N303 clin eval form_9_16_2009

8/8/2019 N303 clin eval form_9_16_2009

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Drexel University

College of Nursing & Health Professions

Undergraduate Nursing

Clinical Evaluation Form

Nursing 303- Women’s Health Nursing

Student’s Name _______________________________________________________________

Prepared by: __________________________________________________________________

Faculty member or Student

Title:

Clinical Agency/Unit:___________________________________________________________

Quarter: ________________________________ Year: _________________

Directions / Clinical Guidelines

Clinical Evaluation:

The student meets the clinical objectives of the course through clinical practicum and related learning

activities. Objectives are evaluated at the mid-term (formative) and end of the quarter (summative).

Formative Evaluation occurs throughout the instructional process and is diagnostic in nature. The faculty

member will provide continuous feedback to assist in correcting learning deficiencies. Summative

evaluation occurs at the end of the quarter. The faculty member will provide ongoing feedback anddocumentation to assist the student in correcting learning deficiencies. The faculty member will provide

feedback on achievement of objectives. The same rating scale for clinical is used for all courses. Each of

the three rating designations is described below:

P – Pass

Consistently demonstrates satisfactory in clinical performance, skill, synthesis of learning and

application of nursing principles. Demonstrates ability to relate and apply knowledge at expected

level.

NI –Needs Improvement (For Use at Mid-Term evaluation only)

Performance is inconsistent, or minimally meets the standards for safe nursing practice,

additional review and remediation is recommended. Any grade of NI must be accompanied by a

written remediation plan developed by the Clinical Instructor. A Clinical Communication Form

or Clinical Warning Form, if warranted, will be issued to clarify expectations, provide objectives

and establish a timeline for progression to be accomplished by the student. The Clinical

Instructor will meet with the student to review the form and the required remediation plan and anagreement with the timeline established for meeting an acceptable standard of performance. All

required clinical experiences and course objectives must be satisfied by the end of the course anda grade of P (Pass) or F (Failure) will be assigned at the final evaluation

NO: Not Observed (For Use at Mid-Term evaluation only)

A grade of NO may be given at the midterm evaluation if the student has not been exposed to the

clinical experience required to meet course objectives. The clinical instructor will provide a

written comment for each grade of NO given at midterm. All required clinical experiences and

Revised 6/17/03

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course objectives must be satisfied by the end of the course and a grade of P (Pass) or F (Failure)

will be assigned at the final evaluation.

F – Failure

Demonstrates unsatisfactory clinical performance, consistency, skill, synthesis of learning and

application of nursing principles. Does not demonstrate ability to relate knowledge to clinicalsituation at expected level.

Clinical evaluation is based on the student’s attainment of the course clinical objectives. All clinical

objectives are based on the BSN Program Outcomes.

In order to pass the clinical component of the course, a student must achieve a satisfactory rating in all

objectives by the end of the quarter. An unsatisfactory in any clinical objective at the end of the quarter will

result in clinical failure. The faculty clinical evaluation is final.

Attendance: Attendance is mandatory for the clinical practicum. Therefore, clinical absences may

jeopardize the student’s ability to achieve a satisfactory rating for the clinical performance. Any clinical

absence may be required to be made up at the discretion of the faculty. Repeated absences may result in

course failure. Students must notify faculty and nursing unit in the event of absence.

Clinical Behavior/Performance: The faculty member has the authority to remove a student from the

clinical area for unsafe clinical practice or inappropriate behavior.

Clinical Failure: Students whose performance is unsatisfactory in one or more objectives at the end of

the quarter will receive an Unsatisfactory for the clinical component of the course and will receive an “F”

(Failure) for the course regardless of the theory grade achieved.

Directions:

• Students will prepare a self-assessment of their perceived performance in the clinical practicum.

• Both the student and instructor will complete the clinical evaluation form.

• The faculty evaluation is final.

Faculty and student will mark “P” for Pass or “F” for Failure under each criterion. An unsatisfactory

behavior will be described and documented on an attached Clinical Communication Form. A copy of this

form will be attached to the student’s copy as well. Faculty and student will confer at the time each

unsatisfactory behavior is noted.

Faculty and student will also complete the narrative portion of the form regarding strengths and areas to

be improved. Evaluations will be compared in the clinical evaluation conference. Both the student and

faculty copy will be filed in the student’s record at the end of the course.

Student must meet the clinical hours assigned to that course in order to satisfactorily complete the clinical

component.

Students are permitted to fail only one clinical nursing course and repeat the course. A third failure in a

nursing course will result in dismissal from the program

Revised 6/17/03

8/8/2019 N303 clin eval form_9_16_2009


Drexel University

College of Nursing & Health Profession

Undergraduate Nursing

Nursing 303- Women’s Health Nursing

Clinical Evaluation Form

OBJECTIVE IMID-

TERM

SMID-

TERM

COMMENTS IFINAL

SFINAL

COMMENTS

1. Utilizes the growing compendium of

current knowledge and information

sources from nursing and other

disciplines to learn, to teach, to heal the

sick and conserve health

a. Demonstrates satisfactory preparation

for clinical practicum

b. After obtaining patient assignment, is

able to review pertinent data and

initiate a preliminary plan of care.

c. Identifies common health problems

important to women’s health

d. Discusses the incidence and relevance

of women’s health issues as they occur

across the life span

e. Describes common treatment

modalities and therapeutic

interventions for health alterations of

the childbearing family

f. Utilizes current knowledge, resources,

and the nursing process to provide

comprehensive nursing care

2. Contributes to the profession by

sharing knowledge and skills with

patients, peers and other health

professionals through effective verbal

and written communication

a. Collaborates effectively with other

health care professionals within the

clinical setting and assists in the

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coordination of care with diverse health

care professionals

b. Analyzes the interrelationships of

human responses within the

childbearing family

c. Demonstrates therapeuticcommunication and professional

demeanor with patients, families, and

other health care providersd. Provides comprehensive patient

education to women and their familiese. Obtains report from the RN and

reports all pertinent data to the RN and

clinical instructor in a timely manner

f. Accepts constructive feed back

from instructor & peers and

incorporated into practice

3. Utilizes multiple technologies, such

as the computer and PDA to access

and manage information to guide

professional practice

a.Accesses computer data bases for

patient/community care when

necessary

b.Actively seeks new learning

experiencesc.Accesses medication information

appropriately using the PDA

4. Participates in culturally sensitive

health promotion activities that

contribute to the health and wellness of

the client and/or individual and of the

community

a. Demonstrates sensitivity and

cultural awareness when caring for

diverse populations of women and their

families

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b. Provides culturally sensitive,

effective health promotion information

to women and their families

c. Evaluates the impact of a family’s

culture, spirituality, and health beliefs

on family functioning and nursing care

d. Examines nursing’s responsibility

for promoting, maintaining, and

restoring health of the childbearing

family

5. Participates in ongoing educationalactivities related to personal growth,

professional practice and community

service

a. Begins to integrate information

obtained from community and/or

professional groups into clinical

practice

b. Identifies her/his own strengths and

areas for potential growth

c. Demonstrates an awareness of

national organizations that focus on

improving care to women across the

lifespan

6. Applies knowledge and skills

appropriate to the selected area of career clinical practice

a.Integrates current nursing &

women’s health research into clinical

practice

b.Demonstrates basic nursing care and

health assessment skills when

providing direct patient care.

c.Demonstrates health assessment

skills by performing comprehensive

assessments on women and their

newborns

Identifies normal physiologic

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changes that occur during

pregnancy, postpartum, and

during the neonate’s transitional

period

Differentiates between normal

and pathological changes found

on physical assessment of the

woman and/or newborn

d. Describes and provides appropriate

nursing interventions, after a thorough

assessment has been completede. Evaluates the effects of nursinginterventions based on evidence and

achievement of patient care outcomes

f. Documents an accurateassessment for each patient

g. Administers medicationsidentifying the 5 Rights of

Medication Administration and isable to demonstrate a thorough

understanding of medications used in

the clinical settings.h. Administers medications under

direct supervision of instructor or RN preceptor.

7. Develops personal potential for

leadership in a changing health care

environment

a. Demonstrates problem-solving

skills while maintaining a safe patient

environment

b. Acts as a novice change agent in

the healthcare setting by describing

changes that can be made to possibly

improve patient outcomes

8. Integrates ethical concepts, nurses

code of ethics, principles and

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professional standards into practice

within professional and academic

settings

a. Maintains safe nursing practice inall clinical areas b. Arrives on time for clinical

experiences and for conferences

c. Practices within a legal and ethical

framework

d. Adheres to hospital and unit based

standards of caree. Adheres to standards of conduct

described in the Student Handbook

f. Identifies ethical and legal issues

related to women’s health care and

begins to formulate and verbally

express own ethical/moral opinions

g. Discusses legal and ethical

dilemmas originating from health care

problems that confront the childbearing

family

9. Utilizes critical thinking skills to

improve the health outcomes of

patients, families and communities

across the continuum of care

a. Uses clinical inference skills to prioritize patient care needs

b. Uses problem solving skills to

guide decision making in the clinical

area

c. Utilizes standards of care and

research findings to evaluate the

effectiveness of nursing interventions

for the childbearing family

d. Articulates rationales and outcomes

for nursing interventions, patient

education, and health promotion

endeavors

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Drexel University


MIDTERM EVALUATION

STUDENT SELF EVALUATION:

STRENGTHS:

AREAS FOR IMPROVEMENT:

COMMENTS:

FACULTY EVALUATION:

STRENGTHS:


COMMENTS:

Faculty Signature ____________________________________________Date

Student Signature ____________________________________________Date

8/8/2019 N303 clin eval form_9_16_2009


Drexel University


FINAL EVALUATION

STUDENT SELF EVALUATION:

STRENGTHS:


COMMENTS:

FACULTY EVALUATION:

STRENGTHS:


COMMENTS:

Faculty Signature ____________________________________________Date

Student Signature ____________________________________________Date

Revised 9_01_2004