After the Clinical Day is Over p atient evaluations and self-evaluations 洪志秀副教授...
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Transcript of After the Clinical Day is Over p atient evaluations and self-evaluations 洪志秀副教授...
After the Clinical Day is Over patient evaluations and self-evaluations
洪志秀副教授吳淑如講師
The Clinical Day is Over
The time is spent reflecting on
1. clinical performance
2. patient responses
3. writing summaries
Standards of Professional Nursing Performance (ANA)
Include: systematic evaluation of the quality and
effectiveness of nursing practice The evaluation of one’s own nursing
practice.
Purpose of Performance Evaluations-1
A performance evaluation is the process of
determining how well the nursing student
does that which is required.
The purpose is not to blame or shame
students.
The Questions to be Addressed with the Performance Evaluation Are:
(1) Are you providing safe and effective care?
(2) What grade did you earn?
(3) Should you be promoted to the next level?
Purpose of Performance Evaluations-2
The clinical objectives and specific daily
objectives of the course are used as
standards to evaluate performance.
Performance evaluations are based on
standards and objective criteria.
Clinical Performance Objectives
Assessment Nursing Diagnoses Planning Implementation Evaluation Documentation Professional Qualities
Assessment
Prepares each patient profile by gathering
complete, relevant information needed to
develop a concept map care plan
Nursing Diagnosis
Develops a concept map
Planning
Develops patient goals, objectives, and
nursing interventions
Implementation
1.Provides safe and effective nursing care
2.Safely and effectively implements all procedures and treatment
3.Safely and effectively administers medications
4.Safely and effectively teaches and is emotionally supportive to patients and families
5.Communicates effectively
6.Collaborates with other health-care workers
Evaluation
1.Evaluates the concept map plan of care
2.Evaluates self-performance
Documentation
Documents accurately, concisely, completely and in a timely manner
Professional Qualities
1.Acts professional at all times
2.Acts ethically at all times
Constructive Criticism-1
It provided you believe in respecting others’
rights to their opinions.
The criticism received is valuable and
helpful, and requires changing behaviors.
The valuable and helpful criticism is termed
constructive criticism.
Constructive Criticism-2 Constructive criticism is based on lack of
performance of specific behavioral objectives.
Its intent is not to shame or blame on a personal level.
Specifically, the intent of constructive criticism from your nursing faculty is to give you feedback on your performance and to help you grow into your role as a professional nurse
Carrying out Responsibilities and Showing Initiative
The fastest way to be dismissed from
clinical and possibly even from the nursing
program is to jeopardize patient safety.
Performance appraisals are also used to
decide if a student should be dismissed.
Dismissal for Unacceptable Clinical Behavior Policy
Examples of unacceptable clinical behavior
include, but are not limited to:
Refusal to care for an assigned patient
based on patient characteristics such as
race, culture, religious beliefs, or diagnosis
Clinical Evaluations
There are links between performance
evaluation, professional growth and
development, and the rewards of providing
excellent care.
Faculty and students give feedback to each
other in order to evaluate the student’s
performance, professional growth, and
development.
The focus is on behaviors and skills.
Clinical Evaluations:
Formative
Summative
Formative Evaluations
Start out each term by reviewing specific clinical objectives that you will need to meet in order to complete the course.
It is very important for you to be aware of what is expected of you.
Then, on a weekly formative basis, you and your faculty will jointly select experiences to meet those objectives.
Summative Evaluations
Each clinical course also entails summative evaluations.
Usually at midterm and at the end of the term.
Basic principles of receiving an evaluation
1. View all your constructive criticism feedback
as having been given with helpful intent. 2. Listen to your faculty’s perspective and avoid
excuses. 3. Ask for clarification and ask for examples of
the inappropriate behavior. 4. Check with your clinical faculty for mutual
understanding. 5. Ask for help and support in the areas of future
growth.
Making Mistakes
Keep in mind that everyone makes mistakes because no
one is perfect
Honesty and integrity are paramount to safe and
effective nursing care.
A student coveting up mistakes is acting unethically
because it is dishonest
Don’t beat yourself up about mistakes publicly or
privately. It is unhealthy to engage in self-recrimination
Summary
You alone must take responsibility for your own development
You must seek out learning experiences to develop yourself in ways that support the achievement of outstanding nursing care
CHAPTER SUMMARY
You alone must take responsibility for your
own development.
You must seek out learning experiences to
develop yourself in ways that support the
achievement of outstanding nursing care.