PRAC 6665 Clinical Skills
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PRAC 6665/6675 Clinical Skills :- Self-Assessment Form
Performing a self-assessment of an individual’s clinical skills makes them able to increase their clinical performance during practical experience (Macfarlane, 2019). A self-assessment will be significant in the identification of strengths and areas for improvement. Therefore, conducting this self-assessment and setting goals and objectives will provide a guide to my practicum experience.
| Desired Clinical Skills for Students to Achieve | Confident (Can complete independently) | Mostly confident (Can complete with supervision) | Beginning (Have performed with supervision or needs 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 and/or any caregivers | ||||
| Develop an age appropriate individualized plan of care | ||||
| Provide psychoeducation to individuals and/or any caregivers | ||||
| Promote health and disease prevention techniques | ||||
| Self-assessment skill: | ||||
| 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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Communication. I have excellent written and verbal communication skills, which act as a core strength in any healthcare environment. Communication skills will enhance my ability to share information with other groups in the healthcare environment, such as doctors, nurses, and patients. The skills will also be significant while explaining to patients issues related to their diagnoses, test results, and the development of their treatment plans. Attention to Detail. I am very attentive to details, and this gives me another significant strength that I can leverage in the practicum. Nurses interact with a large number of patients and other interprofessional teams on a daily basis. Therefore, being attentive to details will enable me to assess the accuracy and validity of each piece of information or activity in the healthcare environment. By so doing, I will be effective in inspiring positive quality in patient care. Empathy. This is one of my core strengths, and it enables me to understand patients and their families and relate to them. It also helps me connect with these groups and help them cope with their problems. Using empathy, I can effectively comprehend and share the feelings of the patient and their loved ones and work towards making sure that they obtain optimal health outcomes (Buljac-Samardžić & van Woerkom, 2018). Flexibility. Flexibility is a significant strength for every nurse or healthcare professional (Xie et al., 2020). There are usually rapid changes to the health care environment, and nurses need to be flexible to adapt quickly. Therefore, I will leverage this strength to effectively and efficiently manage changes in the healthcare environment. |
Opportunities for growth:
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Learning New Skills. The practical environment will help me to grow my skills by undertaking several assigned responsibilities. I plan to make sure that I do not limit myself to the routines and procedures in my area alone, but also interact with other interprofessional teams with the aim of enhancing my knowledge and skills. Performing Research. While undertaking my responsibilities, I can also carry out research to improve my knowledge of my practice in these areas. I will be able to retrieve evidence-based information that I can utilize in my quest to achieve my clinical and professional goals and objectives (Wei et al., 2019). Conducting research is an opportunity to advance my knowledge and skills in various areas using the best available scientific literature. Collaboration. I will also be presented with an opportunity to collaborate with other interprofessional teams while working in a healthcare environment. As Foster et al. (2018) explain, nursing is not an isolated practice. Therefore, I will collaborate with others to enhance my knowledge and skills while responding to patients’ needs. I will also seek advice and guidance from more experienced professionals to help advance my own practice. |
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.
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1. Goal: To improve my skills in the selection and implementation of screening instruments and interpreting results. a. Objective: To accurately interpret results for the screening instruments. b. Objective: To properly implement screening instruments while providing care to patients. c. Objective: To properly document psychotherapy recommendations using data from the interpreted results. 2. Goal: To improve my psychotherapeutic treatment planning skills. a. Objective: To independently and collaboratively create appropriate plans of care for clients. b. Objective: To successfully identify therapeutic modalities concepts. c. Objective: To successfully identify and utilize proposed evidence-based clinical practice guidelines in psychotherapeutic treatment planning. 3. Goal: To improve my professional skills. a. Objective: To identify ethical and legal dilemmas and provide possible solutions. b. Objective: To successfully collaborate with other interprofessional teams in the healthcare environment. c. Objective: To successfully maintain professional boundaries with other professionals and with patients. |
Conclusion
The self-assessment above, combined with the goals and objectives set, will act as effective guides during my practicum experience. Achieving these goals and objectives will significantly improve my clinical skills and performance. All the goals and objectives developed above are based on the areas that I plan to improve. In the end, the experience will positively impact my educational and clinical progress.
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References
Buljac-Samardžić, M., & van Woerkom, M. (2018). Improving quality and safety of care in nursing homes by team support for strengths use A survey study. Plos one, 13(7), e0200065.
Foster, K., Cuzzillo, C., & Furness, T. (2018). Strengthening mental health nurses’ resilience through a workplace resilience program: A qualitative inquiry. Journal of psychiatric and mental health nursing, 25(5-6), 338-348.
Macfarlane, J. (2019). Exploring how awareness of character strengths can benefit mental health nurses. British Journal of Mental Health Nursing, 8(3), 145-152.
Wei, H., Roberts, P., Strickler, J., & Corbett, R. W. (2019). Nurse leaders’ strategies to foster nurse resilience. Journal of nursing management, 27(4), 681-687.
Xie, J., Liu, M., Zhong, Z., Zhang, Q., Zhou, J., Wang, L., … & Cheng, A. S. (2020). Relationships among character strengths, self-efficacy, social support, depression, and psychological well-being of hospital nurses. Asian Nursing Research, 14(3), 150-157.
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