Assignment: Journal   

Critical reflection of your growth  and development during your practicum experience in a clinical setting  has the benefit of helping you to identify opportunities for improvement  in your clinical skills, while also recognizing your strengths and  successes. 

Use this Journal to reflect on your  clinical strengths and opportunities for improvement, the progress you  made, and what insights you will carry forward into your next practicum

To Prepare

• Refer to the “Advanced Nursing Practice Competencies and Guidelines”  found in the Week 1 Learning Resources, and consider the quality  measures or indicators advanced nursing practice nurses must possess in  your specialty of interest.
• Refer to your “Clinical Skills Self-Assessment Form” you submitted  in Week 1, and consider your strengths and opportunities for  improvement.
• Refer to your Patient Log in Meditrek, and consider the patient  activities you have experienced in your practicum experience. Reflect on  your observations and experiences.

In 450–500 words, address the following:

Learning From Experiences

•  Revisit the goals and objectives from your Practicum Experience  Plan. Explain the degree to which you achieved each during the practicum  experience.
• Reflect on the three (3) most challenging patients you encountered  during the practicum experience. What was most challenging about each? 
• What did you learn from this experience?
• What resources did you have available?
• What evidence-based practice did you use for the patients?
• What new skills are you learning?
• What would you do differently? 
• How are you managing patient flow and volume? 

Communicating and Feedback

• Reflect on how you might improve your skills and knowledge and how to communicate those efforts to your Preceptor.
• Answer the questions: How am I doing? What is missing? 
• Reflect on the formal and informal feedback you received from your Preceptor. 

By Day 7

Submit your Journal Entry.