NURS 2021H Clinical Course Evaluation

Final Evaluation

Student: Megan Scott

Clinical Instructor: Shelly Ham

Placement: PRHC Mat Child Group 1

Missed Clinical Hours: 12 Missed Lab Hours: 0

Satisfactory Progress (SP): The student demonstrates sufficient knowledge, and skill and ability to safely practice or achieve a competency with an average level
of teaching support and guidance; or the level of performance is what the instructor would expect of an average student at that level and point in time; and the
instructor reasonably anticipates that if the student continues at the current pace of practice and achievement, the student should be able to fully meet the objective
at the end of the course.

Unsatisfactory Progress(UP): The student does not demonstrate sufficient knowledge, or skill, or ability to safely practice or achieve a competency, even with
constant, intensive teaching support and guidance; or the level of performance is far below what the instructor would expect of the average student at that level
and point in time; and the instructor reasonably anticipates that if the student continues at the current pace of practice and achievement, the student is not likely
to meet the objective at the end of the course.

Needs Development(ND): The student demonstrates sufficient knowledge and ability to safely practice or achieve a competency, but requires more than average
teaching support and guidance; or the student demonstrates knowledge but needs more practice to achieve the competency; or the level of performance is below
what the instructor would expect of the average student at that level and point in time; and the instructor reasonably anticipates that if the student focuses his/her
learning in the required area, and gains sufficient practice, the student has the potential to meet the objective at the end of the course.

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)
 NURS 2021H Clinical Course Mid-Term Evaluation

Progress

Course Objective Evidence/Indicators Evidence/Indicators

MIDTERM FINAL
Recognize and begin to navigate the Student: Student:
complexities of family nursing. 


Progress Progress Final

Midterm

 SP  SP Clinical Instructor:
 ND  ND Clinical Instructor:
 UP  UP

Integrate knowledge from previous Student: Student:

courses to support diverse
populations.

Progress Progress Final

Midterm

 SP  SP
 ND  ND
 UP  UP Clinical Instructor: Clinical Instructor:
Critically appraise relational inquiry Student: Student:
processes and begin to develop
meaningful 
 relationships with
health care providers and family
members. 


Progress Progress Final

Midterm
Clinical Instructor: Clinical Instructor:
 SP  SP
 ND  ND
 UP  UP

Collaboratively formulate a plan of Student: Student:

care based on knowledge of family
nursing, related theories and
scholarly literature.

Progress Progress Final

Midterm

 SP  SP
 ND  ND Clinical Instructor: Clinical Instructor:
 UP  UP

Develop, implement and evaluate Student: Student:

the effectiveness of health-
promoting, evidence-based practice,
reflecting principles of family
nursing as relational 
 practice. 

Progress Progress Final
Midterm
Clinical Instructor: Clinical Instructor:
 SP  SP
 ND  ND
 UP  UP

Demonstrate increasing competence Student: Student:

and confidence in the application of
psychomotor skills in practice
settings.

Progress Progress Final

Midterm

 SP  SP
 ND  ND Clinical Instructor: Clinical Instructor:
 UP  UP

Demonstrate accountability and Student: Student:

professionalism that is consistent
with a nurse entering a self-
regulating profession.

Progress Progress Final

Midterm

 SP  SP
 ND  ND Clinical Instructor: Clinical Instructor:
 UP  UP
 Select appropriate community Student: Student:
support services for families
needing referral to enhance coping
with diverse transitional
experiences.

Progress Progress Final

Midterm

 SP  SP Clinical Instructor: Clinical Instructor:

 ND  ND
 UP  UP

This section to be filled out Student Areas of Strength Student Areas of Strength
by the student.
1. 1.

2. 2.

3. 3.

Student Areas for Future Student Areas for Future

Development Development

1. 1.

2. 2.

3. 3.

MIDTERM:
 Signature of Instructor___________________________________________________ Date _____________________________

Signature of Student_____________________________________________________ Date ______________________________

Satisfactory Unsatisfactory
Please circle the appropriate outcome

FINAL:

Signature of Instructor___________________________________________________ Date _____________________________

Signature of Student_____________________________________________________ Date ______________________________

Satisfactory Unsatisfactory
Please circle the appropriate outcome
Attendance

Hrs. Hrs.
Week 1 12 Week 5 Surgery
Week 2 12 Week 6 12
Week 3 12 Week 7 12
Week 4 12 Week 8 12

Total number of clinical hours completed: 84 hours

1. Clinical Component

Satisfactory Unsatisfactory
Please circle the appropriate outcome

2. Clinical Learning Center- labs and simulations

Satisfactory Unsatisfactory
Please circle the appropriate outcome

3. Enhanced Learning Days

Mental Health Day ___________
NVCI ____________