University of Windsor
Faculty of Nursing
Collaborative Bachelor of Science in Nursing Program
(University of Windsor, Lambton College, St. Clair College)
63 – 272
Clinical Nursing Experience
Fall 2006
Teaching Faculty:
Name:
Site:
Office:
Phone #:
E-mail:
Office hours:
106758811
07/03/16
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63- 272 Course Outline
COMPETENCY PERFORMANCE EVALUATION (CPE)
OFFICIAL RECORD OF CLINICAL PERFORMANCE
Student:
Student Number:
Clinical Faculty:
Clinical Site:
Clinical Outcome — Circle one
Pass
Fail
Date:
By the end of this clinical experience, the student will be able to perform the designated competencies
and all related critical elements listed on the following pages.
At midterm, the student will receive a formative evaluation. If there is no opportunity to assess a specific
student competency, it is to be left blank at mid-term. All competencies must be evaluated on the final
evaluation.
Universal Competencies are to be applied throughout the CPE. The following will be considered as not
meeting the competency:
Safety and Security:
A.
Physical Safety & Security: Any action or inaction on the part of the student that threatens the
patient/client’s well being or violates the patient/client’s physical security.
B.
Emotional Security: Any action or inaction which threatens the emotional well being of the
patient/client or significant others or violates the patient/client’s emotional security.
All potential failures to protect the client from harm cannot be described here. The clinical faculty’s
judgment is binding in cases of actual or potential harm to a patient/client.
The faculty of nursing reserves the right to remove a nursing student from the clinical area at any
time, in instances where the instructor has reason to believe that the student is rendering unsafe
and/or unethical nursing care.
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Midterm
Met
Not Met
A.
Protects the Patient From Physical Harm
1.
Identifies client before engaging in any proposed care plan.
2.
Protects the patient/client from physical harm at all times
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Identifies potential safety threats in the clinical setting
and proposes solutions for safety.
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Takes preventative action within any clinical setting —
on actual threats to client safety, safety devices are in
place.
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c.
Is able, when asked, to state agency safety procedures.
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d.
Follows body substance precautions.
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a.
b.
B.
Final
Met Not Met
Protects the patient/client and significant others from
psychological harm.
a.
Uses CNO guidelines for standards of practice, ethical
framework, and consent to treatment and nurse/client
therapeutic relationship in clinical practice.
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1. Implement behaviours to promote personal and
professional self-development
Articulate own evolving philosophy/values of
nursing care of young adults and older
adults with alterations in health.
(Lenburg #5, Bevis — Management/Planned Change)
Midterm
Final
Met
Not Met
Met
Not Met
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Critical elements/behaviours demonstrating competence at the end
of 63-272:
1.1
Analyze own philosophy/values about the care of adults
and older adults experiencing episodic and long-term
health alterations.
1.2
Using reflective journal analyze how own personal
growth as a member of a family has influenced his/her
nursing practice.
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1.3
Integrate feedback from individual client, families,
peers, faculty and other health professionals to set goals
to improve own practice.
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1.4
Analyze own learning needs, readiness, style and their
impact on care of individuals and/or families
experiencing episodic and long-term alterations.
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1.5
Evaluate own behaviours that document goal
achievement against program competencies.
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Comments:
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2.Integrate ethical, legal, professional and
regulatory parameters into nursing practice
Maintain standards of professional practice as they apply to
issues of care for selected health alterations
(Lenburg #4 & 5, Bevis — Management, Planned Change)
Midterm
Final
Met
Not Met
Met
Not Met
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Critical elements/behaviours demonstrating competence at the end
of 63-272:
2.1
Advocate for the rights of individual clients and/or
families in provision of care during episodic and long
term health alterations.
2.2
Use the College of Nurses of Ontario Standards of
Practice in the care of adults experiencing health
alterations.
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2.3
Adhere to the policies of the Collaborative Nursing
Program and the participating agencies when caring for
individual clients and/or families with episodic and
long-term health alterations.
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2.4
Analyze with assistance ethical dilemmas encountered
in the care of individual clients and/or families
experiencing long-term health alterations.
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2.5
Document client care accurately.
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Comments:
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3. Formulate clinical judgments that are based on
critical inquiry and analytical reasoning.
Formulate clinical judgments based on prevalent episodic
and long-term health needs of clients with
predictable outcomes.
(Lenburg #3, Bevis — Problem Solving)
Midterm
Final
Met
Not Met
Met
Not Met
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Critical elements/behaviours demonstrating competence at the end
of 63-272.
3.1
Use inductive and deductive reasoning to assess and
determine health needs.
3.2
Use critical analysis skills to prioritize the needs of
individual clients and/or families experiencing episodic
and long-term health alterations.
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3.3
Use analytical reasoning in collaboration with clients, to
generate strategies to promote optimal health.
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3.4
Verify evidenced based clinical judgments with clinical
faculty and/or health care professionals.
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3.5
Analyze own nursing actions that promote optimal
health of individual clients and/or families experiencing
episodic and long-term health alterations.
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Comments:
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4. Integrate nursing and multi-disciplinary
knowledge into nursing practice
Integrate multidisciplinary theories in the care of clients
with episodic and long-term health needs.
(Lenburg #8, Bevis — Maturation / Adaptation)
Midterm
Final
Met
Not Met
Met
Not Met
Critical elements/behaviours demonstrating competence at the end
of 63-272:
4.1
Provide theoretical rationale for all actions taken to
promote health of individual adult clients, older adults,
and/or families.
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4.2
Analyze the factors that contribute to the development
of selected episodic and long-term health alterations.
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4.3
Apply relevant multidisciplinary theories to the care of
individual clients and/or families.
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Comments:
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5. Integrate research findings into clinical practice,
education and management
Utilize evidence based outcomes in nursing practice to
promote the optimal well being of clients
(Lenburg #3, Bevis — Problem Solving)
Midterm
Final
Met
Not Met
Met
Not Met
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Critical elements/behaviours demonstrating competence at the end
of 63-272:
5.1
Analyze how research is applied in the care of
individual clients and/or families experiencing health
alterations.
5.2
Use evidenced based practice in the care of individual
clients and/or families experiencing health alterations.
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5.3
Formulate researchable questions to promote the health
of individual clients and/or families.
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Comments:
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6. Implement the nursing process to promote,
maintain, and restore the health of individuals,
families, groups and communities.
Apply the nursing process in the nursing care of clients
experiencing alterations in health.
(Lenburg #1, Bevis — Problem Solving)
Midterm
Final
Met
Not Met
Met
Not Met
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Critical elements/behaviours demonstrating competence at the end
of 63-272:
6.1
Perform holistic health assessment for individual clients
and/or families experiencing episodic and long-term
health alterations.
6.2
Perform preoperative and postoperative assessments for
individual clients and/or families using selected tools.
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6.3
Perform gerontological assessments for individual
clients using selected tools.
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6.4
Perform pain assessment.
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6.5
Formulate nursing diagnoses in collaboration with
clients and/or families.
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6.6
Collaborate with individual clients and/or families to
formulate expected outcome criteria.
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6.7
Implement interventions that are relevant to the nursing
diagnoses identified.
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6.8
Administer medications safely following the rights of
medication administration.
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6.9
Evaluate client outcomes by comparing actual to
anticipated outcomes, modifying the plan of care as
required.
Comments:
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7. Use the teaching/learning process to promote
the health of individuals, families, groups and
communities
Implement teaching/learning plan to assist clients to
effectively deal with alterations in health
(Lenburg #7, Bevis — Teaching/Learning)
Midterm
Final
Met
Not Met
Met
Not Met
Critical elements/behaviours demonstrating competence at the end
of 63-272:
7.1
Collaborate with clients to determine learning needs.
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7.2
Determine learning needs of client in preparation for
diagnostic procedures and preoperatively.
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7.3
Determine client readiness to learn.
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7.4
Mutually develop learning goals with individual clients
and/or families.
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7.5
Implement learning plans based on teaching/learning
principles to promote optimal health of clients and or
families with episodic and long-term health needs.
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7.6
Evaluate the effectiveness of teaching/learning
strategies for clients and/or families by comparing
actual to anticipated outcomes and modifying the plan
as required.
Comments:
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8. Collaborate with clients, their families,
communities, and members of the health team
and other organizations for the promotion,
achievement and restoration of optimal health.
Collaborate with the client, families and the health care
team in developing strategies to achieve optimal
health.
(Lenburg #2, #4, Bevis — Communication, Caring)
Midterm
Final
Met
Not Met
Met
Not Met
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Critical elements/behaviours demonstrating competence at the end
of 63-272:
8.1
Use therapeutic and professional communication
techniques.
8.2
Respect clients/families and apply the principles of a
helping relationship.
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8.3
Advocate for the rights of client and family.
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8.4
Collaborate with the members of the health team and
related agencies to promote optimal health.
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Comments:
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9. Integrate leadership and management roles into
the delivery of health care
Analyze the student’s role as a leader and manager in
identifying need for change within a health care
agency.
(Lenburg #5 & #6, Bevis — Management/Planned Change)
Midterm
Final
Met
Not Met
Met
Not Met
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Critical elements/behaviours demonstrating competence at the end
of 63-272:
9.1
9.2
Demonstrate time and resource management in the care
of individual clients and/or families experiencing
episodic and long-term health alterations.
Analyze the leadership and management roles of nurses
in the promotion of optimal health in clients and/or
families experiencing episodic and long-term health
alterations.
Comments:
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10. Engages in activities to promote the
development of the profession of nursing.
Explore role of nursing in the delivery of health care to
clients with alterations in health.
(Lenburg #6, Bevis — Management/Planned Change)
Midterm
Final
Met
Not Met
Met
Not Met
Critical elements/behaviours demonstrating competence at the end
of 63-272:
10.1
Participate in nursing and other professional
discussions in promotion of optimal health of clients
and/or families experiencing episodic and long-term
health alterations.
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10.2
Explore the role of nursing in advocating for the rights
of clients and/or families to quality care in a variety of
settings.
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10.3
Identify factors that enhance or inhibit quality care of
clients and/or families in a variety of settings.
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Comments:
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RECOMMENDATIONS
Strengths:
Improvement areas:
*
Level & course #
Student’s name
Student signature:
ID#
Date:
Midterm
Date:
Final
*
Faculty signature:
Date:
Midterm
Date:
Final

Signature indicates student and faculty have read the evaluation.
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