Master of Science in Nursing Pra

Master of Science in Nursing
Practicum Experience Plan
The development of a practicum experience plan is significant
as I determine my goals and objectives for this course. The
practicum experience plan acts as a planned, supervised, and
evaluated practice experience guideline during the activities of
the course (Demir & Ercan, 2018). The practicum experience
plan helps in providing an opportunity for specifying how
classroom learning will be applied in the work environment and
the planned activities for observing and learning from
professionals in the field (Fiedler et al., 2017). The objectives
discussed in this practical experience plan are in relation to my
self-assessment regarding clinical skills. The purpose of this
paper is to discuss three of my individualized practicum
learning objectives, planned activities for these objectives, the
mode of assessment, and the course outcomes that will be
addressed in the process.
Part 2: Individualized Practicum Learning Objectives
Objective 1: To improve my skills and techniques in
psychiatrist assessments and evaluations when addressing the
health issues of mental health patients by week 10.
Planned Activities: To successfully assess and evaluate a
minimum of 80 patients during the practicum for the purpose of
enhancing my knowledge about the efficient skills and
techniques to be used for similar patients.
Mode of Assessment: A documentation of at least 80 patient
encounters in meditrek.
PRAC Course Outcome(s) Addressed:
· Assess psychiatric-mental health advanced practice nursing
skills for strengths and opportunities.
Objective 2: To improve my ability in identifying the correct

diagnosis and prioritizing the differential list by week 10.
Planned Activities: I will observe my preceptor conduct at least
1 psychiatric assessment and use the information to develop the
correct diagnosis and prioritize the differential list. I will then
independently conduct 3 comprehensive psychiatric assessments
and utilize the information in developing the correct diagnosis
and correctly prioritizing the differential list.
Mode of Assessment: A documentation of at least 3 independent
comprehensive psychiatric assessments with correct diagnoses
and correct prioritized differential lists in medi trek (Goolsby &
Grubbs, 2018).
· Apply advanced practice nursing assessment and diagnosis
skills in mental health settings.
· Formulate differential diagnoses for patients across the
lifespan
Objective 3: To enhance my ability to identify the correct
assessment tool or scale utilized in diagnosis by week 10.
Planned Activities: I will consult my preceptor about the
appropriate tools used in various diagnoses. I will also obtain
evidence-based research information about the various
tools/scales and their appropriate use in diagnosis (McGuiness
et al., 2019). I will independently identify correctly at least 3
assessment tools or scales that aide in specific diagnoses.
Mode of Assessment: A documentation in meditrek about at
least 3 correct and independent identification of the assessment
tool or scale required in the specific diagnosis (Gold &
Frierson, 2017).
· Apply advanced practice nursing assessment and diagnosis
skills in mental health settings.
Conclusion
As discussed above, the objectives of this practical experience
plan are designed in a way that they will help me advance my

clinical skills regarding psychiatric evaluation and diagnostic
reasoning. This practical experience plan will act as an essential
element in guiding my progress of the practical skills and
experience throughout this course. Upon the successful
completion of the objectives explained above, my skills will be
enhanced and my general professional experience will also be
improved.
References
Demir, S., & Ercan, F. (2018). The first clinical practice
experiences of psychiatric nursing students: A
phenomenological study. Nurse education today, 61, 146-152.
Fiedler, R. A., Breitenstein, S., & Delaney, K. (2017). An
assessment of students’ confidence in performing psychiatric
mental health nursing skills: The impact of the clinical
practicum experience. Journal of the American Psychiatric
Nurses Association, 18(4), 244-250.
Gold, L. H., & Frierson, R. L. (Eds.). (2017). The American
Psychiatric Publishing textbook of forensic psychiatry.
American Psychiatric Pub.
Goolsby, M. J., & Grubbs, L. (2018). Advanced assessment
interpreting findings and formulating differential diagnoses. FA
Davis.
McGuinness, T. M., Richardson, J. W., Nicholson, W. C.,
Carpenter, J., Cleveland, C.,

Rodney, K. Z., & Harper, D. C. (2019). Psychiatric nurse
practitioner residents improve quality and mental health
outcomes for veterans through measurement-
based care. The Journal for Healthcare Quality (JHQ), 41(2),
118-124.
© 2020 Walden University 3
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
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).
Diagnostic reasoning skill in:
Demonstrate knowledge of psychopathology of mental illnesses
through discussion for different age groups and mental illnesses
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
Psychotherapeutic Treatment Planning:
Provide psychoeducation to individuals and/or any caregivers
Promote health and disease prevention techniques
Self-Assessment skill:
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)
and interpreting results:
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
Identifies the need to refer to another specialty provider when
applicable

Accurately documents recommendations for psychiatric
consultations when applicable
Summary of strengths:
Problem Solving
It is reported that problem solving is one of the greatest
strengths a nurse can have (Wei et al., 2019). This is one of my
strengths because I am good at finding solutions to difficult or
complex issues using either generic or ad hoc methods. The
strength helps me to come up with appropriate responses in
important and difficult situations using critical thinking. It is an
important strength because it helps in determining the quality of
care and the safety of patients (Wei et al., 2019).
Endurance
Endurance is another strength that I possess. This is an
important strength because as a nurse, I am usually on my feet
for many hours a day. Possessing the ability to work these hours
and have a positive attitude is therefore an essential strength
and this is what endurance is about (Macfarlane, 2019). For
example, I may be required to physically lift heavy objects or
patients, help surgeons, and other tasks which may be tiring and
taking an extended period. Endurance helps in ensuring that I
maintain energy throughout my whole shift (Xie et al., 2020).
Communication
Communication is another key strength. I possess excellent
written and verbal communication skills which help me in
communicating with various groups in the health care setting.
These groups may include nurses, other health care staff,
doctors, or patients and they all need to understand the

information being conveyed to them regarding the current
situation. Communication skills helps to ensure that the
information is passed accurately and effectively to foster
accurate decision making, understanding, and collaboration (Xie
et al., 2020).
Time Management Skills
Time management skills is also another key strength for me
because time is crucial in saving people’s lives. Time
management skills are important in my professional life and
especially in healthcare services because people’s lives are on
my hands. In regard to time management skills, the ability to
understand which patient needs attention immediately, which
one can wait for a while, which one needs more time, and which
one does not, is critical (Wei et al., 2019). These skills are
significantly advantages when it comes dealing with the
workload effectively and efficiently (Macfarlane, 2019).
Opportunities for growth:
Advancing of Education
This is a key opportunity for growth because the decision to
take continuing education courses will help me to grow
professionally. I can take up courses that will help me in
remaining abreast of the latest research for delivering care as
supported by evidence-based practices. Advancing of education
provides an opportunity to gain comprehensive knowledge and
advance it while at the same time identifying weaknesses and
finding ways to combat them (Dahinten et al., 2016).
Networking
This is an opportunity for growth which allows me to interact
with other nurses in exploring the nursing field and developing
a strong support system within the medical community.
Networking can help me to actively seek relationships that may
help in pursuing my professional goals (Dahinten et al., 2016).
The advantage is that these connections can be formed in
person, through an industry specific organization, or online.
Networking can help me to discover new specialties and share

knowledge, hence helping me to grow as a nurse (Dahinten et
al., 2016).
Increased Duties And Responsibilities
Increased duties and responsibilities are responsible for making
me take on new challenges in my current position, projects, as
well as long or short term assignments. This is an opportunity
for growth because I can learn by doing through working on real
problems and dilemmas. These increased duties and
responsibilities will challenge me to come out of my comfort
zones and demand that I think and act differently and
appropriately. In the long run, all these elements will be
fostering my professional growth (Anselmo-Witzel et al., 2017).
Research
I also have the opportunity to research various concepts and
topics and present the findings of the research to others. In the
process of doing so, this opportunity will help me to grow
(Anselmo-Witzel et al., 2017).
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.
1. Goal: To improve my self-assessment skills in terms of
developing goals, evaluating outcomes, and documentation.
a. Objective: To learn how to effectively develop smart goals
and measure them against the “SMART goals” criteria.
b. Objective: To learn how to evaluate the outcomes of goals
and modifying the plan by assesing the set goals and the
progress.
c. Objective: To improve my skills in identifying the necessary
information to be documented and how it should be done
regarding reflections on learning experiences.
2. Goal: To improve my knowledge in identifying ethical and
legal dilemmas with appropriate remedies.

a. Objective: To improve my knowledge on the nurses code of
ethics.
b. Objective: To identify and examine examples of ethical and
legal dilemmas in nursing.
c. Objective: To identify and examine the most effective ways
of dealing with ethical and legal dilemmas in nursing.
3. Goal: To reinforce my professional skills when collaborating
and integrating with others.
a. Objective: To determine and practice organizational skills
that are essential in functioning effectively in the workplace.
b. Objective: To practice and improve effective communication
especially written communication.
c. Objective: To improve my magnitude of networking with
other professionals in the same field.
Signature:
Date:
Course/Section:
References
Anselmo-Witzel, S., Orshan, S. A., Heitner, K. L., & Bachand,
J. (2017). Are generation Y nurses satisfied on the job?
Understanding their lived experiences. JONA: The Journal of
Nursing Administration, 47(4), 232-237.
Dahinten, V. S., Lee, S. E., & MacPhee, M. (2016).
Disentangling the relationships between staff nurses’ workplace
empowerment and job satisfaction. Journal of nursing
management, 24(8), 1060-1070.
Macfarlane, J. (2019). Exploring how awareness of character
strengths can benefit mental health nurses. British Journal of
Mental Health Nursing, 8(3), 145-152.

Wei, H., Roberts, P., Strickler, J., & Corbett, R. W. (2019).
Nurse leaders’ strategies to foster nurse resilience. Journal of
nursing management, 27(4), 681-687.
Xie, J., Liu, M., Zhong, Z., Zhang, Q., Zhou, J., Wang, L., ... &
Cheng, A. S. (2020). Relationships among character strengths,
self-efficacy, social support, depression, and psychological
well-being of hospital nurses. Asian Nursing Research, 14(3),
150-157.
Assignment: Journal Entry
Critical reflection of your growth and development during your
practicum experience in a clinical setting has the benefit of
helping you to 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
To Prepare
· Refer to the “Advanced Nursing Practice Competencies and
Guidelines” 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.
· Refer to your “Clinical Skills Self-Assessment Form” you
submitted in Week 1, and consider your strengths and
opportunities for improvement.
· Refer to your Patient Log in Meditrek, and consider the
patient activities you have experienced in your practicum
experience. Reflect on your observations and experiences.
·
In 450–500 words, address the following:

Learning From Experiences
· Revisit the goals and objectives from your Practicum
Experience Plan. Explain the degree to which you achieved each
during the practicum experience.
· Reflect on the three (3) most challenging patients you
encountered during the practicum experience. What was most
challenging about each?
· What did you learn from this experience?
· What resources did you have available?
· What evidence-based practice did you use for the patients?
· What new skills are you learning?
· What would you do differently?
· How are you managing patient flow and volume?
·
Communicating and Feedback
· Reflect on how you might improve your skills and knowledge
and how to communicate those efforts to your Preceptor.
· Answer the questions: How am I doing? What is missing?
· Reflect on the formal and informal feedback you received
from your Preceptor.
PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED
BELOW:
1). ZERO (0) PLAGIARISM
2). AT LEAST 5 REFERENCES, NO MORE THAN 5 YEARS.
3). PLEASE SEE THE ATTACHED RUBRIC DETAILS. The
main assignment and instruction, PRAC 6635 Clinical Skills
Self-Assessment Form (WK1 Assignment),
4). Follow the APA 7 writing style/format and Conclusion.

Rubric Detail
Select Grid View or List View to change the rubric's layout.
Content
Name: PRAC_6635_Week11_Assignment_Rubric
Grid ViewList View
Excellent
Good
Fair
Poor
Assimilation and Synthesis: Content Reflection
Points:
Points Range:
50 (50%) - 50 (50%)

Reflection demonstrates a high level of critical thinking in
applying and integrating key course concepts and theories from
readings, lectures, and/or Discussions. Insightful and relevant
connections are made through contextual explanations and
examples.
Feedback:
Points:
Points Range:
40 (40%) - 49 (49%)

Reflection demonstrates moderate level of critical thinking in
readings, lectures, and/or Discussions. Connections are made
through explanations and/or examples.
Feedback:
Points:
Points Range:
31 (31%) - 39 (39%)

Reflection demonstrates minimal critical thinking in applying
and integrating key course concepts and theories from readings,
lectures, and/or Discussions. Minimal connections made through
explanations and/or examples.
Feedback:
Points:
Points Range:
0 (0%) - 30 (30%)

Reflection lacks critical thinking. Superficial connections are
made with key course concepts and resources, and/or
assignments
Feedback:
Assimilation and Synthesis: Personal Growth
Points:

Points Range:
30 (30%) - 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.
Feedback:
Points:

Points Range:
20 (20%) - 20 (20%)
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 student’s current
experience.
Feedback:
Points:

Points Range:
10 (10%) - 19 (19%)
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 student’s current experience.
Feedback:

Points:
Points Range:
0 (0%) - 9 (9%)
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.
Feedback:
Written Expression and Formatting

Points:
Points Range:
15 (15%) - 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.
Feedback:

Points:
Points Range:
11 (11%) - 14 (14%)
Above average writing style and logically organized using
standard English with minor errors in grammar, punctuation,
usage, and spelling.
Feedback:

Points:
Points Range:
6 (6%) - 10 (10%)
Average writing style that is sometimes unclear and/or with
some errors in grammar, punctuation, usage, and spelling.
Feedback:

Points:
Points Range:
0 (0%) - 5 (5%)
Poor writing style lacking in standard English, clarity,
language used, and/or frequent errors in grammar, punctuation,
usage, and spelling. Needs work.
Feedback:

APA
Points:
Points Range:
5 (5%) - 5 (5%)
No APA errors
Feedback:

Points:
Points Range:
4 (4%) - 4 (4%)
Contains one to two (1–2) APA errors
Feedback:

Points:
Points Range:
2 (2%) - 3 (3%)
Contains three to five (3–5) APA errors
Feedback:

Points:
Points Range:
0 (0%) - 1 (1%)
Contains more than five (> 5) APA errors
Feedback:

Show Descriptions
Show Feedback
Assimilation and Synthesis: Content Reflection--
Levels of Achievement:
Excellent
50 (50%) - 50 (50%)
Reflection demonstrates a high level of critical thinking in
readings, lectures, and/or Discussions. Insightful and relevant
connections are made through contextual explanations and
examples.
Good
40 (40%) - 49 (49%)
Reflection demonstrates moderate level of critical thinking in
applying and integrating key course concepts and theories fr om
readings, lectures, and/or Discussions. Connections are made
through explanations and/or examples.

Fair
31 (31%) - 39 (39%)
Reflection demonstrates minimal critical thinking in applying
and integrating key course concepts and theories from readings,
lectures, and/or Discussions. Minimal connections made through
explanations and/or examples.
Poor
0 (0%) - 30 (30%)
Reflection lacks critical thinking. Superficial connections are
made with key course concepts and resources, and/or
assignments
Feedback:

Assimilation and Synthesis: Personal Growth--
Excellent
30 (30%) - 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.
Good
20 (20%) - 20 (20%)
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 student’s current
experience.
Fair
10 (10%) - 19 (19%)

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 student’s current experience.
Poor
0 (0%) - 9 (9%)
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.
Feedback:

Written Expression and Formatting--
Excellent
15 (15%) - 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.
Good
11 (11%) - 14 (14%)
Above average writing style and logically organized using
standard English with minor errors in grammar, punctuation,
usage, and spelling.
Fair
6 (6%) - 10 (10%)
Average writing style that is sometimes unclear and/or with

some errors in grammar, punctuation, usage, and spelling.
Poor
0 (0%) - 5 (5%)
Poor writing style lacking in standard English, clarity, language
used, and/or frequent errors in grammar, punctuation, usage,
and spelling. Needs work.
Feedback:
APA--
Excellent
5 (5%) - 5 (5%)

No APA errors
Good
4 (4%) - 4 (4%)
Contains one to two (1–2) APA errors
Fair
2 (2%) - 3 (3%)
Contains three to five (3–5) APA errors
Poor
0 (0%) - 1 (1%)
Contains more than five (> 5) APA errors

Feedback:
Total Points:
100
Name: PRAC_6635_Week11_Assignment_Rubric

Master of Science in Nursing Pra

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