Public Health Nursing Practicum Documentation

Using the “Public Health Nursing Practicum Documentation” form, write objectives of what you will accomplish in this topic and how you will evaluate your accomplishment. Refer to the topic resources to be sure that your objectives are written using Bloom’s taxonomy.

You must align your practicum goals to Public Health Nursing Standards every 2 weeks. If your hours are completed earlier, in the remaining weeks where you are not completing hours, you can submit the documentation form with a statement saying that goals have been met and hours have been completed as of the date for the topic indicated.

Be sure to read the instructions (in blue font at the top of the columns on the first page) on how to use the form before you begin. The “Public Health Nursing Practicum Documentation” form uses the nursing process and follows the format of a nursing care plan, so this should be familiar to you.

The written objectives, resources, and criteria for evaluation columns (first three columns) must be completed prior to the practicum experience for the standards in Topics 5 and 6 (Public Health Nursing Standard 10 – Quality of Practice; Standard 13 – Collaboration). Complete the fourth column (evaluation) at the end of each topic’s practicum experience as you evaluate how you met the objectives you wrote.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

PHN-690-RS-PublicHealthNursingPracticumDocumentation.docx

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Public Health Nursing Practicum Documentation

PHN-690 Public Health Nursing Practicum
Directions: Complete the documentation form. Click on the highlighted text field and type in your response. The form will expand for as long as you type.
When planning for your practicum it is important to remember that you must align your practicum goals to Public Health Nursing Standards every 2 weeks. If your hours are completed earlier, in the remaining weeks where you are not completing hours, you can submit the documentation form with a statement saying that competencies have been met and hours have been completed as of the date for the topic indicated.
Learner Name:
Semester/Dates of Practicum Course:
Overall Practicum Goals: Use the S.M.A.R.T. goal format to write goals you have for your overall practicum experience. What do you want to accomplish during this practicum course? Keep this statement broad enough to cover everything that you would like to do during your practicum course. You may choose to focus in on a specific aspect of public health nursing or may choose to sample a variety of nursing education experiences within your selected practicum experience.
Objectives:
What do you want to accomplish during this practicum course? Be sure that your course goals are measurable. Some goals should reflect higher cognitive learning levels in Bloom’s taxonomy.
This column is to be
Resources and Strategies:
What type of resources or strategies will you utilize to accomplish your learning goals? Include both human and material resources.
Measurement: How will you know that you have accomplished your learning objective?
What criteria will you use to measure this?
This column is to
Evaluation:
What did you accomplish that you can use as evidence that you met your learning goals?
This column is to be completed after you
2
completed before you begin the week’s practicum.
This column is to be completed before you begin the week’s practicum.
be completed before you begin the week’s practicum.
complete the week’s practicum.
(Weeks 1-2) Public Health Nursing Standard 12 – Leadership
Standard 12 – Leadership – Weeks 1-2:Date:
My objective(s) for this standard is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Learner comments on Standard 12 practicum experience:
Hours completed this topic:
Total hours completed to date:
Date: Faculty comments:
(Weeks 3-4) Public Health Nursing Standard 5c – Consultation, Standard 9 – Evidence-Based Practice and Research, Standard 11 – Communication
Standard 5c – Consultation, Standard 9 – Evidence-Based Practice and Research, Standard 11 – Communication – Week 3:Date:
My objective(s) for these standards is to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Standard 5c – Consultation, Standard 9 – Evidence-Based Practice and Research, Standard 11 –
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
3
Communication – Week 4:Date:
My objective(s) for these standards is/are to:
Learner comments on Standards 5C, 9, and 11 practicum experience:
Hours completed this topic:
Total hours completed to date:
Date: Faculty comments:
(Weeks 5-6) Public Health Nursing Standard 10 – Quality of Practice, Standard 13 – Collaboration
Standard 10 – Quality of Practice, Standard 13 – Collaboration – Week 5:Date:
My objective(s) for these standards is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Standard 10 – Quality of Practice, Standard 13 – Collaboration Week 6:Date:
My objective(s) for these standards is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Learner comments on Standards 10 and 13 practicum experience:
Hours completed this topic:
Total hours completed to date:
Date:
4
Faculty comments:
(Weeks 7-8) Public Health Nursing Standard 1 – Assessment, Standard 2 – Population Diagnosis and Priorities, Standard 3 – Outcomes Identification
Standard 1 – Assessment, Standard 2 – Population Diagnosis and Priorities, Standard 3 – Outcomes Identification – Week 7:Date:
My objective(s) for these standards is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Standard 1 – Assessment, Standard 2 – Population Diagnosis and Priorities, Standard 3 – Outcomes Identification – Week 8:Date:
My objective(s) for these standards is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Learner comments on Standards 1-3 practicum experience:
Hours completed this topic:
Total hours completed to date:
Date: Faculty comments:
(Weeks 9-10) Public Health Nursing Standard 1 – Assessments
Standard 1 –
To meet my
I will know I
I know I met/did not
5
Assessments – Week 9:Date:
My objective(s) for these standards is/are to:
weekly goal, I need:
have met my weekly goal when:
meet my weekly goal because:
Standard 1 – Assessments – – Week 10:Date:
My objective(s) for these standards is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Learner comments on Standard 1 practicum experience:
Hours completed this topic:
Total hours completed to date:
Date: Faculty comments:
(Weeks 11-12) Public Health Nursing Standard 4 – Planning, Standard 6 – Evaluation, Standard 9 – Evidence-Based Practice and Research
Standard 4 – Planning, Standard 6 – Evaluation, Standard 9 – Evidence-Based Practice and Research – Week 11:Date:
My objective(s) for these standards is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Standard 4 – Planning, Standard 6 – Evaluation, Standard 9 – Evidence-Based
To meet my weekly goal, I need:
I will know I have met my weekly goal
I know I met/did not meet my weekly goal because:
6
Practice and Research – Week 12:Date:
My objective(s) for these standards is/are to:
when:
Learner comments on Standards, 4, 6, and 9 practicum experience:
Hours completed this topic:
Total hours completed to date:
Date: Faculty comments:
(Weeks 13-14) Public Health Nursing Standard 16 – Environmental Health
Standard 16 – Environmental Health – Week 13:Date:
My objective(s) for this standard is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Standard 16 – Environmental Health – Week 14:Date:
My objective(s) for this standard is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Learner comments on Standard 16 practicum experience:
Hours completed this topic:
Total hours completed to date:
Date: Faculty comments:
7
(Weeks 15-16) Public Health Nursing Standard 5e – Regulatory Activities
Standard 5e – Regulatory Activities – Week 15:Date:
My objective(s) for this standard is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Standard 5e – Regulatory Activities – Week 16:Date:
My objective(s) for this standard is/are to:
To meet my weekly goal, I need:
I will know I have met my weekly goal when:
I know I met/did not meet my weekly goal because:
Learner comments on Standard 5e practicum experience:
Hours completed this topic:
Total hours completed to date:
Date: Faculty comments:
Evaluation of Overall Practicum Goal
Date: Learner Final Evaluation of Overall Practicum Goal:
Date: Faculty Final Evaluation of Overall Practicum Goal:

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