Posted: March 20th, 2017

NUR 224 Clinical Evaluation Tool

Appendix C

NUR 224 – Adult/Geriatric Health – Chronic Care
Clinical Evaluation Tool

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Purpose:
The Clinical Evaluation Tool serves as a final method of evaluation of the student’s performance in the planned clinical practice experiences. Additionally, this evaluation provides evidence and a permanent record of the student’s achievement of the Expected Student Outcomes (ESOs) for the BSN Program.

Process:
In final week of the course, the student will complete a comprehensive clinical self-evaluation using this form.
- Students will select a numerical score for each criterion, based on the rating scale provided below.
- Students will write a statement for each criterion, stating how they have met the outcome and earned the rating.
- Faculty will review the student’s submitted self-evaluation and cross-reference it with the associated methods of evaluation, and the student’s weekly clinical journals.
- Faculty will add a statement summarizing the student’s clinical performance, finalize ratings to calculate a total numerical score, and share the clinical evaluation with the student.
- The clinical grade will be issued as Satisfactory/Unsatisfactory and incorporated into the overall course grade based on the grading scheme provided in the course syllabus.

Rating Scale:
Self-Directed (RATING = 4)
Student almost always exhibits: a focus on patient-centered care; dedication to safety, accuracy, skillfulness, and efficiency; initiative; eagerness to learn; and, a leadership mindset. Student almost never requires: direction, monitoring, guidance, support.
Supervised (RATING = 3)
Student very often exhibits: a focus on patient-centered care; dedication to safety, accuracy, skillfulness, and efficiency; initiative; eagerness to learn; and, a leadership mindset. Student occasionally requires: direction, monitoring, guidance, support.
Assisted (RATING = 2)
Student often exhibits: a focus on patient-centered care; dedication to safety, accuracy, skillfulness, and efficiency; initiative; eagerness to learn; and, a leadership mindset. Student often requires: direction, monitoring, guidance, support.
Novice (RATING = 1)
Student occasionally exhibits: a focus on patient-centered care; dedication to safety, accuracy, skillfulness, and efficiency; initiative; eagerness to learn; and, a leadership mindset. Student very often requires: direction, monitoring, guidance, support.

Clinical Evaluation Tool and Expected Student Outcomes (ESOs)
ESO Criteria Student’s Rating Student’s Statement of Achievement
of the ESO Faculty’s Rating
F: Incorporate Franciscan Values and the American Nurses Association Code of Ethics for Nurses in academic and practice settings. Respects the patient and maintains their dignity. Respects faculty, staff and peers.

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Demonstrate personal responsibility by arriving on time and informing clinical instructor of absence in advance. Does not allow personal biases to influence intra-professional and inter-professional interactions.

Uses professional communication. Actively listens to patient and others. Contributes to a positive work environment.

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Values diversity. Provides person-centered care. Considers patient’s circumstances in care planning. Delivers compassionate, patient-centered, evidence-based care that respects patient and family preferences.

R: Base nursing care on research and evidence that supports safe nursing care. Explain rationale based on course and clinical resources for nursing actions.

Implement evidence-based nursing interventions as appropriate for managing chronic care.

Provide nursing care based on evidence that contributes to safe and high quality patient outcomes within the facility. Follows policies and procedures of the facility.
A1: Identify the impact of the ANA Nursing: Scope and Standards of Practice, and the CONHS Standards of Conduct; abides by the legal standards as defined by state nurse practice acts and federal regulations. Identify the phases of the nursing process.

Identify common nurse actions that are congruent with legal standards.
Protects patient and clinical agency confidentiality in verbal and written discussions in accordance with HIPAA and the NCSBN guide on social media.

Models the values and articulates the knowledge, skills, and attitudes of the nursing profession.

N1: Provide nursing care to the adult and geriatric patients with chronic illness and chronic diseases. Identify the developmental level and physical changes of the patient.

Incorporate interventions based on the identified developmental level and physical changes.

C1:.Collaborate and communicate with the interdisciplinary team to support quality patient care. Validate the nursing plan of care with the instructor and primary nurse.

Notify the instructor and nurse of changes in the patient’s status.

Engages patient in dialogue that promotes sense of well-being by using a variety of verbal and non-verbal communication strategies that calms the patient including presence, active listening, and person-centered communication.

I: Identify information management principles and apply patient care technology.
Document timely and accurate patient assessment interventions and evaluation using appropriate terminology.

Safely and appropriately use patient care technology.

S: Provide safe physical, emotional, and spiritual patient care with guidance.
Identify sources of patient safety concerns.

Maintain patient safety as a priority. Collaborates with the inter-professional team to provide safe and effective care using unit safety initiatives, policies and procedures.

Provide patient-centered care. Is accessible and prompt in helping to answer patient’s request. Notifies the instructor, primary nurse, and team members when leaving the unit to make arrangements for patient care needs to be met.

Demonstrate organization and preparedness.

C2: Recognize the importance of culturally competent and holistic nursing care to the patient. Identify cultural and holistic influences on patient preferences.

Assess the patient’s cultural practices in a respectful and sensitive manner. Assess the patient’s use of complementary, alternative, and integrative health practices.

A2: Identify health promotion and disease prevention strategies in chronic care and rehabilitation settings.
Assess patient’s perceptions of needs.

Identify factors that contribute to health disparities.

Inform instructor and patient’s nurse of health promotion and disease prevention patient needs. Participates in patient-centered activities that promote health and prevent disease.

N2: Identify the impact of healthcare policy, finance, and regulatory environments on patient outcomes. Identify major payer sources for patient care in chronic care and rehabilitation settings.

Identify the impact of payer source on patient services, patient supplies, and length of stay.

Faculty’s Summary Evaluation of Student’s Clinical Performance:

The results of this evaluation reflect a clinical performance rating of:
*See also the grading schematic for the course,
as listed in the course syllabus [ ] Satisfactory*: student does not earn a rating of 1 or 2 in any individual category.
[ ] Unsatisfactory*: student rated at a 1 or 2 in any individual category.
Date and method of review with student:
Date and method of submission to CONHS student file: