Psychotherapy With Multiple Modalities Practicum
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 Psychiatric-Mental Health Nurse Practitioner (PMHNP) Clinical Skills List and 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 experiences.
Just as you did in PRAC 6635, 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.
To Prepare
- Review the resources and clinical skills in the PMHNP 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.
- Review the resources on nursing competencies and nursing theory and consider how these inform your practice.
- Download the Clinical Skills Self-Assessment Form to complete this Assignment.
Assignment
Use the PMHNP 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 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.
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.
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 | Number of Weekly Hours for Professional Development | Number of Weekly Hours for Practicum Coursework | |
| 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.
PMHNP PRAC 6645 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 across the lifespan | ||||
| Differentiating between pathophysiological and psychopathological conditions | ||||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | ||||
| Performing and interpreting a mental status examination | ||||
| Performing and interpreting a psychosocial assessment and family psychiatric history | ||||
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | ||||
| Diagnostic reasoning skill in: | ||||
| Developing and prioritizing a differential diagnoses list | ||||
| Formulating diagnoses according to DSM 5 based on assessment data | ||||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes | ||||
| Pharmacotherapeutic skills in: | ||||
| Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) | ||||
| Evaluating patient response and modify plan as necessary | ||||
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) | ||||
| Psychotherapeutic Treatment Planning: | ||||
| Recognizes concepts of therapeutic modalities across the lifespan | ||||
| Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) | ||||
| Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups | ||||
| Develop an age appropriate individualized plan of care | ||||
| Provide psychoeducation to individuals, family, and/or groups | ||||
| Promote health and disease prevention techniques | ||||
| Self-Assessment skills: | ||||
| Develop SMART goals for practicum experiences | ||||
| Evaluating outcomes of practicum goals and modify plan as necessary | ||||
| Documenting and reflecting on learning experiences | ||||
| Professional skills: | ||||
| Maintains professional boundaries and therapeutic relationship with clients and staff | ||||
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | ||||
| Identifies ethical and legal dilemmas with possible resolutions | ||||
| Demonstrates non-judgmental practice approach and empathy | ||||
| Practices within scope of practice | ||||
| Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: | ||||
| Demonstrates selecting the correct screening instrument appropriate for the clinical situation | ||||
| Implements the screening instrument efficiently and effectively with the clients | ||||
| Interprets results for screening instruments accurately | ||||
| Develops an appropriate plan of care based upon screening instruments response | ||||
| Identifies the need to refer to another specialty provider when applicable | ||||
| Accurately documents recommendations for psychiatric consultations when applicable |
Summary of strengths:
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Opportunities for growth:
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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:
a. Objective: b. Objective: c. Objective:
2. Goal: a. Objective: b. Objective: c. Objective:
3. Goal: a. Objective: b. Objective: c. Objective:
4. Goal: a. Objective: b. Objective: c. Objective:
|
Signature:
Date:
Course/Section:
Walden University PMHNP PRAC 6645 Clinical Skills List
Target Patient Population: Across the Lifespan with individuals, groups, and families
| Desired Clinical Skills for Students to Achieve |
| Comprehensive psychiatric evaluation skills in: |
| · Recognizing clinical signs and symptoms of psychiatric illness across the lifespan |
| · Differentiating between pathophysiological and psychopathological conditions |
| · Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
| · Performing and interpreting a mental status examination |
| · Performing and interpreting a psychosocial assessment and family psychiatric history |
| · Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
| Diagnostic reasoning skill in: |
| · Developing and prioritizing a differential diagnoses list |
| · Formulating diagnoses according to DSM 5 based on assessment data |
| · Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
| Pharmacotherapeutic skills in: |
| · Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) |
| · Evaluating patient response and modify plan as necessary |
| · Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
| Psychotherapeutic Treatment Planning: |
| · Recognizes concepts of therapeutic modalities across the lifespan |
| · Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) |
| · Applies age appropriate psychotherapeutic counseling techniques with individuals, families, and groups |
| · Develop an age appropriate individualized plan of care |
| · Provide psychoeducation to individuals, families, and groups |
| · Promote health and disease prevention techniques |
| Professional skills: |
| · Maintains professional boundaries and therapeutic relationship with clients and staff |
| · Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
| · Identifies ethical and legal dilemmas with possible resolutions |
| · Demonstrates non-judgmental practice approach and empathy |
| · Practices within scope of practice |
| · Demonstrate ability |
| Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals |
| · Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
| · Implements the screening instrument efficiently and effectively with the clients |
| · Interprets results for screening instruments accurately |
| · Develops an appropriate plan of care based upon screening instruments response |
Documentation of Completed Competency/Clinical Skill
|
Competency/Clinical Skill Completed
|
Preceptor Signature |
Date |