MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
NRSG 527 Family Mental Health Nursing III
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
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MSU College of Nursing
Family Psychiatric Mental Health Nurse Practitioner Option
NRSG 527 Family Mental Health Nursing III
Clinical Faculty Evaluation of Student
Student name:
S = Satisfactory Performance U = Unsatisfactory Performance
Behavior
S
U
Comments
Objective 1: Analyze the advanced nursing practice role in providing care and treatment for families with acute mental
health needs.
a)
Understands and examines the role of the APRN
in the psychiatric setting.
b) Understands the scope of practice of the APRN in
an interdisciplinary context.
c)
Identifies and maintains professional boundaries.
d) Monitors self for personal growth and
enhancement of personal effectiveness.
e)
Collaborates as a member of the interdisciplinary
team.
f)
Engages in active and on-going dialogue with
preceptor to develop and evaluate personal
development of advanced practice role.
Objective 2: Assess and interpret the acute mental health treatment needs of families based on an understanding of
psychosocial and developmental theories.
a)
Performs comprehensive psychiatric/physical
histories and assessments of patients across the
life span: child/adolescent, middle adult, and
older adult.
b) Identifies differential diagnoses and develops a
multi-axial DSM-IV diagnosis through the
collection and synthesis of assessment data.
c)
Utilizes therapeutic communication skills to
facilitate development of therapeutic
relationships with all family members.
d) Assesses and analyzes factors that affect mental
health, including the influence of culture,
ethnicity, spirituality, genetics, functional status,
and developmental stage.*
e)
Assesses and analyzes the multigenerational
family processes that affect the mental health of
family members and the functioning of the family
system.*
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f)
Assesses the impact of stressors and the health of
individual family members on the family system.*
g)
Demonstrates empathy, genuine interest, and
concern for the individual’s/family’s situation,
condition, or personal/social problems.
h) Completes documentation that is accurate,
concise, non-speculative, and follows standard
medical records formatting for the clinical setting.
Objective 3: Formulate advanced practice nursing strategies for the treatment of families with acute mental health
needs.
a)
Bases interventions on biopsychosocial theories,
evidence-based standards of care, and practice
guidelines.
b) Plans care to minimize the development of
complications, and prioritize interventions
appropriately.
c)
Identifies appropriate treatment interventions
and strategies that promote improved functioning
and quality of life.
d) Selects and applies individual, group, or family
treatment approaches based on existing
evidence, client clinical presentation and
diagnosis, level of safety, family, cultural, ethnic
and spiritual characteristics, readiness for change,
and ability to engage in treatment.*
e)
Takes into consideration the risk for potential
abuse, neglect, and danger of risk to self and
others and works to provide care in the least
restrictive environment that provides safety.
Objective 4: Implement advanced nursing strategies for the promotion of mental health and intervention in response to
the acute mental health needs of families.
a)
Applies and adapts individual therapy skills, group
process and facilitation skills, and family therapy
process and facilitation skills, to a variety of
clinical situations.*
b) Provides psycho education to individuals and
families that include disease management and
health promotion to facilitate effective
management of mental health problems and
psychiatric disorders.
c)
Promotes trusting relationships and uses the
nurse-patient relationship to facilitate positive
clinical outcomes.
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d) Considers factors that impact the individual and
family’s ability and readiness to learn, including
education and the impact of psychiatric
symptoms, and individualizes interventions
accordingly.
Objective 5: Evaluate the effectiveness of nursing strategies used to provide mental health care for families.
a)
Demonstrates critical thinking in all assessments
and clinical decision-making to ensure
comprehensive diagnoses and case disposition.
b) Utilizes interventions based on relevant research
and clinical evidence to ensure quality care.
c)
Evaluates effectiveness of evidence-based
interventions on outcomes of care, including
quality of life and functional status.*
d) Examines the modality of prescribing
psychotropic and related medications, identifies
target symptoms and monitors responses to
these.
Objective 6: Incorporate knowledge about culture and ethnicity into the development, implementation, and evaluation of
nursing strategies.
a)
Plans care with a holistic approach and
integrate cultural, spiritual and family values.
b) Provides culturally congruent care while being
sensitive to the individual’s/family’s ethnicity,
spirituality, traditions, and beliefs.
c)
Respects bio-psycho-social-cultural-spiritual
variables that may affect health status and
psychiatric/mental health care.
d) Evaluates the impact of therapeutic
interventions on the individual’s/family’s
cultural, ethnic and spiritual beliefs and
identity.
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) Shows sensitivity to the complexities of dual
relationships, particularly in rural areas.
c)
Engages in oral communications and written
documentation that meets established medicolegal standards and adheres to HIPAA
standards.
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d) Acts as an advocate for the individual’s/family’s
rights regarding medico-legal issues and
develops treatment plans that take into
consideration legal and ethical issues.
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) Describes the use of current research in
planning and implementing patient care and
implements interventions based on this.
c)
Evaluates own use of theories and evidencebased interventions in mental health care.
_________________________________________
Clinical Faculty Signature
____________________
Date
*Denotes sections adopted from Oregon Health Science University School of Nursing PMHNP Competencies
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MSU College of Nursing
NRSG 527 Family Mental Health Nursing III
Clinical Faculty Evaluation of Student Clinical Activities
Student name:
S = Satisfactory Performance
Student Activity
U = Unsatisfactory Performance
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
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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:
Grade (Select One):
Pass
Satisfactory
Unsatisfactory
Fail
_________________________________________
Clinical Faculty Signature
__________________
Date
_________________________________________
Student’s Signature
__________________
Date
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