Clinical Skills and Procedures Self-Assessment Discussion Paper
This week, you will write a Journal Entry reflecting on your clinical strengths and opportunities for improvement. APA Format with 3-5 or more scholarly references.
To prepare:
- Refer to your FNP Clinical Skills and Procedures Self-Assessment Form from your previous assignment in this week and consider your strengths and opportunities for improvement. ATTACHED (Not sure it will help with this) Clinical Skills and Procedures Self-Assessment Discussion Paper
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Journal Entry (450–500 words):
- Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.
- Discuss your personal definition of family and family roles that might impact the assessment of a child and his or her family. Also expand your discussion on the challenges of working with families. Explain how you would handle parents that do not want to vaccinate children.
- Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment.
- Select and explain a nursing theory to guide your practice with pediatric patients.
RUBRIC
This criterion is linked to a Learning OutcomeAssimilation and Synthesis: Content Reflection Clinical Skills and Procedures Self-Assessment Discussion Paper
| 50 to >49.0 pts
Excellent Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Insightful and relevant connections are made through contextual explanations and examples. |
49 to >39.0 pts
Good Reflection demonstrates a moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Connections are made through explanations and/or examples. |
39 to >30.0 pts
Fair Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Minimal connections are made through explanations and/or examples. Clinical Skills and Procedures Self-Assessment Discussion Paper |
30 to >0 pts
Poor Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments |
50 pts
This criterion is linked to a Learning OutcomeAssimilation and Synthesis: Personal Growth
| 30 to >29.0 pts
Excellent Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well-developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications. |
29 to >19.0 pts
Good Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of student’s current experience. Clinical Skills and Procedures Self-Assessment Discussion Paper |
19 to >9.0 pts
Fair Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of student’s current experience. |
9 to >0 pts
Poor Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked. |
30 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting
| 15 to >14.0 pts
Excellent Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors. |
14 to >10.0 pts
Good Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling. |
10 to >5.0 pts
Fair Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling. Clinical Skills and Procedures Self-Assessment Discussion Paper |
5 to >0 pts
Poor Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work. |
15 pts
This criterion is linked to a Learning OutcomeAPA
| 5 to >4.0 pts
Excellent No APA errors |
4 to >3.0 pts
Good Contains 1-2 APA errors |
3 to >1.0 pts
Fair Contains 3-5 APA errors |
1 to >0 pts
Poor Contains > 5 APA errors |
5 pts
Total Points: 100 Clinical Skills and Procedures Self-Assessment Discussion Paper
Class RESOURCES
- Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.) (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents(4th ed.). American Academy of Pediatrics.
- “Promoting Family Support” (pp. 41–64)
- “Promoting Healthy Weight” (pp. 151–166)
- “Promoting Healthy Nutrition” (pp. 167–192)
- “Promoting Physical Activity” (pp. 193–203)
- “Promoting Safety and Injury Prevention” (pp. 235–256)
- Maaks, D. G., Starr, N., Brady, M., Gaylord, N. Driessnack, M., & Duderstadt, K. (Eds.). (2020). Burns’ pediatric primary care(7th ed.). Elsevier.
- Chapter 3, “Genetics and Genomics: The Basics for Child Health” (pp. 12–27)
Note: You should have this textbook in your personal library, as it was the required text in NRNP 6541: Primary Care of Adolescents and Children.
- Chapter 3, “Genetics and Genomics: The Basics for Child Health” (pp. 12–27)
- National Association of Pediatric Nurse Practitioners, Professional Issues Committee. (2019). NAPNAP position statement on age parameters for pediatric nurse practitioner practiceLinks to an external site.. Journal of Pediatric Healthcare, 33(2), A9–A11. https://doi.org/10.1016/j.pedhc.2018.10.007Links to an external site.
- American Academy of Pediatrics. (2020). ImmunizationsLinks to an external site..https://www.aap.org/en/patient-care/immunizations/Links to an external site.
- S. Department of Health and Human Services. (2020).Healthy people 2020 topics and objectives.Links to an external site.https://www.healthypeople.gov/2020/topics-objectives
Note: This website provides evidence-based resources for a range of health topics including adolescent health, early and middle childhood, family planning, nutrition and weight status, and physical activity. Clinical Skills and Procedures Self-Assessment Discussion Paper
PRAC 6541: FNP Clinical Procedures Self-Assessment Form
| Procedure | Confident (Can complete independently) | Mostly confident (Can complete with supervision) | Beginning (Have performed with supervision or need supervision to feel confident) Clinical Skills and Procedures Self-Assessment Discussion Paper | New (Have never performed or does not apply) |
| Cerumen Impaction Removal (irrigation and curette) | X | |||
| Fluorescein Staining | X | |||
| Corneal Foreign Body Removal | X | |||
| Wood’s Light Examination | X | |||
| Epistaxis management/nasal packing | X | |||
| Remove Foreign Body (ear, eye, nose, soft tissue, other) | X | |||
| EKG Lead Placement and Interpretation | X | |||
| Peak flow meter Measurements | X | |||
| Pulmonary Function Tests | X | |||
| Burn Treatment/dressing | X | |||
| Cryotherapy | X | |||
| Shave Biopsy | X | |||
| Punch Biopsy | X Clinical Skills and Procedures Self-Assessment Discussion Paper | |||
| Suturing
– Simple Interrupted Sutures and Suture Removal |
X | |||
| Staple Placement | X | |||
| Skin Adhesive Placement | X | |||
| Toenail Avulsion | X | |||
| Incision and Drainage | X | |||
| Subungual Hematoma Evacuation | X | |||
| Skin Tag Removal | X | |||
| Wart destruction/removal | X | |||
| Wound Care
Wound Debridement |
X | |||
| Steri Strip Application | X | |||
| Tick Removal | X | |||
| KOH skin slide for fungus | X | |||
| Hemorrhoid, excision of thrombus | X | |||
| Local/Field Block for Anesthesia | X | |||
| Digital Block for Anesthesia | X | |||
| Trigger Point Injection | X | |||
| Joint Injection | X | |||
| Splinting | X | |||
| Basic microscopy (yeast, BV) | X | |||
| Contraceptive Placement (Long term) | X Clinical Skills and Procedures Self-Assessment Discussion Paper | |||
| IUD Placement and Removal | X |
Summary of strengths:
| I was very fortunate to have had the experience of most of these procedures listed in my first rotation. Having that experience early on has been a huge strength for me going forward in my practicums.
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Opportunities for growth: Clinical Skills and Procedures Self-Assessment Discussion Paper
| Pediatrics will be a new endeavor for me so there are going to be lots of opportunities for growth. Everyday of clinical will be a new opportunity for growth.
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Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
| 1. I will attend conferences, webinars, and workshops on various medical conditions; not only, in the next 10 weeks but also, throughout my career. I will attend at least one a month. This will allow me to keep up to date on important information that could benefit my patients. i.e., procedures I may not get to perform on a real patient. Clinical Skills and Procedures Self-Assessment Discussion Paper
2. I will always be courteous and professional with my co-workers and offer help if asked and ask for their help if needed. I will make this known through an email. 3. By the end of every shift, I will ask my preceptor for feedback about my patients’ day and inquire about improvements to further individualize their care for the next 10 weeks. ORDER HERE NOWReflecting on Clinical Strengths and Opportunities As I embark on my pediatric clinical experiences, I find myself both excited and concerned about the challenges and opportunities that lie ahead. It is imperative that I evaluate my clinical strengths and areas for improvement to get ready for this new venture. Clinical Skills and Procedures Self-Assessment Discussion Paper Excitement and Concerns I am really excited about the prospect of working with pediatric patients. Their tenacity, innocence, and particular medical demands provide a rewarding task that I am eager to take on. But I am additionally concerned about how well I can manage the unique health issues that children and their families have, as well as how well I can communicate with them. Strengths and Weaknesses Strengths-wise, I have a strong foundation in a variety of clinical procedures and skills following my prior clinical experiences. I now feel confident enough to do wound care and cerumen impaction removal on my own or with little guidance. My shortcomings, though, are in the field of pediatrics, where I have no firsthand knowledge. According to Pines et al. (2021), working with children requires a different approach. This necessitates patience, empathy, and effective communication skills, areas where I recognize a need for improvement. Clinical Skills and Procedures Self-Assessment Discussion Paper Impact on Practicum Experience These strengths and weaknesses are likely to impact my practicum experience significantly. Although my clinical procedure knowledge will provide a solid basis, I may need to develop my interpersonal skills with pediatric patients and their families during my practicum. It is vital that I take the initiative to look for chances to hone these abilities and adjust to the particular requirements of pediatric healthcare. Understanding Family Dynamics and Cultural Influences Definition of Family and Family Roles In my personal definition, family encompasses not only biological relatives but also individuals who play significant roles in a child’s life. These may include caregivers, guardians, or close family friends. Razeq et al. (2021) assert that it is crucial to understand family dynamics and roles to assess a child’s holistic well-being and develop appropriate care plans. Challenges may arise when working with families due to differing cultural beliefs, socioeconomic factors, or personal preferences regarding healthcare practices. Clinical Skills and Procedures Self-Assessment Discussion Paper Handling Vaccine Hesitancy Managing parents who are reluctant or uneasy about vaccinating their children is one of these challenges. When faced with such circumstances, it is critical to tackle the matter with compassion, comprehension, and knowledge based on facts. I would have a polite and honest conversation with them, answering any worries or misconceptions they might have and stressing the value of vaccinations in safeguarding not just their child but the entire community. Influence of Culture Culture plays a significant role in shaping healthcare beliefs, practices, and perceptions. Both the culture of the healthcare provider and that of the child and their family can influence the assessment process. Cultural competency is essential in ensuring culturally sensitive and respectful care delivery. Being aware of my own cultural biases and actively seeking to understand and accommodate the cultural backgrounds of my patients will enhance the effectiveness of my assessments and interventions. Nursing Theory to Guide Practice I would utilize the Family-Centered Care theory to guide my practice with pediatric patients. This theory emphasizes the importance of involving families as partners in the healthcare process, recognizing their expertise in their child’s care and fostering collaborative decision-making (Secunda & Kruser, 2022). I can ensure that the care I provide is not only medically sound but also tailored to the unique needs and preferences of each child and their family by adopting this approach. Clinical Skills and Procedures Self-Assessment Discussion Paper
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