PRAC 6552 Clinical Skills and Procedures Self-Assessment
PRAC 6552: Clinical Skills and Procedures Self-Assessment Form
Evaluating clinical abilities is crucial for Family Nurse Practitioner (FNP) students, as it identifies existing competencies and highlights areas that require additional enhancement (Likis & Schuiling, 2022). Organized self-assessment promotes reflective practice, enhances clinical preparedness, and guarantees concentrated learning during practicums. This paper examines my current skills, areas for improvement, and professional objectives. Using the SMART framework, I will set specific, measurable, achievable, relevant, and time-bound goals to help me improve my skills throughout my practicum.
Clinical Skills and Procedures Self-Assessment Form
| Skill / Procedure | Confident (Can complete independently) | Mostly Confident (Can complete with supervision) | Beginning (Has performed with supervision or needs supervision to feel confident) |
New (Has never performed or does not apply) |
| Breast Examination | X | |||
| Basic microscopy (yeast, BV) | X | |||
| Obtaining vaginal culture | X | |||
| HARK screening | X | |||
| Contraceptive Options | X | |||
| Herpes Culture | X | |||
| Pap Smear | X | |||
| IUD Insertion and Removal | X | |||
| Auscultation Fetal Heart Tones | X | |||
| Fundal Height Assessment | X | |||
| Pregnancy Testing | X | |||
| EPPDS Screening | X | |||
| Pelvic Exam | X | |||
Summary of strengths:
| My primary strength is executing breast inspections, collecting vaginal cultures, and administering pregnancy tests with precision and assurance. These procedures are fundamental to women’s health and are competencies I have executed autonomously in clinical environments. I am proficient in advising patients on contraceptive options, so I can augment my capacity to deliver comprehensive reproductive health care. My proficiency in evaluating fundal height is an additional strength, enabling me to track the evolution of pregnancy and fetal growth (Woroch & Bockwoldt, 2020). These strengths demonstrate both technical skill and effective communication with patients, ensuring safe, patient-focused care. All of these skills demonstrate that I am ready to provide high-quality professional care, which will help me grow as a Family Nurse Practitioner. |
Growth opportunities:
| While I have gained confidence in some areas, there are several procedures for which I necessitate additional instruction and oversight. My experience with pap screenings, IUD installation and removal, and pelvic examinations is limited, despite their necessity for comprehensive gynecologic treatment. Furthermore, I have not yet conducted microscopy for yeast or bacterial vaginosis, nor herpes cultures, which are essential diagnostic instruments in clinical practice. Competencies include fetal heart tone auscultation, HARK screening for intimate partner violence, and Edinburgh Postnatal Depression Scale (EPDS) screening, which continue to be domains with restricted exposure (Beasley, 2021). Enhancing proficiency in these domains will not only strengthen my diagnostic and procedural skills but also enhance my ability to deliver holistic, patient-centered care. Rectifying these deficiencies is crucial for attaining complete proficiency as an FNP. |
Now, write 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 1: Enhance proficiency in diagnostic processes related to women’s health.
2. Goal 2: Build confidence in gynecologic procedures.
3. Goal 3: Enhance assessment and screening skills for maternal and mental health. a. Objective 1: Accurately assess fetal heart tones in at least five pregnant patients with preceptor supervision. b. Objective 2: Complete EPPDS screenings with at least three postpartum patients to identify depression risk. c. Objective 3: Implement HARK screening in at least five clinical encounters to strengthen skills in addressing intimate partner violence (Beasley, 2021). |
Conclusion
This clinical skills self-assessment has highlighted my areas of proficiency and underscored procedures that necessitate improvement. Although I am adept in fundamental women’s health assessments, pregnancy testing, and patient education, I require further expertise with specific procedures such as pap smears, pelvic examinations, and IUD management. With the help of my preceptor, I will carefully refine these skills by setting and adhering to SMART goals. This practicum provides me with an excellent opportunity to enhance my nursing skills and foster my growth as a Family Nurse Practitioner.
References
Beasley, D. R. (2021). An online educational intervention to influence medical and nurse practitioner students’ knowledge, Self-Efficacy, and motivation for antepartum depression screening and education. Nursing for Women’s Health, 25(1), 43–53. https://doi.org/10.1016/j.nwh.2020.11.004
Likis, F. E., & Schuiling, K. D. (2022). Gynecologic health care: with an introduction to prenatal and postpartum care (4th ed.). Jones & Bartlett Learning.
Mihaly, L. K., & Gatewood, E. (2022). A workshop to develop nurse practitioner competencies in women’s reproductive health. The Journal for Nurse Practitioners, 18(7), 761–764. https://doi.org/10.1016/j.nurpra.2022.02.007
Woroch, R. A., & Bockwoldt, D. (2020). The growing need to provide training in clinical procedures in family nurse practitioner educational programs. Journal of the American Association of Nurse Practitioners, 33(5), 353–358. https://doi.org/10.1097/jxx.0000000000000430
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Clinical Skills and Procedures Self-Assessment
Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.
The FNP and the AGPCNP Clinical Skills Lists and Resource Review documents, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum course.
For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Learning Resources
Required Readings
- Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.
- Chapter 5, “Health Promotion” (pp. 75–86)
- Chapter 7, “Gynecologic History and Physical Examination”?(pp. 99–124)?
- Appendix 7-A, “Cervical Cytology Screening”?(pp. 125–127)?
- Chapter 11, “Gynecologic Health Care for Lesbian, Bisexual, Queer Women, and Transgender and Nonbinary Individuals” (pp. 173–210)
- Fowler, G. C. (2019). Pfenninger and Fowler’s Procedures for Primary Care (4th ed.). Elsevier.
- Section 9, “Gynecology and Female Reproductive System”
- Chapter 135, “Intrauterine Device Insertion and Removal” (pp. 932–945)
- Section 9, “Gynecology and Female Reproductive System”
Clinical Guideline Resources
- American Cancer Society.
- Links to an external site. (n.d.). https://www.cancer.org/
- American College of Obstetricians and Gynecologists.
- Links to an external site. (n.d.). https://www.acog.org/
- ANA Enterprise
- Links to an external site.. (n.d.). https://www.nursingworld.org/
- Centers for Disease Control and Prevention.
- Links to an external site. (n.d.). https://www.cdc.gov/
- HealthyPeople 2030. (2020). Healthy People 2030 framework .
- Links to an external site.
https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework - American Association of Nurse Practitioners.
- Links to an external site. (2020). https://www.aanp.org/
- U.S. Preventive Services Task Force. (n.d.-b). Search and filter all recommendation topics .
- Links to an external site. https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P&searchterm=
FNP Clinical Skills Resources
The following clinical skills resources are also located in in the FNP Procedure List and Resource Review found in this week’s Learning Resources.
- Agency for Healthcare Research and Quality. (2015).Intimate partner violence screening: Fact sheet and resources.
- Links to an external site. https://www.ahrq.gov/ncepcr/tools/healthier-pregnancy/fact-sheets/partner-violence.html
- American Sexual Health Association.(n.d.).Understanding sexual health
- Links to an external site.. http://www.ashasexualhealth.org/sexual-health/?gclid=CjwKCAjw7e_0BRB7EiwAlH-goD6K5ZnI5gxqkfK_YO_rI1nbFLzr_Vz1x-APqdxw33fdNmBxPVe48hoC4L0QAvD_BwE
- Office of Women’s Health: Womenshealth.gov. (2017). Birth control methods.
- Links to an external site. https://www.womenshealth.gov/a-z-topics/birth-control-methods
- Reproductive Health Access Project. (2022). Your birth control choices.
- Links to an external site. https://www.reproductiveaccess.org/wp-content/uploads/2014/06/2020-09-contra-choices.pdf
Practicum Resources
- Document: Practicum Site Information Form (Word document)
- Download Practicum Site Information Form (Word document)
- Document: FNP Clinical Skills List and Resource Review (Word document)
- Download FNP Clinical Skills List and Resource Review (Word document)
Note: Please use the document if it is specific to your NP track. - Document: FNP Procedure List and Resource Review (Word document)
- Download FNP Procedure List and Resource Review (Word document)
Note: Please use the document if it is specific to your NP track. - Document:
- Download : FNP Clinical Skills and Procedures Self-Assessment Form (Word document)
- Download FNP Clinical Skills and Procedures Self-Assessment Form (Word document)
Note: Please use the document if it is specific to your NP track. - Document: AGPCNP Clinical Skills List and Resource Review (Word document)
- Download AGPCNP Clinical Skills List and Resource Review (Word document)
Note: Please use the document if it is specific to your NP track. - Document: AGPCNP Procedure List and Resource Review (Word document)
- Download AGPCNP Procedure List and Resource Review (Word document)
Note: Please use the document if it is specific to your NP track. - Document: AGPCNP Clinical Skills and Procedures Self-Assessment Form (Word document)
- Download AGPCNP Clinical Skills and Procedures Self-Assessment Form (Word document)
Note: Please use the document if it is specific to your NP track. - Walden University Field Experience. (n.d.-a).?Field experience: College of Nursing.
- Links to an external site.? https://academicguides.waldenu.edu/fieldexperience/son/home
- Walden University Field Experience
- Links to an external site.. (n.d.-b). MSN nurse practitioner practicum manual .
- Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
- Walden University Field Experience.
- Links to an external site. (n.d.-c). Student practicum resources: NP student orientation .
- Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation
- HSoft Corporation. (n.d.). Meditrek
- Links to an external site.. https://edu.meditrek.com/Default.html
Note: Use this website to log in to Meditrek to report your clinical hours and patient encounters. - Chatterjee, D., & Corral, J. (2017). How to write well-defined learning objectives
- Links to an external site.. The Journal of Education in Perioperative Medicine, 19(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944406
Required Media
- Medcram – Medical Lectures Explained CLEARLY. (2018, January 15). Influenza (flu) explained clearly – diagnosis, vaccine, treatment, pathology [Video].
- Links to an external site.YouTube. https://www.youtube.com/watch?v=QPkekDmo8w4
Note: The approximate length of this media piece is 17 minutes. - Medcram – Medical Lectures Explained CLEARLY.(2020, January 26). Coronavirus outbreak – transmission & updates explained (Recorded January 26, 2020) [Video]
- Links to an external site.. YouTube. https://youtu.be/9vMXSkKLg2I
Note: The approximate length of this media piece is 6 minutes. - PBS NewsHour. (2023, August 2024). What experts are doing to combat the rise in maternal mortality among Black Americans
- Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=7h6S11VC-Hg
Note: The approximate length of this media piece is 8 minutes.
FNP Clinical Skills Media Resources
The following clinical skills resources are also located in in the FNP Procedures List and Resource Review found in this week’s Learning Resources.
- BabyBeat Fetal Dopplers. (2015, June 3). BabyBeat – fetal heart sounds using the doppler [Video]
- Links to an external site.. YouTube. https://www.youtube.com/watch?v=BWiLPGErVF0
Note: The approximate length of this media piece is 3 minutes.
- Better Health Channel. (2018, October 22). Women’s sexual and reproductive health [Video]
- Links to an external site.. YouTube. https://www.youtube.com/watch?v=WNkxc6M6Rxk
Note: The approximate length of this media piece is 4 minutes. - morethanjustsex. (2019, March 25). LGBTQ healthcare scenarios [Video]
- Links to an external site.. YouTube. https://www.youtube.com/watch?v=a6KnPUJPe8w
Note: The approximate length of this media piece is 2 minutes. - Associate Director of Midwifery and Nursing – NUH. (2018, December 3). Measuring SFH [Video]
- Links to an external site.. YouTube. https://youtu.be/RguEXh2QlFo
Note: The approximate length of this media piece is 1 minute. - OSCAR EMR training. (2015, May 22). Pregnancy testing [Video]
- Links to an external site.. YouTube. https://youtu.be/Ohl2gwM5DyA
Note: The approximate length of this media piece is 3 minutes. - Medical Procedures & Health Informations. (2014, February 16). Pap test – procedure [Video]
- Links to an external site.. YouTube. https://youtu.be/0zI58NJd1yE
Note: The approximate length of this media piece is 1 minutes. - Geeky Medics. (2015, July 23). Breast examination – OSCE Guide [Video]
- Links to an external site.. YouTube. https://youtu.be/76g_tNWMhCE
Note: The approximate length of this media piece is 6 minutes. - V’ Mariee. (2017, February 24). IUD removal – training video [Video]
- Links to an external site.. YouTube. https://youtu.be/LpCA4C37yr8
Note: The approximate length of this media piece is 1 minutes. - SeattlePTC.
- Links to an external site. (2015, January 30). Examination of vaginal wet preps [Video]
- Links to an external site.. YouTube. https://www.youtube.com/watch?v=8dgeOPGx6YI
Note: The approximate length of this media piece is 15 minutes.
Optional Resources
The following webinars and continuing education modules are highly recommended for your professional development. Note: You will not receive credit for these webinars or modules but they are for your own professional development in building your expertise.
- National Certification Corporation. (2020). WB2056 coronavirus disease 2019-A primer for health care professionals
- Links to an external site.. https://www.nccwebsite.org/Course/Detail/1856
Note: This webpage consists of a 5-hour CE module related to the coronavirus disease of 2019. Please be mindful of the time to complete this CE module.
- Links to an external site.. YouTube. https://www.youtube.com/watch?v=8dgeOPGx6YI
To prepare:
- Review the clinical skills in the FNP Procedures List and AGPCNP Clinical Skills List and Resource Review documents found in the Learning Resources that is specific to your selected NP track. It is recommended that you print out this document to serve as a guide throughout your practicum.
- Download the Clinical Skills and Procedures Self-Assessment Form that applies to your NP track to complete this Assignment.
Assignment
Using the Clinical Skills and Procedures Self-Assessment Form:
- Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.
- Based on your ratings, summarize your strengths and opportunities for improvement.
- Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.
** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.
By Day 7
Submit your completed FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form.
submission information
- To submit your completed assignment, save your Assignment as WK1Assgn2_LastName_Firstinitial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
Rubric
PRAC_6552_Week1_Assignment2_Rubric
| Criteria | Ratings | Pts |
|---|---|---|
| This criterion is linked to a Learning Outcome Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form. | 30 to >26.0 pts Excellent The response provides ratings for all procedures on the form.
26 to >23.0 pts Good The response provides ratings for most of the procedures on the form. 23 to >20.0 pts Fair The response provides ratings for some of the procedures on the form. 20 to >0 pts Poor The response provides ratings for only a few procedures on the form, or ratings are missing. |
30 pts |
| This criterion is linked to a Learning Outcome Based on your ratings, summarize your strengths and opportunities for improvement. | 30 to >26.0 pts Excellent The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.
26 to >23.0 pts Good The response provides an accurate summary of both the strengths and opportunities for improvement. 23 to >20.0 pts Fair The response provides a vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement. 20 to >0 pts Poor The response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing. |
30 pts |
| This criterion is linked to a Learning Outcome Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form. | 30 to >26.0 pts Excellent The response provides 3–4 clear and appropriate goals and objectives for the Practicum experience.
26 to >23.0 pts Good The response provides at least 3 appropriate goals and objectives for the Practicum experience. 23 to >20.0 pts Fair The response provides at least 3 unclear or inappropriate goals and objectives for the Practicum experience. 20 to >0 pts Poor The response provides less than 3 unclear or inappropriate goals and objectives for the Practicum experience, or goals and objectives are missing. |
30 pts |
| This criterion is linked to a Learning Outcome Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. | 5 to >4.0 pts Excellent Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 to >3.5 pts Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3.5 to >3.0 pts Fair Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic. 3 to >0 pts Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity <60% of the time. No purpose statement, introduction, or conclusion was provided. |
5 pts |
| This criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.5 pts Good Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3.5 to >3.0 pts Fair Contains several (3 or 4) grammar, spelling, and punctuation errors. 3 to >0 pts Poor Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. |
5 pts |
Total Points: 100
