Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:
- Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.
- Based on your ratings summarize your strengths and opportunities for improvement.
- Based on your self-assessment and theory of nursing practice, develop 3–4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form.
PRAC 6665/6675 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 | ||||
| Differentiating between pathophysiological and psychopathological conditions | ||||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | ||||
| 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). | ||||
| Diagnostic reasoning skill in: | ||||
| Developing and prioritizing a differential diagnoses list | ||||
| Formulating diagnoses according to DSM 5-TR based on assessment data | ||||
| 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) | ||||
| 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 | ||||
| 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) | ||||
| Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers | ||||
| Develop an age appropriate individualized plan of care | ||||
| 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 relationship 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 | ||||
| Practices within 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 | ||||
| Interprets results for screening instruments accurately | ||||
| Develops an appropriate plan of care based upon screening instruments response | ||||
| Identifies the need to refer to another specialty provider when applicable | ||||
| Accurately documents recommendations for psychiatric consultations when applicable | ||||
Summary of strengths:
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Opportunities for growth:
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Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
| 1. Goal:
a. Objective: b. Objective: c. Objective:
2. Goal: a. Objective: b. Objective: c. Objective:
3. Goal: a. Objective: b. Objective: c. Objective:
4. Goal: a. Objective: b. Objective: c. Objective:
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Signature:
Date:
Course/Section:
Based on the provided Clinical Skills Self-Assessment Form, let’s first summarize the strengths and opportunities for growth:
Strengths:
- Demonstrates a basic understanding of psychiatric evaluation skills.
- Shows competence in certain aspects of diagnostic reasoning and pharmacotherapeutic skills.
- Maintains professional boundaries and demonstrates empathy.
- Demonstrates self-assessment skills.
Opportunities for Growth:
- Needs improvement in recognizing clinical signs and symptoms of psychiatric illness.
- Requires more practice in performing and interpreting various assessments such as mental status, psychosocial, and functional assessments.
- Needs to enhance skills in developing and prioritizing a comprehensive differential diagnoses list.
- Requires further improvement in psychotherapeutic treatment planning and providing psychoeducation.
- Needs to work on collaborating with multi-disciplinary teams and identifying ethical and legal dilemmas.
Now, let’s develop three measurable goals and objectives for the practicum experience:
Goal 1: Enhance Clinical Assessment Skills
a. Objective: By the end of the practicum, confidently recognize and differentiate clinical signs and symptoms of psychiatric illness across the lifespan in at least 80% of cases. b. Objective: Successfully perform and interpret a comprehensive psychiatric evaluation, including mental status, psychosocial, and functional assessments, with minimal supervision by the midpoint of the practicum. c. Objective: Develop proficiency in formulating accurate differential diagnoses lists based on assessment data, achieving at least 70% accuracy by the end of the practicum.
Goal 2: Improve Treatment Planning and Implementation Skills
a. Objective: Develop age-appropriate individualized plans of care for patients, incorporating evidence-based clinical practice guidelines and patient preferences, in at least 90% of cases by the end of the practicum. b. Objective: Apply appropriate psychotherapeutic counseling techniques with individuals and/or caregivers, demonstrating proficiency and effectiveness in at least three different modalities by the midpoint of the practicum. c. Objective: Provide psychoeducation to individuals and/or caregivers on health promotion and disease prevention techniques, documenting interventions and outcomes for at least 80% of cases by the end of the practicum.
Goal 3: Strengthen Collaboration and Ethical Practice
a. Objective: Actively collaborate with multi-disciplinary teams to improve clinical practice in mental health settings, contributing ideas and suggestions in team meetings at least twice a month throughout the practicum. b. Objective: Identify ethical and legal dilemmas in clinical practice and propose possible resolutions, documenting instances and resolutions in reflection logs on a weekly basis. c. Objective: Demonstrate non-judgmental practice approach and empathy towards patients and colleagues consistently throughout the practicum, as evidenced by feedback from preceptors and peers.
Signature:
Date:
Course/Section: