PRCM 6665 WEEK 1 Clinical Skills Self-Assessment Paper
PRCM 6665 WEEK 1 Clinical Skills Self-Assessment Paper
PRCM 6665 WEEK 1 Clinical Skills Self-Assessment Paper
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
The clinical practice of a psychiatric-mental health nurse practitioner is concentrated on people of all ages who are at risk of developing psychiatric illnesses or mental health issues, as well as on their families and communities (Aggarwal et al., 2022). Understanding one’s past, expertise, and experience before beginning any professional or academic endeavor is critical. Self-reflection is crucial for the development of clinical abilities, such as those required for advanced practice nursing. The purpose of this paper is to evaluate my degree of comfort doing the skills listed on the Clinical Skills Self-Assessment Form, list my strengths and areas for growth, and develop quantifiable goals and objectives for this practicum.
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| 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 |
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: | ||||
| Developing and prioritizing a differential diagnoses list | ||||
| Formulating diagnoses according to DSM 5-TR based on assessment data |
X |
|
||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
X |
|||
| Pharmacotherapeutic skills in: | ||||
| Selecting appropriate evidence-based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, finances, the process of informed consent, symptom management) |
X |
|||
| Evaluating patient response and modifying plan as necessary |
X |
|||
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) |
X |
|||
| Psychotherapeutic Treatment Planning: | ||||
| Recognizes concepts of therapeutic modalities across the lifespan |
X |
|||
| Selecting appropriate evidence-based clinical practice guidelines for the psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for the situation) |
X |
|
||
| Applies age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers |
X |
|||
| Develop an age-appropriate individualized plan of care |
X |
|||
| Provide psychoeducation to individuals and/or any caregivers | ||||
| Promote health and disease prevention techniques |
X |
|||
| Self-assessment skill: | ||||
| Develop SMART goals for practicum experiences |
X |
|||
| Evaluating outcomes of practicum goals and modifying 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), interpreting results, and making recommendations and referrals: | ||||
| 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 |
|||
| Develops an appropriate plan of care based on screening instruments’ response |
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:
| Over the past few years, my experience as a nurse practitioner has enabled me to acquire a significant amount of knowledge and skills that are essential for enhancing psychiatric evaluations and treating mental illnesses. As a result of my previous professional experience, I possess a high level of confidence in my ability to conduct clinical evaluations, make diagnoses, and administer treatments. Based on the positive feedback from patients, it can be inferred that my primary area of expertise lies in oral communication. The assessment, diagnosis, and management of individuals with mental illness are heavily reliant on the patient’s medical history (Aggarwal et al., 2022). Through the implementation of proficient communication strategies such as active listening and sustained eye contact, I have successfully established a more robust rapport with my patients, thereby instilling in them the assurance to openly discuss their symptoms and experiences. Demonstrating empathy is a crucial aspect of providing care for individuals with mental health conditions, and I can exhibit such sensitivity toward their needs. |
Opportunities for growth:
| I have mostly treated adults, therefore I find it challenging to evaluate and treat children and adolescents, particularly when giving medicine. Certain mental disorders exhibit distinct variations in their manifestation and progression across children and adults, thereby necessitating tailored treatment approaches. Despite the significance of mental illnesses in this susceptible demographic, there exists a dearth of research on the efficacy of pharmacological interventions in treating the majority of these conditions (Kverno & Frosch, 2022). Consequently, there is a need for me to acquire further knowledge regarding the diagnosis, treatment, and assessment of mental disorders in the pediatric and adolescent populations. Therefore, it is imperative to enhance my documentation proficiency to recommend individuals for psychiatric consultation, which involves utilizing suitable screening tools and assessing the outcomes. My objective is to acquire knowledge and enhance my professional skills in providing mental health services to both children and adults with mental illnesses. I aim to achieve this by seeking guidance and supervision in areas where I have identified deficiencies during my practicum experience. |
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 be able to conduct psychiatric interviews on at least 5 children and 5 adults without supervision every week over the following 8 weeks (International Council of Nurses, 2020).
a. Objective: Maintaining attention to the relevant information. Reading and practicing what I’m studying will help me learn and master the psychiatric interview, with the guidance of my preceptor. b. Objective: During interviews, it is helpful to ask a mix of open- and closed-ended questions. c. Objective: Have my preceptor do a daily assessment to determine how much time I spend with each patient and how I can make it better.
2. Goal: Be able to correctly and independently record recommendations for consultations with psychiatrists for at least two different patients each week over the next eight weeks (Aggarwal et al., 2022). a. Objective: Keep a notebook close at hand for vital information. b. Objective: By examining psychiatric interview books from learning materials and preceptor assessments, keep track of the length of each session and develop techniques to shorten the time spent on questions. c. Objective: Review the documentation in the learning materials to help me keep on track with the daily documentation requirements.
3. Goal: Find at least 5 children and teens each week for the next eight weeks, diagnose them, and treat them without supervision, using academic resources and clinical practice guidelines (International Council of Nurses, 2020). a. Objective: Determine what resources are accessible to families in their areas and, if required, which ones should be directed to. b. Objective: Involve the child or adolescent in the care plan. Take into account their preferences and, if suitable, try to incorporate them into the strategy. c. Objective: If I have any questions about the resources my preceptor utilizes for these groups, I will ask her for help.
4. Goal: To compile detailed patient histories for at least five adolescents and teens who present each week for the next eight weeks with mental symptoms without supervision (Shain et al., 2018). a. Objective: Follow the directions in the learning resource books and the rules for interviewing children and adolescents for mental health issues. b. Objective: Analyze the intake data to prepare for subsequent visits. Ask the proper questions of the kid or adolescent and their parents or caregivers by the information from the intake. c. Objective: Obtain insightful input from my preceptor on a daily or weekly basis on how effectively I take a medical history of these groups.
|
Conclusion
It is clear to me from the filled-out evaluation form that I have a high degree of skill in doing clinical examinations, making diagnoses, and providing treatments. Based on excellent patient feedback, it is clear that my core area of skill is oral communication. However, there is a need for me to obtain greater information about the diagnosis, treatment, and evaluation of mental problems in the pediatric and adolescent populations to fulfill my responsibilities. As a result, I was able to develop the four goals and objectives listed above to strengthen my areas of weakness and showcase my experience in promoting high-quality mental healthcare services for all ages.
Signature:
Date:
Course/Section:
References
Aggarwal, R., Cowley, D. S., Tang, J., Lundquist, R. S., Wolf, K. M., & Walaszek, A. (2022). Understanding the Training of Psychiatric Mental Health Nurse Practitioners. Academic Psychiatry, 1-5. https://doi.org/10.1007/s40596-022-01679-0
International Council of Nurses. (2020). International Council of Nurses Guidelines on Advanced Practice Nursing 2020. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
Kverno, K. S., & Frosch, E. (2022). Evaluation of the implementation of an online psychiatric nurse practitioner program for primary care nurse practitioners: Use of a Participatory Evidence-Informed (PEPPA-Plus) framework. Archives of Psychiatric Nursing, 39, 59-65. https://doi.org/10.1016/j.apnu.2022.03.008
Shain, B., Sherry, A., Advisor, R., Chang, J., Advisor, A., Wang, K.-P., Berland, D., O’keefe, D., & Ferguson, K. (2018). CPT Code Training Module Maintained by the CPT Coding and Reimbursement Committee. https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/business_of_practice/cpt/2018_CPT_module_revised_March_2018.pdf
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Clinical Skills Self-Assessment
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 PMHNP Clinical Skills List and PMHNP 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 skills list covers all necessary skills you should demonstrate during your practicum experiences.
For this Assignment (just as you did in PRAC 6645), 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. As you complete your self-assessment this week, you may wish to look back over your self-assessments from prior practicums to reflect on your growth.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Learning Resources
Required Readings
American Academy of Child and Adolescent Psychiatry. (2018). CPT code training module.
Download CPT code training module. https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/business_of_practice/cpt/2018_CPT_module_revised_March_2018.pdf
American Association of Nurse Practitioners. (2019). Discussion paper: Standards of practice for nurse practitioners.
Download Discussion paper: Standards of practice for nurse practitioners. https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf
American Psychiatric Association. (2020). Coding and reimbursement.
Links to an external site. https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement
American Psychiatric Nurses Association. (2013). Population-focused nurse practitioner competencies.
Download Population-focused nurse practitioner competencies. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/populationfocusnpcomps2013.pdf
Note: Review the Psychiatric Mental Health Nurse Practitioner Competencies.
International Council of Nurses. (2020). Guidelines on advanced practice nursing 2020.
Download Guidelines on advanced practice nursing 2020. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
Meditrek
Links to an external site.
https://edu.meditrek.com/Default.html   
Note: Use this link to log into Meditrek to report your clinical hours and patient encounters.
The National Organization of Nurse Practitioner Faculties
Links to an external site.
https://www.nonpf.org/
The National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies content.
Download Nurse practitioner core competencies content.
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf
Walden University Academic Skills Center. (2017). Developing SMART goals.
Download Developing SMART goals.
https://academicguides.waldenu.edu/ld.php?content_id=51901492
Walden University Field Experience. (2020a). Field experience: College of Nursing.
Links to an external site. 
https://academicguides.waldenu.edu/fieldexperience/son/home
Walden University Field Experience. (2020b). MSN nurse practitioner practicum manual.
Links to an external site.
https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
Walden University Field Experience. (2020c). Walden University School of Nursing: Practicum orientation and resource guide for students: MSN—nurse practitioner.
Links to an external site.
https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation 
Document: Practicum Site Information Form
Download Practicum Site Information Form (Word document)
Document: PMHNP Clinical Skills List
Download PMHNP Clinical Skills List (PDF)
Document: PMHNP Clinical Skills Self-Assessment Form
Download PMHNP Clinical Skills Self-Assessment Form (Word document)
To Prepare
Review the 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 PMHNP Clinical Skills Self-Assessment Form to complete this Assignment.
The Assignment
Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:
Rate yourself according to your confidence level performing the skills identified in 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 of Week 1
Submit your completed PMHNP Clinical Skills Self-Assessment Form.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK1Assgn2+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
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Rubric
PRAC_6665_Week1_Assignment2_Rubric
PRAC_6665_Week1_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.
25 to >22.0 pts
Excellent
The response provides ratings for all skills on the form.
22 to >19.0 pts
Good
The response provides ratings for most of the skills on the form.
19 to >17.0 pts
Fair
The response provides ratings for some of the skills on the form.
17 to >0 pts
Poor
The response provides ratings for only a few skills on the form, or ratings are missing.
25 pts
This criterion is linked to a Learning Outcome Based on your ratings, summarize your strengths and opportunities for improvement.
30 to >26.0 pts
Excellent
The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.
26 to >23.0 pts
Good
The response provides an accurate summary of both the strengths and opportunities for improvement.
23 to >20.0 pts
Fair
The response provides a somewhat vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement.
20 to >0 pts
Poor
The response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing.
30 pts
This criterion is linked to a Learning Outcome 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.
30 to >26.0 pts
Excellent
The response provides three to four (3–4) clear, appropriate, and measurable goals and objectives for the practicum experience.
26 to >23.0 pts
Good
The response provides three to four (3–4) appropriate, measurable goals and objectives for the practicum experience.
23 to >20.0 pts
Fair
The response provides three to four (3–4) unclear or inappropriate goals and objectives for the practicum experience.
20 to >0 pts
Poor
The response provides three to four (3–4) unclear or inappropriate goals and objectives for the practicum experience, or goals and objectives are missing.
30 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling, nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.
5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided, which delineates all required criteria.
4 to >3.5 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
3.5 to >3.0 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.
3 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity <60% of the time. No purpose statement, introduction, or conclusion was provided.
5 pts
criterion is linked to a Learning Outcome Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.5 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
3.5 to >3.0 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
3 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting—APA Format: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and Reference List.
5 to >4.0 pts
Excellent
Uses correct APA format with no errors.
4 to >3.5 pts
Good
Contains a few (1 or 2) APA format errors.
3.5 to >3.0 pts
Fair
Contains several (3 or 4) APA format errors.
3 to >0 pts
Poor
Contains many (≥5) APA format errors.
5 pts
Total Points: 100
