of symptoms. Finally, I would want to improve my psychotherapy abilities so that my patients gain as much as possible even when no psychotherapeutic agents are employed.

 

Write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy described in the Learning Resources.

1.      Goal: To conduct autonomous assessments and diagnoses of at least two patients daily for six weeks. These patients will exhibit several mental diseases, and the diagnostic process will adhere to the criteria outlined in the DSM-V. The evaluations will be conducted without the need for supervision.

Objectives:

a.       Record the patient’s full medical history and note any relevant symptoms.

b.      Use the patient’s subjective and objective symptoms to list at least five possible diagnoses.

c.       Eliminate all other possible explanations and arrive at a conclusive diagnosis by using the diagnostic criteria from the DSM-V (Aggarwal et al., 2022).

 

2.      Goal: To effectively identify and employ appropriate screening tools for diagnosing comorbid mental disorders in at least five patients daily over four weeks without supervision.

Objectives:

a.       Provide a comprehensive diagnostic assessment for all mental conditions affecting the patient.

b.      Always use evidence-based practice screening tools to get accurate and trustworthy findings.

c.       Examine the outcomes of the selected screening tools and provide the patient with a diagnosis (Mangano et al., 2020).

 

3.      Goal: To independently create the best possible treatment regimens for a minimum of two patients each day for the following four weeks, combining psychotropic drugs and psychotherapy approaches.

Objectives

a.       Determine which clinical practice guideline will best assist in determining the patient’s most effective course of therapy.

b.      Have a conversation with the patient about the different treatment choices, taking into account the benefits and downsides of each one.

c.       Develop a comprehensive and efficacious selection of pharmaceuticals and psychotherapeutic interventions in collaboration with the patient to facilitate a favorable treatment outcome (Wesemann et al., 2022).

 

 

Signature:

Date:

Course/Section:

 

 

References

Aggarwal, R., Cowley, D. S., Tang, J., Lundquist, R. S., Wolf, K. M., & Walaszek, A. (2022). Understanding the Training of Psychiatric Mental Health Nurse Practitioners. Academic Psychiatry. https://doi.org/10.1007/s40596-022-01679-0

Fraino, J., & Selix, N. (2021). Facilitating Well-Rounded Clinical Experience for Psychiatric Nurse Practitioner Students. The Journal for Nurse Practitioners, 17(8), 1004–1009. https://doi.org/10.1016/j.nurpra.2021.05.015

Kverno, K. S., & Frosch, E. (2022). Evaluation of the implementation of an online psychiatric nurse practitioner program for primary care nurse practitioners: Use of a Participatory Evidence-Informed (PEPPA-Plus) framework. Archives of Psychiatric Nursing, 39, 59–65. https://doi.org/10.1016/j.apnu.2022.03.008

Mangano, E., Gonzalez, Y., & Kverno, K. S. (2020). Challenges Faced by New Psychiatric–Mental Health Nurse Practitioner Prescribers. Journal of Psychosocial Nursing and Mental Health Services, 58(10), 7–11. https://doi.org/10.3928/02793695-20200915-01

Wesemann, D., Convoy, S., Goldstein, D., & Melino, K. (2022). How PMHNP Program Directors Facilitate Psychotherapeutic Skill Acquisition. Journal of the American Psychiatric Nurses Association, 107839032210919. https://doi.org/10.1177/10783903221091980

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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 PRAC 6635 Clinical Skills List and PRAC 6635 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 experience.PRAC 6635 WEEK 1 Clinical Skills Self-Assessment

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 RESOURCE

Learning Resources

Required Readings

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.  

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.  PRAC 6635 WEEK 1 Clinical Skills Self-Assessment

By Day 7

Submit your completed Clinical Skills Self-Assessment Form.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

  1. To submit your completed assignment, save your Assignment as WK1Assgn2_LastName_Firstinitial
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.

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Rubric

PRAC_6635_Week1_Assignment2_Rubric

PRAC_6635_Week1_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.
25 to >22.0 ptsExcellent

The response provides ratings for all skills on the form.

 22 to >19.0 ptsGood

The response provides ratings for most of the skills on the form.

 19 to >17.0 ptsFair

The response provides ratings for some of the skills on the form.

 17 to >0 ptsPoor

The response provides ratings for only a few skills on the form, or ratings are missing.
25 pts
This criterion is linked to a Learning Outcome Based on your ratings, summarize your strengths and opportunities for improvement.
30 to >26.0 ptsExcellent

The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.

 26 to >23.0 ptsGood

The response provides an accurate summary of both the strengths and opportunities for improvement.

 23 to >20.0 ptsFair

The response provides a somewhat vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement.

 20 to >0 ptsPoor

The response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing.
30 pts
This criterion is linked to a Learning Outcome 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.
30 to >26.0 ptsExcellent

The response provides three to four (3–4) clear, appropriate, and measurable goals and objectives for the practicum experience.

 26 to >23.0 ptsGood

The response provides three to four (3–4) appropriate, measurable goals and objectives for the practicum experience.

 23 to >20.0 ptsFair

The response provides three to four (3–4) somewhat unclear or inappropriate goals and objectives for the practicum experience.

 20 to >0 ptsPoor

The response provides three to four (3–4) unclear or inappropriate goals and objectives for the practicum experience, or goals and objectives are missing.
30 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling, nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.
5 to >4.0 ptsExcellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided, which delineates all required criteria.

 4 to >3.5 ptsGood

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

 3.5 to >3.0 ptsFair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

 3 to >0 ptsPoor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. … No purpose statement, introduction, or conclusion was provided.
5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.
5 to >4.0 ptsExcellent

Uses correct grammar, spelling, and punctuation with no errors.

 4 to >3.5 ptsGood

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

 3.5 to >3.0 ptsFair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

 3 to >0 ptsPoor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—APA Format: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and Reference List.
5 to >4.0 ptsExcellent

Uses correct APA format with no errors.

 4 to >3.5 ptsGood

Contains a few (1 or 2) APA format errors.

 3.5 to >3.0 ptsFair

Contains several (3 or 4) APA format errors.

 3 to >0 ptsPoor

Contains many (≥ 5) APA format errors.
5 pts
Total Points: 100

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