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Self Assessment

2015 - 2015 - Final NURS - 208 Course Learning Outcomes (201509)


NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2015 - 31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Yun Joo Chung


Carol Correia
Judy Martin
University Health Network/Toronto Rehab University
Avenue Site
Rehabilitations Units
7 South MSK
06-Sep-2015 To 31-Dec-2015
156
168
156

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

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

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
Y.J.C. : I am able to regularly review, understand, and act accordingly based on the unit's policies and procedures.
C.C. : Student was encouraged to come to clinical with a plan, goals, medication research to be done on the first day and then review the
next day.This expectation was maintained on several occasion, student came to clinical dressed in proper uniform and on time .

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

Satisfactory

Satisfactory

Y.J.C. : I am able to act responsible, ethical and accountable manner toward my peers, instructor, and everyone involved in the clinical
settings by asking appropriate questions and reporting to the appropriate health care provider.

1. 3 Determine how the three factor and practice decision-making frameworks influence client

Satisfactory

Satisfactory

care.
Y.J.C. : By communicating with the client and reviewing their needs, I am able to work effectively with the primary nurse as well as
discussing with the instructor to ensure best care by satisfying the three factor framework.

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

Unsatisfactory

Unsatisfactory

Y.J.C. : Still need development on this skill with more experience in the field and guidance on improvement.
C.C. : Student encouraged to implement the concept mapping that was competed, along with regular review of theory before each clinical .

1. 5 Carry out safety-based practices and risk management principles to ensure client safety
and a safe environment.

Satisfactory

Satisfactory

Y.J.C. : I am able to ensure client safety by providing a safe environment and ensure that the client is safe from further injuries and falls.

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever

Satisfactory

Satisfactory

uncertain.
Y.J.C. : I have worked effectively with the primary nurse along with the other health care providers. Whenever uncertain, I ensure I
communicate and ask appropriate questions and ask for assistance when needed.

1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
Y.J.C. : When it was necessary, I was able to report to my instructor as well as other health care providers when in need of assistance.

1. 8 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

Y.J.C. : I am able to demonstrate my role as a student nurse with effective communication, skill and organization.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
On a continuous bases student have shown her ability to plan, set goals. However, building self confident will help student to accomplish
her role as a nurse. A continuous review of theory will give better understanding of theory-based approach care.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

Y.J.C. : I was able to reach out to my team and discuss skills and share experiences.
C.C. : Participating in reflection in post conference open up several opportunity for you to hear how to deal with other health problems on
the floor,

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic

Satisfactory

Satisfactory

methods.
Y.J.C. : By reviewing with the instructor and the primary nurse, I was able to document in a proper manner.
C.C. : Student has demonstrated improvement with charting and understanding of what needs to be charted.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

Y.J.C. : I am able to report all necessary information to my peers, instructor, and the primary nurse.
C.C. : Student demonstrated on several occasion the ability to report off to staff at the end of each shift, was encouraged to include the
client present condition

2. 4 Use communication techniques with the client and the inter-professional health care
team.
Y.J.C. : I am successful in using my communication techniques to ensure proper communication.

Satisfactory

Satisfactory

C.C. : Student demonstrated her communication technique by informing the rehab team when a patient is not able to make it at the time
that was schedule, also when working with primary nurses to ensure a safe patient care.

2. 5 Ensure privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Protection Act (PHIPA).


Y.J.C. : I am able to provide privacy and confidentiality for my clients and all others who was involved.

2. 6 Use technology to retrieve and share information including research, data and other

Satisfactory

Satisfactory

information.
Y.J.C. : I am able to search online resources to clarify my skills and knowledge.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :


On a continuous bases student have been completing the charting and reporting to staff the relevant information

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

Y.J.C. : I was able to use effective communication techniques by providing options for the clients, proper eye contacts, and responses.

3. 2 Establish therapeutic caring, compassionate, and culturally safe relationships with clients

Satisfactory

Satisfactory

and health care team members.


Y.J.C. : I am able to provide therapeutic care with compassion and respect reflective of their cultural beliefs and background.
C.C. : Student demonstrated compassion, patience, understanding , respect for each assign patient .

3. 3 Demonstrate therapeutic use of self to foster client well-being.

Satisfactory

Satisfactory

Y.J.C. : I am able to use therapeutic client well-being knowledge to communicate effectively with my clients and health care members.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences

Satisfactory

Satisfactory

Satisfactory

Satisfactory

have on relational practice.


Y.J.C. : I am able to take all client's personal beliefs into consideration when providing care.

3. 5 Collaborate with clients and members of the inter-professional health care team and
consult appropriately.

Y.J.C. : I am able to communicate with clients in a proper manner and consult with my peers/instructor/ and the health care team.

3. 6 Support the diversity of clients and the inter-professional health care team.

Satisfactory

Satisfactory

Y.J.C. : I am able to support and understand the diversity of clients and the inter-professional health care team.

3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values
influencing their choices and decisions.

Satisfactory

Satisfactory

Y.J.C. : I am able to review client's Kardex and Charts and make modifications on communication techniques based on their personal
beliefs and values and respect their choices.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

Y.J.C. : I am able to educate client when client is practicing unsafe mobility movements and demonstrating lack of knowledge on their
conditions
C.C. : Student demonstrated understanding after staff gave education on discharge procedure from rehab

Teacher comments for CARING RELATIONAL PRACTICE :


Student cared for each client assign with respect, compassion and privacy.

4. LEADERSHIP AND ADVOCACY

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

Satisfactory

Satisfactory

Y.J.C. : I am able to ensure to use proper communication skills to maintain professionalism in clinical settings.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work

Satisfactory

Satisfactory

environment.
Y.J.C. : I am able to take proper initiatives to develop solutions and plan ways to create positive work environment.

4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.


Y.J.C. : While working on the unit with the peers and providing assistance to one another, was able to provide feedback and suggestions
to techniques and able to receive feedback from peers.

4. 4 Advocate for clients, self, others, and quality practice environment.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Y.J.C. : Was able to support client's rights and work with my peers.

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


Y.J.C. : I am able to respect their choice and rights

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

Y.J.C. : I am able to recognize unsafe, unacceptable, and unprofessional behaviors and report to the right professional/instructor.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
Y.J.C. : I am able to seek for assistance and guidance when needed for the safety of patient and the public.

4. 8 Contribute to the creation of quality practice solutions and strategies.

Satisfactory

Satisfactory

Y.J.C. : When needed, was able to discuss with the primary nurse and share ideas and strategies to ensure best quality care for the client.

Teacher comments for LEADERSHIP AND ADVOCACY :


Student demonstrated the beginning of leadership and advocacy each time the patient did not feel like going to physio, student had to let
the staff and the rehab team know so that a new time can be given. Taking time to explain why patient has to have rehab was done on
several occasion.

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

5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-

Satisfactory

Satisfactory

centred plans of
care.
Y.J.C. : I am able to review client's Kardex and charting and take notes of the priorities when providing care and respect/ understand their
needs.

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Unsatisfactory

Satisfactory

articulated competently in writing and orally.


Y.J.C. : Need development on structuring theory-based plans.
C.C. : Student is encourage to apply the theory from class in the planning and implementation of patient care.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

Satisfactory

Y.J.C. : I am able to review and assess the client at the beginning of the shift and prioritize client's expected outcomes and needs by using
knowledge, skill, and judgement.

5. 4 Collaborate in the evaluation and modification of plans of care.

Satisfactory

Satisfactory

Y.J.C. : Able to work with the primary nurse to evaluate and make proper modifications on client's plan of care when necessary.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing

Satisfactory

Satisfactory

interventions in a manner that demonstrates knowledge and skill.


Y.J.C. : By reviewing client's Kardex and charts, I was able to review and focus on assessments that was in need of attention.

5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

Satisfactory

Satisfactory

Y.J.C. : I was able to work with the primary nurse and utilize the three-factor and practice decision-making frameworks to provide best care
for the clients.

5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and

Satisfactory

Satisfactory

physical
resources.
Y.J.C. : Upon receiving two assigned clients, I was able to organize and prioritize client's in need of care. I was also able to keep the client
updated on time and expected outcome of the day.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Student demonstrated ability to organize set priorities with three patient that was assign Dec 3&4/15

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Collaborate with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
Y.J.C. : I am able to effectively and respectfully work with clients and members of the health care team to achieve expected positive
outcomes.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.


Y.J.C. : I am able to communicate effectively and work with the healthcare team to assess for any changes that needs to be made and
provide positive outcomes for the clients.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

Y.J.C. : I am able to communicate effectively with the health care team to seek assistance and consult with any issues and concerns that
may arise.

6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client

Satisfactory

Satisfactory

outcomes.
Y.J.C. : I am able to work with my peers effectively with respect and discuss any concerns to maintain professional relationships.

6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a

Satisfactory

Satisfactory

changing
environment.
Y.J.C. : When patient's mobility status changes, I was successful in communicating with the occupational and physio therapists to discuss
motivation strategies and goal of the patient. I will also consult with the primary nurse regarding the changes and strategies.

6. 6 Interact with members of the health care team respecting their unique role and

Satisfactory

Satisfactory

Satisfactory

Satisfactory

competencies.
Y.J.C. : I am able to maintain positive and respectful relationships with the health care team.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :


Student worked very well the staff on the unit and the other inter professional health care team.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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.

Y.J.C. : I am able to work with my clients effectively and provide client priority care. I am able able to communicate effectively with the
health care team to maintain safe environment for the client.

7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,

Satisfactory

Satisfactory

integrate feedback into practice.


Y.J.C. : I am able to receive feedback from each primary nurse after each shift. After receiving feedback, I reflect and make changes to
improve.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance

Satisfactory

Satisfactory

Satisfactory

Satisfactory

program (CNO).
Y.J.C. : I was able to complete learning plan and pending to discuss with instructor.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,
integrate these into practice.

Y.J.C. : I maintain to communicate with my peers and other nurses at the unit for learning opportunities and strategies.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

Unsatisfactory

Unsatisfactory

Y.J.C. : I am able to search for skills and knowledge in literature to reflect and maintain my skills.

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

Y.J.C. : Need development to comply with proper approach and need more clinical setting experience.
C.C. : Applying the concept map that was completed to practice would have been much better for you to understand that you had the
proper setting experience. Take more time to apply theory to each assign patient

7. 7 Apply knowledge of changes to the health care system, technology, and in society as

Satisfactory

Satisfactory

these affect nursing practice.


Y.J.C. : I am able to apply knowledge and skills throughout changing environments.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :


Student is encourage to continuously check the CNO site and practice the role of PN and also study some case studies and find ways to
use them in the clinical setting.

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

8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects

Satisfactory

Satisfactory

of nursing care.
Y.J.C. : I am able to identify and use my skills and knowledge in appropriate situations and by discussing with the primary nurse.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to
determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative
criteria.

Satisfactory

Satisfactory

Y.J.C. : By using proper organization skills, I am able to use the skills to assess clients based on their priority needs and assure expected
outcomes are met.

8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan

Satisfactory

Satisfactory

to improve
these.
Y.J.C. : After the first 6 hours shift of the week, I am able to develop a reflection and plan to improve for the next day.

8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing

Satisfactory

Satisfactory

practice to provide safe and competent care.


Y.J.C. : By consistent review and plan, I am successful in providing safe and competent care for the clients.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

Y.J.C. : I am able to assess the patient at the beginning of the shift and work throughout the shift to prioritize the client's need and ensure
client's goal.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

Y.J.C. : I am able to communicate and act in professional manner with all who are involved in client care.

8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform

Satisfactory

Satisfactory

and guide practice.


Y.J.C. : I am able to and have demonstrated to successfully practice as a student nurse and have shown my practice has been centered by
the frameworks.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :


Student has demonstrated how to apply critical thinking skills on some occasion but will need more practice it in all problem-solving and
decision making

Student Final Summary with Strategies for Continued Growth


By the end of semester 4, with more experience in the clinical field and more 1:1 guidance, I will effectively improve on my critical thinking skills. I will
continue to list my needs of improvements and work with available resources and work with my team to plan for more effective studying methods.

Teacher Final Summary with Strategies for Continued Growth


Student is encouraged to apply critical thinking, problem-solving and decision-making.Has in the case of Mrs S that was assign to patient week 10.
having a plan that will help patient to be more cooperative during ADL, learning from staff what worked well in the pass for this patient and then
making a plan to use them along with other ideas that you may have from your theory about alzheimer's patients. In pergrad you will need to take time
to review the abnormal and normal conditions in order that you will be able to make professional decisios.

Student's References
College of Nurses of Ontario. (2014). Development of SMART Learning Goals. Retrieved from http;//www.cno.org

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback


The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off


I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No