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University of La Salette
College of Nursing
Santiago City
CLINICAL INSTRUCTOR’S PERFORMANCE RATING SCALE
NAME OF CLINCAL INSTRUCTOR: ____________________________________________________
Qualitative Description:
5
Excellent
4
Very Satisfactory
3
Satisfactory
2
Fair
1
Poor
I.
A.
1.
2.
3.
4.
5.
6.
7.
8.

CLINICAL TEACHING SKILLS
PLANNING
Present objectives and expected competencies.
Provides schedule of activities.
Determine learning needs of students.
Selects appropriate cases based on concepts discussed.
Maximizes times for learning.
Provides opportunities for leaning
Makes use of available resources.
Comes toward prepared.

B.
1.
2.
3.
4.
5.

TEACHING
Has mastery of the subject matter.
Correlates learned concept into clinical practice.
Answers questions based on the theories, concepts, and principles.
Performs nursing procedures competently based on standard principles.
Develops problem solving skills among students especially in
conference, rounds and case presentations.
6. Has decision making ability in case of emergencies / problems of
Students.
7. Supervises students in nursing activities.
8. Motivates student’s interest towards learning.
9. Stimulates student clinical judgment.
C. EVALUATION
1. Identifies student’s strengths, weakness and limitations.
2. Makes comments, suggestions and or recommendations for
Improvement of student learning.
3. Gives grades based on objectives set and expected competencies
4. Administer remediation measures.
5. Not bias in giving grades.
II.
1.
2.
3.
4.
5.
6.
7.

PROFESSIONALISM
Reports on duty on time.
Maintains a perfect attendance.
Has a good interpersonal relationship with clients, students, and
members of the health team.
Dresses in proper uniform code.
Observes proper grooming.
Serves as a role model for the students.
Accepts feedback constructively.

5
5
5
5
5
5
5
5

4
4
4
4
4
4
4
4

3
3
3
3
3
3
3
3

2
2
2
2
2
2
2
2

1
1
1
1
1
1
1
1

5
5
5
5

4
4
4
4

3
3
3
3

2
2
2
2

1
1
1
1

5

4

3

2

1

5
5
5

4
4
4

3
3
3

2
2
2

1
1
1

5

4

3

2

1

5

4

3

2

1

5
5
5
5

4
4
4
4

3
3
3
3

2
2
2
2

1
1
1
1

5
5

4
4

3
3

2
2

1
1

5
5
5
5
5

4
4
4
4
4

3
3
3
3
3

2
2
2
2
2

1
1
1
1
1
Comments and Suggestions:

___________________________________
Evaluator

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Community evaluation tool

  • 1. University of La Salette College of Nursing Santiago City CLINICAL INSTRUCTOR’S PERFORMANCE RATING SCALE NAME OF CLINCAL INSTRUCTOR: ____________________________________________________ Qualitative Description: 5 Excellent 4 Very Satisfactory 3 Satisfactory 2 Fair 1 Poor I. A. 1. 2. 3. 4. 5. 6. 7. 8. CLINICAL TEACHING SKILLS PLANNING Present objectives and expected competencies. Provides schedule of activities. Determine learning needs of students. Selects appropriate cases based on concepts discussed. Maximizes times for learning. Provides opportunities for leaning Makes use of available resources. Comes toward prepared. B. 1. 2. 3. 4. 5. TEACHING Has mastery of the subject matter. Correlates learned concept into clinical practice. Answers questions based on the theories, concepts, and principles. Performs nursing procedures competently based on standard principles. Develops problem solving skills among students especially in conference, rounds and case presentations. 6. Has decision making ability in case of emergencies / problems of Students. 7. Supervises students in nursing activities. 8. Motivates student’s interest towards learning. 9. Stimulates student clinical judgment. C. EVALUATION 1. Identifies student’s strengths, weakness and limitations. 2. Makes comments, suggestions and or recommendations for Improvement of student learning. 3. Gives grades based on objectives set and expected competencies 4. Administer remediation measures. 5. Not bias in giving grades. II. 1. 2. 3. 4. 5. 6. 7. PROFESSIONALISM Reports on duty on time. Maintains a perfect attendance. Has a good interpersonal relationship with clients, students, and members of the health team. Dresses in proper uniform code. Observes proper grooming. Serves as a role model for the students. Accepts feedback constructively. 5 5 5 5 5 5 5 5 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 5 4 3 2 1 5 5 5 4 4 4 3 3 3 2 2 2 1 1 1 5 4 3 2 1 5 4 3 2 1 5 5 5 5 4 4 4 4 3 3 3 3 2 2 2 2 1 1 1 1 5 5 4 4 3 3 2 2 1 1 5 5 5 5 5 4 4 4 4 4 3 3 3 3 3 2 2 2 2 2 1 1 1 1 1