In 450–500 words, address the following:
Learning From Experiences
- Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
- Reflect on the 3 most challenging patients you encountered during the practicum experience. What was most challenging about each?
- What did you learn from this experience?
- What resources were available?
- What evidence-based practice did you use for the patients?
- What would you do differently?
- How are you managing patient flow and volume? How can you apply your growing skillset to be a social change agent within your community?
Communicating and Feedback
- Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
- Answer these questions: How am I doing? What is missing?
- Reflect on the formal and informal feedback you received from your Preceptor.
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Week 11: Journal Entry
Name:
Institution:
Course:
Date:
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Week 11: Journal Entry
Goals and Objectives
This week I evaluated my goals and objectives from week one to see how well I met
them during my practicum. My first goal for this practicum was to design an optimal treatment
plan for my patients based on their clinical presentations. After documenting each patient
encounter on the Meditrek, I used the DSM-5 to confirm that the diagnosis matched the patient's
symptoms by comparing them to the diagnostic criteria. The second objective I set for myself in
the first week was to be able to evaluate the client's response to prescribed medications and
modify treatment based on clinical presentations of the patient. When adding newly prescribed
medication to a client's regimen, my preceptors instructed me on which clinical signs and
symptoms to observe.
Challenging Clients
One challenging client was a 16-year-old guy with a major depression condition (MDD).
The problem did not lie with the client but rather with his mother. His appointments were either
cancelled, or his parent did not respond to her phone on the days of his scheduled appointments.
The parent's noncompliance made it difficult to treat the client due to a lack of communication
adequately. A 30-year-old man with opioid use disorder and bipolar disorder also presented a
unique set of difficulties. The client would show up for his session after having used
methamphetamines and would be uncooperative in his behavior. The third patient was a 36-year-
old woman who was also extremely agitated during her visit, and she was prone to losing her
train of thought regularly. She was frequently easily distracted and jumped from issue to issue,
which resulted in her not always answering correctly.
Experience
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My challenging practicum clients provided me with a great deal of insight. It is tough to
treat youngsters whose parents miss appointments. I realized that managing clients under the
influence of drugs is difficult since they cannot think clearly and cannot fully appreciate your
ideas. To properly manage your time when getting information from these clients, you must keep
focused and track.
Available Resources
It is possible to make follow-up phone calls to noncompliant clients if they are persistent.
Therapy and other clinicians, as well as staff from the facility, may be included in these groups,
who can perform safety checks on patients to ensure their well-being and safety.
Evidence-Based Practice Methods
The mother of the adolescent diagnosed with MDD was advised to seek psychotherapy,
but she failed to follow her son's therapist visits. Thus he missed his treatment appointments as
well. There is substantial evidence that inpatient or group therapy can help people struggling
with addiction.
Managing Client Flow and Volume
Improving patient flow and volume can be hard when client appointments run late. It is
occasionally important to divert the client back to the original issue to prevent falling behind
schedule. Documenting the evaluation or follow-up visit data while evaluating the client helps
eliminate documentation gaps and ensures that the information received is not lost or forgotten.
Improving knowledge and skills
Using my new abilities, I can help improve community mental health and wellness. As a
PMHNP, I hope to work with local practitioners and therapists to help persons with psychiatric
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issues. I also want to educate the community on psychiatric problems by offering leaflets and
pamphlets to help people understand mental illness and treatment alternatives.
How am I doing? What is missing?
Though I am doing well, I wish I had performed at a higher level. The critical
requirement is to operate effectively in a psychotherapy unit with diverse knowledge and
experience.
Preceptor’s feedback reflection
Compassion, per the preceptor, is critical and can affect the patient care provided.
However, my willingness to help patients will enable me to succeed in the field.
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Master of Science in Nursing
Practicum Experience Plan
Overview:
Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.
As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.
Complete each section below.
Part 2: Individualized Practicum Learning Objectives
Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.
As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.
** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.
Statement of Plan Purpose
This report aims to outline my three or four goals, planned activities, assessment method, and the course's expected outcome. My ability to set goals and monitor my progress in this program depends on my understanding of the course material from the beginning. More significantly, this will help me do well on my national exam and in this program. Setting objectives and making good plans help kids stay focused and achieve well academically, claims Yusuff (2018). According to evidence-based practice, personalized goal-setting and study planning have been shown to help students succeed not only in the classroom but even after earning their degree.
Introduction
Setting up individualized objectives and study schedules is essential to finishing this program successfully. While every student has a different lifestyle that may cause difficulties for them in their studies and academics, defining goals, planning activities, determining modes of assessment, and defining expected results will help me understand what is required of me for the program and the course. Aghera et al. (2018) state that for students to succeed, they must decide their goals and work toward achieving them. The goal's ability to support learning performance is one of its advantages.
Objective 1: Throughout my clinical rotation, I intended to learn how to choose appropriate and evidence-based clinical practice guidelines for my patients' treatment plans and medication prescriptions. In addition, I want to be aware of the state laws where I will be working as a nurse practitioner and pertinent informed consent for people of all ages.
Planned Activities: During my patient assessment, I aimed to learn about any prior medicine they had taken and how well it worked for them. I will provide them with a range of therapy options and allow them to select the least harmful and least restricted options.
Method of Evaluation:
I want to assess every patient separately. Honavar (2018) asserts that the one-on-one approach will enable the patient to provide the doctor with all the data needed for their mental health assessment. Before writing a prescription, I will ensure the patient is aware of all the dangers and advantages, as well as their financial situation and preferences. This is important since most people in mental health do not follow therapy because they are unable to pay for the medication that is provided to them.
PRAC Course Outcome(s) Addressed: My professional goal is to learn how to interact with patients and establish a solid working rapport. This will ease my patients' problems and help me become a better nurse practitioner. This is because all patients want to be able to effectively connect with their healthcare provider and express their feelings to a nurse practitioner who is willing and able to listen to their issues.
Objective 2: During this clinical rotation, I wanted to learn the most effective screening method and the devices specific to each interaction. I meant to apply and understand the appropriate screening technique appropriately and quickly once I obtained it.
Planned Activities: : My goal was to develop a personalized treatment plan for my patient based on their reactions and test results. Creating a treatment plan specific to the patient's illness and symptoms will be simpler when all of their information is included
Mode of Assessment: I will ask my patient about their age and diagnosis using the screening tool questionnaire. Before distributing the questionnaire, I will counsel them to give their best answer and reassure them that the data they submit will be utilized to develop a personalized treatment plan rather than be used against them.
PRAC Course Outcome(s) Addressed: I wanted to know enough about the screening instrument to apply it to my patient's treatment plan at the end of this clinical rotation. I will also review the screening tool results with the other members of the treatment team to assist them in developing a plan of care that is suitable for the patient. Psychotherapy or patient referrals may be part of this plan.
·
Objective 3: :I aim to comprehend the legal and ethical prerequisites for sufficient documentation required for a suitable psychiatric assessment and the nature of those prerequisites. I also want to know the correct admissions interview and referral procedures. Accurate documentation improves patient treatment and speeds up the healing process for patients (Momenipur & Pennathur, 2019
Planned Activities: I intended to receive the necessary paperwork from my preceptor and ask questions. I also wanted to memorialize what I did using my patient's words.
Mode of Assessment: I will monitor patient psychiatric evaluations and increase intake assessments and referrals to track my development throughout my clinical rotation.
PRAC Course Outcome(s) Addressed: After this clinical rotation, I wanted to learn about suitable age-appropriate referrals, intake evaluations, and adequate documentation.
Part 3: Projected Timeline/Schedule
The estimates you are creating might not match your actual schedule; this timeline is intended to be used as a planning tool. Depending on what applies, I intend to adhere to the timetable to complete the 144 or 160 practicum hours. I also know I must see at least 80 patients during my practicum. I know it can take me up to eight weeks to complete my practicum. I cannot work in the practicum setting for more than eight hours a day without prior authorization from my professors.
Conclusion
By expressing my course's SMART goals in writing, I will do better on the national exam and in the system. Although the program has taught me much, I still have much to learn, especially if I want to perform well on the national exam. The course can only be considered practical once all objectives, planned activities, and course results are fulfilled. To accomplish all of them, I also need to work on exercising self-control and time management skills. Success in the classroom and life depends on more focused and ambitious goals. This is one of the best management techniques for increasing employee motivation and output (Höpfner & Keith, 2021).
This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.
I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.
Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site) |
Number of Weekly Hours for Professional Development (these are not practicum hour) |
Number of Weekly Hours for Practicum Coursework (these are not practicum hours) |
|
Week 1 |
16 |
10 |
5 |
Week 2 |
16 |
10 |
5 |
Week 3 |
16 |
10 |
5 |
Week 4 |
16 |
10 |
5 |
Week 5 |
16 |
12 |
5 |
Week 6 |
16 |
20 |
5 |
Week 7 |
16 |
10 |
5 |
Week 8 |
16 |
10 |
5 |
Week 9 |
16 |
10 |
5 |
Week 10 |
16 |
12 |
5 |
Week 11 |
160 |
20 |
5 |
Total Hours (must meet the following requirements) |
144 or 160 Hours |
134 |
55 |
Part 4 – Signatures
Student Signature (electronic): Erson Jean-Philippe Date: 12/10/2023
Practicum Faculty Signature (electronic)**: Date:
** Faculty signature signifies approval of Practicum Experience Plan (PEP)
Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.
Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.
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