PRINT NAME:____Riddhi Patel________________________________________________________________
N4341 NURSING OF THE CHILDBEARING FAMILY
EVALUATION OF CLINICAL PERFORMANCE
SPECIFICATIONS for N4341 CLINICAL EVALUATION CRITERIA
SPECIFICATION OF OUTCOMES
1. Conduct initial and ongoing
client assessment for the
childbearing family.
2. Diagnose client’s nursing care
needs based on assessment
data.
3. Develop an evidence-based,
culturally sensitive,
developmentally appropriate
and holistic plan of care for
the childbearing family.
4. Demonstrate safe nursing care
for the childbearing family
Satisfactory Behavior
*Interviews patient and/or family,
reviews medical record and conducts
physical assessment to collect client
data including physiological,
psychosocial, cultural and spiritual
elements.
*Able to state changes in the client's
condition.
*Able to state verbally and/or in
writing changes in condition that
should occur with the client's
treatment regime
*Assessment data validate the nursing
concerns
*The assessment write up reflects
priority for care.
*Able to relate patient response to
physiology of pregnancy/current
condition..
*Nursing actions are appropriate for
major focus/concern.
*Nursing actions/Interventions are
personalized rather than standardized
and include teaching interventions
*Community resources are identified
and utilized in the plan of care.
*Can modify nursing actions based on
change in status.
*Provides care within the guidelines of
the hospital's nursing standards policy
Needs Improvement
Unsatisfactory Behavior
*Does not collect appropriate data
from all available resources.
*Assessment limited in scope and
does not include essential sources.
Data in completed and/or not relevant
to patient's altered health status.
*Recognizes a few changes in patient
condition, but not able to to see how
all parts of pt condition impact the
patient.
*Documentation not
complete/accurate regarding changes.
*Identifies several of client’s needs,
but missing several pertinent findings.
*Write up identifies priorities,
however, missing major focus.
*Can state patient’s response/current
condition but can’t identify how it
impact her current condition.
*Nursing actions aren’t appropriate
for major concern or focus.
*Unable to state changes noted in
condition.
*Nursing actions very generic and
doesn’t demonstrate understanding of
patient need.
*Demonstrates difficulty in modifying
nursing actions based on a change in
patient status.
*Unable to apply all current standards
of practice resulting in potential harm
*Does not recognize and/or record the
changes in condition.
*Major nursing concerni s not related
to data collected via assessment.
*Nursing concerns are poorly stated
and don’t reflect clinical judgement.
*Unable to show a relationship
between patient data and the
physiology of pregnancy.
*Nursing Actions are not related or
appropriate to the major concern or
focus.
*Nursing actions are not measurable
and are unrealistic for the patient
and/or the time frame.
*Unable to modify nursing actions
based on change in patient status.
*Care deviates from standards of
practice and/or causes harm or
[Type text]
within the ethical-legal
parameters.
5. Communicate verbally and/or
in writing the nursing
interventions and client
response.
6. Collaborate and communicate
with client, family, staff,
instructor, peers and
members of the health care
team to provide care for the
childbearing family.
& procedure manual and/or
appropriate current references.
*Maintains safe environment while
completing all clinical experiences.
*Adheres to asepsis and Universal
Precautions
*Follows the infant safety protocol
during clinical experiences.
*Exercises judgment appropriate to
student role.
*Documents medication appropriately
on the unit specific forms.
to patient.
*Occasionally breaks aseptic
technique or has a break in safe
environment (doesn’t foam in/out or
between patients -including mother
and infant)
* Needs minimal guidance on patient
care roles or needs frequent
reminders.
*Keeps lines of communication open
with faculty and staff. Communicates
with instructor and members of health
care team to provide information on
client’s needs, and/or changes in
condition.
*Ongoing, concise, descriptive and
current documentation of nursing
process is recorded in a timely manner
in all clinical experiences.
*Writes legibly.
*Completes and submits all unit
specific paperwork on time.
* Needs prompting to provide
accurate report
*Maintains professional attitude in
communication and keeps lines of
communication open with client,
family, faculty and staff.
*Establishes professional and
therapeutic relationship with patients.
Revised F16, Rev 4/21, Rev 1/22
*Needs reminders to complete unit
specific paperwork in a timely manner
while in clinical.
*Writing needs to improve to be
legible.
*Occasionally does not submit
paperwork on time or does not
complete all required forms.
Attitude/behavior may be
misunderstood by others, however,
not deliberately rude.
potential harm to the patient.
*Unable to maintain safe environment
while completing all nursing care in
clinical experiences.
*Violates asepsis and Universal
Precautions
*Fails to and /or incorrectly records
medication administration and/or fails
to document evaluation of
effectiveness of medication given for
pain relief.
*Does not follow the infant safety
protocol during clinical experiences.
*Needs much guidance, direction, and
specific and detailed supervision.
Questionable decisions often made.
*Fails to communicate with health
team member (including instructor)
regarding changes in client’s
condition.
*Writing is illegible.
*Fails to complete ongoing, concise,
descriptive and current
documentation of nursing process in a
timely manner in all clinical
experiences. Uses vague terminology,
neglects charting until the end of shift,
fails to include important data.
Communication techniques are
inappropriate (verbally and/or body
language).
*Does not establish or maintain
professional relationship with patients
[Type text]
7. Organize time and material
effectively in completing client
care, written assignments,
clinical experiences and
conferences.
8. Assume responsibility for own
actions, learning and
communicating need for
assistance as necessary.
*Communicates effectively both in
writing and verbally to all members of
health care team, patient and family
as applicable.
Manages time effectively to deliver
nursing care, complete written
assignments and documentation in
allotted time frame.
*On time to all clinicals and post
conferences.
*If missing clinical due to illness,
notifies instructor in a time manner
and provides required documentation.
*Completes all make up work by the
due date/time indicated.
*Seeks opportunities to advance
knowledge in clinical. Asks appropriate
questions when unsure.
*Comes to clinical prepared to give
care with prep sheets and appropriate
unit specific forms
*Uses appropriate resources
(textbooks, articles, and policy &
procedure manuals) in preparation for
performances of clinical activities.
*Demonstrates self-awareness.
*Demonstrates confidence in skills
preformed or asks appropriate
questions before proceeding.
* Demonstrates self-awareness,
Revised F16, Rev 4/21, Rev 1/22
Frequently does not complete
assignment in time allotted, needs to
improve time management.
*Late to clinical or post conference 1
time.
*Does not notify instructor if student
will be late or missing due to illness
prior to start of clinical.
*Frequently sitting without
researching unit specific documents
posted around unit. Doesn’t review
patient teaching handouts used on
unit.
*Comes to clinical minimally prepared
for assigned unit.
and their families.
*Unable to differentiate social and
professional roles. Lacks insight and
understanding of own behaviors.
*Unable to manage time to effectively
to deliver nursing, complete written
assignments and documentation in
allotted time frame.
*Is absent or late to clinical
experiences including conference on
time and/or fails to inform instructor
and/or agency of anticipated absence
or delay.
*Leaves clinical without completing
responsibilities and/or without
reporting to primary nurse and
instructor. Work is handed in late or
incomplete. Does not follow
guidelines for clinical conference
presentation.
* Does not complete make up work
appropriately or on time.
*Does not identify own learning needs
and/or ask for assistance. Proceeds in
performance of clinical activities even
when unsure without instructor or
staff guidance.
*Comes to clinical unprepared to give
care. Does not have required clinical
paperwork for assigned unit.
*Lacks insights and understanding of
own behaviors.
[Type text]
9. Demonstrate self-awareness,
professionally attired,
functions within ANA Code of
Ethics.
10. Student completed essential
skills for this clinical course.
flexibility and adaptability.
Arrives on time ready to participate in
conferences by offering meaningful
contribution.
*Demonstrates self-awareness,
flexibility and adaptability.
*Demonstrates confidence in skills
preformed or asks appropriate
questions before proceeding.
* Demonstrates self-awareness,
flexibility and adaptability.
*Professionally attired per UTA
guidelines.
*Functions within the ANA code of
Ethics. Demonstrates professional
responsibility and integrity in relation
to clinical practice.
Completed essentials skills checklists
and midterm self-evaluation.
*Does not participate in post
conference other than reviewing own
patient information.
Not always self-aware of behaviors or
is not always flexible when a change is
required.
*Needed a reminder regarding
appropriate clinical attire.
*Does not participate in post
conference other than reviewing own
patient information. Frequently not
paying attention or on phone in postconference.
*Lacks insights and understanding of
own behaviors and lacks selfawareness, flexibility and adaptability.
*Attired inappropriately for clinical
experiences.
*Violates ANA Code of Ethics
*Did not successfully completed all
unit specific skills the first time
assigned to unit. (Not “Needs
Improvement is not assigned to unit
by midterm).
Did not complete essential skills
checkoff by third attempt for this
clinical as required.
**I have read and understand the specifications of N4341 Clinical Evaluation Criteria. (See above)
STUDENT'S SIGNATURE** _________________________
DATE ____1/24/23__________
INSTRUCTOR'S SIGNATURE ________________________
DATE ____________________________
**Student's signature indicates that the student has read and understands the specifications of N4341 Nursing of the Childbearing Family
Clinical Evaluation Criteria.
Revised F16, Rev 4/21, Rev 1/22