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.