Clinical Evaluation Process for the Trent Fleming School of Nursing

Instructions for use

The Mid-Term Evaluation document will be completed at the mid-point of
the clinical placement to assist the student in taking inventory of their
current development and assist them to make plans for future clinical
practice. Reflection will be used to assist the student in measuring their
progress against the established program and course objectives, with
specific examples from clinical practice identified as evidence of learning.
The broad indicators listed in the accompanying document entitled NURS
2021 Program and Course Objectives may be used to support student
reflection, although the list of indicators is not exhaustive and should not be
used to cut and paste as evidence of learning. Specific examples of progress
must be provided that are unique to each student. The student will submit
the Mid-Term Evaluation document to the clinical instructor prior to the
formal mid-term student evaluation.
After receiving the students Self Mid-Term Evaluation, the clinical instructor
will add to the evidence of progress and complete the comment section
providing feedback and evaluation of the students progress. The clinical
instructor will provide suggestions for improvement. If a student is in a
failing position at mid-term, the student and instructor will develop a
Learning Plan outlining strategies the student will engage in, along with
clear expectations that must be met, for the successful completion of this
clinical course.
At the end of the rotation, the Final Evaluation document is to be
completed by the student to archive their achievements and areas for future
development. It will assist the clinical instructor in their assessment of the
student. The clinical instructor will add to the evidence of progress and
complete the comment section providing feedback and evaluation of the
students progress.
The clinical instructor will collect evidence in the form of the student selfassessment, comments of the health care team members, patient input,
student submissions (including portfolio) and observations to complete
Final Evaluation. A summary of achievement as well as implications for
future learning shapes the outcome of this document. The attendance
section and record of completed hours is to be filled in completely. The
completed document is to be shared with the student and signed. The
signed copy must be returned to the TFSON within 10 days. The Course
Instructor will assess the completion of the Learning Center Component, if
1

applicable. An electronic copy of the students completed final evaluation

must be uploaded by both the student and by the clinical instructor within
48 hours of the final evaluation delivery.

NURS 2021 Program and 2nd Year Outcomes

Program Outcomes
Students graduating from this program:

1. Prepared as generalists entering a

self-regulating profession in situations
of health and illness.
2. Prepared to work with people of all ages and
genders (individuals, families, groups,
communities and populations) in a variety of
settings.
3. Expected to have an enhanced knowledge of
the program foci: indigenous and women's
health, aging, mental health, and rural
populations.
4. Prepared to learn to continuously use critical
and scientific inquiry and other ways of
knowing to develop and apply nursing
knowledge in their practice.
5. Prepared to demonstrate leadership in
professional nursing practice in diverse health
care contexts.
6. Prepared to contribute to a culture of safety
by demonstrating safety in their own practice,
and by identifying, and mitigating risk for
patients and other health care providers.
7. Able to establish and maintain therapeutic,
caring and culturally safe relationships with
clients and health care team members based
upon relational boundaries and respect.
8. Able to enact advocacy in their work based on
the philosophy of social justice.
9. Able to effectively utilize communications and
informational technologies to improve client
outcomes.
10. Prepared to provide nursing care that includes
comprehensive, collaborative assessment,
evidence-informed interventions and outcome
measures.

On completion of 2000 level courses students will

be able to:
Begin to practice and experience self-regulation in
a variety of health care settings.
Explore the broader role for nursing in a variety of
communities and populations.
Understand and appreciate the contextual
components of working with families, groups,
communities, and populations.
Demonstrate an understanding the relevance of
five foci in relation to individual and communities
experience of health.
Begin to apply critical and scientific inquiry to
nursing knowledge and practice.
Understand health experiences using a variety of
ways of knowing.
Discover leadership in self and others when
working with individuals, families and
communities.
Understand the context and attributes of the
culture of patient safety.
Establish an engaged, caring, and culturally safe
relationship with families and communities.
Explore the influence of determinants of health on
health and wellness of individuals, families and
communities.
Identify situations where advocacy is indicated.
Effectively utilize information and technology skills
to promote positive outcomes.
Perform an assessment of a community.
Collaborate with group to identify priority health
goals and create evidence informed plans of care

NURS 2021H Clinical Course Evaluation

Mid-Term Evaluation

Student: Anya Cheremetef

Clinical Instructor: Judy Osborne
Placement: NURS2021
Missed Clinical Hours: 0

Missed Lab Hours: 0

NURS 2021H Clinical Course Mid-Term Evaluation

Progress
Evidence/Indicators

Course Objective
Recognize and begin to navigate the complexities of
family nursing.

Integrate knowledge from previous courses to support

diverse populations.

I have seen how family members

can be both beneficial and slightly
problematic. While watching an
admission, the wife of the patient
answered almost all of the
questions that the nurse asked.
This was good as the nurse was
able to receive another
perspective, but also an issue as
the nurse was not able to get any
information out of the patient
himself.
I have also seen the value of
family in recovery when observing
how excited a patient would get
every time their mother came to
visit. The patient would be more
motivated to get up and get
dressed and shower knowing that
his mother was coming in that day.
I have also observed the negative
impact that family can have on
patient recovery. One patient I
spoke with would get very
emotional whenever the topic of
his mother came up, as he would
begin to remember all of the
hurtful experiences he had with
her.
In the NURS2021 lab we learned
how to operate the medicine cart

Satisfac
tory

Unsatisfac
tory

Critically appraise relational inquiry processes and

begin to develop meaningful relationships with health
care providers and family members.

and how to prepare medication as

well as complete the three checks.
I was then able to use these skills
while shadowing a nurse, as she
gave me the opportunity to
prepare medications for several
patients.
In NURS2001 we have spent a
great deal of time learning about
relational inquiry. I have used this
tool numerous times within this
placement. For example, when a
patient makes a statement
regarding their feelings, rather
than just saying its going to be
okay, I use relational inquiry to
ask why they are feeling this way
and find out more about the
situation.
In NURS1002 we were given an
introduction to the Mental Health
Act, which I have been able to
learn a lot more about during this
placement.
I have not been able to develop a
relationship with a family member,
however, I was able to observe an
admission in which the nurse
interviewing the patient
established a meaningful
relationship with the patients wife
while asking her questions related
to the patients health.
I developed a relationship with a
healthcare provider, a nurse that I
shadowed while she administered
medications, while using relational

Collaboratively formulate a plan of care based on

knowledge of family nursing, related theories and
scholarly literature.

Develop, implement and evaluate the effectiveness of

health-promoting, evidence-based practice, reflecting
principles of family nursing as relational practice.

inquiry processes to find out more

about her role as a mental health
nurse.
Using relational inquiry, I have
been able to form relationships
with quite a few patients through t
asking them about themselves
over activities such as colouring,
bracelet making, or playing a
board game.
Planning activities to possibly help
improve patients mood such as
coloring, jewelry making, or even
just going for a walk to the court
yard. These activities create a
common ground through which I
can use relational practice to
inquire more about the patients
well-being.
While shadowing a nurse, we
brought a patient their breakfast
knowing that he had not been
eating properly recently. The plan
of care was to sit with him and
talk with him while he ate, as he
was more motivated to do so with
someone there with him.
For NURS2021 I completed a
reflection assignment in which I
discussed a situation in which I
was feeling nervous to take vital
signs for patients on the unit.
Through completing this
assignment, I was able to get a
better understanding of where I
could improve my relational
practice and therapeutic

Demonstrate increasing competence and confidence

in the application of psychomotor skills in practice
settings.

Demonstrate accountability and professionalism that

is consistent with a nurse entering a self-regulating
profession.

communication skills.
I was able to participate in healthpromotion by gathering patients to
go for short walks outside and get
some fresh air. Being able to
spend even a few minutes outside
seems to improve the well-being
of many patients.
Every time I complete vital signs I
feel more and more confident in
my ability to get accurate
readings.
After being able to practice
preparing medications along side
a nurse, I feel more confident in
my ability to ensure that I am
giving the correct dose and
medication to the correct patient.
This placement has greatly
improved my communication skills
through allowing me many
opportunities to interact with
patients in meaningful ways.
I demonstrate accountability
through being able to recognize
certain issues, such as a higher
than normal blood pressure, and
acting on these issues by
reporting my concerns to a nurse
or my clinical instructor.
Before engaging with any clients, I
explain to them that I am a
nursing student and introduce my
self as such. I believe that this is a
way in which I have shown
professionalism throughout this
placement.

Select appropriate community support services for

families needing referral to enhance coping with
diverse transitional experiences.

I have learnt about community

resources such as the one roof
diner, four county crisis, and
forecast.
I was given the opportunity to
observe an injection at the outpatient program in the mental
health unit. This is a community
resource provided for patients who
are not currently patients staying
within the hospital.

To be completed by student:
Student Areas of Strength
1. Ability to use therapeutic communication skills
2. Fully competent in ability to take vital signs
3. Developing therapeutic relationships with clients
Student Areas for Future Development
1. Feeling confident in my responses to sensitive topics brought up by clients
2. Being more precise in my documentation and charting skills

3. Gaining a better understanding of the various forms under the mental health act
Clinical Instructor Comments (All areas marked as unsatisfactory must have a
comment)

Attendance
Week
1
Week
2
Week
3
Week
4

Hrs.
12
Week 5

Hrs.
12

12

Week 6

12

12

Week 7

12

12

Week 8

12

Total number of clinical hours completed: 96

Clinical Component
Satisfactory
Unsatisfactory
Please circle the appropriate outcome
Clinical Learning Center Completed _____________
Enhanced Learning Days Completed _____________

Signature of Instructor____________________________________
Date_______________________________
Signature of Student______________________________________
Date________________________________