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Photo Credit: Image by Free-Photos from PixabayCritical 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

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Assignment: Journal Entry
Photo Credit: Image by Free-Photos from PixabayCritical 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 PrepareRefer 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. 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-TR 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 relationshipwith 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:
1. I treat patients with the most respect imaginable, even when they appear to be out of control. 2. My capacity to communicate with patients and peers by actively listening and attempting to comprehend their condition to the best of my ability. 3. I am constantly willing to learn new things and keep an open mind when it comes to accepting changes.
4. I am dedicated to my goal and work diligently to achieve them
Opportunities for growth:
Every situation presents an opportunity to learn something new. It is critical that I continue to learn and grow in both personally and professionally. Participation in continuing education, accepting constructive criticism and acting on it for improvement, enhancing job performance by putting what you’ve learned into practice, and joining groups in the same profession.
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: Goal: To complete the 160 needed practicum hours for this class, keep a schedule of 8 hours per day, 2 days per week for 11 weeks.
a.Objective: Schedule 8/hr per day Q2/days per week
b.Objective: Complete 160 hr minimum by the end of 11 wks
c.Objective: Log each clinical day into meditrek
2.Goal: I will have a comprehensive and careful comprehension of the logic involved in diagnosing and treating psychiatric patients by the end of this practicum.
a.Objective: Learn how to diagnose a psychiatric disorder. b.Develop and implement a treatment strategy and care plan. c.For the best patient outcome, use psychopathology in a comprehensive strategy.
3.Goal: By the end of week 11, be able to conduct the necessary clinical competencies confidently and independently.
a.Objective: Self-assured in completing a full psychiatric evaluation. b.Self-assured in the ability to perform diagnostic reasoning skills independently c.Self-assured in generating and implementing ideas independently

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