Nursing.(Practium Experience Plan)

Assignment 2: Practicum Experience Plan (PEP)

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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, your plan 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 PMHNP clinical skills 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? There may be overlap between your skills goals and your PEP goals.
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:
Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)
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 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.
The Assignment
Record the required information in each area of the Practicum Experience Plan template, including three to four (3–4) measurable practicum Learning Objectives you will use to facilitate your learning during the practicum experience.

Master of Science in Nursing  




Practicum Experience Plan





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.


Complete each section below.


Part 1: Quarter/Term/Year and Contact Information


Section A




Student Contact Information


Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:




Preceptor Contact Information



Street Address:

City, State, Zip:

Work Phone:

Cell Phone:


Professional/Work E-mail:



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.


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: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)


Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)


PRAC Course Outcome(s) Addressed:


· (for example) Develop professional plans in advanced nursing practice for the practicum experience

· (for example) Assess advanced practice nursing skills for strengths and opportunities


Objective 2: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)


Planned Activities:


Mode of Assessment: (Note: Verification will be documented in Meditrek)


PRAC Course Outcome(s) Addressed:




Objective 3: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)



Planned Activities:


Mode of Assessment: (Note: Verification will be documented in Meditrek)


PRAC Course Outcome(s) Addressed:



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      
Week 2      
Week 3      
Week 4      
Week 5      
Week 6      
Week 7      
Week 8      
Week 9      
Week 10      
Week 11      
Total Hours (must meet the following requirements) 144 or 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.




© 2021 Walden University 3



Clinical Skills Self-Assessment Form


Institutional Affiliation

PRAC 6665/6675 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 needs 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

Differentiating between pathophysiological and psychopathological conditions

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)

Performing and interpreting a mental status examination

Performing and interpreting a psychosocial assessment and family psychiatric history

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

Formulating diagnoses according to DSM 5 based on assessment data

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes

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)

Evaluating patient response and modify plan as necessary

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

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)

Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers

Develop an age appropriate individualized plan of care

Provide psychoeducation to individuals and/or any caregivers

Promote health and disease prevention techniques

Self-assessment skill:

Develop SMART goals for practicum experiences

Evaluating outcomes of practicum goals and modify plan as necessary

Documenting and reflecting on learning experiences

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings

Identifies ethical and legal dilemmas with possible resolutions

Demonstrates non-judgmental practice approach and empathy

Practices within scope of practice

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

Implements the screening instrument efficiently and effectively with the clients

Interprets results for screening instruments accurately

Develops an appropriate plan of care based upon screening instruments response

Identifies the need to refer to another specialty provider when applicable

Accurately documents recommendations for psychiatric consultations when applicable

Summary of strengths:

After carefully completing the Clinical Skills Self-Assessment Form checklist, here are my strengths;

1. I am effectively able to ensure the completion of a thorough and precise physical exam making use of the proper methods while concentrating on the symptoms of the patient. Additionally, I am also able to apply the use of appropriate methods in assessing patients as warranted to ensure a precise and effective diagnosis. I plan to regularly practice them in community health clinics and in medical wards for the examination of patients (Klemenc‐Ketis et al., 2014).

2. I am also able to apply the use of effective verbal communication as well as interpersonal skills when meeting with patients and other healthcare professionals. Moreover, I have discovered that I am patient and able to maintain a positive attitude when under pressure while also being able to effectively communicate in writing as well as verbally.

3. I strongly believe in educating the patients on what they are going through, the procedures to expect and how to basically increase their quality of life. Currently, many patients that I have encountered in the hospital environment have showed self-care deficit or non-compliance due to lack of knowledge or medical literacy (Buppert, 2020). Providing them with education is important as I believe it provides them with a great autonomy and self-empowerment.

Opportunities for growth:

My opportunities for growth include;

1. I would like to apply to a physician assistant graduate program. As a nurse practitioner, I never want to stop improving. The love for patients drives my desire to constantly learn and develop new skill sets (Krautter et al., 2014).

2. I would also like to build my network and advance my career. Networking, collaborating, meeting new colleagues, and building relationships is important my professional development and career advancement.

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: Safety

a. Objective: I will ensure the use of healthcare policy guidelines to develop an updated patient and staff safety hazard checklist.

b. Objective: I will also ensure that the list be checked by every nursing practitioner on a rotating basis twice a month.

c. Objective: I will ensure the completion of the list by the end of April and assess monthly whether other team members are completing it.

2. Goal: Patient Care

a. Objective: I will ensure the handing over of patient details, assessment notes and care instructions to the nurses on the next shift before the completion of my shift.

b. Objective: I will do this before every break to make sure that the details of the patients are noted and certain instructions are strictly followed.

c. Objective: Moreover, by doing so, it will assist all nurses to comprehend the patients’ areas of interest to build a rapport.

3. Goal: Efficiency

a. Objective: By following the timetable that guides for a weekly meeting with the rest of the staff, I will be able to document my additional tasks.

b. Objective: I also want to effectively and efficiently divide my time to manage all my duties.

c. Objective: Lastly, I want to improve how I generally manage my time and seek assistance when the ward becomes too busy.

4. Goal: Learning and Development

a. Objective: By the end of the year, I want to attend four workshops that are centered on my area of specialty.

b. Objective: I also want to apply for a communications class online for three months to improve on my verbal and writing skills.

c. Objective: I also want to network and meet with other people from my area of specialty.





Buppert, C. (2020). Nurse practitioner’s business practice and legal guide. Jones & Bartlett Learning.

Klemenc‐Ketis, Z., Kravos, A., Poplas‐Susič, T., Švab, I., & Kersnik, J. (2014). New tool for patient evaluation of nurse practitioner in primary care settings. Journal of clinical nursing, 23(9-10), 1323-1331.

Krautter, M., Koehl-Hackert, N., Nagelmann, L., Jünger, J., Norcini, J., Tekian, A., & Nikendei, C. (2014). Improving ward round skills. Medical teacher, 36(9), 783-788.

Assignment 1: Lab Assignment: Ethical Concerns

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