Journal

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. 

RESOURCES

LEARNING RESOURCES week 1

Required Readings

· American Academy of Child and Adolescent Psychiatry. (2018).  CPT code training module.  Download CPT code training module.https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/business_of_practice/cpt/2018_CPT_module_revised_March_2018.pdf

· American Association of Nurse Practitioners. (2019).  Discussion paper: Standards of practice for nurse practitioners.  Download Discussion paper: Standards of practice for nurse practitioners. https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf

· American Psychiatric Association. (2020).  Coding and reimbursement. Links to an external site.  https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement

· American Psychiatric Nurses Association. (2013).  Population-focused nurse practitioner competencies.  Download Population-focused nurse practitioner competencies.https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/populationfocusnpcomps2013.pdf Note: Review the Psychiatric Mental Health Nurse Practitioner Competencies.

· International Council of Nurses. (2020).  Guidelines on advanced practice nursing 2020.  Download Guidelines on advanced practice nursing 2020.https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf

· Meditrek Links to an external site. https://edu.meditrek.com/Default.html    Note: Use this link to log into Meditrek to report your clinical hours and patient encounters.

· The National Organization of Nurse Practitioner Faculties Links to an external site. https://www.nonpf.org/

· The National Organization of Nurse Practitioner Faculties. (2017).  Nurse practitioner core competencies content. Download Nurse practitioner core competencies content. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf

· Walden University Academic Skills Center. (2017).  Developing SMART goals. Download Developing SMART goals. https://academicguides.waldenu.edu/ld.php?content_id=51901492

· Walden University Field Experience. (2020a).  Field experience: College of Nursing. Links to an external site.   https://academicguides.waldenu.edu/fieldexperience/son/home

· Walden University Field Experience. (2020b).  MSN nurse practitioner practicum manual.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

· Walden University Field Experience. (2020c).  Walden University School of Nursing: Practicum orientation and resource guide for students: MSN—nurse practitioner.Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation 

· Document:  Practicum Site Information Form  Download Practicum Site Information Form(Word document)

· Document:  PMHNP Clinical Skills List  Download PMHNP Clinical Skills List(PDF)

· Document:  PMHNP Clinical Skills Self-Assessment Form   Download PMHNP Clinical Skills Self-Assessment Form(Word document)

 

TO PREPARE

· Refer to the “Population-Focused Nurse Practitioner Competencies” 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 and reflect on your observations and experiences.

JOURNAL ENTRY (450–500 WORDS)

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 were available?

· What evidence-based practice did you use for the patients?

· What would you do differently?

· How are you managing patient flow and volume?

· How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

· Reflect on how you might improve your skills and knowledge, and 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.