PRAC 6645 Psychotherapy And Multiple Modalities: Practicum Experience Plan (PEP) Essay

 PRAC 6645 Psychotherapy And Multiple Modalities: Practicum Experience Plan (PEP) Essay

 PRAC 6645 Psychotherapy And Multiple Modalities: Practicum Experience Plan (PEP) Essay

 PRAC 6645 Psychotherapy And Multiple Modalities: Practicum Experience Plan (PEP) Sample Essay

Practicum Experience Plan

Overview:

Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.

As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.

Section A

Part 2: Individualized Practicum Learning Objectives

Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

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As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.

Objective 1: By the end of the practicum experience, I should have performed comprehensive physical assessment and mental status assessment of at least 80 patients to improve my competencies.

Planned Activities: Collaborate with the preceptor and other healthcare providers in the setting to assess patients and develop their diagnoses. I will seek preceptor’s assessment of my competency development. I will journal all the patients I assess during the practicum experience.

Mode of Assessment: Weekly journal and evaluation from my preceptor.

PRAC Course Outcome(s) Addressed:

• Develop professional plans in advanced nursing practice for the practicum experience
• Assess advanced practice nursing skills for strengths and opportunities

Objective 2: By the end of the practicum experience I should be competent in developing appropriate diagnoses for mental health patients.

Planned Activities: Collaborating with my preceptor in assessing and developing diagnoses, relying on DSMV to develop accurate diagnoses, and reading more about the different mental health problems and their management.

Mode of Assessment: Preceptor evaluation

PRAC Course Outcome(s) Addressed:

• Developing advanced clinical practice expertise that influence positive care outcomes for the diverse populations
• Employing crucial and diagnostic thinking in advanced practice nursing to come up with care plans that improve outcomes

Objective 3: By the end of the practicum experience I should be able to develop appropriate pharmacological and non-pharmacological treatments for patients suffering from mental health problems

Planned Activities: Collaborate with my preceptor in developing treatment plans for the patients and rely on pharmacology textbooks to develop evidence-based treatments.

Mode of Assessment: Evaluation by the preceptor

PRAC Course Outcome(s) Addressed:

• Demonstrating accountability and responsibility in advanced nursing practice roles
• Employing critical thinking in developing care plans that improve outcomes
• Develop professional plans in advanced nursing practice for the practicum experience
  Part 3: Projected Timeline/Schedule

Estimate how many hours you expect to work on your Practicum each week. *Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.

	Number of Clinical Hours Projected for Week	Number of Weekly Hours for Professional Development	Number of Weekly Hours for Practicum Coursework
Week 1		12	12
Week 2		12	12
Week 3		12	12
Week 4		14	14
Week 5		14	14
Week 6		14	14
Week 7		12	14
Week 8		14	14
Week 9		14	14
Week 10		14	14
Week 11		14	14
Total Hours (must meet the following requirements)	144 or 160 Hours	146	160

Part 4 – Signatures

Student Signature (electronic):                                Date:

Practicum Faculty Signature (electronic)**:                        Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

 

 

PRAC 6645 Psychotherapy and multiple modalities: Practicum Experience Plan (PEP)

As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep psychotherapy approaches and techniques in mind.

To Prepare

• Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims?
• Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be:
  • Specific
  • Measurable
  • Attainable
  • Results-focused
  • Time-bound
  • Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)

Note: Please make sure your objectives are individualized and outlined in your Practicum Experience Plan (PEP). While you may add previous objectives to continue to work toward. You must have 3 new objectives for each class, each quarter.

• Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.
• Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.
• Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

Assignment

Record the required information in each area of the Practicum Experience Plan template, including 3–4 measurable practicum learning objectives you will use to facilitate your learning during the practicum experience.

By Day 7

Submit the Practicum Experience Plan for assessment and Faculty approval.

When your Instructor has approved your plan, forward the signed PEP to your Preceptor and retain a copy for your records.

Clinical skills assessment to refer to do assignment

PMHNP PRAC 6645 Clinical Skills

Self-Assessment Form

Desired Clinical Skills for Students to Achieve	Confident (Can complete independently)	Mostly confident (Can complete with supervision)	Beginning (Have performed with supervision or need supervision to feel confident)		New (Have never performed or does not apply)
Comprehensive psychiatric evaluation skills in:
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan	x
Differentiating between pathophysiological and psychopathological conditions	x
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)	x
Performing and interpreting a mental status examination	x
Performing and interpreting a psychosocial assessment and family psychiatric history	x
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).	x
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list	x
Formulating diagnoses according to DSM 5 based on assessment data	x
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes	x
Pharmacotherapeutic skills in:
Selecting appropriate evidence-based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)		x
Evaluating patient response and modify plan as necessary	x
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)		x
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan		x
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation)	x
Applies age-appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups	x
Develop an age-appropriate individualized plan of care.		x
Provide psychoeducation to individuals, family, and/or groups	x
Promote health and disease prevention techniques.
Self-Assessment skills:
Develop SMART goals for practicum experiences	x
Evaluating outcomes of practicum goals and modify plan as necessary	x
Documenting and reflecting on learning experiences	x
Professional skills:
Maintains professional boundaries and therapeutic relationship with clients and staff	x
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings	x
Identifies ethical and legal dilemmas with possible resolutions		x
Demonstrates non-judgmental practice approach and empathy	x
Practices within scope of practice		x
Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:
Demonstrates selecting the correct screening instrument appropriate for the clinical situation	x
Implements the screening instrument efficiently and effectively with the clients	x
Interprets results for screening instruments accurately		x
Develops an appropriate plan of care based upon screening instruments response	x
Identifies the need to refer to another specialty provider when applicable	x
Accurately documents recommendations for psychiatric consultations when applicable	x

 

Summary of strengths:

The self-assessment offers an opportunity to reflect on the strengths and weaknesses as an individual embarks on a new experience. As such, from the assessment, it was evident that  I have various areas of strength. For example, my strength lies in the comprehensive psychiatric evaluation skills in various areas, like identification of psychiatric illness symptoms and signs, functional assessment performance and interpretation and carrying out physical exams and interval history, among others. In addition, my strength has also been revealed in creating and choosing differential diagnosis list and arriving at diagnosis based on DSM5 as well as observing differences between the abnormal or normal psychological and physiological changes based on age. Other areas of strength were also noted in various aspects, such as therapeutic skills and treatment, self-assessment skills, and professional skills.

 

 

 

Opportunities for growth:

The self-assessment exercise also revealed various areas which presented opportunities to grow. These areas were revealed by identifying aspects in which I am still not confident. One of the opportunities to grow includes creating medication plans using clinical practice guidelines which include symptom management, informed consent process, developmental aspects, patient preference, risk, benefit and financial considerations.  Under pharmacotherapeutics skills, I can also improve in formulation of individualized care plans based on patient age, identification of legal dilemmas and potential resolution and the interpretation of the screening instruments’ results appropriately. Therefore, it is important that the practicum goals be built around these areas, which present opportunities to grow.

 

 

Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

1.      Goal:  To identify and select appropriate evidence based clinical practice guidelines for medication within the first four weeks of practicum     a.      Objective:  To study literature sources on clinical evidence based guidelines for medication administration for patients undergoing mental illness b.     Objective: To discuss with my preceptor on the most effective strategies for choosing appropriate pharmalogical interventions c.      Objective: To appropriately select at least one medication guideline every week   2.      Goal: To explore and identify therapeutic modality concepts across the lifespan and formulated effective individualized therapeutic plans by the end of week six of practicum  experience   a.      Objective: To study literature on the concepts of therapeutic modalities b.     Objective: complete quizzes on therapeutic modalities to enhance my knowledge c.      Objective: To formulate at least two individualized therapeutic plans every week.   3.      Goal: To study and enhance my skills and knowledge on the ethical and legal dilemmas experienced in the care of mental illness patients across the life span within the first six weeks of my practicum experience. a.      Objective: To discuss with the senior members of staff  regarding their experience with ethical and legal dilemmas and how they deal with them b.     Objective: To collaborate with my mentor on how to deal with the ethical and legal dilemmas c.      Objective: Document every incidence of ethical or legal dilemma experienced during the practicum experience.

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PEP from previous class to refer to, so you use 3 new objectives

Practicum Experience Plan

Practicum experience offers a nursing student an opportunity to work with patients in a clinical setting to gain appropriate knowledge relevant to the requirements of being an advanced practice nurse. A practicum plan is key in guiding the practicum experience as appropriate. As part of the practicum plan, it is key that an individual comes up with appropriate objectives that can help guide the practicum experience. As such, the purpose of this assignment is to formulate a practicum experience plan with goals that can be used as a guide for the practicum experience. In addition, this write-up will also detail the timeline or schedule with the planned total practicum hours.

Part 2: Individualized Practicum Learning Objectives

Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically with your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives is connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER.  You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

Objective 1: be able to utilize autonomy when analyzing  between pathophysiological and psychopathological conditions within the first month of my practicum rotation.

Planned Activities: studying pathophysiological and psychopathological conditions at least once a day. Taking self-test questions to enhance the skills

Mode of Assessment: Assessment of scores obtained on the self-test questions.

 

PRAC Course Outcome(s) Addressed:

• Differentiating between pathophysiological and psychopathological conditions

Objective 2: To formulate a diagnosis every week that meets DSM 5-TR criteria for each patient’s individualized care during the period of my practicum.

Planned Activities: Discussions with senior members of staff on diagnosis according to DSM 5. Reading resources on the correct use of DSM  5 for diagnosis

Mode of Assessment: The formulated diagnosis will be checked by the preceptor for correctness and accuracy

PRAC Course Outcome(s) Addressed:

• Formulating diagnoses according to DSM 5-TR based on assessment data

Objective 3: Identify and interpret accurate screening tools and outcomes pertaining to specific clinical situations within the first five weeks of the practicum experience

Planned Activities: study guidelines on the correct selection of screening instruments. Interpret screening results daily. Meet and discuss with my preceptor interpreting the results of the screening instruments

Mode of Assessment: The interpreted results will be checked by the preceptor for accuracy and correctness

PRAC Course Outcome(s) Addressed:

 

• Recognizes when screening tools need to be implemented and carried out effectively.
• Demonstrates correct identification and interpretation of screening criteria on a case by case basis during patient care.

 

Part 3: Projected Timeline/Schedule

 

Estimate how many hours you expect to work on your practicum each week. *Note: All of your hours and activities must be supervised by your preceptor and completed onsite. Your preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

 

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

 

I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.

 

 

	Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site)	Number of Weekly Hours for Professional Development (these are not practicum hours)	Number of Weekly Hours for Practicum Coursework (these are not practicum hours)
Week 1	8	6	8
Week 2	16	8	8
Week 3	16	6	8
Week 4	16	8	6
Week 5	16	6	10
Week 6	24	8	8
Week 7	16	8	6
Week 8	24	10	6
Week 9	16	8	6
Week 10	8	6	8
Week 11	0	6	6
Total Hours (must meet the following requirements)	160 Hours

Part 4 – Signatures

Student Signature (electronic):                               Date:

Practicum Faculty Signature (electronic)**:                                 Date:

Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

 Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your preceptor. The preceptor is not required to sign this form.