Self Assessment

2014 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2(PN,13-Jan-2015-30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Description :
Period :
Student hours :
Required hours :
Validated hours :

Malissa Harris
Mercelies McHugh
John Stone
Westbury Long Term Care
Agency
6
Long Term Care
19-Apr-2015
168
168
168

To 02-May-2015

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL

FRAMEWORK
Satisfactory

Satisfactory 1. 1

Comply with regulatory standards, relevant legislation and the practice settings policies and procedures.
M.H. : I always comply with the standards of the practice setting's policies and standards. I respect and understand the conditions illustrated in the
clinical setting's policies.

Satisfactory

Satisfactory

1. 2 Act in a responsible, ethical and accountable manner.

M.H. : I am always responsible while in the clinical setting I act appropriately towards clients, employees, instructors and other peers. I act in an
ethical manner towards all situations, and respond appropriately to these situations. I am accountable by presenting myself on time and ready for my
practice day.

Satisfactory

Satisfactory 1. 3

Determine strengths and limitations and when to consult and seek assistance from other professionals.
M.H. : I know my limits in the clinical setting and I know what my knowledge and skills limit me to do at the present time. If I need assistance with any
given situation or event I know to consult and speak to either a nurse, a PSW, a peer or my instructor.

Satisfactory

Satisfactory

1. 4 Use evidence informed practice and a theory-based approach to care.

M.H. : While in the practice setting I can relate my theory-based practice towards my actual hands on practice. I see how relatable the theory and
hands on practice is. It is very important to have that knowledge base in order to provide safe care.

Satisfactory

Satisfactory

1. 5 Ensure client safety and a safe environment.

M.H. : I ensure a safe environment by always following the clinic's policies and procedures. For example when helping a client out of bed I know
when there are two people needed to help a client out of bed.

Satisfactory

Satisfactory

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever uncertain.
M.H. : Whenever I am uncertain about anything I will always ask people who are available to me at the time, or I will research for the answers on my
own time.

Satisfactory

Satisfactory

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.
M.H. : When a situation is unsafe I know when it is appropriate to seek out assistance in order to resolve an issue. I also am aware of who would be
appropriate to confront with a conflict at any given time.

Satisfactory

Satisfactory

1. 8 Demonstrate understanding about the role of the student nurse.

M.H. : I understand and respect my role as a student nurse. I know how to act and how to present myself as a student nurse.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Is responsible and complies with the standards of practice laid out by the College and the placement facility.

2. ACCURATE AND RELEVANT COMMUNICATION

Satisfactory

Satisfactory

2. 1 Participate in team sharing and discussions.

M.H. : I participate in team sharing and discussions. I try to put my input in as much as I can. I can be quiet aat times but I think I am slowly improving
in participating in conversations actively.

Satisfactory

Satisfactory

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic methods.
M.H. : I have been practicing documenting using point click care at my placement. I have accurately and professionally documented a variety of
client's vital signs, as well as documented notes regarding client's conditions.

Satisfactory

Satisfactory

2. 3 Report relevant information to the appropriate personnel.

M.H. : I know when something is wrong with a client I should inform the charge nurse on the floor. For example the other day at my clinical I noticed a
concerning vital sign and informed the nurse, and she told me we will just have to keep track of the client's vitals.

Satisfactory

Satisfactory

2. 4 Utilize communication techniques with the client and inter-professional health care team.
M.H. : I communicate with the health care team in a inter-professional and appropriate way. I ask relevant questions and share relevant concerns
with the health care team.

Satisfactory
Maintain privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA)

Satisfactory 2. 5

M.H. : I understand the to maintain the privacy and confidentiality according to PHIPA. I know not to speak about clients outside of the
interprofessional health care team, and not to release any information regarding a client.

Satisfactory

Satisfactory

2. 6 Use technology to retrieve information including research, data and other information.
M.H. : I use my e textbooks, online resources and any other resources to retrieve appropriate and accurate data and information. Each week I
preform diagnosis and drug research to prepare me for my clinical days using a variety technology to retrieve this information.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Is able to communicate accurately both verbally and nonverbally. Participates meaningfully in group discussions. Is able to determine
reportable findings and also to the appropriate personnel.

3. CARING RELATIONAL PRACTICE

Satisfactory

Satisfactory

3. 1 Utilize effective communication techniques.

M.H. : I use effective communication techniques while communicating with peers, clients and others in the inter-professional sense. Although my
communication skills with clients with sensory deficits could use a bit of improvement I continue to practice and work on these skills.

Satisfactory Satisfactory 3. 2
Demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members.
M.H. : I always try to demonstrating caring and therapeutic relationships with clients and health care team. I do this by being friendly and always
willing to help anyone. I am culturally safe by being aware of individual's differences and respecting their wishes and life styles.

Satisfactory

Satisfactory

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.
M.H. : The effects of therapeutic care are great in health care and client well-being. They can help a client feel safe and comfortable. There are
different therapeutic effects that can be use on a client-nurse bases and all are effective depending on the client.

Satisfactory
Use self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice.

Satisfactory 3. 4

M.H. : The understanding of others beliefs, values and personal experiences have to be respected and acknowledged in order to provide quality
health care for all individuals and clients.

Satisfactory

Satisfactory 3. 5

Interact with clients and members of the inter-professional health care team; and, consult appropriately.
M.H. : I interact with all persons related to the health care team while in my clinical. I speak with the nurse for concerns related to clients and ask any
relevant questions, I also speak with the PSWs regarding these issues as well.

Satisfactory Satisfactory 3. 6
Apply knowledge of practices and systems that support the diversity of clients and the interprofessional health care team.
M.H. : All clients are individual and must be cared for by their individual needs, values and beliefs. Based on these aspects all clients must be cared
for uniquely.

Satisfactory Satisfactory 3. 7
Apply knowledge of clients cultural, religious, and other beliefs and values as these influence clients choices and decisions.
M.H. : All clients will have different decisions and choices regarding their health care. It is priority that as a nursE I respect and understand all
individuals's and choices.

Unsatisfactory

Satisfactory

3. 8 Provide effective client education.

M.H. : I haven't gotten much of an opportunity to actually provide client's with education. But I do have a knowledge base that would be appropriate to
provide client education.

Teacher comments for CARING RELATIONAL PRACTICE :

Care delivery is done with respect and a sensitivity to the clients' wishes/preferences.

4. LEADERSHIP AND ADVOCACY

Satisfactory
4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

M.H. : When there are issues that need resolution I have the knowledge base and skills to strategize a conflict
resolution.
Satisfactory

Satisfactory

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.
M.H. : Being a leader it is very important to foster and support a positive learning environment. For nurses this is an important aspect when dealing
with clients and other team members.

Satisfactory Satisfactory 4. 3
Identify opportunities to improve health care service and nursing interventions by advocating for client, self, others, and quality practice.
M.H. : I know when it is appropriate to support and advocate for others in the health care setting to improve nursing interventions and the overall
health care.

Satisfactory
Provide feedback to peers and accept feedback from peers and members of the interprofessional health care team.

Satisfactory 4. 4

M.H. : I effectively provide feedback to peers and others in the health care setting. For example I recently filled out a peer feedback for one of my
classmates, and I effectively presented my feedback for her. She also gave me feedback regarding my practice and her observations.

Satisfactory

Satisfactory

4. 5 Support clients rights for self-determination and choice.

M.H. : All persons have the right to decide their own paths, and that includes their path of health care . I respect and understand any individuals
choice or decision regarding their lifestyles and health care choices.

Satisfactory

Satisfactory

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

M.H. : When people are acting in an inappropriate or unsafe manner I know how to react and who to go to t ohelp stop the unprofessional behaviour
in order to provide a safe environment.

Satisfactory Satisfactory 4. 7
Consult and collaborate when carrying out health care and nursing practices that are in the best interests of the public and protect the public
through collaboration and consultation.

M.H. : I know how to carry out a professional, helpful and therapeutic practice that will be beneficial for the public health care. I understand the
importance of the public's beliefs and desires to be cooperated

Teacher comments for LEADERSHIP AND ADVOCACY :

She leads by example. Is always respectful and professional in her approach.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED

OUTCOMES
Satisfactory

Satisfactory

5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of care.
M.H. : Each client is individual and unique, same as there needs. Therefore, a client's plans of care will be unique for each client. I incorporate these
needs into my care plans.

Satisfactory Satisfactory 5. 2
Develop theory-based plans of care that are holistic and client centered and are articulated competently in writing and orally.
M.H. : When I create my care plans weekly, I incorporate all parts of the client, not just the physical but the emotional aspects aswell. In the care
plans I have incorporated physiology and psychosocial aspects.

Satisfactory

Satisfactory

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
M.H. : I demonstrate these skills when making the second part of my care plan. I use my knowledge, skills and judgement to prioritize my client's
needs and outcomes to create an effective care plan.

Satisfactory

Satisfactory

5. 4 Provide information that contributes to the evaluation and refinement of plans of care.
M.H. : The information I collect when assessing my clients I use to better evaluate and refine my care plans so it is effective for the individual client.

Satisfactory Satisfactory 5. 5
Safely and competently carry out nursing assessments and nursing interventions that are theorybased and within skill abilities.
M.H. : I have not gotten the opportunity to carry out any nursing interventions I myself have created. I do understand how to create an effecting
nursing intervention appropriate to all clients.

Satisfactory

Satisfactory

5. 6 Carry out nursing care that reflects the practice decision-making framework.
M.H. : I always carry out nursing care that is reflective of the practice decision-making framework. I understand the importance of following this
framework to provide quality and safe care.

Satisfactory

Satisfactory 5. 7

Complete nursing care responsibilities and nursing interventions in an organized and timely manner.
M.H. : I think my time management skills have improved recently in performing my vital signs and carrying out other priority nursing interventions. I
also think I do it in a safe and organized manner.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

Ongoing practice in creating care plans, both Step 1 & 2 is encouraged. Care delivery is safe and competent. Documentation which is vital,
is usually done in a timely manner.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

Satisfactory Satisfactory 6. 1
Work with clients and members of the inter-professional health care team to assess clients, determine health needs, and to achieve mutually
agreed expected outcomes.
M.H. : When a client seems to have any type of health need or issue I know to collaborate with other team members in the inter-professional health
care team. They are good sources to help assess, create a diagnosis and achieve certain outcomes.

Satisfactory Satisfactory 6. 2
Contribute as a member of the inter-professional health care team to respond to the changing needs and expected outcomes of clients.
M.H. : I collectively contribute as a member in the inter- professional health care team to the response in the changing needs in the health care
environment and expected outcomes for individual clients.

Satisfactory

Satisfactory

6. 3 Seek out assistance and consult with members of the inter-professional health care team.
M.H. : I seek out assistance when needed. I can understand and appreciate the help from others weather I ask them for it or they just willingly
providing me with their assistance. I knoe when it is appropriate to ask for help and who from.

Satisfactory

Satisfactory

6. 4 Use teamwork, consensus building, and conflict resolution skills.

M.H. : I am always good working in a team setting where there is equal input to get to reasonable and helpful resolution.

Satisfactory
Describe effective, collaborative, and consultative strategies to meet clients needs within a changing environment.

Satisfactory 6. 5

M.H. : It is always good to speak with clients, clients family and other health care providers associated with the client in order to meet their their
changing needs in a collaborative and effective way.

Satisfactory

Satisfactory

6. 6 Interact with members of the health care team respecting their unique role and competencies.
M.H. : There are many different roles in health care, each with their individual importance and roles. I respect all individuals and their roles in the
team work environment.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Needs to increase her interaction and involvement with the inter professional team.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

Satisfactory Satisfactory 7. 1
Act in the best interests of clients and protect clients from harm through collaboration and consultation with members of the inter-professional
health care team and through competent and safe practice.
M.H. : The main priority is to keep the client safe, and their are many ways to insure how a client can and will remain safe. An important strategy to
maintain a client's safety is by consulting with other professionals and developing an effective plan to keep the client safe.

Satisfactory

Satisfactory

7. 2 Participate in self-reflection to identify strengths, areas for improvement.

M.H. : I recently have completed a self evaluation where I had identified my strengths and weaknesses. I had also had my instructor and a peer put
their input into my self reflection.

Satisfactory

Satisfactory 7. 3

Create, implement, and evaluate a learning plan consistent with the Quality Assurance program (CNO).
M.H. : I have recently completed a QA learning plan for myself. My learning plan is in need of some expansion, but it touches on my weaknesses and
explains how I work to improve them.

Satisfactory
Seek out learning opportunities and feedback that foster professional development; and, integrate these into practice.

Satisfactory 7. 4

M.H. : I seek out feedback from peers and instructors and use them to help me better my practice and help myself have a better understanding of
quality care.

Satisfactory

Satisfactory

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.
M.H. : There are many resources used to improve my nursing practice. This includes e textbooks, CNO, classes, instructors, other resource available
to the public.

Satisfactory

Satisfactory

7. 6 Use a theory-based approach and evidence-informed practice.

M.H. : Using both theory and evidence informed practice is very important in order to provide quality care.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Ongoing research and application to practice is the way to go in enhancing competence. Malissa's diligence in her research effort confirms
that she is on the right path. However pursuing more aggressively, new learning opportunities will be beneficial.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

Satisfactory

Satisfactory

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.
M.H. : Problem solving and decision making skills both go hand in hand, especially while developing quality nursing care.

Satisfactory Satisfactory 8. 2
Use problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected outcomes, nursing
interventions, and evaluative criteria.
M.H. : I have practice in making and developing nursing diagnosis, expected outcomes, nursing intervention and evaluation over the course of these
14 weeks. Problem solving and decision making skills were used while developing these assessments.

Satisfactory
8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making skills.

Satisfactory

M.H. : Decisions making and problem solving are crucial skills in nursing practice, and for this reason it is very important to develop and improve on
these skills. Improvement of this skills can be incorporated into my QA learning plan.

Satisfactory Satisfactory 8. 4
Utilize knowledge from variety of nursing, health, and other theory into nursing practice to provide safe and competent care.
M.H. : There are many places to collaborate knowledge from to incorporate into my nursing practice. I get this information from classes, instructors,
my clinical placement, e textbooks and many other online resources.

Satisfactory

Satisfactory

8. 5 Use prioritization strategies for client care.

M.H. : When dealing with clients I know that it can be complicated and there may be situations where I have to prioritize certain situations.
Satisfactory

Satisfactory

8. 6 Demonstrate professionalism and accountability.

M.H. : I always demonstrate professionalism and accountability by presenting myself appropriately in uniform and ready for my clinical day on time.

Satisfactory

Satisfactory

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.
M.H. : I know where my strengths and weaknesses are in my practice. I know and appreciate my limitations and the fact that I am not yet fully skilled
to practice safely in all aspects with out assistance and support.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Is developing satisfactorily. Ongoing daily client assessment and analysis are encouraged.

Student Final Summary with Strategies for Continued Growth

There are many important aspects to the nursing practice. This has become ear in these past 14 weeks while working in my clinical placement. I have
enjoyed all the skills and knowledge I have gained recently. I have had much practice in developing care plans, both step one and two. Also recently I
have had practice using point click care and documenting my assessments which I really enjoyed. I also have had much practice getting familiar with
working with a variety of CNO documents like the learning plans, and peer and self feedback. I look forward to the next semesters ahead.

Teacher Final Summary with Strategies for Continued Growth

Malissa has performed satisfactorily. She has gained much knowledge during this rotation. Her developing critical thinking skills are evident. Is
organized and is usually prepared for practice with all her research done. She is however reminded of the value of consistently having a daily
organizational plan in guiding her care delivery. Increased participation with the inter professional team is encouraged. Ongoing development of her
care plans will be beneficial.

Student's References
Just me

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfact
ory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

No

Yes
Program Coordinator comment
Needs to continue with their development and increasing knowledge level
Student Sign-off
I met with my Clinical Teacher/Preceptor and discussed my evaluation

No

Yes
In general this evaluation accurately reflects my performance

No

Yes
Student Comment
I agree that there is a need to continue to develop my knowledge and skill level.