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N4J07 N4K10 Evaluation Preceptor Aug. 2014 (2)
Nursing Concepts in Health and Illness II (Nursing 2Nn3)
McMaster University
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McMaster Mohawk Conestoga BScN Program
PRECEPTOR: Level 4 Professional Practice Evaluation Tool
Full Student Name (as registered): McMaster Student #: Site Student Attends: McMaster Mohawk Conestoga Preceptor: Tutor: Agency/Area: Course Code: Please Indicate: Midterm Final Date:
Evaluaion Raing Scale Descripion for use with each Key Characterisic– Level 4
FAIL
*U *Unsatisfactory
Deficient in awareness, knowledge, and/or ability Displays poor motivation for learning. Lacks accountability for actions. Places clients at risk. Needs significant further learning, supervision, & student effort to achieve an acceptable standard.
*NI *Needs Improvement
Shows some evidence of awareness, knowledge, and/or ability. Displays limited motivation for learning. Some accountability for actions. May have had minor instances of irresponsibility. Performance is inconsistent. Is likely to improve to an acceptable standard with some further learning, supervision & student effort.
PASS
S Satisfactory
Consistently meets expectations of awareness, knowledge, and/or ability. Performs consistently at an acceptable standard. Accountable for actions. Building independence but requires some preceptor assistance in complex, changing situations.
G Good
Consistently demonstrates and at times exceeds expectations of awareness, knowledge, and/or ability. Shows steady improvement in characteristic being rated. Shows increasing levels of independence in practice. Accountable for actions.
E Excellent
Consistently exceeds expectations of awareness, knowledge, and/or ability. Consistently accountable for actions. Performs consistently above an acceptable standard at an advanced level. Able to take on wider responsibilities and performs nursing actions safely at a standard approaching that of a novice RN. Adapted from Indiana University Department of Counseling and Educational Psychology, Center for Human Growth.
NOTE: The clinical judgement model used in the BScN curriculum [knowing, noticing, interpreting, responding, & reflecting] is similar in principle to the nursing process model which uses knowledge and skills in assessing, planning, implementing, and evaluating client care.
Students will demonstrate professional practice which integrates 5 ways of knowing [Chinn and Kramer]: empirical [scientific], ethical, personal [experience and wisdom], aesthetic [understanding the depth of meaning of a situation; i. evident circumstance that is used creatively to develop individualized nursing actions] and emancipatory [recognition of unfair and unjust social situations].
The term “client” is used to refer to care recipients from a wide range of health agencies.
If you assign an UNSATISFACTORY [U]* or NEEDS IMPROVEMENT [NI]* rating to a given key characteristic, please include some comments and examples. The tutor will work with you and the student to negotiate remediation and will document the plan and progress. See *as a reminder on scale for each key characteristic.
When typing in the text boxes, they will increase in size as text is added.
Theme: Personhood and Caring Key Characteristic: Communication & Relational Skills Check one: Unsatisfactory Needs Improvement Satisfactory Good Excellent Demonstrates awareness and use of personal communication style and impact of self in interactions with clients and others. Engages in meaningful and confidential dialogue with clients to establish a client centred care plan considering clients unique needs. (NB: can apply to communities and populations for community-based practice settings) Provides timely updates in an organized, concise manner to preceptor and other team members. Accurately documents nursing activities in a timely manner. Adheres to standards, guidelines, policies, and as authorized/recommended by the agency
Key Characteristic: Caring Check one: Unsatisfactory Needs Improvement Satisfactory Good Excellent Uses a humanistic approach to caring emphasizing dignity, compassion, empathy, concern for client, family and community needs (where appropriate). Demonstrates consistent evidence of scientific [research-based] and humanistic [art-of-nursing] caring which serves as the basis for the provision of high quality health and related care.
Key Characteristic: Client-Centred Care Check one: Unsatisfactory Needs Improvement Satisfactory Good Excellent Understands the client story(ies)/narrative(s), reflecting theory, supporting rationale and multiple ways of knowing. Views the client/community in a holistic manner, seeing the client/community as a person with needs and assets, not a disorder or disease that needs to be treated. Includes the client, as well as, family/friends, relevant stakeholders, where appropriate as members of the health team. Responds in a timely manner to client needs. Develops therapeutic, culturally sensitive nurse-client relationships and provides non-judgemental nursing care, while respecting the client’s story, cultural norms, values and beliefs. (NB: can apply to communities and populations for community-based practice settings) Key Characteristic: Professionalism Check one: Unsatisfactory Needs Improvement Satisfactory Good Excellent Displays increasing autonomous, safe practice according to standards, legislation, guidelines, policies, and procedures. Models professional accountability and responsibility. Is punctual and prepared to engage in professional practice, including preceptor-tutor-student meetings. Demonstrates integrity in all aspects of professional practice and educational endeavours. Displays honesty and accepts responsibility for own actions and decisions, including errors and near misses. Demonstrating increasing confidence in nursing judgement [knowing, noticing, interpreting, responding, reflecting]. Refining a professional identity and sense of who they are as a nurse while demonstrating values and behaviours consistent with professional practice.
Comments and Examples related to Personhood and Caring Theme:
Theme: Context, Health, and Healing Key Characteristic: Professional Practice Skill Development Check one: Unsatisfactory Needs Improvement Satisfactory Good Excellent Knowing and Acting: Uses clinical reasoning based on sound principles and/or rationale. Recognizes limitations and seeks assistance in situations that are beyond one’s capabilities. Provides care within the context of a client- or community- centred philosophy and within the parameters of the agency’s nursing standards, practice guidelines, policies and procedures. Judgement: Recognizes and uses available learning opportunities to rehearse and develop professional practice. Accepts feedback from key resources [preceptor, other team members, tutor, peers] and modifies behaviour to improve performance. Being and Becoming: Interventions are client- or community- centered, recognizing the significance of client respect, choice and informed consent**.** Evidence of the process of transition from student nurse to practising professional.
Uses clinical reasoning and judgement to identify, prioritize, and implement sound nursing interventions. Continuously evaluates and adapts interventions based on the client’s story, changes in health needs, and health care environment. Responding to information: Prioritizes actual and anticipated client care needs. Effectively utilizes team and community/system resources. Modifies interventions in response to client and family care needs in different situations. Applies humanistic and scientific caring to nursing actions. Reflecting, In action: Notices client’s response to nursing interventions and adjusts appropriately with preceptor. Engages in self-reflection with respect to nursing practice and client outcomes. On action: Reflects on learning from client care experience, and discusses how ongoing knowledge and professional development contribute to nursing judgement in future situations. Examines inferences, assumptions, issues, and beliefs as a way of improving one’s professional practice and developing a personal wisdom base. (NB: can apply to communities and populations for community-based practice settings)
Key Characteristic: Knowledge Generation, Utilization and Dissemination Check one: Unsatisfactory Needs Improvement Satisfactory Good Excellent Demonstrates a spirit of inquiry about new knowledge and technologies that inform decision-making at the bedside or in the community. Retrieves, analyzes, interprets, synthesizes, and applies knowledge from scientific and/or best practice evidences as authorized/recommended by the agency. Demonstrates intellectual courage and willingness to listen and respect values, ideas, and beliefs of others. Demonstrates intellectual humility by knowing/accepting one’s limitations, prejudices, biases.
Key Characteristic: Learning and Teaching Check one: Unsatisfactory Needs Improvement Satisfactory Good Excellent Actively participates in learning/teaching with preceptor, peers, and other health care team members. Engages in sharing knowledge/resources, providing constructive feedback, and facilitating discussions to enable positive client/community outcomes, and healthy work environments. Participates in health promotion/prevention with the client/family, community/population when establishing a mutually agreed upon care plan, considering and understanding the impact of cultural diversity and determinants of health [smoking, alcohol, drug abuse, poverty]. Recognizes members of the “community of professional practice” as sources of learning and ongoing personal and professional development. Accepts constructive feedback, viewing it as a positive mechanism that enables continuous improvement and growth. Comments and Examples related to Learning and Knowing Theme:
Factors [context] that should be considered in conjunction with this evaluation [e. unexpected occurrences, absences]:
Strengths and Areas for Growth, Including Suggested Strategies Strengths: Areas for Growth/Suggested Strategies:
Next Steps:
__________________________ ______________________ ______________________
Preceptor Signature Student Signature Tutor Signature
**_Date Date Date_**N4J07 N4K10 Evaluation Preceptor Aug. 2014 (2)
Course: Nursing Concepts in Health and Illness II (Nursing 2Nn3)
University: McMaster University
