NURS

2020H Community Based Nursing Practice

Preceptors Evaluation

Course Objective
Demonstrated professional responsibility and
accountability to collaboratively plan,
implement and/or evaluate a health
promotion project relevant to the community
population served, using elements of the course
website such as the learning system and regular,
punctual communication with preceptor and
faculty.

Students Name: Melissa Amos

Progress
Evidence/Indicators: (The student has
...)
Re: Planning

Has demonstrated an understanding

of program planning, namely
through the completion of several
online modules (OTRU, Health
Promo 101)
She has also completed several
readings and prepared a project
plan and learning plan
Has recently completed a
Windshield Survey as part of her
planning process, helping her to
understand the community that she
will be working in
She has built evaluation into the
process of this project (Jeopardy
game, pre/post survey, final video
etc.), as opposed to the evaluation
being tacked onto the end of the
project, indicating an understanding
of accountability and desired
outcomes
There are no issues with day to
day performance indicators
(punctuality, dress code, conduct,

Satisfactory Unsatisfactory

NURS 2020H Community Based Nursing Practice

Applied their knowledge to support population

assessment, collaborative and evidence
informed health promotion project
development, implementation and process and
outcome evaluation.

Demonstrated ethical respectful and

professional practice when working with
community organizations and the population
with whom they work.

etc.)
She speaks comfortably about the
project indicating there has been a
knowledge transfer, and is quick to
back up all of her ideas with
evidence she has sourced
Able to synthesize and understand
readings provided
Able to seek out
attritional/supplementary
information as required
Everything produced thus far has
been footnoted/referenced
Her learning plan demonstrates an
applied understanding of evidence
informed health promotion
Keenly aware of the importance to
provide evidence - and
demonstrates ability to apply
evidence to her work
Pleasant, thoughtful, and
inquisitive disposition
Preparing to apply many principles
in their upcoming work at the
school

J
J

NURS 2020H Community Based Nursing Practice

Demonstrated knowledge of relational practice
in project development, respectful of group
process, leadership/followership, and
collaborative practice to meet the needs and
build capacity of the population in the given
context.

Demonstrated self-regulation through the

development of a project plan and milestones,
learning plan, and ability to independently
seek means to meet goals, reflect, and respond
professionally to feedback to meet learning and
project goals that align with the SONs program
goals and the Community Health Nursing
Standards of Practice in Canada.

Demonstrates an ability to ask

questions and seek clarification as
needed
Understands the importance and
practice of capacity building and
collaboration, and as such, has
structured her learning plans, and
project plans to reflect this

Project plan and learning plan are

both relevant, timely, and
achievable
She has demonstrated a good pace
for completing the objectives,
while also acknowledging the need
(and likelihood) of being flexible

Preceptors Comments:
Melissa continues to seek out new and innovative ways of engaging the students in the grade 7 class and is eager to incorporate
relevant material into her project. She demonstrates an ability to work well both individually and as part of a team and seeks
support when needed. Really looking forward to putting the plan into action in the coming weeks! J

NURS 2020H Community Based Nursing Practice

Signature of Preceptor___________________________________________________

Date____________________

Signature of Instructor___________________________________________________

Date____________________

Signature of Student_____________________________________________________

Date____________________