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PracticumExperiencePlan.docx
Practicum_Experience_Plantemplate.docx
SMART_Goals12.2021.pdf
SMART_Goals12.2021.pdf

PracticumExperiencePlan.docx

Practicum Experience Plan (PEP)

As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, your plan must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep PMHNP clinical skills in mind.

Resources

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare

· Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims? 

· Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be:

· Specific 

· Measurable 

· Attainable 

· Results-focused 

· Time-bound

· Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above) 

Note: Please make sure your objectives are individualized and outlined in your Practicum Experience Plan (PEP). While you may add previous objectives to continue to work toward. You must have 3 new objectives for each class, each quarter.

· Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.

· Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.

· Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

The Assignment

Record the required information in each area of the Practicum Experience Plan template, including three to four (3–4) measurable practicum Learning Objectives you will use to facilitate your learning during the practicum experience.

By Day 7 of Week 2

Submit your Experience Plan for assessment and Faculty approval.  Bottom of Form

Rubric

PRAC_6665_Week2_Assignment2_Rubric

PRAC_6665_Week2_Assignment2_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRecord the required information in each area of the Practicum Experience Plan (PEP):Part 1: Quarter/Term/Year and Contact Information: ᵒ Identify Quarter/Term/Year:ᵒ Identify Student Contact Information, including: Name, Street Address, City, State, Zip, Home Phone, Work Phone, Cell Phone, Fax, and Walden University Email ᵒ Identify Preceptor Contact Information, including: Name, Organization, Street Address, City, State, Zip, Work Phone, Cell Phone, Fax, and Professional/Work Email.	5 to >4.0 ptsExcellentThe response accurately and clearly identifies the Quarter/Term/Year, all Student Contact Information, and all Preceptor Contact Information. 4 to >3.5 ptsGoodThe response identifies the Quarter/Term/Year, and at least 90% of Student Contact Information and Preceptor Contact Information. 3.5 to >3.0 ptsFairThe response identifies the Quarter/Term/Year, and at least 80% of Student Contact Information and Preceptor Contact Information. 3 to >0 ptsPoorThe response is inaccurate, incomplete, or is missing identification of the Quarter/Term/Year and/or identifies less than 80% of Student Contact Information and Preceptor Contact Information.	5 pts
This criterion is linked to a Learning OutcomePart 2: Individualized Practicum Learning Objectives: Explain three Individualized Practicum Learning Objectives that address your self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. Each Practicum Learning Objective must describe planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills you would like to improve from your self-assessment. Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice, explaining these 2 chosen theories with supporting evidenced-based literature.	75 to >68.0 ptsExcellentThe response clearly, accurately, and thoroughly explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response clearly, accurately, and thoroughly describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Clearly, accurately, and thoroughly explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) to guide clinical practice with supporting literature. 68 to >59.0 ptsGoodThe response accurately explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response accurately describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response accurately but briefly explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) to guide clinical practice with supporting literature. 59 to >52.0 ptsFairThe response somewhat vaguely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response somewhat vaguely describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response vaguely explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) or one theory is missing in discussion to guide clinical practice with supporting literature. 52 to >0 ptsPoorThe response inaccurately or incompletely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response has a vague, inaccurate, and/or incomplete or missing description of planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response inaccurately or incompletely explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) or no theories are discussed to guide clinical practice with supporting literature.	75 pts
This criterion is linked to a Learning OutcomePart 3: Projected Timeline/Schedule: Describe your Practicum timeline/schedule, including: ᵒ Number of weekly hours projected to work on your Practicum ᵒ Number of weekly hours for Professional Development	15 to >13.0 ptsExcellentThe response includes a clear, accurate, and thorough description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum and number of weekly hours for Professional Development. 13 to >11.0 ptsGoodThe response includes an accurate description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum and number of weekly hours for Professional Development. 11 to >10.0 ptsFairThe response includes a somewhat vague description of the Practicum timeline/schedule, and may be missing details about the number of weekly hours projected to work on the Practicum or number of weekly hours for Professional Development. 10 to >0 ptsPoorThe response includes a vague, incomplete, and/or inaccurate or missing description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum, number of weekly hours for Professional Development.	15 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.	5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.5 ptsGoodContains a few (1–2) grammar, spelling, and punctuation errors. 3.5 to >3.0 ptsFairContains several (3–4) grammar, spelling, and punctuation errors. 3 to >0 ptsPoorContains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts

Total Points: 100

image1.jpeg

Practicum_Experience_Plantemplate.docx

Master of Science in Nursing

Practicum Experience Plan

Overview:

Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.

As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A

Quarter/Term/Year:

Student Contact Information

Name:

Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:

Fax:

E-mail:

Preceptor Contact Information

Name:

Organization:

Street Address:

City, State, Zip:

Work Phone:

Cell Phone:

Fax:

Professional/Work E-mail:

Part 2: Individualized Practicum Learning Objectives

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.

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

Objective 1: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

· (for example) Develop professional plans in advanced nursing practice for the practicum experience

· (for example) Assess advanced practice nursing skills for strengths and opportunities

Objective 2: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

Objective 3: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

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.

	Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)	Number of Weekly Hours for Professional Development (these are not practicum hour)	Number of Weekly Hours for Practicum Coursework (these are not practicum hours)
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Total Hours (must meet the following requirements)	144 or 160 Hours

Part 4 - Signatures

Student Signature (electronic): Date:

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PracticumExperiencePlan.docx

Practicum Experience Plan (PEP)

Resources

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare

· Specific 

· Measurable 

· Attainable 

· Results-focused 

· Time-bound

· Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above) 

· Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.

· Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

The Assignment

By Day 7 of Week 2

Submit your Experience Plan for assessment and Faculty approval.  Bottom of Form

Rubric

PRAC_6665_Week2_Assignment2_Rubric

PRAC_6665_Week2_Assignment2_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRecord the required information in each area of the Practicum Experience Plan (PEP):Part 1: Quarter/Term/Year and Contact Information: ᵒ Identify Quarter/Term/Year:ᵒ Identify Student Contact Information, including: Name, Street Address, City, State, Zip, Home Phone, Work Phone, Cell Phone, Fax, and Walden University Email ᵒ Identify Preceptor Contact Information, including: Name, Organization, Street Address, City, State, Zip, Work Phone, Cell Phone, Fax, and Professional/Work Email.	5 to >4.0 ptsExcellentThe response accurately and clearly identifies the Quarter/Term/Year, all Student Contact Information, and all Preceptor Contact Information. 4 to >3.5 ptsGoodThe response identifies the Quarter/Term/Year, and at least 90% of Student Contact Information and Preceptor Contact Information. 3.5 to >3.0 ptsFairThe response identifies the Quarter/Term/Year, and at least 80% of Student Contact Information and Preceptor Contact Information. 3 to >0 ptsPoorThe response is inaccurate, incomplete, or is missing identification of the Quarter/Term/Year and/or identifies less than 80% of Student Contact Information and Preceptor Contact Information.	5 pts
This criterion is linked to a Learning OutcomePart 2: Individualized Practicum Learning Objectives: Explain three Individualized Practicum Learning Objectives that address your self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. Each Practicum Learning Objective must describe planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills you would like to improve from your self-assessment. Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice, explaining these 2 chosen theories with supporting evidenced-based literature.	75 to >68.0 ptsExcellentThe response clearly, accurately, and thoroughly explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response clearly, accurately, and thoroughly describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Clearly, accurately, and thoroughly explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) to guide clinical practice with supporting literature. 68 to >59.0 ptsGoodThe response accurately explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response accurately describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response accurately but briefly explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) to guide clinical practice with supporting literature. 59 to >52.0 ptsFairThe response somewhat vaguely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response somewhat vaguely describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response vaguely explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) or one theory is missing in discussion to guide clinical practice with supporting literature. 52 to >0 ptsPoorThe response inaccurately or incompletely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response has a vague, inaccurate, and/or incomplete or missing description of planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response inaccurately or incompletely explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) or no theories are discussed to guide clinical practice with supporting literature.	75 pts
This criterion is linked to a Learning OutcomePart 3: Projected Timeline/Schedule: Describe your Practicum timeline/schedule, including: ᵒ Number of weekly hours projected to work on your Practicum ᵒ Number of weekly hours for Professional Development	15 to >13.0 ptsExcellentThe response includes a clear, accurate, and thorough description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum and number of weekly hours for Professional Development. 13 to >11.0 ptsGoodThe response includes an accurate description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum and number of weekly hours for Professional Development. 11 to >10.0 ptsFairThe response includes a somewhat vague description of the Practicum timeline/schedule, and may be missing details about the number of weekly hours projected to work on the Practicum or number of weekly hours for Professional Development. 10 to >0 ptsPoorThe response includes a vague, incomplete, and/or inaccurate or missing description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum, number of weekly hours for Professional Development.	15 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.	5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.5 ptsGoodContains a few (1–2) grammar, spelling, and punctuation errors. 3.5 to >3.0 ptsFairContains several (3–4) grammar, spelling, and punctuation errors. 3 to >0 ptsPoorContains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts

Total Points: 100

image1.jpeg

Practicum_Experience_Plantemplate.docx

Master of Science in Nursing

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A

Quarter/Term/Year:

Student Contact Information

Name:

Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:

Fax:

E-mail:

Preceptor Contact Information

Name:

Organization:

Street Address:

City, State, Zip:

Work Phone:

Cell Phone:

Fax:

Professional/Work E-mail:

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

Objective 1: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

· (for example) Develop professional plans in advanced nursing practice for the practicum experience

· (for example) Assess advanced practice nursing skills for strengths and opportunities

Objective 2: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

Objective 3: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

Part 3: Projected Timeline/Schedule

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

	Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)	Number of Weekly Hours for Professional Development (these are not practicum hour)	Number of Weekly Hours for Practicum Coursework (these are not practicum hours)
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Total Hours (must meet the following requirements)	144 or 160 Hours

Part 4 - Signatures

Student Signature (electronic): Date:

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

PracticumExperiencePlan.docx

Practicum Experience Plan (PEP)

Resources

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare

· Specific 

· Measurable 

· Attainable 

· Results-focused 

· Time-bound

· Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above) 

· Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.

· Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

The Assignment

By Day 7 of Week 2

Submit your Experience Plan for assessment and Faculty approval.  Bottom of Form

Rubric

PRAC_6665_Week2_Assignment2_Rubric

PRAC_6665_Week2_Assignment2_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRecord the required information in each area of the Practicum Experience Plan (PEP):Part 1: Quarter/Term/Year and Contact Information: ᵒ Identify Quarter/Term/Year:ᵒ Identify Student Contact Information, including: Name, Street Address, City, State, Zip, Home Phone, Work Phone, Cell Phone, Fax, and Walden University Email ᵒ Identify Preceptor Contact Information, including: Name, Organization, Street Address, City, State, Zip, Work Phone, Cell Phone, Fax, and Professional/Work Email.	5 to >4.0 ptsExcellentThe response accurately and clearly identifies the Quarter/Term/Year, all Student Contact Information, and all Preceptor Contact Information. 4 to >3.5 ptsGoodThe response identifies the Quarter/Term/Year, and at least 90% of Student Contact Information and Preceptor Contact Information. 3.5 to >3.0 ptsFairThe response identifies the Quarter/Term/Year, and at least 80% of Student Contact Information and Preceptor Contact Information. 3 to >0 ptsPoorThe response is inaccurate, incomplete, or is missing identification of the Quarter/Term/Year and/or identifies less than 80% of Student Contact Information and Preceptor Contact Information.	5 pts
This criterion is linked to a Learning OutcomePart 2: Individualized Practicum Learning Objectives: Explain three Individualized Practicum Learning Objectives that address your self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. Each Practicum Learning Objective must describe planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills you would like to improve from your self-assessment. Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice, explaining these 2 chosen theories with supporting evidenced-based literature.	75 to >68.0 ptsExcellentThe response clearly, accurately, and thoroughly explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response clearly, accurately, and thoroughly describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Clearly, accurately, and thoroughly explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) to guide clinical practice with supporting literature. 68 to >59.0 ptsGoodThe response accurately explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response accurately describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response accurately but briefly explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) to guide clinical practice with supporting literature. 59 to >52.0 ptsFairThe response somewhat vaguely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response somewhat vaguely describes planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response vaguely explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) or one theory is missing in discussion to guide clinical practice with supporting literature. 52 to >0 ptsPoorThe response inaccurately or incompletely explains three (3) Individualized Practicum Learning Objectives that address the self-assessment of the skills found in the Clinical Skills Self-Assessment, are SMART (i.e., Specific, Measurable, Attainable, Results-focused, Time-focused), and meet the requirements for this course. ... For each Learning Objective, the response has a vague, inaccurate, and/or incomplete or missing description of planned activities, mode of assessment, and PRAC course outcome(s) addressed for the skills to be improved from the self-assessment. ... Response inaccurately or incompletely explains 2 chosen theories (1 nursing and 1 counseling/psychotherapy) or no theories are discussed to guide clinical practice with supporting literature.	75 pts
This criterion is linked to a Learning OutcomePart 3: Projected Timeline/Schedule: Describe your Practicum timeline/schedule, including: ᵒ Number of weekly hours projected to work on your Practicum ᵒ Number of weekly hours for Professional Development	15 to >13.0 ptsExcellentThe response includes a clear, accurate, and thorough description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum and number of weekly hours for Professional Development. 13 to >11.0 ptsGoodThe response includes an accurate description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum and number of weekly hours for Professional Development. 11 to >10.0 ptsFairThe response includes a somewhat vague description of the Practicum timeline/schedule, and may be missing details about the number of weekly hours projected to work on the Practicum or number of weekly hours for Professional Development. 10 to >0 ptsPoorThe response includes a vague, incomplete, and/or inaccurate or missing description of the Practicum timeline/schedule, including number of weekly hours projected to work on the Practicum, number of weekly hours for Professional Development.	15 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.	5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.5 ptsGoodContains a few (1–2) grammar, spelling, and punctuation errors. 3.5 to >3.0 ptsFairContains several (3–4) grammar, spelling, and punctuation errors. 3 to >0 ptsPoorContains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts

Total Points: 100

image1.jpeg

Practicum_Experience_Plantemplate.docx

Master of Science in Nursing

Practicum Experience Plan

Overview:

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A

Quarter/Term/Year:

Student Contact Information

Name:

Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:

Fax:

E-mail:

Preceptor Contact Information

Name:

Organization:

Street Address:

City, State, Zip:

Work Phone:

Cell Phone:

Fax:

Professional/Work E-mail:

Part 2: Individualized Practicum Learning Objectives

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

Objective 1: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

· (for example) Develop professional plans in advanced nursing practice for the practicum experience

· (for example) Assess advanced practice nursing skills for strengths and opportunities

Objective 2: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

Objective 3: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

Part 3: Projected Timeline/Schedule

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

	Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)	Number of Weekly Hours for Professional Development (these are not practicum hour)	Number of Weekly Hours for Practicum Coursework (these are not practicum hours)
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Total Hours (must meet the following requirements)	144 or 160 Hours

Part 4 - Signatures

Student Signature (electronic): Date:

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

other Questions(10)