Montana State University, College of Nursing

NRSG 631 Advanced Clinical I (NP, Psych/Mental Health)

Clinical Faculty Site Visit Documentation

Date of Clinical Site Visit/Meeting/Call:

Type of Review:

(i.e. phone call, clinical site visit, on campus, etc.)

Student’s Name:

Preceptor’s Name:

Clinical Facility:

Location:

Term (i.e. Summer/Fall or Winter/Spring):

Year:

Clinical Faculty Reporting:

Evaluation of Learning Experience (from Preceptor, Student, Clinical Site):

______

Clinical Faculty Signature Date

Adapted from the University of Tennessee Health Science Center, College of Nursing, DNP Psychiatric Mental Health Nursing Option

Montana State University, College of Nursing

NRSG 631 Advanced Clinical I (NP, Psych/Mental Health)

Clinical Faculty Evaluation of DNP Student

Student name:

S = Satisfactory Performance U = Unsatisfactory Performance

Behavior / S / U / Comments
Objective 1: Analyze the advanced nursing practice role in the utilization of psychotherapeutic modalities for family members with mental health problems across the life span.
a)  Understands the role of the APRN in the psychiatric setting
b)  Understands the scope of practice of the FPMHNP in an interdisciplinary context.
c)  Provides rationale for the utilization of psychotherapeutic modalities across the lifespan
d)  Monitors self for personal growth and enhancement of therapeutic effectiveness
Objective 2: Assess and interpret the mental health treatment needs of individuals and families across the lifespan based on an understanding of biological, psychological, and developmental theories.
a)  Obtains a comprehensive psychiatric/physical history and assessment of patients across the life span: child/adolescent, middle adult, older adult
b)  Addresses physical health concerns and refers appropriately
c)  Interviewing technique uses both structured and open ended questions to solicit patient concerns, participates in treatment planning, and gathers necessary information for diagnosis and safety disposition.
d)  Demonstrates empathy, genuine interest, and concern for the patient’s situation, condition, or personal/social problems
e)  Documentation is accurate, concise, non-speculative, and follows standard medical records formatting for the clinical setting.
f) Demonstrates ability to dictate concisely and effectively

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Objective 3: Formulate advanced nursing strategies for the treatment of individuals and families across the life span based on biopsychosocial theories, evidence-based standards of care, and practice guidelines.
a)  Identifies and prioritizes all problems that become evident
b)  Identifies working diagnosis with consideration of differential diagnoses to be ruled out
c)  Presentation to preceptor is systematic and concise
d)  Identifies a plan for diagnostic tests and treatment if indicated
Objective 4: Implement advanced nursing strategies used to provide mental health and intervention in response to the mental health needs of individuals and families across the lifespan.
a)  Interventions include patient education on disease management and health promotion.
b)  Presentation of findings and plan to the patient/family is thorough and at a knowledge level appropriate to prior education and current cognitive status
c)  Uses the nurse-patient relationship to facilitate therapeutic patient outcomes
d)  Uses therapeutic modalities to facilitate therapeutic patient outcomes
Objective 5: Evaluate the effectiveness of nursing strategies used to provide mental health care for individuals and families across the life span.
a)  Demonstrates critical thinking in all assessments and clinical decision-making to ensure comprehensive diagnoses and case disposition.
b)  Monitors positive and negative indicators for patient outcome.

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Objective 6: Incorporate knowledge about culture and ethnicity into the development, implementation, and evaluation of nursing strategies.
a)  Care is planned with a holistic approach and encompasses cultural and family values
b)  Provides culturally congruent care while being sensitive to the patient’s ethnicity, traditions, and beliefs
c)  Respects bio-psycho-social-cultural-spiritual variables that may affect health status and psychiatric/mental health care.
Objective 7: Apply legal and ethical principles to the development, implementation, and evaluation of nursing strategies.
a)  Analyzes legal and ethical aspects of the FPMHNP-patient relationship
b)  Is sensitive to the complexities of dual relationships, particularly in rural areas
c)  Oral communication and written documentation meet established medico-legal standards.
d)  Adheres to HIPAA standards
Objective 8: Use research evidence in the development, implementation, and evaluation of nursing strategies.
a)  Plans and implements evidence-based interventions for psychiatric mental health disorders or mental health problems
b)  Documents the use of current research in the planning and implementing of patient care

______

Clinical Faculty Signature Date


MSU College of Nursing

NRSG 631 Advanced Clinical I (NP, Psych/Mental Health)

Clinical Faculty Evaluation of DNP Student Clinical Activities

Student name:

S = Satisfactory Performance U = Unsatisfactory Performance

Student Activity / S / U / Comments
Clinical Log:
1.  Submitted to faculty in a timely manner
2.  Clear, succinct recording of progress notes
3.  Documents nursing strategies for implementing treatment, prevention & health promotion with individuals and/or families
Synchronous Group Meeting:
1.  Actively participates in group discussions
2.  Presents required case presentations
3.  Utilizes pertinent research articles in case presentations
Individual Meetings with Clinical Faculty:
1.  Clinical objectives completed in a timely manner
2.  Utilizes time to explore clinical questions, ethical dilemmas or role issues
3.  Participates in self evaluation
4.  Receptive to mentoring and constructive feedback


Narrative summary of the student’s overall performance including observations from clinical site visits.

(This should be a summation of the clinical site checklist.)

Student’s Strengths:

Areas for Improvements:

Please give a brief statement about the student’s progress in the areas of role issues, nursing identity and expertise.

Evaluation of Student Clinical Performance Criteria: Satisfactory Unsatisfactory

Grade: Pass Fail (Select One)

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Clinical Faculty Signature Date

______

Student’s Signature Date

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