Scholarly Activity Summary

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NRS-490-RS-PICET_EvalToolsCombinedWeek10NoHeader.docx

Practice Immersion Clinical Evaluation Tool - Agency/Site

Agency/Site Criteria

Student Evaluation

Faculty Evaluation

Comments

Does Not Meet

Meets

Excels*

Does Not Meet

Meets

Excels*

1. Agency/site was able to provide the opportunities for the student to meet practice immersion clinical objectives.

☐ ☐ ☐

☐ ☐ ☐

2. Agency/site was able to establish a comfortable, yet stimulating, practice environment.

☐ ☐ ☐

☐ ☐ ☐

Criteria:

Does Not Meet: Elements are missing.

Meets: Agency/site meets this criterion.

Excels: Agency/site meets this criterion and further a teaching point opportunity or expanded information, guidance, or other element to further enhance student learning.

Agency/site - strengths:

Student Evaluation

Faculty Evaluation

Agency/site - areas of improvement needed:

Student Evaluation

Faculty Evaluation

Agency/site - Suggestions to incorporate more responsiveness to student learning needs:

Student Evaluation

Faculty Evaluation

Practice Immersion Clinical Evaluation Tool - Mentor

Clinical Criteria

Student Feedback of Mentor Experience

Comments

Does Not Meet

Meets

Excels*

3. Exemplify professionalism in diverse health care settings.

☐ ☐ ☐

4. Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death as opportunity presents.

☐ ☐ ☐

5. Implement patient care decisions based on evidence-based practice.

☐ ☐ ☐

6. Utilize patient care technology and information management systems.

☐ ☐ ☐

7. Communicate therapeutically with patients.

☐ ☐ ☐

8. Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.

☐ ☐ ☐

9. Understand the human experience across the health-illness continuum.

☐ ☐ ☐

10. Provide culturally sensitive care.

☐ ☐ ☐

11. Preserve the integrity and human dignity in the care of all patients.

☐ ☐ ☐

Criteria:

Does Not Meet: Elements are missing; mentor did not achieve.

Meets: Mentor meets this criterion.

Excels: Mentor meets this criterion and further incorporates a teaching point scenario or expanded information, guidance, or other element to further enhance student learning.

Practice Immersion Clinical Evaluation Tool - Student

Clinical Criteria

Mentor

Sign Off

Faculty Sign Off

Comments

Does Not Meet

Meets

Excels*

12. Exemplify professionalism in diverse health care settings.

☐ ☐ ☐ ☐

13. Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death as opportunity presents.

☐ ☐ ☐ ☐

14. Implement patient care decisions based on evidence-based practice.

☐ ☐ ☐ ☐

15. Utilize patient care technology and information management systems.

☐ ☐ ☐ ☐

16. Communicate therapeutically with patients.

☐ ☐ ☐ ☐

17. Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care.

☐ ☐ ☐ ☐

18. Understand the human experience across the health-illness continuum.

☐ ☐ ☐ ☐

19. Provide culturally sensitive care.

☐ ☐ ☐ ☐

20. Preserve the integrity and human dignity in the care of all patients.

☐ ☒ ☐ ☐

Criteria:

Does Not Meet: Elements are missing; student is required to remediate this element to pass the course

Meets: Student meets this criterion.

Excels: Student meets this criterion and further incorporates a teaching point scenario.

© 2015. Grand Canyon University. All Rights Reserved.

© 2015. Grand Canyon University. All Rights Reserved.