SCHOOL OF NURSING AND MIDWIFERY Family Nursing Practice 325 (Paediatric Placement) Semester 2, 2009 CLINICAL EVALUATION FORM STUDENT NAME:_________________________________ ID:__________________________ AGENCY:______________________________________________________________________ CLINICAL TEACHER:__________________________________________________________
IT IS THE RESPONSIBILITY OF THE STUDENT TO SIGN AND RETURN THIS FORM TO THEIR UNIT CONTROLLER AT THE END OF THEIR CLINICAL EXPERIENCE. FAILURE TO DO SO WILL RESULT IN FAILURE OF THIS UNIT. PLEASE TAKE A COPY OF THIS FORM TO PLACE IN YOUR LEARNING PORTFOLIO BEFORE SUBMITTING THIS FORM TO THE UNIT CONTROLLER. YOU WILL NOT BE ABLE TO ACCESS THIS FORM ONCE SUBMITTED. EVALUATION CRITERIA
Both the interim and summative evaluation of the student’s performance is based on the ANMC competencies. This assessment form is based upon the ANMC National competency Standards. Over the course of the practicum, the student must be graded for each competency using the following grades;
C = Competent
(to students level of education and practice)
Student functions efficiently, without cues and clearly relates theory to practice.
S = Supervision
Student requires direction and prompting and generally relates theory to practice.
Student requires assistance, is unable to link theory to practice.
Note: If the competency standard is unavailable or not applicable, write U/A or N/A next to the relevant competency standard.
Responsibility for the safe keeping of the Clinical Evaluation Form
The student is at all times responsible for the safe keeping of the Clinical Evaluation Form as well as making sure the clinical teacher has easy access to it throughout the student’s clinical experience.
This relates to the professional, legal and ethical responsibilities which require demonstration of a satisfactory knowledge base, accountability for practice, functioning in accordance with legislation affecting nursing and health care, and the protection of individual and group rights.
Critical Thinking and Analysis
This relates to self-appraisal, professional development and the value of evidence and research for practice. Reflecting on practice, feelings and beliefs and the consequences of these for individuals/groups is an important professional benchmark.
Provision and Coordination of Care
This domain relates to the coordination, organization and provision of nursing care that includes the assessment of individuals/groups, planning, implementation and evaluation of care.
Collaborative and Therapeutic Practice
This relates to establishing, sustaining and concluding professional relationships with individuals/groups. This also contains those competencies that relate to the nurse understanding their contribution to the interdisciplinary health care team.
ANMC. (2005). The ANMC National Competency Standards for the Registered Nurse
Glossary of Terms: ANMC: Australian Nursing and Midwifery Council
Competence: The combination of skills, knowledge, attitudes, values and abilities that underpin effective and/or superior performance in a profession/occupational area.
Competent: The person has competence across all the domains of competencies applicable to the nurse, at a standard that is judged to be appropriate for the level of nurse being assessed.
Competency Unit: Represents a major function/functional area in the total competencies of a Registered Nurse in a nursing context representing a stand-alone function which can be performed by the individual. Exemplars: Concrete, key examples chosen to be typical of competence. They are not the standard but are indicative of the standard.
Competency Based Clinical Assessment
This assessment is progressive and is based upon self appraisal by the student, feedback from clinicians and formal assessment by the Clinical Teacher and Unit Controller.
The competency standard form is designed to provide you with the opportunity to monitor and evaluate your own clinical performance by documenting examples of exemplars of clinical practice each day. This will assist you in reflecting on your practice, identifying both strengths and areas in need of improvement, setting personal objectives and identifying strategies to aid achievement of objectives.