F-2023 Anecdotal Notes

Nursing 289 FALL 2023
Practice Placement Communication Form

Student Reflection & Anecdotal Notes
Student Name: UCID:
Week 1:
Student Reflection Behavioural
Indicators
Achieved
(List #)
Student Identified Learning Goals

Instructor Comments on Reflection
*Questions to prompt further reflection
Instructor Anecdotal Notes Instructor Identified Learning

*Observations and/or feedback on clinical practice Goals
Fall 2023 Student Reflection & Anecdotal Form

1
Week 2:
Indicators
Achieved
(List #)


Week 3:
Indicators
Achieved
(List #)

2


Week 4:
Indicators
Achieved
(List #)


Week 5:

3
Indicators
Achieved
(List #)


Week 6:
Indicators
Achieved
(List #)

4

Week 7:
Indicators
Achieved
(List #)



5
Week 8:
Indicators
Achieved
(List #)


Week 9:
Indicators
Achieved
(List #)

6

Week 10:
Indicators
Achieved
(List #)



7
Week 11:
Indicators
Achieved
(List #)


Week 12:
Indicators
Achieved
(List #)

8
Instructor Anecdotal Notes Instructor Identified Behavioural

*Observations and/or feedback on clinical practice Indicators
Week 13:
Indicators
Achieved
(List #)



9
Week 14:
Indicators
Achieved
(List #)



10
BN Behavioural Indicators Tracking Form
*Maintained by Students on a weekly basis
BN Behavioural Indicators Date(s) Behavioural

Indicators addressed
I: Professional Responsibility and Accountability
Practices ethically, demonstrating core professional values (providing safe,

compassionate, competent and ethical care; promoting health and well-being;
promoting and respecting informed decision making; preserving dignity; maintaining
privacy and confidentiality; being accountable (CNA, 2008). (I.a)
Appropriately applies policies, procedures, and standards of the University of Calgary,
Faculty of Nursing, clinical agencies, and governing bodies. (I.b)
Maintains professional behaviour, attitude and appearance including but not limited to:
Demonstrates enthusiasm and motivation towards clinical practice. Arrives to clinical
experiences at assigned time. Completes course requirements as assigned. Maintains
fitness to practice. (I.c)
Provides evidence of preparation for clinical learning experiences. (I.d)
Engages in self-reflection and evaluation. Seeks out feedback on clinical performance.
Demonstrates awareness of own strengths and limitations and seeks support as
needed. (I.e)
Demonstrates commitment to learning by: seeking out learning opportunities; actively
participating in discussions; gathering and sharing of evidence. (I.f)
Employs leadership skills and practices to promote and sustain healthful environments
and safe systems of care. (I.g)
II: Safety
Practices safely. (II.a)
Works within student scope of practice. (II.b)
Identifies and communicates concerns/safety risks of patients, families, self, and the
health care team as appropriate. Applies appropriate strategies to support safe care.
(II.c)
III: Patient-Centered Care
Performs client assessments and interventions safely, proficiently, and sensitive to the
client’s preferences. (III.a)
Assesses unique client characteristics, such as the socio-ecological determinants of
health, patients’ values, preferences, and needs, and applies to nursing care plans.
(III.b)
Demonstrates clinical reasoning. Utilizes the nursing process to provide appropriate
nursing care. (III.c)
Demonstrates knowledge-based practice by applying theory to practice for selected
patients/populations. (III.d)
Implements client-centred health teaching. (III.e)
Demonstrates cultural sensitivity. (III.f)
Applies the principles of primary health care (accessibility, active public participation,
health promotion and chronic disease prevention and management, the use of
appropriate technology and innovation, intersectoral cooperation and collaboration) to
provide nursing care. (III.g)
Applies knowledge of population health priorities, trends, and risk mitigation strategies
to provide nursing care that is tailored to unique client characteristics. (III.h)
IV: Teamwork and Collaboration

11
Effectively utilizes verbal, non-verbal and written communication skills with patients,
families, and the interprofessional team. (IV.a)
Demonstrates principles of effective team functioning, such as commitment, active
participation, communication, leadership, and conflict resolution skills. (IV.b)
Acknowledges the views and scope of practice of interprofessional team members.
Collaborates by utilizing each role appropriately to meet the health needs of the client.
(IV.c)
Offers meaningful contributions in discussions, demonstrating knowledge, skills, and
abilities. (IV.d)
V: Evidence-Based Practice
Supports clinical activities using evidence-based literature, course acquired knowledge,

institution policies and procedures, and nursing theories. (V.a)
VI: Information and Communication Technologies
Effectively and ethically applies technology and/or health information systems to

support patient care. (VI.a)
Creates documentation that is accurate, timely, factual, complete,* and compliant with
standards. (VI.b)
Protects confidentiality of health information. (VI.c)
VII: Quality Improvement
Recognizes how nursing scope of practice contributes to quality improvement.

Participates in quality improvement projects in the care setting, as applicable. (VII.a)

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F-2023 Anecdotal Notes

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Nursing 289 FALL 2023

Practice Placement Communication Form

Student Name: UCID:

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Fall 2023 Student Reflection & Anecdotal Form

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Student Identified Learning Goals

Fall 2023 Student Reflection & Anecdotal Form

Instructor Anecdotal Notes Instructor Identified Learning

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Fall 2023 Student Reflection & Anecdotal Form

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Student Identified Learning Goals

Fall 2023 Student Reflection & Anecdotal Form

Instructor Anecdotal Notes Instructor Identified Learning

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Fall 2023 Student Reflection & Anecdotal Form

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Student Identified Learning Goals

Fall 2023 Student Reflection & Anecdotal Form

Instructor Anecdotal Notes Instructor Identified Learning

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Fall 2023 Student Reflection & Anecdotal Form

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Student Identified Learning Goals

Fall 2023 Student Reflection & Anecdotal Form

Instructor Anecdotal Notes Instructor Identified Behavioural

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Fall 2023 Student Reflection & Anecdotal Form

Student Identified Learning Goals

Instructor Anecdotal Notes Instructor Identified Learning

Fall 2023 Student Reflection & Anecdotal Form

BN Behavioural Indicators Date(s) Behavioural

Practices ethically, demonstrating core professional values (providing safe,

Fall 2023 Student Reflection & Anecdotal Form

Supports clinical activities using evidence-based literature, course acquired knowledge,

Effectively and ethically applies technology and/or health information systems to

Recognizes how nursing scope of practice contributes to quality improvement.

Fall 2023 Student Reflection & Anecdotal Form

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