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Nursing Theory

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.

Counselling Theory

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.

Complete each section below.

Part 2: 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. 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: 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.

PRAC Course Outcome(s) Addressed:

· To identify professional boundaries in the workplace and acknowledge the required therapeutic relationship with patients.

· To interpret mental status of an individual based on an assessment performed.

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.

PRAC Course Outcome(s) Addressed:

· Develop a list of appropriate evidence-based practices.

· Incorporate the practices in clinical care.

· Use evidence-based practices in improving care.

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

Mode of Assessment: The assessment mode for this objective is through observation.

PRAC Course Outcome(s) Addressed:

· Develop professional plans that improves patients’ care.

· Analyze the patients views to come up with adequate information of care programs

· Accurate modify care for specific patients.

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 Number of Weekly Hours for Professional Development Number of Weekly Hours for Practicum Coursework
Week 1 16 10 32
Week 2 16 10 32
Week 3 16 10 32
Week 4 16 10 32
Week 5 16 10 32
Week 6 16 10 32
Week 7 16 10 32
Week 8 16 10 32
Week 9 16 10 32
Week 10
Week 11
Total Hours (must meet the following requirements) 144 or 160 Hours

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 Journal45(1), 39-48.a

Erickson, M. E. (2017). Modeling and role-modeling. Nursing Theorists and Their Work-E-Book398.

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