Practicum Experience Plan ✓ Solved
The selected nursing theory for the clinical practice is modelling and role-modelling theory, developed in 1983. The theory enables nurses to provide care and nurture patients according to their uniqueness which nurses get aware of and respect and it focuses on the needs of patients. I selected the theory because it ensures the development of a relationship with patients to enhance respect, trust, and awareness (Erickson, 2017). The key concepts of the theory are based on psychological theory, the hierarchy of needs and cognitive development theory.
The theory provides various steps that enable a nurse to seek information from a patient and acknowledge its worth. Modelling and role-modelling theory will provide adequate guidelines for this practicum experience because I will be able to recognize every patient’s uniqueness through a personal model provided by the theory. The theory facilitates the abilities of nurses in planning for appropriate interventions that promote the healing process when implemented (Erickson, 2017). Also, I will be able to develop appropriate care plans for the patients using the theory by taking into account their views which modelling and role-modelling theory encourages and make necessary changes to the plans to best fit the needs of the patients.
The selected counselling theory for the clinical experience is cognitive-behavioral theory. The theory explains the importance of cognition on behavior change in an individual and it provides an understanding of the feelings and thoughts of an individual and their effects on behavior (Early & Grady, 2017). The cognitive-behavioral theory is essential in handling patients who interpret given situations negatively, have distorted thinking and continuously adopt negative behaviors that lead to a negative impact on their emotional and mental status. Besides, using the theory on such individuals enable them to have a different perspective and change their behaviors. I chose cognitive-behavioral theory because it will enable me to empower patients by analyzing their situations differently to understand their view and thoughts as well as the impacts of the thoughts on their behaviors and feelings.
Using the selected counselling theory will help me influence the behaviors of the patients positively and also develop an appropriate therapeutic relationship with them (Early & Grady, 2017). Additionally, through the theory, I will be able to promote self-awareness among patients which will improve the care designed for them.
Practicum Experience Plan Overview
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.
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.
Objective 1
To improve my assessment technique on mental status of patients. Planned Activities: To assess not less than 80 mentally disabled patients within the 10 week of practicum period to improve my knowledge on the effective assessment techniques for such patients. Mode of Assessment: The mode of assessment for the objective is focused assessment that provides details to specific body system associated with problems of a patient.
Objective 2
To identify appropriate practices that guides medication plan for patients in a healthcare facility. Planned Activities: I will consult my preceptor on the appropriate evidence-based practices that are supposed to be implemented in a workplace and also search and evaluate the available practices and implement the chosen practices. Mode of Assessment: The mode of assessment for this objective is through an observation of what evidence-based practices are applied and how they are used.
Objective 3
To accurately evaluate the response of a patient towards care provided and use the information to make decision on how to modify the care. Planned Activities: I will monitor patients under care, conduct interview on the patients to understand their views on the care and develop appropriate care plan based on the information.
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 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.
References
- Early, B. P., & Grady, M. D. (2017). Embracing the contribution of both behavioral and cognitive theories to cognitive behavioral therapy: Maximizing the richness. Clinical Social Work Journal, 45(1), 39-48.
- Erickson, M. E. (2017). Modeling and role-modeling. Nursing Theorists and Their Work-E-Book.
Paper For Above Instructions
The practicum experience plan is a critical component of nursing education, providing the groundwork for practical application of theoretical knowledge in a real-world clinical setting. It draws upon nursing theories and counseling strategies that support the holistic development of patient care. This paper outlines the application of the Modelling and Role-Modelling Theory alongside Cognitive-Behavioral Theory during my practicum, focusing on individualized learning objectives designed to enhance my skills as a future nurse practitioner.
Nursing Theory: Modelling and Role-Modelling
Modelling and Role-Modelling Theory, first introduced by Erickson, emphasizes the recognition of individual patient needs and the importance of developing relationships that foster trust and respect (Erickson, 2017). This theoretical framework allows nurses to understand their patients better, enabling personalized care that addresses patient uniqueness. The elements of psychological needs, cognitive development, and patient participation are central to this approach, aligning well with my commitment to delivering holistic care.
In applying this theory during my practicum, my primary objective will be to enhance my assessment skills of mental health patients. Assessing at least 80 mentally disabled patients will provide significant learning opportunities regarding effective assessment techniques. This objective employs the SMART framework, ensuring that it is specific, measurable, attainable, relevant, and time-bound. The focused assessments I conduct will serve as a valuable mode of evaluation for both skills development and patient outcomes.
Counseling Theory: Cognitive-Behavioral Theory
Cognitive-Behavioral Theory (CBT) offers an understanding of the interrelation between cognition and behavior, addressing negative thought patterns and their impact on emotional and mental well-being (Early & Grady, 2017). This theory will be instrumental in my interactions with patients exhibiting distorted thinking or negative behaviors. I aim to cultivate therapeutic relationships that empower patients to challenge their perceptions and shift toward healthier behavioral patterns.
By employing CBT principles, I can guide patients through understanding their thoughts and feelings, paving the way for self-awareness and improved adherence to treatment plans. The knowledge gained during my consultations with experienced preceptors on evidence-based practices will further reinforce my competencies in this area, allowing me to systematically approach behavioral interventions.
Learning Objectives
This practicum experience will be driven by specific learning objectives that align with my self-assessment as a mental health nurse practitioner. The first objective focuses on enhancing my assessment techniques, especially in mental status evaluations. By reaching out to diverse patient populations, I aim to refine these essential skills, which will allow me to personalize care effectively.
My second objective centers on identifying and applying appropriate evidence-based practices. Through collaboration with my preceptor, I will evaluate various practices that can be integrated into my clinical care. This experience will not only strengthen my clinical competencies but also ensure I adhere to professional standards in patient care delivery.
Lastly, I will focus on accurately evaluating patient responses to care interventions and using the insights gained to make necessary adjustments in care plans. By conducting interviews and monitoring outcomes, I will develop a comprehensive understanding of the effectiveness of the care provided, enabling me to enhance the quality of care tailored to individual needs.
Projected Timeline
To maximize my learning during the practicum, I anticipate committing to a structured timeline of hours each week, balancing direct patient care with professional development and coursework requirements. Completing the requisite 144 or 160 hours over the designated timeline will facilitate a comprehensive learning experience while ensuring adequate supervision and guidance from my preceptor.
Conclusion
The practicum experience plan serves not only as a roadmap for skills acquisition but also reinforces the integration of theoretical knowledge into practice. Utilizing Modelling and Role-Modelling Theory and Cognitive-Behavioral Theory will enhance the patient-centered approach in my nursing practice, fostering a supportive environment conducive to healing and growth. Throughout this experience, my objectives will guide my efforts to evolve as a competent and compassionate mental health nurse practitioner.
References
- Early, B. P., & Grady, M. D. (2017). Embracing the contribution of both behavioral and cognitive theories to cognitive behavioral therapy: Maximizing the richness. Clinical Social Work Journal, 45(1), 39-48.
- Erickson, M. E. (2017). Modeling and role-modeling. Nursing Theorists and Their Work-E-Book.
- American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
- Berman, A. J., & Snyder, S. J. (2019). Kozier and Erbs fundamentals of nursing. Pearson.
- Halter, M. J. (2018). Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach. Elsevier.
- Nursing and Midwifery Council. (2018). The code: Professional standards of practice and behavior for nurses, midwives and nursing associates.
- Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
- Goldfried, M. R., & Davison, G. C. (1994). Clinical behavior therapy. John Wiley & Sons.
- National Institute for Health and Care Excellence. (2011). Depression in adults: recognition and management.
- World Health Organization. (2013). Mental health action plan 2013-2020.