Meaghan Gutenberg Self Evaluation

Running Head: NURS 1020 SELF EVALUATION
NURS 1020 Self Evaluation

Meaghan Gutenberg
Student Number: 0526609
NURS 1020
Trent University
NURS 1020 SELF EVALUATION
Self Evaluation Form - Final

Name: Meaghan Gutenberg
Page 1 of 1
Course Number: NURS1020
Course Name: Clinical Practice Residential

Area of Practice: Long Term Care
Competency Category
(Indicate with a check which competency category this page refers to)
o Professional Responsibility
X Knowledge-based Practice
o Ethical Practice
o Service to the Public
o Self-Regulation
Goals
1) To learn at least one new thing about my assigned resident each time I attend my
clinical placement until the end of the semester.
2) To perform hand hygiene as necessary (or whenever in doubt) when practicing in
the clinical setting until the end of the semester.
Activities, Necessary Resources and Timeframes to achieve my goal

Activities:
Genuine conversation between myself and the client/patient (e.g. regularly
asking things like, How has your week been?, What types of activities
do you enjoy? or How is your family?)
Ensure to actively listen to everything that my resident has to say.
Confidentially document what I learned about my resident and feedback
received in my personal journal to help me see the progress I made in my
relational practice skills over the course of one semester.
Using hand sanitizer or soap and water whenever deemed necessary (or in
doubt) while in the clinical setting
Going over reminders as to when hand hygiene should be performed
before every day attend clinical.
Documenting in personal journal when the instances for hand hygiene are
reviewed.
Necessary Resources:
Journal to use as my personal record
Feedback from my resident, peers, other staff at the facility, and clinical
instructor.
Reminders that indicate when hand hygiene should be performed
Alcohol-based sanitizer/water and soap

Timeframe: I will conduct the activities listed above each time I attend clinical practice
until the end of the semester.
Evaluation
Did I achieve my goal and what is the evidence?
1) This was not a goal that I ended up achieving completely. This however, was not
due to a lack of relational practice skills. About half way through my placement I
was moved to a different section on the floor and did not see my assigned resident
very often. This made it difficult to build a therapeutic relationship with my
assigned resident and therefore difficult to learn new things about her in order to
achieve my goal. Although this goal was not achieved this semester, I plan on
carrying it into my future placements in order to further improve upon relational
practice skills.
2) I do believe that I have achieved this goal. It has quickly become second nature
for me to perform hand hygiene in situations like before and after caring for a
resident, after performing tasks like perineal care, and before and after starting my
shifts. Additionally, my peers and other health care staff at the facility were
excellent prompts for moments to perform hand hygiene. For this reason it has not
been necessary to review incidences for hand hygiene, and I can confidently say
that I have achieved this goal.
Future Considerations:
Signature: Meaghan Gutenberg
Date: 03-27-2013
Learning Plan
Page 1 of 1

Competency Category
Professional Responsibility
Knowledge Based Practice
X Ethical Practice
Service to the Public
Self-Regulation
Goals
1) To incorporate and promote confidentiality practices into my clinical practice
every day that I attend clinical placement and whenever I notice that clinical
practice (specifically its residents) become a topic of discussion outside of the
clinical setting through till the end of the semester.
2) To be considerate and aware of any unique cultural or spiritual beliefs my
assigned resident may practice throughout the entire semester.

Activities:
Implementing confidentiality practices such as informed consent for daily
decisions that are to be made for the health of my assigned resident
Closing doors whenever personal information is being disclosed/discussed
between either my assigned resident and myself or colleagues and their
assigned residents
Using names such as Patient X or Colleague X or initials when
making notes in my personal journal, and requesting feedback from
colleagues, other facility staff, my assigned resident.
Not make assumptions about his/her cultural or religious/spiritual
affiliations and practices
Advocating for my assigned resident whenever health care practices
interfere with cultural or spiritual beliefs important to the resident
Providing alternatives, and accommodating (whenever possible) to my
assigned resident whenever particular health care practices may interfere
with his/her cultural or spiritual beliefs
Document in personal journal anytime cultural or spiritual circumstances
require any sort of alteration in care including reflection on the
experience
Journal to use as my personal record
Feedback from my resident, colleagues, other staff at the facility, and
clinical instructor.
My assigned residents chart on which any significant cultural or spiritual
practices would be indicated
External resources (e.g. Internet, RNAO BPGs) when more knowledge
about a certain culture or religion, or providing care for individuals with
certain cultural or religious beliefs would be beneficial in providing my
assigned resident with more culturally sensitive care
Timeframe: I will conduct the activities listed above each time I attend clinical practice
and anytime confidentiality of residents at the long term care facility I am assigned to
becomes an area of concern, until the end of the semester.
Evaluation
1) This is a goal that I am positive I have achieved. There have been situations
outside of the clinical setting where a breach in confidentiality could have
potentially happened, and I acted in ways that deterred myself and others from
this potential breach. I have personally reflected on these situations, and am proud
to say that I was able to help maintain the confidentiality of the St.Josephs
residents. Additionally, when it came to assignments and written reflections, I
always ensured that I used either initials or Patient X for identification which
also helped to maintain resident privacy and confidentiality. I plan on continuing
to carry out the success of achieving this goal into further placements and
practice.
2) This goal is one that was difficult to achieve because I was never faced with any
situations where cultural/spiritual beliefs were an issue with providing patientcentered care. Since the practice of cultural sensitivity was never really required,
this goal was never fully achieved. When I come across a situation in the future
that involves the implication of cultural awareness and sensitivity, I will revisit
this goal and my plans on how to achieve it so that I may be successful in
achieving it.
My learning plan addresses:
X Self-Reflection
o Course Learning Objectives
o Consideration to previous evaluation
o Cumulative and Appropriate for educational level
Date: 03-27-2013
Learning Plan
Page 1 of 1

Competency Category
Ethical Practice
Service to the Public
X Self-Regulation
Goals
1) To ensure that I do not work outside my scope of practice throughout the semester
at my long term care NURS 1020 clinical placement.
2) To maintain an adequate level of personal fitness to better perform certain health
care practices (e.g. lifts and transfers) throughout the rest of the semester.

Activities:
Writing up a document every week that outlines my scope of practice
Looking over this document before I start each shift at my clinical
placement
Updating my resident every week what new skills I have learned and are
then able to apply and reminding them that I cant perform certain
requested tasks if they are outside of my scope of practice
Establish back up support with a staff member at the long term care
facility I am assigned to ensure I have a more knowledgeable health care
provider that can assist me when my resident or another staff member
asks me to perform a task that may be outside of my scope of practice.
Keep a personal diary to help me confidentially reflect on my days at my
clinical placement, in which I will write about any situation in which my
limited scope of practice became an inconvenience or caused me to seek
these external supports.
Exercising a minimum 3 days a week (1-2 hours each)
Cardio, strength, and flexibility exercises)
Creating a schedule/checklist to use as a guide for ensuring weekly
workouts are completed
Checking off weekly workouts as they are completed
Documenting in personal journal as performing clinical skills requiring an

adequate level of personal fitness become either easier or harder
Supportive relationships with the facility staff, and clinical instructor,
Professional feedback from facility staff, and my clinical instructor
Personal scope of practice outline.
Workout schedule
Workout facility and equipment
Timeframe: The activities listed above are ones that I will take action with each time I
attend clinical practice until the end of the semester in April 2013.
Evaluation
1) This is a goal that I have definitely been successful in achieving. As each week
went by and I established new sets of skills, I ensured that I implemented only the
skills that I have been taught and practiced into my clinical practice. The fact that
my clinical instructor was well aware of the new skills I had established each
week, gave me a great support system to ensure that when pressures were there to
work outside of my current scope of practice, that I could prevent and avoid it.
Anytime it may have been expected of me to lift/transfer a resident without the
help of a health care aid for example, I expressed how that was not a task I am not
able to do alone, and with the support of my clinical instructor in place, refusing
this task was never an issue. Thankfully most of the staff at the facility were also
very understanding and would usually ask if I was able to perform certain tasks.
There is not one situation that I can recall where I worked outside of my scope of
practice, and therefore I can say that I successfully achieved this goal.
2) This is another goal that I unfortunately did not achieve. I found that it has not
been easy for me to adhere to my workout schedule throughout the semester due
to a heavy workload. Therefore I have not been going for regular workouts and
have not been able to achieve this goal. Perhaps some alterations to my workout
schedule could be made so that getting some occasional exercise can be more
feasible, and I can successfully achieve this goal in the future.

o Self-Reflection
X Course Learning Objectives
Learning Plan
Date: 03-27-2013
Page 1 of 1

Competency Category

Ethical Practice
X Service to the Public
Self-Regulation
Goals
1) To incorporate aspects of the Excellent Care For All Act (ECFAA) into my
clinical practice until the end of the semester.
2) To keep myself up to date on all major nursing and health care issues occurring
regionally, provincially, and nationally throughout the remainder of the semester.

Activities:
Asking permission of the resident for any and all health care actions to be
taken
Documenting the residents decisions in his/her medical record
Reviewing the ECFAA periodically (every one-two weeks) to ensure
requirements around patient-centered care are followed
Requesting feedback from colleagues, my assigned resident, facility staff,
and clinical instructor on my consistency on placing my assigned resident
at the centre of his/her health care.
Keeping track of and reading various nursing/health care journals and
peer-reviewed nursing/health care articles on a regular basis
Documenting in personal journal when I do read a nursing journal or peerreviewed article related to health care, what I learned from it, and what I
can apply into the clinical setting.
ECFAA requirements
Feedback from colleagues, my assigned resident, facility staff, and clinical
instructor.
Nursing/health care journals and peer-reviewed articles
Timeframe: The activities listed above will be performed throughout my attendance at
clinical placement until the end of the second semester in April 2013.
10
Evaluation
1) This is another goal I believe that have achieved. Anytime I would help a resident
get ready for the day/bed, help them eat at meals, or perform assessments for my
own practice, I would ensure I had the permission of the resident before going any
further, and of course if permission was not given, I did not follow through with
the task. However certain aspects of my scope of practice were never put into
action (e.g. documentation), and therefore certain aspects of the ECFAA were not
incorporated into my clinical practice. As some of these aspects of the ECFAA
are able to be implemented into my practice, I will ensure that they area followed
so I may be able to achieve this goal.
2) This was a goal that I found very difficult to achieve. Aside from issues that were
discussed at CNSA conferences, and the occasional issue that was discussed
in/article that was read for my NURS 1002 class, I did not keep myself up to date
on regional/provincial/national nursing issues. I have not actively been reading
peer-reviewed, scholarly nursing journals. I wouldnt say that I have completely
achieved this original goal, but I have completed it to the extent that I am
currently able to. As a student it is hard to find time for reading for things other
than your courses. By getting involved with CNSA and attending their
conferences/workshops, I believe that I have made myself more aware and up to
date on regional/provincial/national nursing issues than I probably would have
been if I didnt get involved. After graduation, I believe it will be more likely that
I will be able to reading nursing journals as a way to maintain nursing/health care
awareness.

o Self-Reflection
X Course Learning Objectives
Date: 03-27-2013
Learning Plan
Page 1 of 1

Competency Category
11
X Professional Responsibility
o Knowledge Based Practice
o Ethical Practice
o Service to the Public
Self-Regulation
Goals
1) To participate in the CNOs Quality Assurance (QA) program throughout my
experience in clinical practice until the end of the semester.
2) To ensure that I always have a clean, wrinkle free pair of scrubs to wear to
clinical practice throughout the remainder of the semester.

Activities:
Writing about personal clinical experiences especially as I begin to
perform new skills (without breaching confidentiality)
How they made me feel
What I feel went well/wrong in the day
Documenting when I reflect on all previously stated
Requesting feedback from colleagues, my assigned resident, facility staff,
and clinical instructor about my progress as I learn and apply new clinical
skills.
Laying out a clean pair of scrubs every night before clinical to ensure they
are free of wrinkles
Setting up a laundry schedule to ensure scrubs get washed
Regularly washing my scrubs, and only wearing them once, to ensure a
clean pair is always accessible
Personal clinical diary, and
Feedback from colleagues, my assigned resident, facility staff, and clinical
instructor.
Necessary laundry utilities (e.g. washer and dryer, detergent and dryer
sheets etc.)
Laundry schedule
Timeframe: The activities listed above will be performed throughout my attendance at
clinical placement and planned reflective time taken place after attending clinical
placement until the end of the second semester in April 2013.
Evaluation
1) This goal is one that I also believe I have successfully achieved. Although I have
not documented feedback I have received throughout the semester, I have
12
personally reflected about it and used it as motivation to keep on learning and

improving (as it was mainly positive feedback). After each shift at clinical
placement I have been writing and reflecting about the day, issues that may have
arose and how they made me feel, which has proven to be very beneficial
throughout this learning experience. I will continue to make this regular task after
clinical in my future placements.
2) It may not have always been easy, but this is a goal that was also successfully
achieved. I had set myself a deadline to do laundry by each week to ensure I
always had scrubs to wear to clinical placement, and I am proud to say that I did
meet this deadline each week. Not once did I ever walk into clinical with dirty,
already worn scrubs. It may have taken a push every now and again, and I may
not have actually gotten to it until the deadline, but each week my laundry was
done on time and I always had clean scrubs to wear. In the future I plan to work
on turning those loads that got done last minute and have them completed well in
advanced. Laundry may not always be the most enjoyable of tasks, but it has to be
done, and although it is better late than never, I know that earlier is even better
than later.

X Self-Reflection
Course Learning Objectives
Date: 03-27-2013
13
References
College of Nurses of Ontario (2008). National competencies in the context of entry level
Registered Nurse practice. Toronto, Ontario, Canada: College of Nurses of
Ontario.
College of Nurses of Ontario (Jan 16, 2013). QA Program CNO. Retrieved from:
http://www.cno.org/maintain-your-membership5/myqa/
Ontario Ministry of Health and Long-Term Care. Excellent Care for All Public
Information MOHLTC. Retrieved from:
http://health.gov.on.ca/en/bpublic/programs/ecfa/default.aspx
Registered Nurses Association of Ontario. Embracing Cultural Diversity in Health Care:
Developing Cultural Competence | Registered Nurses Association of Ontario.
Retrieved from: http://rnao.ca/bpg/guidelines/embracing-cultural-diversity-healthcare-developing-cultural-competence

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Running Head: NURS 1020 SELF EVALUATION

NURS 1020 Self Evaluation

NURS 1020 SELF EVALUATION

Self Evaluation Form - Final

Course Number: NURS1020

Course Name: Clinical Practice Residential

Activities, Necessary Resources and Timeframes to achieve my goal

NURS 1020 SELF EVALUATION

Alcohol-based sanitizer/water and soap

NURS 1020 SELF EVALUATION

Course Name: Clinical Practice Residential

Activities, Necessary Resources and Timeframes to achieve my goal

NURS 1020 SELF EVALUATION

My learning plan addresses:

Signature: Meaghan Gutenberg

NURS 1020 SELF EVALUATION

NURS 1020 SELF EVALUATION

Course Name: Clinical Practice Residential

Activities, Necessary Resources and Timeframes to achieve my goal

NURS 1020 SELF EVALUATION

Documenting in personal journal as performing clinical skills requiring an

My learning plan addresses:

Signature: Meaghan Gutenberg

NURS 1020 SELF EVALUATION

Name: Meaghan Gutenberg

Course Number: NURS1020

Course Name: Clinical Practice Residential

Knowledge Based Practice

Activities, Necessary Resources and Timeframes to achieve my goal

NURS 1020 SELF EVALUATION

My learning plan addresses:

Signature: Meaghan Gutenberg

Course Name: Clinical Practice Residential

NURS 1020 SELF EVALUATION

Activities, Necessary Resources and Timeframes to achieve my goal

NURS 1020 SELF EVALUATION

personally reflected about it and used it as motivation to keep on learning and

My learning plan addresses:

Signature: Meaghan Gutenberg

NURS 1020 SELF EVALUATION

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