Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example

Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example

Psychiatric mental health nurse practitioners (PMHNP) are essential professionals in the mental health management spectrum. The PMHNP is crucial in assessing, diagnosing, and treating behavioral and mental health illnesses (Gaines, 2020). Through clinical training, PMHNP students learn clinical skills necessary to achieve competency in their roles. The paper highlights the goals and objectives of the practicum experience based on clinical skills self-assessment, personal strengths and weaknesses related to the clinical skills, and a self-reflection of the practicum experience.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example
Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example

PRAC 6635 Clinical Skills Self-Assessment Form

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(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Differentiating between pathophysiological and psychopathological conditions
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) (Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Performing and interpreting a mental status examination
Performing and interpreting a psychosocial assessment and family psychiatric history
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Diagnostic reasoning skills in:
Developing and prioritizing a differential diagnoses list
Formulating diagnoses according to DSM 5 based on assessment data (Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes
Pharmacotherapeutic skills in:
Selecting appropriate evidence-based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) (Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Evaluating patient response and modify plan as necessary
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Selecting appropriate evidence-based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) (Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Applies age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers
Develop an age-appropriate individualized plan of care(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Provide psychoeducation to individuals and/or any caregivers
Promote health and disease prevention techniques
Self-assessment skill:
Develop SMART goals for practicum experiences
Evaluating outcomes of practicum goals and modify plan as necessary
Documenting and reflecting on learning experiences
Professional skills:
Maintains professional boundaries and therapeutic relationships with clients and staff
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings
Identifies ethical and legal dilemmas with possible resolutions
Demonstrates non-judgmental practice approach and empathy(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Practices within the scope of practice
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
Implements the screening instrument efficiently and effectively with the clients(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)
Interprets results for screening instruments accurately
Develops an appropriate plan of care based on screening instruments response
Identifies the need to refer to another specialty provider when applicable
Accurately documents recommendations for psychiatric consul(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)tations when applicable

 

Summary of strengths:

 

Diagnostic Reasoning: I am confident that I can formulate a diagnosis based on the DSM-5 and develop and prioritize differential diagnoses. Diagnostic Reasoning is crucial in making an accurate and timely decision regarding a patient’s health (Simpking et al., 2017).(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

Health Promotion: I am confident in applying age-appropriate psychoeducation and counseling to promote and prevent diseases. Psychoeducation is crucial in improving symptoms related to various mental health illnesses (Kramer & Bjorklund, 2021).(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

Clinical communication: I am confident I can document patient recommendations for appropriate psychiatric referrals. Communication is central to effective nurse-nurse and nurse-patient relationships (Ball et al., 2021).(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

 

 

Opportunities for growth:

·         The first opportunity for growth is the appropriate selection of evidence-based clinical practice guidelines for medication planning.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

·         The second opportunity for growth is the need to develop competency in self-assessment skills, i.e., evaluating the outcomes of practicum goals, documenting and reflecting on learning experiences, and modifying the plan when necessary.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

·         The third opportunity for growth is the need to master the ethical and legal dilemmas in clinical practice and possible solutions.

·         Lastly, I need to master the ability to develop an appropriate plan of care based on the outcome of patient screening.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

 

Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy described in the Learning Resources.

·         By the 10th week of my practicum, I should be competent in selecting and implementing mental health screening instruments and interpreting results independently.

Objective: Consult with my preceptors during the practicum period.

Objective: Use the resources and material available in the clinical setting.

Objective: Review various screening tools and uses across different mental health illnesses.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

·         By the 10th week of the practicum, I should be competent in evaluating, documenting, and reflecting on practicum goals and learning outcomes.

Objective: Write down the goals to be achieved during the practicum

Objective: Make daily notes of my practicum experience.

Objective: Make reflections on daily experiences across the clinical setting.

·         By the 10th week of the practicum, I should be competent in identifying ethical and legal dilemmas and mental health and possible resolutions.

Objective: Familiarize with the state’s scope of practices

Objective: Familiarize myself with the hospital’s ethical tenets.

Objective: Consult with my preceptor whenever necessary.

·         By the 10th week of the practicum, I should be competent in selecting and implementing various screening instruments, interpreting the results, recommending, and referring patients.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

Objective: Review various screening instruments and relevant clinical situations.

Objective: consult with my preceptor whenever necessary

Objective: Refer to the guidelines before adopting any clinical screening instrument.

 

Self-Reflection

At the start of the practicum, I listed three goals to achieve by the end of the practicum experience. These goals were related to my areas of weakness as identified by the clinical self-assessment form. The first goal was to be competent in selecting and implementing mental health screening instruments and interpreting results. The second goal was to be competent in evaluating, documenting, and reflecting on practicum goals and learning outcomes. The third goal was to be competent in identifying ethical and legal dilemmas and mental health and possible resolutions. The fourth goal was to be competent in selecting and implementing various screening instruments, interpreting the results, and recommending and referring patients. All four goals were crucial since they determine my competency as a PMHNP and deliver quality and safe care.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

To this end, I can confidently select and implement mental health screening instruments and interpret results. This goal was achieved through consistent consultation with my preceptor, using resources and material available in the clinical setting, and reviewing screening tools for various mental health illnesses. Similarly, I can confidently evaluate, document, and reflect on my practicum goals and learning outcomes. I achieved this goal by noting the goals to be achieved, recording daily experiences, and reflecting upon them. Furthermore, I can confidently identify the legal and ethical dilemmas in mental health and provide resolutions. I achieved this goal by familiarizing myself with the state’s scope of practice, the hospital’s ethical tenets, and consultation with my preceptor. Lastly, I can confidently select and implement various screening instruments and recommend and refer patients. I achieved this goal by reviewing multiple screening tools, consulting my preceptor, and referring to guidelines before adopting any screening instrument.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

A problematic encounter during the practicum involved a 35-year-old Hispanic male with a history of pathological drinking and substance abuse. The patient was violent and resistant to every psychiatric intervention. In the end, the facility obtained a restraint order for the patient. Restraint is typically recommended for aggressive and violent mental health patients presently assessed to be at risk of harm to themselves and others (Ye et al., 2019). The other encounter involved a West African immigrant, a female aged 26 with a history of anxiety and depression due to intimate partner violence. The patient had not sought treatment in a long time since intimate partner violence is normal in her background, and she only came to the hospital following police intervention. Cultural affiliations determine how patients behave towards seeking treatment and coping with health outcomes (Gopalkrishnan, 2018).(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

Through the practicum, I have learned that mental health illnesses have a broad spectrum. The concept of the mental health continuum implicates how different people perceive mental health across various cultures (Peter et al., 2021). Clinical assessment is central to determining various mental health conditions’ causes and underlying determinants. A PMHNP is critical in assessing, diagnosing, and treating mental health conditions. Besides, I learned that ethical dilemma is a common aspect of mental health nursing. However, it is critical to understand the moral obligations in given jurisdictions and legal requirements when making decisions in conflicting situations. Evidence-based practice is vital in making clinical decisions and achieving positive patient health outcomes. Therefore, competency in various clinical skills is necessary to provide quality and safe mental health care services.

In conclusion, I had a crucial practicum as far as my career is concerned. I have benefited mainly from communication and feedback from my peers, licensed colleagues, and my preceptor. Ideally, communication and feedback are critical in pointing out areas that need improvement and how to improve them. Having achieved my practicum goals, I believe I still need to review all the skills learned, including screening tools, evidence-based practice, clinical documentation, and ethical and legal issues. I look forward to fostering formal and informal relationships with my peers, licensed PMHNP, mentors, and preceptors to continue learning and improving my clinical skills as a PMHNP student nurse.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example

 References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2021). Seidel’s Guide to Physical Examination-E-Book: An Interprofessional Approach. Elsevier Health Sciences.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example)

Gopalkrishnan, N. (2018). Cultural diversity and mental health: Considerations for policy and practice. Frontiers in public health6, 179(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example). https://doi.org/10.3389%2Ffpubh.2018.00179

Kramer, A., & Bjorklund, P. (2021). Implementation and evaluation of a psychoeducation program in an outpatient mental health center. Perspectives in Psychiatric Care57(1), 219-224.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example) https://doi.org/10.1111/ppc.12552

Peter, L. J., Schindler, S., Sander, C., Schmidt, S., Muehlan, H., McLaren, T., … & Schomerus, G. (2021). Continuum beliefs and mental illness stigma: a systematic review and meta-analysis of correlation and intervention studies. Psychological medicine, 1-11. https://doi.org/10.1017%2FS0033291721000854

Simpkin, A. L., Vyas, J. M., & Armstrong, K. A. (2017). Diagnostic Reasoning: an endangered competency in internal medicine training. Annals of Internal Medicine167(7), 507-508.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example) https://doi.org/10.7326/M17-0163

Ye, J., Wang, C., Xiao, A., Xia, Z., Yu, L., Lin, J., … & Zhang, Y. (2019). Physical restraint in mental health nursing: A concept analysis. International journal of nursing sciences6(3), 343-348.(Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example) https://doi.org/10.1016%2Fj.ijnss.2019.04.002

Self-Assessment of Clinical Skills Comprehensive Solved Nursing Paper Example

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