Transcript Chapter 8 After the clinical day is over Patient evaluations and self

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.