Journal Entry

Journal Entry

Journal Entry

Photo Credit: Image by Free-Photos from Pixabay

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.

here is my practicum experience plan:

Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.

Objective 1: By the end of the practicum period, I will be able to differentiate between pathophysiological and psychopathological conditions when assessing and treating individuals across lifespan.

Planned Activities: By the end of this practicum period, I will be able to apply knowledge of the difference between pathophysiological conditions and psychopathological conditions on my clients, I will use comprehensive assessment skills based on evidence-based practice. I will be able to identify differential diagnoses and develop an appropriate working diagnosis. I will work closely with my preceptor to achieve these goals.

Mode of Assessment: Over the next 160 clinical hours, I will be able to assess client, diagnose and suggest possible treatment plan to my preceptor for review. These will improve my knowledge of the differences between psychopathological and pathophysiological conditions (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

· Develop comprehensive psychiatric evaluation skills in differentiating between psychological conditions and pathological conditions

· Apply advance nursing assessment and diagnosis skills in mental health

Objective 2: By the end of the practicum period, I will be able to provide psychoeducation to the patients and their caregivers to facilitate treatment

Planned Activities: By the end of this practicum period, I plan to provide psychoeducation to my patients and their caregivers, I plan on conducting further research on the psychoeducation process. I also plan on conducting more research on the benefits of psychoeducation for the patients and their caregivers. In addition, I plan on seeking assistance from my preceptor and other senior colleague on how to provide psychoeducation effectively. I plan on providing psychoeducation to at least 10 patients and their caregivers.

Mode of Assessment: Over the next 160 clinical hours, I will perform psychoeducation to both patients and their caregiver under the supervision of my preceptor. This will help me to be more confidence and improve my psychoeducation skills.

(Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

· Develop skills in psychotherapeutic treatment planning for patients and the caregivers during the practicum experience

· Develop skills that promote health and disease prevention

Objective 3: By the end of the practicum period, I will be confidence in utilizing and interpreting screening tools for psychopathology.

Planned Activities: By the end of this practicum period, I will be able to select the appropriate screening tool, implement it and interpret the result appropriately for any clinical condition under the supervision of my preceptor.

Mode of Assessment: Over the next 160 clinical hours, I will identify and utilized different screening tools for appropriate clinical conditions.

(Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

· Being able to select, implement appropriate screening tools and interpret the results for identify clinical condition

Part 3: Projected Timeline/Schedule

Estimate how many hours you expect to work on your Practicum each week. *Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.

for the patient log here is a summary of cases seen:

ADJUSTMENT DISORDER1ANXIETY DISORDER14EATING DISORDER3IMPULSE-CONTROL DISORDER6MOOD DISORDER47NEUROCOGNITIVE DISORDER1NEURODEVELOPMENTAL DISORDER22PERSONALITY DISORDER1PSYCHOTIC DISORDER13SLEEP DISORDER6SUBSTANCE-RELATED & ADDICTIVE DISORDER16TRAUMA & STRESS-RELATED DISORDER6

Here is the rubric

PRAC_6635_WEEK11_ASSIGNMENT_RUBRIC

· Grid View

· List View

·	Excellent	Good	Fair	Poor
Assimilation and Synthesis: Content Reflection	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.	40 (40%) - 49 (49%) Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or Discussions. Connections are made through explanations and/or examples.	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.	0 (0%) - 30 (30%) Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments
Assimilation and Synthesis: Personal Growth	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.	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.	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.	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.
Written Expression and Formatting	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.	11 (11%) - 14 (14%) Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling.	6 (6%) - 10 (10%) Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling.	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.
APA	5 (5%) - 5 (5%) No APA errors	4 (4%) - 4 (4%) Contains one to two (1–2) APA errors	2 (2%) - 3 (3%) Contains three to five (3–5) APA errors	0 (0%) - 1 (1%) Contains more than five (> 5) APA errors

Total Points: 100

NAME: PRAC_6635_WEEK11_ASSIGNMENT_RUBRIC

Requirements: detailed   |   .doc file