School of Nursing Student Practicum Self-Evaluation

"*" indicates required fields

Student Name:*

Student Email:*

Preceptor Name:*

Preceptor Email:*

Please reflect critically upon your practicum experiences in this course and your achievement of the key competencies of your degree. Provide an honest and thoughtful review of your perceived strengths and weaknesses. These will be areas of opportunity for your continued growth and development as you continue to progress through your remaining practicum courses. This survey will be open from (10/18/2024-10/25/24). For any further clarification or concerns, please contact the Director of Clinical Training, Alicia Cooper (aliccoo@regent.edu), and cc her teacher’s assistant, Melijah Harris (melih21@regent.edu).

1. Please rate yourself on the following:

1a. Engage with the individual in establishing a caring relationship*

Promotes caring relationships to effect positive outcomes
Fosters caring relationships

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

1b. Document Practicum Example of Achievement*

2a. Communicate effectively with individuals*

Demonstrate advanced communication skills and techniques using a variety of modalities with diverse audiences
Design evidence-based, person-centered engagement materials
Apply individualized information, such as genetic/genomic, pharmacogenetic, and environmental exposure information in the delivery of personalized health care
Facilitate difficult conversations and disclosure of sensitive information

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

2b. Document Practicum Example of Achievement*

3a. Integrate assessment skills in practice.*

Demonstrate that one’s practice is informed by a comprehensive assessment appropriate to the functional area of advanced nursing practice

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

3b. Document Practicum Example of Achievement*

4a. Diagnose actual or potential health problems and needs.*

Employ context driven, advanced reasoning to the diagnostic and decision-making process
Employ context driven, advanced reasoning to the diagnostic and decision-making process
Integrate advanced scientific knowledge to guide decision making

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

4b. Document Practicum Example of Achievement*

5a. Develop a plan of care*

Lead and collaborate with an interprofessional team to develop a comprehensive plan of care.
Prioritize risk mitigation strategies to prevent or reduce adverse outcomes.
Develop evidence-based interventions to improve outcomes and safety.
Incorporate innovations into practice when evidence is not available.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

5b. Document Practicum Example of Achievement*

6a. Demonstrate accountability for care delivery*

Model best care practices to the team.
Monitor aggregate metrics to assure accountability for care outcomes.
Promote delivery of care that supports practice at the full scope of education.
Contribute to the development of policies and processes that promote transparency and accountability.
Apply current and emerging evidence to the development of care guidelines/tools.
Ensure accountability throughout transitions of care across the health continuum.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

6b. Document Practicum Example of Achievement*

7a. Evaluate outcomes of care*

Analyze data to identify gaps and inequities in care and monitor trends in outcomes.
Monitor epidemiological and system-level aggregate data to determine healthcare outcomes and trends.
Synthesize outcome data to inform evidence-based practice, guidelines, and policies.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

7b. Document Practicum Example of Achievement*

8a. Promote self-care management*

Develop strategies that promote self-care management.
Incorporate the use of current and emerging technologies to support self-care management.
Employ counseling techniques, including motivational interviewing, to advance wellness and self-care management.
Evaluate adequacy of resources available to support self-care management.
Foster partnerships with community organizations to support self-care management.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

8b. Document Practicum Example of Achievement*

9a. Provide care coordination*

Evaluate communication pathways among providers and others across settings, systems, and communities.
Develop strategies to optimize care coordination and transitions of care.
Guide the coordination of care across health systems.
Analyze system-level and public policy influence on care coordination.
Participate in system-level change to improve care coordination across settings.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

9b. Document Practicum Example of Achievement*

10a. Communicate in a manner that facilitates a partnership approach to quality care delivery.*

Evaluate effectiveness of interprofessional communication tools and techniques to support and improve the efficacy of team- based interactions.
Facilitate improvements in interprofessional communications of individual information (e.g., EHR).
Role model respect for diversity, equity, and inclusion in team- based communications.
Communicate nursing’s unique disciplinary knowledge to strengthen interprofessional partnerships.
Provide expert consultation for other members of the healthcare team in one’s area of practice.
Demonstrate capacity to resolve interprofessional conflict.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

10b. Document Practicum Example of Achievement*

11a. Perform effectively in different team roles, using principles and values of team dynamics*

Integrate evidence-based strategies and processes to improve team effectiveness and outcomes.
Evaluate the impact of team dynamics and performance on desired outcomes.
Reflect on how one’s role and expertise influences team performance.
Foster positive team dynamics to strengthen desired outcomes.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

11b. Document Practicum Example of Achievement*

12a. Use knowledge of nursing and other professions to address healthcare needs.*

Direct interprofessional activities and initiatives.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

12b. Document Practicum Example of Achievement*

13a. Work with other professions to maintain a climate of mutual learning, respect, and shared values*

Practice self-assessment to mitigate conscious and implicit biases toward other team members.
Foster an environment that supports the constructive sharing of multiple perspectives and enhances interprofessional learning.
Integrate diversity, equity, and inclusion into team practices.
Manage disagreements, conflicts, and challenging conversations among team members.
Promote an environment that advances interprofessional learning.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

13b. Document Practicum Example of Achievement*

14a. Describe the various information and communication technology tools used in the care of patients, communities, and populations.*

Identify best evidence and practices for the application of information and communication technologies to support care.
Evaluate the unintended consequences of information and communication technologies on care processes, communications, and information flow across care settings.
Propose a plan to influence the selection and implementation of new information and communication technologies.
Explore the fiscal impact of information and communication technologies on health care.
Identify the impact of information and communication technologies on workflow processes and healthcare outcomes.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

14b. Document Practicum Example of Achievement*

15a. Use information and communication technology to gather data, create information, and generate knowledge.*

Generate information and knowledge from health information technology databases.
Evaluate the use of communication technology to improve consumer health information literacy.
Use standardized data to evaluate decision- making and outcomes across all systems levels.
Clarify how the collection of standardized data advances the practice, understanding, and value of nursing and supports care.
Interpret primary and secondary data and other information to support care.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

15b. Document Practicum Example of Achievement*

16a. Use information and communication technologies and informatics processes to deliver safe nursing care to diverse populations in a variety of settings.*

Evaluate the use of information and communication technology to address needs, gaps, and inefficiencies in care.
Formulate a plan to influence decision- making processes for selecting, implementing, and evaluating support tools.
Appraise the role of information and communication technologies in engaging the patient and supporting the nurse-patient relationship.
Evaluate the potential uses and impact of emerging technologies in health care.
Pose strategies to reduce inequities in digital access to data and information.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

16b. Document Practicum Example of Achievement*

17a. Use information and communication technology to support documentation of care and communication among providers, patients, and all system levels.*

Assess best practices for the use of advanced information and communication technologies to support patient and team communications.
Employ electronic health, mobile health, and telehealth systems to enable quality, ethical, and efficient patient care.
Evaluate the impact of health information exchange, interoperability, and integration to support patient-centered care.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

17b. Document Practicum Example of Achievement*

18a. Use information and communication technologies in accordance with ethical, legal, professional, and regulatory standards, and workplace policies in the delivery of care.*

Apply risk mitigation and security strategies to reduce misuse of information and communication technology.
Assess potential ethical and legal issues associated with the use of information and communication technology.
Recommend strategies to protect health information when using communication and information technology.
Promote patient engagement with their personal health data.
Advocate for policies and regulations that support the appropriate use of technologies impacting health care.
Analyze the impact of federal and state policies and regulation on health data and technology in care settings.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

18b. Document Practicum Example of Achievement*

19a. Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.*

Analyze current policies and practices in the context of an ethical framework.
Model ethical behaviors in practice and leadership roles.
Suggest solutions when unethical behaviors are observed.
Assume accountability for working to resolve ethical dilemmas.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

19b. Document Practicum Example of Achievement*

20a. Employ participatory approach to nursing care.*

Foster opportunities for intentional presence in practice.
Identify innovative and evidence- based practices that promote person-centered care.
Advocate for practices that advance diversity, equity, and inclusion.
Model professional expectations for therapeutic relationships.
Facilitate communication that promotes a participatory approach.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

20b. Document Practicum Example of Achievement*

21a. Demonstrate accountability to the individual, society, and the profession.*

Advocate for nursing’s professional responsibility for ensuring optimal care outcomes.
Demonstrate leadership skills when participating in professional activities and/or organizations.
Address actual or potential hazards and/or errors.
Foster a practice environment that promotes accountability for care outcomes.
Advocate for policies/practices that promote social justice and health equity.
Foster strategies that promote a culture of civility across a variety of settings.
Lead in the development of opportunities for professional and interprofessional activities.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

21b. Document Practicum Example of Achievement*

22a. Comply with relevant laws, policies, and regulations.*

Advocate for polices that enable nurses to practice to the full extent of their education.
Assess the interaction between regulatory agency requirements and quality, fiscal, and value- based indicators.
Evaluate the effect of legal and regulatory policies on nursing practice and healthcare outcomes.
Analyze efforts to change legal and regulatory policies that improve nursing practice and health outcomes
Participate in the implementation of policies and regulations to improve the professional practice environment and healthcare outcomes

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

22b. Document Practicum Example of Achievement*

23a. Demonstrate the professional identity of nursing.*

Articulate nursing’s unique professional identity to other interprofessional team members and the public.
Evaluate practice environment to ensure that nursing core values are demonstrated.
Identify opportunities to lead with moral courage to influence team decision-making.
Engage in professional organizations that reflect nursing’s values and identity.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

23b. Document Practicum Example of Achievement*

24a. Integrate diversity, equity, and inclusion as core to one’s professional identity.*

Model respect for diversity, equity, and inclusion for all team members
Critique one’s personal and professional practices in the context of nursing’s core values.
Analyze the impact of structural and cultural influences on nursing’s professional identity
Ensure that care provided by self and others is reflective of nursing’s core values.
Structure the practice environment to facilitate care that is culturally and linguistically appropriate.
Ensure self and others are accountable in upholding moral, legal, and humanistic principles related to health.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

24b. Document Practicum Example of Achievement*

25a. Demonstrate a commitment to personal health and well-being.*

Contribute to an environment that promotes self-care, personal health, and well-being.
Evaluate the workplace environment to determine level of health and well-being

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

25b. Document Practicum Example of Achievement*

26a. Demonstrate a spirit of inquiry that fosters flexibility and professional maturity.*

Demonstrate cognitive flexibility in managing change within complex environments.
Mentor others in the development of their professional growth and accountability.
Foster activities that support a culture of lifelong learning.
Expand leadership skills through professional service.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

26b. Document Practicum Example of Achievement*

27a. Develop capacity for leadership.*

Provide leadership to advance the nursing profession
Influence intentional change guided by leadership principles and theories.
Evaluate the outcomes of intentional change.
Evaluate strategies/methods for peer review.
Participate in the evaluation of other members of the care team.
Demonstrate leadership skills in times of uncertainty and crisis.
Advocate for the promotion of social justice and eradication of structural racism and systematic inequity in nursing and society.
Advocate for the nursing profession in a manner that is consistent, positive, relevant, accurate, and distinctive.

Not Met/Not Satisfactory	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

27b. Document Practicum Example of Achievement*

APRN Questions

AAA-1a. Participates in community and population- focused programs that promote mental health and prevent or reduce risk of mental health problems and psychiatric disorders.*

A-1b. Practicum Examples/Supporting Comments*

A-2a. Advocates for complex patient and family medicolegal rights and issues.*

A-2b.Practicum Examples/Supporting Comments*

A-3a. Collaborates with interprofessional colleagues about advocacy and policy issues at all levels related to reducing health disparities and improving clinical outcomes for populations with mental health problems and psychiatric disorders*

A-3b. Practicum Examples/Supporting Comments*

A-4a. Evaluates the appropriate uses of seclusion and restraints in care processes.*

A-4b. Practicum Examples/Supporting Comments*

A-5a. Employs opportunities to influence health policy to reduce the impact of stigma on services for prevention and treatment of mental health problems and psychiatric disorders.*

A-5b. Practicum Examples/Supporting Comments*

A-6a. Develops an age-appropriate treatment plan for mental health problems and psychiatric disorders based on biopsychosocial theories, evidence-based standards of care, and practice guidelines.*

A-6b. Practicum Examples/Supporting Comments*

A-7a. Includes differential diagnosis for mental health problems and psychiatric disorders.*

A-7b. Practicum Examples/Supporting Comments*

A-8a. Assess impact of acute and chronic medical problems on psychiatric treatment.*

A-8b. Practicum Examples/Supporting Comments*

A-9a. Conducts individual and group psychotherapy*

A-9b. Practicum Examples/Supporting Comments*

A-10a. Applies supportive, psychodynamic principles, cognitive-behavioral and other evidence-based psychotherapy/-ies to both brief and long-term individual practice*

A-10b. Practicum Examples/Supporting Comments*

A-11a. Applies recovery-oriented principles and trauma focused care to individuals*

A-11b. Practicum Examples/Supporting Comments*

A-12a. Demonstrates best practices of family approaches to care*

A-12b. Practicum Examples/Supporting Comments*

A-13a. Plans care to minimize the development of complications and promote function and quality of life.*

A-13b. Practicum Examples/Supporting Comments*

A-14a. Treats acute and chronic psychiatric disorders and mental health problems.*

A-14b. Practicum Examples/Supporting Comments*

A-15a. Safely prescribes pharmacologic agents for patients with mental health problems and psychiatric disorders.*

A-15b. Practicum Examples/Supporting Comments*

A-16a. Ensures patient safety through the appropriate prescription and management of pharmacologic and nonpharmacological interventions.*

A-16b. Practicum Examples/Supporting Comments*

A-17a. Explain the risks and benefits of treatment to the patient and their family.*

A-17b. Practicum Examples/Supporting Comments*

A-18a. Identifies the role of PMHNP in risk-mitigation strategies in the areas of opiate use and substance abuse clients*

A-18b. Practicum Examples/Supporting Comments*

A-19a. Seeks consultation when appropriate to enhance one’s own practice.*

A-19b. Practicum Examples/Supporting Comments*

A-20a. Uses self-reflective practice to improve care*

A-20b. Practicum Examples/Supporting Comments*

A-21a. Provides consultation to healthcare providers and others to enhance quality and cost-effective services*

A-21b. Practicum Examples/Supporting Comments*

A-22a. Guides the patient in evaluating the appropriate use of complementary and alternative therapies.*

A-22b. Practicum Examples/Supporting Comments*

A-23a. Uses individualized outcome measure to evaluate psychiatric care.*

A-23b. Practicum Examples/Supporting Comments*

A-24a. Manages psychiatric emergencies across all settings*

A-24b. Practicum Examples/Supporting Comments*

A-25a. Refers patient appropriately.*

A-25b. Practicum Examples/Supporting Comments*

A-26a. Facilitates the transition of patients across levels of care.*

A-26b. Practicum Examples/Supporting Comments*

A-27a. Uses outcomes to evaluate care.*

A-27b. Practicum Examples/Supporting Comments*

A-28a. Attends to the patient-nurse practitioner relationship as a vehicle for therapeutic change.*

A-28b. Practicum Examples/Supporting Comments*

A-29a. Maintains a therapeutic relationship overtime with individuals, groups, and families to promote positive clinical outcomes.*

A-29b. Practicum Examples/Supporting Comments*

A-30a. Therapeutically concludes the nurse- patient relationship transitioning the patient to other levels of care, when appropriate.*

A-30b. Practicum Examples/Supporting Comments*

A-31a. Demonstrates ability to address sexual/physical abuse, substance abuse, sexuality, and spiritual conflict across the lifespan.*

A-31b. Practicum Examples/Supporting Comments*

A-32a. Applies therapeutic relationship strategies based on theories and research evidence to reduce emotional distress, facilitate cognitive and behavioral change, and foster personal growth*

A-32b. Practicum Examples/Supporting Comments*

A-33a. Apply principles of self-efficacy/ empowerment and other self-management theories in promoting relationship development and behavior change.*

A-33b. Practicum Examples/Supporting Comments*

A-34a. Identifies and maintains professional boundaries to preserve the integrity of the therapeutic process.*

A-34b. Practicum Examples/Supporting Comments*

A-35a. Teaches patients, families and groups about treatment options with respect to developmental, physiological, cognitive, cultural ability and readiness.*

A-35b. Practicum Examples/Supporting Comments*

A-36a. Provides psychoeducation to individuals, families, and groups regarding mental health problems and psychiatric disorders.*

A-36b. Practicum Examples/Supporting Comments*

A-37a. Modifies treatment approaches based on the ability and readiness to learn.*

A-37b. Practicum Examples/Supporting Comments*

A-38a. Considers motivation and readiness to improve selfcare and healthy behavior when teaching individuals, families and groups of patients.*

A-38b. Practicum Examples/Supporting Comments*

A-39a. Demonstrates knowledge of appropriate use of seclusion and restraints.*

A-39b. Practicum Examples/Supporting Comments*

A-40a. Documents appropriate use of seclusion and restraints*

A-40b. Practicum Examples/Supporting Comments*

MSN-Lead Questions

L-1a. Demonstrates leadership skills in delegation and the initiation of conflict resolution strategies.*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

L-1b. Supporting Comments*

L-2a. Collaborates with interprofessional colleagues to implement patient safety and quality improvement initiatives using effective communication.*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

L-2b. Supporting Comments*

L-3a. Identifies how healthcare delivery systems are organized and financed and are able to illustrate the economic and legal factors that influence health care.*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

L-3b. Supporting Comments*

L-4a. Demonstrates an understanding of the process involved with the design and implementation of new models of care delivery and coordination.*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

L-4b. Supporting Comments*

L-5a. Identifies quality improvement initiatives that integrate sociocultural factors that affect the delivery of nursing and healthcare services.*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

L-5b. Supporting Comments*

L-6a. Identifies how the integration of healthcare services affect the safety and quality of care to improve patient outcomes.*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

L-6b. Supporting Comments*

MSN-ED Questions

E-1a. Creates opportunities for learners to develop their critical thinking and critical reasoning skills*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-1b. Additional Comments*

E-2a. Demonstrates enthusiasm for teaching, learning, and nursing that inspires and motivates students*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-2b. Additional Comments*

E-3a. Develops collegial working relationships with students, faculty colleagues, and clinical agency personnel to promote positive learning environments*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-3b. Additional Comments*

E-4a. Identifies a variety of strategies that assess and evaluate learning in the cognitive, psychomotor, and affective domains*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-4b. Additional Comments*

E-5a. Demonstrates skill in the design and use of tools for assessing clinical practice*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-5b. Additional Comments*

E-6a. Creates and maintains community and clinical partnerships that support educational goals*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-6b. Additional Comments*

E-7a. Identifies an innovative, and creative perspective into the nurse educator role*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-7b. Additional Comments*

E-8a. Demonstrates qualities of a scholar: integrity*

Not met/Not Observed	Partial Met/Needs Remediation	Fully Met/Satisfactory	Met/Exceeding Expectations

E-8b. Additional Comments*

2. Please list your strengths*

3. Please list the areas where you need to improve:*

4. List any goals you and the preceptor have discussed:*