File - Stephanie Monroe Nursing Education Portfolio

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Running head: PRACTICUM PROPOSAL
Practicum Proposal for Nursing Education
Stephanie Monroe
Ferris State University
1
PRACTICUM PROPOSAL
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Abstract
This paper presents a practicum proposal of a student pursuing a Master of Science in Nursing
Degree in the advanced specialty area of nursing education. The practicum setting is at
Northwestern Michigan College (NMC) in Traverse City, Michigan. Linda Walter, the lead
instructor of the fundamentals of nursing course is serving as the student’s preceptor for the
practicum experience. Goals, objectives, and activities are introduced for the practicum
experience and project. Kolb’s experiential learning theory is used as a guide to the practicum
experience. Additionally, the NLN’s (2005) Core Competencies of Nurse Educators is used as
the framework for the practicum project. At completion of the practicum experience a five point
Likert Scale is used as the evaluation tool for measuring completion of goals and objectives.
Keywords: practicum, practicum proposal, nurse educator
PRACTICUM PROPOSAL
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Practicum Proposal for Nursing Education
Nurse educators are the foundation of the nursing profession and an important aspect to
the health care industry. The National League for Nursing’s [NLN] (2005) Core Competencies of
Nurse Educators stands as the standards of practice for all educators in the nursing profession.
Through a self-assessment of the NLN’s (2005) Core Competencies for Nurse Educators, I have
identified my strengths and weaknesses. Identified weaknesses are facilitating learning,
facilitating learner development and socialization, use of assessment and evaluating strategies,
and participating in curriculum design and evaluation of program outcomes. In effort to increase
my knowledge base in these areas, I plan to complete the practicum at Northwestern Michigan
College (NMC) in Traverse City, Michigan where I will be working with first semester nursing
students in their fundamentals of nursing rotation. The majority of the hours at NMC will be
spent being actively involved in lecture, clinical, simulation, and faculty development. For the
project portion, I will develop, implement, and evaluate updated course material. The purpose of
this proposal is to detail my practicum experience and project. The NLN’s (2005) Core
Competencies of Nurse Educators will be used as the framework for the practicum project and
Kolb’s experiential learning theory will serve as a guide to the practicum experience.
Implementation of this practicum experience and project will provide me valuable experience in
nursing education, as well as strengthen my personal identified weaknesses of the NLN’s (2005)
Core Competencies of Nurse Educators.
Professional Experience
My journey in the nursing profession began in 2008 when I completed my Associate’s
Degree in Nursing from NMC. Since graduation I have worked on the cardiothoracic unit at
Munson Medical Center located in Traverse City, Michigan. The cardiothoracic unit specializes
PRACTICUM PROPOSAL
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in open heart surgery, minimally invasive valve surgery, lung surgery, and esophageal surgery
(Munson Medical Center, 2013). I care for patients in both the critical care and acute care
setting. Two years into my career I started working towards completion of my Bachelor’s Degree
in Nursing. Then about a year into the bachelor’s program I discovered my passion for education
which lead to transitioning into the Master’s in Nursing Education program. At completion of the
Master’s program I will be awarded both my Bachelors and Master’s degree in nursing.
Throughout school I have continued to work on the cardiothoracic unit and have gained
education experience through precepting new graduate nurses, as well as student nurses.
Setting
The proposed practicum and project will take place at NMC’s nursing program. NMC is
a community college in Traverse City, Michigan. It offers two year associate degrees and
professional certificates in 60 different areas of study (Northwestern Michigan College, 2013).
The nursing program offers face to face and online associate degree programs, a practical nurse
program, and a licensed practical nurse to registered nurse completion program (Northwestern
Michigan College, 2013). I will be spending a large portion of my hours at NMC in the nursing
clinical and simulation lab. The nursing clinical and simulation lab is divided up into three
sections: the simulation room, the lecture space, and the clinical lab. There are a total of 45
students in the fundamentals course and the students are divided into two groups to rotate
through clinical. All 45 students will meet for lecture at NMC on Mondays and Tuesdays and the
divided groups of students will meet for clinical on Wednesdays and Thursdays or Fridays
depending on which group they are assigned to. The simulation room is composed of four
interactive manikins: two adults, one young child, and one infant. In addition to the interactive
manikins there are 12 static manikins that are located in the clinical lab.
PRACTICUM PROPOSAL
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In addition to the college I will be joining the students for their clinical rotations through
the local extended nursing care facilities and through the medical-surgical units at Munson
Medical Center. The students will begin their rotations through the extended care facilities on
February 20th. The three facilities that will be used as clinical sites will be The Grand Traverse
Pavilions, Bortz Health Care of Traverse, and Tendercare of Traverse City. Then beginning on
March 14th the students will start their clinical rotation on a medical-surgical unit at Munson
Medical Center. The medical-surgical units used as clinical sites are C4, the oncology and
medical unit, B4, the general medical unit, and B3S, the general and gynecological surgery,
medicine, and urology unit.
Goals and Objectives
For my proposed practicum experience and project I have developed an organized plan
(see Appendix A) that will aid in obtaining my goals. The plan includes two professional goals.
The first goal reflects my project development and the second goal reflects my professional
development in nursing academia. I have also developed objectives and activities that once
completed will aid in obtaining my goals. Furthermore, Kolb’s experiential learning theory will
be used as the theoretical guide for my practicum goals, objectives, and activities. The
experiential learning theory is founded on the idea that learning is cyclic and knowledge is
created through experience (Kolb & Kolb, 2009). Additionally, there are four components to the
experiential learning theory: experience, reflecting, thinking, and acting (Kolb & Kolb, 2009).
According to Kolb and Kolb (2009) after a person has an experience they then reflect on that
experience and their observations made, next the person connects logic to the experience, and
last the person can act on the new information learned. This theory will serve as a fitting guide
because my learning will be largely from the experience gained throughout my practicum.
PRACTICUM PROPOSAL
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Goal 1.0
Goal number one is to develop, implement, and evaluate updated course material on the
subject of pain for the fundamentals of nursing course. In the first meeting with my preceptor she
identified that the subject of pain is an area of her curriculum that is in need of updating. I have
decided to take this on as my practicum project because it will allow for me to gain experience in
facilitating learning and in curriculum development and evaluation, which are two of the NLN’s
(2005) Core Competencies of Nurse Educators that I have identified as personal weaknesses.
Furthermore, the NLN (2005) states that “nurse educators are responsible for formulating
program outcomes and designing curricula that reflect contemporary health care trends and
prepare graduates to function effectively in the health care environment” (p. 4). Obtainment of
this goal will be accomplished by first meeting with the fundamentals instructor to identify
specific information that is in need of updating. According to Dillard and Siktberg (2012) “it is
expected that faculty will routinely update individual courses with the latest developments in the
given field” (p.88). Next I will review current literature on the subject of pain. Once I have
obtained the updated information from the literature, I will construct an interactive presentation
that will enhance the lecture. In order to evaluate student learning I will have the students
complete a multiple choice pre and post-quiz on the information presented. After the quiz we
will have a class discussion regarding questions on the quiz.
Goal 2.0
My second goal is to gain professional experience in nursing academia according to the
NLN’s (2005) Core Competencies for Nurse Educators. I have developed a plan with five
objectives that once completed will result in increased professional nursing education
experience. To start, I plan to become familiar with NMC’s framework, outcomes, and
PRACTICUM PROPOSAL
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competencies of their nursing curriculum. It is important for faculty to be familiar with the
organizations framework as it is the systematic blueprint to teaching and learning (Boland,
2012). I plan to attend nursing faculty meetings as well as community advising committee
meetings throughout the spring 2014 semester. One of my identified NLN (2005) competency
weaknesses is facilitating learning. According to the NLN (2005) “nurse educators are
responsible for creating an environment in classroom, laboratory, and clinical settings that
facilitates student learning and the achievement of desired cognitive, affective, and psychomotor
outcomes” (p.15). In order to gain experience in this area, I will effectively teach one clinical
laboratory section to the fundamentals of nursing class. This will require that I review course
material from the clinical lab lesson plans, as well as from the course textbook on a weekly basis.
I will also facilitate and guide debriefing sessions for the three planned clinical simulations. To
prepare for this I will meet with the facilitator coordinator and the course instructor to review the
simulation goals and objectives, the manikin functions, and the questions for debriefing. Next I
will assist in the role of clinical instructor for the fundamental students’ community clinical
rotations. As a clinical instructor I will be available to students at the clinical site or lab to review
and monitor various fundamental nursing tasks. I will also assist students in identifying learning
opportunities within the lab or clinical site.
Another weakness identified is the NLN’s (2005) competency to facilitate student
development and socialization. According to the NLN (2005) “nurse educators create learning
environments that are focused on socialization to the role of the nurse and facilitate learners’
self-reflection and personal goal setting” (p.2). As a portion of my practicum hours I will attend
open lab sessions for the nursing students. During this time I will be available to answer
questions, review material or practice clinical skills with the students.
PRACTICUM PROPOSAL
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Identification of Preceptor
Linda Walter MSN, RN has agreed to function in the role as my preceptor for my
practicum. Linda’s nursing career began in 1974 when she graduated from Mercy School of
Practical Nursing. As a licensed practical nurse (LPN) Linda worked in the emergency
department as well as on the medical surgical units. Two years later Linda went back to school at
Ferris State University (FSU) and graduated with her Associate’s Degree in Nursing. While in
school she worked at an extended care facility. Throughout the twenty years that Linda was a
clinical nurse, she worked on the coronary intensive care unit, the critical care pool, and was also
an assistant supervisor. Then In 1990, Linda once again returned to school at FSU to complete
her Bachelor’s Degree in Nursing. It was at this time that Linda began her career in nursing
education at NMC. Her primary role at NMC has been lead instructor of fundamentals of
nursing. Then in 2000, Linda obtained her Master of Science in Nursing Degree from Grand
Valley State University. Linda’s dedication to lifelong learning is inspiring and I feel very lucky
to have this opportunity to learn from someone with such a diverse background in nursing.
Details regarding the student-preceptor agreement and agency contract can be viewed in
Appendix B.
Role and Activities
Throughout my practicum experience I will be taking an active role in teaching nursing
fundamentals. A large portion of my time will be spent with the students in clinical where I will
be involved in developing, implementing, and evaluating lecture material, as well as working
with students in the nursing simulation and clinical lab. In the simulation and clinical lab,
students work towards competency in basic assessment skills and patient care activities such as
foley catheter care, wound care, and nasogastric tube insertion and removal. I will also be
PRACTICUM PROPOSAL
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involved in monthly nursing faculty meetings and community advising committee meetings.
Additionally, through the process of developing and implementing my practicum project, I will
be activity involved in curriculum development and evaluation. Attainment of my goals and
objectives will be measured by a self-evaluation and preceptor evaluation at the completion of
the 300 practicum hours (see Appendix C).
Proposed Date and Times of Practicum Experience
My practicum experience will begin on January 10th, 2014 and will be complete on May
2nd, 2014. A detailed timeline can be viewed in Appendix A. For completion of the 300 required
hours I will be attending clinical for the fundamentals of nursing course at NMC on Wednesdays,
Thursdays, and Fridays starting January 13th, 2014 till February 6th, 2014. Starting on February
7th to March 6th, 2014 the clinical site will change to an extended care facility. Then from March
7th to May 2nd, 2014 the clinical site will change to medical-surgical units at Munson Medical
Center. Each clinical day is seven to nine hours long. In addition to attending clinical, I will be
present at the monthly nursing faculty meetings and community advising committee meetings.
Evaluation Tool
A Likert five point scale will be used as the evaluation tool to measure the degree of
completion of the goals and objectives that are identified in the project planning guide. The
advantage to using a Likert Scale is that it allows for the user to measure attitude on a linear
scale (Mcload, 2008). The Likert Scale used will measure attitude or opinion by having the
participant rate how much they agree with the statement using the scale of strongly agree to
strongly disagree. At completion of the project, the key stakeholders: the student and the
preceptor will evaluate obtainment of the practicum goals and objectives based on the standards
PRACTICUM PROPOSAL
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stated in the NLN’s (2005) Core Competencies of Nurse Educators. The evaluation forms can be
viewed in Appendix C.
Conclusion
Nurse educators are the foundation of the nursing profession and an important aspect to
the health care industry. This practicum experience and project will be used to allow the nursing
student to gain valuable knowledge in the identified personal weaknesses of the NLN’s (2005)
Core Competencies of Nurse Educators. Mrs. Linda Walter, the fundamentals of nursing
instructor at NMC will serve as the preceptor for this practicum. The project planning guide that
contains the goals, objectives, activities, and timeline will be used. The NLN’s (2005) Core
Competencies of Nurse Educators will be used as the framework for the practicum project.
Additionally, Kolb’s experiential learning theory will serve as a guide to the practicum
experience.
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References
Boland, D. L. (2012). Developing curriculum: Frameworks, outcomes, and competencies. In D.
M. Billings & J. A. Halstead (Eds.), Teaching in nursing: A guide for faculty (4th ed.).
(pp. 138-159). St. Louis, MO: Elsevier Saunders.
Dillard, N., Siktberg, L. (2012). Curriculum development: An overview. In D. M. Billings & J.
A. Halstead (Eds.), Teaching in nursing: A guide for faculty (4th ed.). (pp. 76-91). St.
Louis, MO: Elsevier Saunders.
Kolb, A. Y., & Kolb, D. A. (2009). Experiential learning theory: A dynamic, holistic approach to
management learning, education, and development. Retrieved from
http://learningfromexperience.com/media/2010/08/ELT-Hbk-MLED-LFE-website-2-1008.pdf
Mcleod, S. (2008). Likert scale. Retrieved from http://www.simplypsychology.org/likertscale.html
Munson Medical Center (2013). About us. Retrieved from
http://www.munsonhealthcare.org/AboutMMC
National League for Nursing (2005). Core competencies of nurse educators with task statements.
Retrieved from http://www.nln.org/profdev/corecompetencies.pdf
Northwestern Michigan College (2013). Nursing- associate degree (ADN). Retrieved from
https://www.nmc.edu/programs/academic-programs/nursing-associate-degree/index.html.
PRACTICUM PROPOSAL
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Appendix A
NURS 730 Practicum Proposal Planning Guide
Title of Project: Updating of course material: Stephanie Monroe
Goals
Goal 1: To
develop,
implement, and
evaluate updated
course material on
the subject of pain
for the
fundamentals of
nursing course.
Objectives
1.1 Evaluate
current course
material on pain
with fundamentals
instructor.
Activities
1.1 Meet with Linda
Walter to review and
evaluate current pain
course material.
Timeline
1.1 Complete by January
30, 2014.
1.2 Identify areas
in course material
that can be
improved.
1.2 Meet with Linda
Walter to identify
material that can be
improved.
1.2 Complete by January
30, 2014.
1.3 Review current
literature on the
subject of pain.
1.3 Complete by
February 15, 2014.
1.4a. Create goals that
coincide with course
outcomes.
1.4 Complete by
February 28, 2014.
1.3 Review current
literature on the
subject of pain.
1.4 Develop goals
and objectives for
updated course
material.
1.5 Construct a
presentation that
incorporates active
learning.
1.6 Use updated
course material to
deliver lecture on
pain.
1.4b. Objectives will
be written using
Bloom’s (1956)
Taxonomy of
Educational
objectives.
1.5 Complete by March
5, 2014.
1.5 Use Microsoft
office to create an
interactive
presentation.
1.6 March 12, 2014
1.6 Deliver lecture to
fundamentals students.
1.7 March 12. 2014.
PRACTICUM PROPOSAL
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1.7 Evaluate
student learning
with a pre and
post-lecture
multiple choice
quiz.
Goal 2: To gain
professional
experience in
nursing academia
according to the
NLN’s Core
Competencies of
Nurse Educators.
2.1 Identify
members of
NMC’s nursing
faculty and
describe the
framework,
outcomes, and
competencies of
their nursing
curriculum.
1.7 After quiz has
been approved by
fundamentals lead
instructor students will
complete the quiz and
then we will have a
group discussion
regarding their
questions.
2.1a. Attend faculty
meetings.
2.1b. Attend
community advising
committee meetings.
2.2a. Review weekly
material as it relates to
weekly course
material.
2.1a.Faculty meetings
are scheduled to take
place on the first Friday
of every month.
2.1b. Meetings
scheduled to take place
monthly.
2.2 Effectively
teach one clinical
laboratory section
to the fundamentals
of nursing class.
2.2b. Review clinical
lab lesson plans on a
weekly basis as it
relates to weekly
course material.
2.2a&b. Students in
nursing clinical lab on
Wednesdays, Thursdays
and Fridays from
January, 10 to February
7, 2014.
2.3 Facilitate and
guide debriefing
sessions for
planned clinical
simulations
2.3a-c. Clinical
simulations are
scheduled for January
24, 2014, January 30,
2014, and April 23,
2014.
2.3a. Meet with
facilitator coordinator
and instructor to
review the simulation
goals and objectives.
2.3b. Review manikin
functions with
simulation operator.
2.3c. Prepare a list of
questions for
debriefing session.
PRACTICUM PROPOSAL
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2.4 Assist in the
role of clinical
instructor for the
fundamental
students’
community clinical
rotations.
2.4a. Review typical
patient population with
clinical instructor prior
to first clinical session.
2.4b. Be available to
students at the clinical
site or lab to review
and complete various
fundamental nursing
tasks.
2.4c. Assist students in
identifying learning
opportunities within
the lab or clinical site.
2.5 Facilitate
student
development and
socialization.
2.5 Be available to
answer questions,
review material, or
practice skills with
nursing fundamental
students during open
lab.
2.4 Community clinical
rotations are on
Thursdays and Fridays
beginning February 13,
2014.
2.5 Open labs are
scheduled for
Wednesday from 111pm.
PRACTICUM PROPOSAL
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Appendix B
Agency Approval Contract
Student-Preceptor Agreement
Agency Name: Northwestern Michigan College
Student Name: Stephanie Monroe
Student Telephone Number: (231) 590-8377
Student Email: hunt58@ferris.edu
Preceptor Name: Linda Walter RN, MSN
Preceptor Telephone Number: (231) 995-1246
Preceptor Email: lwalter@nmc.edu
The following goal(s), objectives, and activities will be completed by the student during this
practicum:
Goal 1.0: To develop, implement, and evaluate updated course material on the subject of pain for
the fundamentals of nursing course.
Objectives:
1. Evaluate current course material on pain with fundamentals instructor.
2. Identify areas in course material that can be improved.
3. Review current literature on the subject of pain.
4. Develop goals and objectives for the updated course material.
5. Construct a presentation that incorporates active learning.
6. Use updated course material to deliver material on pain.
7. Evaluate student learning with a pre and post-lecture multiple choice quiz.
Activities:
1. Meet with Linda Walter to review and evaluate current course material.
2. Meet with Linda Walter to identify material to be improved.
3. Review current literature on the subject of pain.
4. Create goals that coincide with course outcomes.
5. Objectives will be written using Bloom’s (1956) Taxonomy of Educational
Objectives.
6. Use Microsoft office to create an interactive presentation and case study.
7. Deliver material to the fundamentals students.
8. After quiz has been approved by the fundamentals lead instructor, students will
complete the pre and post-quiz and then we will have a group discussion regarding
their questions.
Goal 2.0: To gain professional experience in nursing academia according to the NLN’s Core
Competencies for Nurse Educators.
Objectives:
1. Identify members of NMC’s nursing faculty and describe the framework, outcomes,
and competences of their nursing curriculum.
2. Effectively teach one clinical laboratory session to the fundamentals of nursing class.
3. Facilitate and guide debriefing sessions for planned clinical simulations.
PRACTICUM PROPOSAL
16
4. Assist in the role of clinical instructor for the fundamental students’ community
clinical rotation.
5. Facilitate student development and socialization.
Activities:
1. Attend nursing faculty meetings.
2. Attend community advising committee meetings.
3. Review current literature as it relates to weekly course material.
4. Review clinical lab lesson plans on a weekly basis as it relates to weekly course
material.
5. Meet with facilitator coordinator and instructor to review the simulation goals and
objectives.
6. Review manikin functions with the simulation operator.
7. Prepare a list of questions for debriefing session.
8. Review typical patient population with clinical instructor prior to first clinical session.
9. Be available to students at the clinical site or lab to assist in the learning of various
fundamental skills.
10. Assist students in identifying learning opportunities within the lab or clinical site.
11. Be available to answer questions, review material, or practice skills with nursing
fundamental students during open lab.
SIGNATURE SIGNIFYING AGREEMENT TO THE TERMS OF THIS AGREEMENT:
Student: Stephanie Monroe (e-signature, SM) Date: 11-29-13
Preceptor: Linda Walter (e-signature, LW) Date: 11-29-13
Agency Representative: Laura Schmidt (e-signature, LS) Date: 11-29-13
PRACTICUM PROPOSAL
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Appendix C
Evaluation of Scholarly Practicum
Student name: _______________________________________
Evaluated by: _______________________________________
Preceptor Evaluation:
Goal/Objective
Strongly
Agree
Neutral
Disagree
Agree
Goal 1: Student
developed,
implemented,
and evaluated
updated course
material on the
subject of pain
for the
fundamentals of
nursing course.
1.1 Evaluated
current course
material on pain
with
fundamentals
instructor.
1.2 Identified
areas in course
material that
could be
improved.
1.3 Reviewed
current literature
on the subject of
pain.
1.4 Developed
goals and
objectives for
the updated
course material.
1.5 Constructed
an interactive
presentation that
supplemented
the lecture on
pain.
Strongly
Disagree
PRACTICUM PROPOSAL
1.6 Used
updated course
material to
deliver lecture
on pain.
1.7 Evaluated
student learning
with a pre and
post-lecture
multiple choice
quiz
Goal 2: Student
gained
professional
experience in
nursing
academia
according to the
NLN’s Core
Competencies
of Nurse
Educators.
2.1 Identified
members of
NMC’s nursing
faculty and can
describe the
framework,
outcomes, and
competencies of
their nursing
curriculum.
2.2 Effectively
taught one
clinical
laboratory
session to the
fundamentals of
nursing class.
2.3 Facilitated
and guided
debriefing
sessions for
planned clinical
simulations.
18
PRACTICUM PROPOSAL
19
2.4 Assisted in
the role of
clinical
instructor for the
fundamental
students’
community
clinical
rotations.
2.5 Facilitated
student
development
and
socialization.
Student Self-Evaluation:
Goal/Objective
Strongly
Agree
Goal 1:
Developed,
implemented,
and evaluated
updated course
material on the
subject of pain
for the
fundamentals of
nursing course.
1.1 Evaluated
current course
material on pain
with
fundamentals
instructor.
1.2 Identified
areas in course
material that
could be
improved.
1.3 Reviewed
current literature
on the subject of
pain.
1.4 Developed
goals and
objectives for
Agree
Neutral
Disagree
Strongly
Disagree
PRACTICUM PROPOSAL
the updated
course material.
1.5 Constructed
an interactive
presentation that
supplemented
the lecture on
pain.
1.6 Used
updated course
material to
deliver lecture
on pain.
1.7 Evaluated
student learning
with a pre and
post-lecture
multiple choice
quiz
Goal 2: Gained
professional
experience in
nursing
academia
according to the
NLN’s Core
Competencies
of Nurse
Educators.
2.1 Identified
members of
NMC’s nursing
faculty and can
describe the
framework,
outcomes, and
competencies of
their nursing
curriculum.
2.2 Effectively
taught one
clinical
laboratory
session to the
fundamentals of
nursing class.
20
PRACTICUM PROPOSAL
2.3 Facilitated
and guided
debriefing
sessions for
planned clinical
simulations.
2.4 Assisted in
the role of
clinical
instructor for
the fundamental
students’
community
clinical
rotations.
2.5 Facilitated
student
development
and
socialization.
21
PRACTICUM PROPOSAL
22
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