Practicum Experience Plan

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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, they
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
psychotherapy approaches and techniques 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?
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:
o Specific
o Measurable
o Attainable
o Results-focused
o Time-bound
o Reflective of the higher-order domains of Bloom’s taxonomy (i.e.,
application level and above)
Note: Please make sure your objectives are individualized and outlined in your Practicum
Experience Plan (PEP). While you may add previous objectives to continue to work
toward. You must have 3 new objectives for each class, each quarter.



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/psychotherapy 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.
ASSIGNMENT
Record the required information in each area of the Practicum Experience Plan template,
including 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
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.
Complete each section below.
Part 1: Quarter/Term/Year and Contact Information
Section A
Quarter/Term/Year:
Student Contact Information
Name:
Street Address:
City, State, Zip:
Home Phone:
Work Phone:
Cell Phone:
Fax:
E-mail:
Preceptor Contact Information
Name:
Organization:
Street Address:
City, State, Zip:
Work Phone:
Cell Phone:
Fax:
Professional/Work E-mail:
Part 2: Individualized Practicum Learning Objectives
© 2021 Walden University
1
Master of Science in Nursing
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: (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: (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: (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)
© 2021 Walden University
2
Master of Science in Nursing
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
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)
Number of
Weekly Hours
for
Professional
Development
Number of
Weekly Hours
for Practicum
Coursework
144 or 160
Hours
Part 4 – Signatures
Student Signature (electronic):
© 2021 Walden University
Date:
3
Master of Science in Nursing
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
4
PRAC_6645_Week2_Assignment2_Rubric
PRAC_6645_Week2_Assignment2_Rubric
Criteria
This criterion is linked to
a Learning
OutcomeRecord the
required information in
each area of the
Practicum Experience
Plan (PEP):Part 1:
Quarter/Term/Year and
Contact Information: ᵒ
Identify
Quarter/Term/Year:ᵒ
Identify Student Contact
Information, including:
Name, Street Address,
City, State, Zip, Home
Phone, Work Phone, Cell
Phone, Fax, and Walden
University Email ᵒ
Identify Preceptor
Contact Information,
including: Name,
Organization, Street
Address, City, State, Zip,
Work Phone, Cell Phone,
Fax, and
Professional/Work Email.
Ratings
5 to >4.0 pts
Excellent
The response accurately and
clearly identifies the
Quarter/Term/Year, all
Student Contact Information,
and all Preceptor Contact
Information.
4 to >3.5 pts
Good
The response identifies the
Quarter/Term/Year, and at
least 90% of Student
Contact Information and
Preceptor Contact
Information.
3.5 to >3.0 pts
Fair
The response identifies the
Quarter/Term/Year, and at
least 80% of Student
Contact Information and
Preceptor Contact
Information.
PRAC_6645_Week2_Assignment2_Rubric
Criteria
This criterion is linked to
a Learning OutcomePart
2: Individualized
Practicum Learning
Objectives: Explain three
Individualized Practicum
Learning Objectives that
address your selfassessment of the skills
found in the Clinical
Skills Self-Assessment,
are SMART (i.e.,
Specific, Measurable,
Attainable, Resultsfocused, Time-focused),
and meet the
requirements for this
course. Each Practicum
Learning Objective must
describe planned
activities, mode of
assessment, and PRAC
course outcome(s)
addressed for the skills
you would like to
improve from your selfassessment. Select one
nursing theory and one
counseling/psychotherapy
theory to best guide your
clinical practice,
explaining these 2 chosen
theories with supporting
evidenced-based
literature.
Ratings
75 to >68.0 pts
Excellent
The response clearly,
accurately, and thoroughly
explains three (3)
Individualized Practicum
Learning Objectives that
address the self-assessment of
the skills found in the
Clinical Skills SelfAssessment, are SMART
(i.e., Specific, Measurable,
Attainable, Results-focused,
Time-focused), and meet the
requirements for this course.
… For each Learning
Objective, the response
clearly, accurately, and
thoroughly describes planned
activities, mode of
assessment, and PRAC
course outcome(s) addressed
for the skills to be improved
from the self-assessment. …
Clearly, accurately, and
thoroughly explains 2 chosen
theories (1 nursing and 1
counseling/psychotherapy) to
guide clinical practice with
supporting literature.
68 to >59.0 pts
Good
The response accurately
explains three (3)
Individualized Practicum
Learning Objectives that
address the self-assessment of
the skills found in the
Clinical Skills SelfAssessment, are SMART
(i.e., Specific, Measurable,
Attainable, Results-focused,
Time-focused), and meet the
requirements for this course.
… For each Learning
Objective, the response
accurately describes planned
activities, mode of
assessment, and PRAC
course outcome(s) addressed
for the skills to be improved
from the self-assessment. …
Response accurately but
briefly explains 2 chosen
theories (1 nursing and 1
counseling/psychotherapy) to
guide clinical practice with
supporting literature.
59 to >52.0 pts
Fair
The response somewhat
vaguely explains three (3)
Individualized Practicum
Learning Objectives that
address the self-assessment of
the skills found in the
Clinical Skills SelfAssessment, are SMART
(i.e., Specific, Measurable,
Attainable, Results-focused,
Time-focused), and meet the
requirements for this course.
… For each Learning
Objective, the response
somewhat vaguely describes
planned activities, mode of
assessment, and PRAC
course outcome(s) addressed
for the skills to be improved
from the self-assessment. …
Response vaguely explains 2
chosen theories (1 nursing
and 1
counseling/psychotherapy) or
one theory is missing in
discussion to guide clinical
practice with supporting
literature.
PRAC_6645_Week2_Assignment2_Rubric
Criteria
This criterion is linked to
a Learning OutcomePart
3: Projected
Timeline/Schedule:
Describe your Practicum
timeline/schedule,
including: ᵒ Number of
weekly hours projected to
work on your Practicum ᵒ
Number of weekly hours
for Professional
Development
This criterion is linked to
a Learning
OutcomeWritten
Expression and
Formatting—English
Writing Standards:
Correct grammar,
mechanics, and proper
punctuation.
Ratings
15 to >13.0 pts
Excellent
The response includes a clear,
accurate, and thorough
description of the Practicum
timeline/schedule, including
number of weekly hours
projected to work on the
Practicum and number of
weekly hours for Professional
Development.
5 to >4.0 pts
Excellent
Uses correct grammar,
spelling, and punctuation
with no errors.
13 to >11.0 pts
Good
The response includes an
accurate description of the
Practicum timeline/schedule,
including number of weekly
hours projected to work on
the Practicum and number of
weekly hours for
Professional Development.
4 to >3.5 pts
Good
Contains a few (1–2)
grammar, spelling, and
punctuation errors.
11 to >10.0 pts
Fair
The response includes a
somewhat vague description
of the Practicum
timeline/schedule, including
number of weekly hours
projected to work on the
Practicum and number of
weekly hours for
Professional Development.
3.5 to >3.0 pts
Fair
Contains several (3–4)
grammar, spelling, and
punctuation errors.
3 to >0
Poor
Contain
and pun
with the

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