Assignment: Journal Entry
Critical reflection on your growth and development during your practicum experience in a clinical setting helps you identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.
Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.
Â· Refer to the â€œPopulation-Focused Nurse Practitioner Competenciesâ€ found in the Week 1 Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
Â· Refer to your â€œClinical Skills Self-Assessment Formâ€ you submitted in Week 1 and consider your strengths and opportunities for improvement.
Â· Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
In 450â€“500 words, address the following:
Learning From Experiences
Â· Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
Â· Reflect on the three most challenging patients you encountered during the practicum experience. What was most challenging about each?
Â· What did you learn from this experience?
Â· What resources were available?
Â· What evidence-based practice did you use for the patients?
Â· What would you do differently?
Â· How are you managing patient flow and volume?
Communicating and Feedback
Â· Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
Â· Answer the questions: How am I doing? What is missing?
Â· Reflect on the formal and informal feedback you received from your Preceptor.
I was precepting in a drug /substance abuse clinic this semester,,
These was my evaluation from my preceptor.
Response scale: 4 = Exceeds expectations 3 = Meets expectations 2 = Needs improvement 1 = Unsatisfactory N/A = No opportunity to assess
Below 3 needs improvement and is unsatisfactory. Please add comments if score is below a 3. Other comments welcome.
Uses effective communication and interpersonal skills when meeting with patients, office staff, preceptor and other health care professionals.
Interacts in a collegial and professional manner.
Accepts constructive feedback and seeks to integrate it into clinical performance.
Is punctual and appropriately dressed.
Assumes responsibility for evaluating own progress and is able to define the areas that need improvement.
Obtains an accurate, comprehensive diagnostic assessment from the client appropriate to the presenting issue and the level of the student.
Establishes a therapeutic alliance with an individual, family or group that is developmentally appropriate.
Performs a thorough review of systems, physical assessment (when indicated), developmental assessment, family assessment, past psychiatric history, and mental status exam appropriate to the clientâ€™s presenting issue.
Uses information from the interview, history, clinical record review and observation of client to create a concise problem list.
Recognizes and prioritizes the issues in the problem list that need attention and generate differentials.
Determines and uses appropriate assessment tools for the clientsâ€™ presenting problem and understands the results.
Collaborates with client to develop a treatment plan, taking into consideration patient’s factors and cultural background.
Uses the literature to formulate evidence-based practice, interventions and treatment plans.
Considers issues of client safety to include risk to self and others.
Considers legal and ethical issues.
Presentation and Documentation
Oral presentation includes succinct summary of pertinent findings, diagnosis, differentials, and treatment plan, taking into consideration patient factors and cultural background.
Clear, logical and organized written documentation of patient encounters.
Select Grid View or List View to change the rubric’s layout.
Â· Grid View
Â· List View
Assimilation and Synthesis: Content Reflection
45 (45%) – 50 (50%)
Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Insightful and relevant connections are made through contextual explanations and examples.
40 (40%) – 44 (44%)
Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Connections are made through explanations and/or examples.
35 (35%) – 39 (39%)
Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or experiences. Minimal connections made through explanations and/or examples.
0 (0%) – 34 (34%)
Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments.
Assimilation and Synthesis: Personal Growth
27 (27%) – 30 (30%)
Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications.
24 (24%) – 26 (26%)
Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of studentâ€™s current experience.
21 (21%) – 23 (23%)
Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of studentâ€™s current experience.
0 (0%) – 20 (20%)
Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked.
Written Expression and Formatting
14 (14%) – 15 (15%)
Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors.
12 (12%) – 13 (13%)
Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling.
11 (11%) – 11 (11%)
Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling.
0 (0%) – 10 (10%)
Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work.
5 (5%) – 5 (5%)
Contains no APA errors.
4 (4%) – 4 (4%)
Contains one to two (1â€“2) APA errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains three to five (3â€“5) APA errors.
0 (0%) – 2 (2%)
Contains more than five (>5) APA errors.
Total Points: 100