Clinical Evaluation Tools

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Curriculum, Courses,
Syllabi
By Sue Field DNP, RN, CNE
Notes to Self
• 1. Questions during presentation
• 2. “Take Aways”
12 Month Program
• Summer: 6 to 8 credits
• Anatomy and Composition each 3 or 4 credits
• Fall: 11 to 12 Nursing credits
• + Developmental Psych 3 or 4 credits (14 to 16 credits))
• Spring: 14 Nursing Credits
• Total: 34 to 38
st
1
Semester (Summer)
• Anatomy
• Composition
• Total Credits: 6 to 8
2nd Semester
Nursing Courses
General Education Courses
• Foundations of Practical Nursing (4 or 5 cr. 2/2
or 3/2)
• Care of the Older Adult (3 credits 2/1)
• Pharmacology 1 credit
• Clinical I: 3 credits
Total:
11 to 12 credits Nursing
• Developmental
Psychology
• 3 to 4 credits
Total:
14 to 16
credits
3rd Semester
Nursing Courses
General Education Course
• Care of the Adult 3 credits (2/1)
• None
• Care of Women/Newborns/Children (3 credits
(2/1)
• Psychosocial Nursing (1 credit)
• Transition to Practice (1 credit)
• Clinicals 6 credits
Total: 13 credits
Clinical Evaluation Tools
Sue Field DNP, RN, CNE
Objectives
• The Participant will
• 1. Describe how the Student Learning Outcomes and Role
Specific Competencies are measured in clinical evaluation
tools
• 2. Analyze Clinical Portfolios and choose a model to review in
own nursing program.
Table 1: The Student Learning Outcome
Organize the Curriculum…
Workbook: Page 4
1. Page 5 - SLO: Informatics/Technology
Competency: Informatics
9. Page 12 – SLO: Professional Identity
Competency: Professionalism
2. Page 6 - SLO: Managing Care
Competency: Managing Care
Competency: Assign/Monitor
10.Page 12 – SLO Quality Improvement
3. Page 7 – SLO: Nursing Judgment/Evidence
Competency: Prioritization of Care
4. Page 7 & 8 – SLO: Nursing Judgment/Evidence
Competency: Nursing Judgment
5. Page 9 – SLO: Pt/Relationship Centered Care
Competency: Nursing Process
6. Page 9 & 10 – SLO: Pt. Relationship Centered
Competency: Communication
7. Page 10 – SLO: Patient Relationship Centered
Competency: Learning Needs
8. Page 11 – SLO: Professional Identity
Competency Ethical/Legal
Competency: Patient Care concerns
11.Page 12 – SLO Quality Improvement
Competency: Organizations/Systems
12.Page 13 – SLO Safety
Competency: Safe Nursing Practice
13. Page 13 – SLO Safety
Competency: Patient Complications
14. Page 15 – SLO Teamwork and Collaboration
Competency: Communications
15. Page 16 – SLO Teamwork and Collaboration
Competency: Conflict Resolution
1. Scope of Practice?
1st Semester
Level 1
• Foundations of PN Nursing
• Care of the Older Adult
• Pharmacology
• Clinical I
2. Changes?
2nd Semester
Level 2
• Care of the Adult
• Care of Women/Newborns/Children
• Psychosocial Nursing
• Clinical II
Clinical Evaluation Tools were Developed
Using 2 Different Grading Rubrics
Chapter 3, Page 22 in the Workbook
• Clinical I Evaluation Tools:
• Satisfactory-needs improvement-unsatisfactory grading
rubric.
• The Clinical II Evaluation Tools provided use the
• Bondy grading scale.
The Clinical Evaluation Tools Below can be
Modified to your Nursing Program.
• Daily Evaluation Form for Clinical I
• Daily Evaluation Form for Clinical II
• Instructor Grading Sheet for Clinical I
• Midterm/Final Evaluation for Clinical I
• Midterm/Final Evaluation for Clinical II
• Example of a Preceptor Evaluation Tool
S-NI-U Grading
P. 24 Workbook
• Needs Improvement
• needs frequent to occasional supportive
cues
• Performance level is inconsistent
• Satisfactory:
• accomplish the criteria
• minimal supportive cues,
• is safe and accurate,
• with appropriate verbal and
nonverbal behavior
• Unsatisfactory
• 1. Formative Evaluation: behavior that is
unsafe or leads to an anecdotal note
• 2. Summative Evaluation:
unable to demonstrate a satisfactory
score on a criteria,
Bondy Grading Rubric: P. 26 Workbook
Scale label
Independent
Supervised
Assisted
Marginal
Dependent
Professional Standard
-Safe -Accurate
-Action produces desired result
-Appropriate verbal and non-verbal
behaviors
-Safe -Accurate
-Action produces desired results
-Appropriate verbal and non-verbal
behavior.
-Safe -Accurate
-Action produces desired results
-Appropriate verbal and non-verbal
behavior
-Unsafe -Performs at risk
-Action does not produce desired
result
-Inappropriate verbal and/or nonverbal behavior
-Unsafe
-Unable to demonstrate desired
behavior
-Inappropriate verbal and/or nonverbal behavior
Quality of Performance
-Proficient, coordinated, confident
-Occasional expenditure of excess energy
-Within an expedient time period
Assistance required
-Without supportive cues
-Efficient, coordinated, confident
-Some expenditure of excess energy
-Within a reasonable time period
-Occasional supportive cues
Skillful in parts of behavior
Inefficient and un- coordinated -Expands
excess energy
-Within a delayed time period
-Unskilled, inefficient
-Considerable expenditure of excess energy
-Prolonged time period
-Frequent verbal and occasional
physical and directive cues in
addition to supportive ones.
-Unable to demonstrate procedure/
behavior
-Continuous verbal and physical
cues
Continuous verbal and frequent
physical cues
Examples of Daily Evaluation Tools for
Clinical I with S-NI-U and Bondy Rubrics
Page 23 and 25
Instructors can keep a Personal Record of
Each Student on the Following Instructor
Clinical Evaluation Tool
Page 27
Managing Care: Ethical Comportment?
Both Formative and Summative Evaluations
should be Completed on Students.
• Formative Evaluation
• Ongoing Evaluation
• Midterm
• Can be Daily Evaluation as well
• Summative Evaluation
• Final Evaluation
• All Competencies MUST be achieved to pass
Midterm/Final Evaluation Forms are
Displayed Using the 2 Different Grading
Rubrics.
Page 29 and Page 37
Where can you find these templates?
• http://healthforceminnesota.org/Resources/NursingAccreditation.php
We have 2 Examples of Clinical Portfolios
And one Program Portfolio
• 1. Using the midterm evaluation and having
students insert documents within the portfolio
• 2. Caputi’s Model
Page 45 of Workbook
The Caputi’s Model for a Clinical Portfolio
P. 48 of Workbook
This is an example of a Caputi Porfolio
(Example using Caputi Template)
Example of Midterm/Final Evaluation
Portfolio Using the Evaluation Form
(Using Midterm/Final Evaluation Templates)
Example of a Program Portfolio
Using Template on Page 4 in Workbook
• You could arrange this in D2L,
• have hard copies of grades and assignments
• Or have it on a document like this that the students put their
finished products into.
Ethical Comportment- Nursing Judgment ?
Questions?
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