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 | X | |||
| Differentiating between pathophysiological and psychopathological conditions | X | |||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | X | |||
| Performing and interpreting a mental status examination | X | |||
| Performing and interpreting a psychosocial assessment and family psychiatric history | X | |||
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | X | |||
| Diagnostic reasoning skill in: | ||||
| Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses | X | |||
| Developing and prioritizing a differential diagnoses list | X | |||
| Formulating diagnoses according to DSM 5-TR based on assessment data | X | |||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes | X | |||
| Psychotherapeutic Treatment Planning: | ||||
| Provide psychoeducation to individuals and/or any caregivers | X | |||
| Promote health and disease prevention techniques | X | |||
| Self Assessment skill: | ||||
| Develop SMART goals for practicum experiences | X | |||
| Evaluating outcomes of practicum goals and modify plan as necessary | X | |||
| Documenting and reflecting on learning experiences | X | |||
| Professional skills: | ||||
| Maintains professional boundaries and therapeutic relationships with clients and staff | X | |||
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | X | |||
| Identifies ethical and legal dilemmas with possible resolutions | X | |||
| Demonstrates non-judgmental practice approach and empathy | X | |||
| Practices within the scope of practice | X | |||
| Selecting and implementing appropriate screening instrument(s) and interpreting results: | ||||
| Demonstrates selecting the correct screening instrument appropriate for the clinical situation | X | |||
| Implements the screening instrument efficiently and effectively with the clients | X | |||
| Interprets results for screening instruments accurately | X | |||
| Identifies the need to refer to another specialty provider when applicable | X | |||
| Accurately documents recommendations for psychiatric consultations when applicable. | X |
Summary of strengths:
| The skills assessment has helped me understand and evaluate myself based on skills and knowledge pertinent to psychiatric health. I can recognize mental health illnesses from the clinical presentation of patients and perform and interpret comprehensive health history and physical findings, including laboratory findings. More so, I can also perform a mental status assessment and a functional assessment for patients with probable mental health illnesses. I can also practice within my scope of practice with a non-judgmental attitude and empathy. According to Fox and Kilvert (2022), empathetic and non-judgmental caring allows professionals to understand patient needs and plan for them care interventions. More so, I can assess patients and determine any need for additional assessment instruments, refer patients, and interpret the results of these tests. In addition, I can assess and reflect on my performance and progress and evaluate my performance against set goals and objectives. I can also document recommendations for psychiatric consultations when applicable. In addition, I can document any care interventions and pertinent data whenever necessary. |
Opportunities for growth:
| My growth opportunities include performing more complex psychiatric nursing tasks such as differentiating pathophysiological and psychopathological conditions, performing and interpreting a psychosocial assessment and developing diagnostic reasoning skills.Conditions involving hormonal imbalances, such as thyroid anomalies and post-menopausal syndrome, may present with psychological and behavioral problems similar to psychiatric conditions (Wieland et al., 2022). Thus, differentiating between pathophysiological from psychopathological conditions is vital. I need to improve my knowledge of differentiating mental health illnesses and explaining the changes according to age. I also need to improve my knowledge and skills in developing smart goals. More so, I should improve my skills in decision-making in ethical and legal issues and dilemmas and developing possible solutions. These areas will be the basis for the development of SMART goals. I also need to improve my skills in psychotherapy with patients and caregivers. Caregivers need help because caring for psychiatric patients exposes them to stress, and they also need skills to care for them effectively (Moberg et al., 2022). Psychotherapy is a vital care intervention in psychiatry and advanced practice registered nurses must understand psychotherapy to effectively manage patient problems (Sadock et al., 2015). |
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: TO EFFECTIVELY DIFFERENTIATES PATHOPHYSIOLOGICAL AND PSYCHOPATHOLOGICAL CONDITIONS BY CONSULTING CLASS RESOURCES, PEERS, THE INTERNET, AND WEEKLY OBJECTIVE ASSESSMENT AND IMPROVE THE SCORE TO ABOVE 95% IN THREE MONTHSa. Objective: Access and gather all class learning resources and reputable databases for pathophysiological and psychopathological disorders b. Objective: Develop a peer group to discuss the DSM and ICD disease classifications and their differentiation with weekly discussion groups with carefully curated objectives c. Objective: Perform weekly tests in differentiating pathophysiological and psychopathological disorders
2. GOAL: TO IMPROVE MY DIAGNOSTIC SKILLS AND REASONING TO PROMOTE SUCCESS IN DIAGNOSING PSYCHIATRIC CONDITIONS BY CONSULTING AVAILABLE RESOURCES IN ADDITION TO CLASS RESOURCES IN FOUR MONTHS a. Objective: Consult the DSM-5 diagnostic criteria for all psychiatric conditions according to their classification, presenting clinical manifestations, and defining characteristics b. Objective: Develop a summary of psychiatric conditions in their respective classifications while highlighting their specific differences and similarities c. Objective: Consult the learning resources to determine the vital diagnostic tests used if diagnosing psychiatric illnesses and the differentials from the classifications based on the diagnostic test outcomes
3. GOAL: TO DEVELOP COMPETENCY IN PSYCHOTHERAPY BY COMPLETING RECOMMENDED CLINICAL PRACTICE HOURS, ASSIGNMENTS, AND EXAMINATIONS IN PSYCHOTHERAPY AND IMPROVE THE ASSESSMENT SCORE TO ABOVE 95% IN ONE MONTH a. Objective: Develop objectives for every clinical practice activity and a timeline for achieving the goal to aid in time and resource planning b. Objective: Review course case studies and develop models for family and patients and family psychotherapy care throughout the course c. Objective: Develop care plans for patients with diverse psychiatric and physiologic conditions that incorporate patient families and teaching plans for the families during the clinical practice (A) 4. GOAL: TO SHARPEN COMPETENCIES IN DECISION-MAKING SKILLS AND KNOWLEDGE IN SOLVING ETHICAL DILEMMAS IN CARE DELIVERY BY SOLVING COURSE ETHICAL AND LEGAL DILEMMA CASE STUDIES AND CONSULTING CLASS RESOURCES IN THREE MONTHS a. Objective: Research principles of ethics and ethical and legal considerations in psychiatry about individuals and their families b. Objective: Retrieve case studies from the class materials on ethical and legal issues and attempt to solve them while applying learned ethical, and legal considerations c. Objective: Demonstrate knowledge and skills in the evaluation of psychiatric care dilemmas through evaluating and solving case studies and solving real-life dilemmas in clinical practice |
Signature:
Date:
Course/Section:
References
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.).https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787.
Fox, C., & Kilvert, A. (2022). Addressing mental health and wellbeing in a consultation. Practical Diabetes, 39(2), 12-15. https://doi.org/10.1002/pdi.2383
Moberg, C., Grundberg, Å., Konradsen, H., Kallström, A. P., Leung, A. Y., & Kabir, Z. N. (2022). Meeting own needs and supporting ability to care: Family caregivers and health care professionals’ perspectives on professional support provided through a potential mobile application. Dementia, 14713012211065313. https://doi.org/10.1177/14713012211065313
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan and Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Wolters Kluwer.
Wieland, D. R., Wieland, J. R., Wang, H., Chen, Y. H., Lin, C. H., Wang, J. J., & Weng, C. H. (2022). Thyroid disorders and dementia risk: a nationwide population-based case-control study. Neurology, 99(7), e679-e687. https://doi.org/10.1212/WNL.0000000000200740
Week 1/2 |
Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.
The PRAC 6635 Clinical Skills List and PRAC 6635 Clinical Skills Self-Assessment Form, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum experience.
For this Assignment, you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To prepare:
- Review the clinical skills in the PRAC 6635 Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.
- Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.
- Download the PRAC 6635 Clinical Skills Self-Assessment Form to complete this Assignment.
Assignment
Use the PRAC 6635 Clinical Skills Self-Assessment Form to complete the following:
- Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills Self-Assessment Form.
- Based on your ratings, summarize your strengths and opportunities for improvement.
- Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.
By day 7
Submit your completed Clinical Skills Self-Assessment Form.
Also Read: NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Template