clinical teaching psychiatric nursing

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FAR EASTERN UNIVERSITY

INSTITUTE OF NURSING

GRADUATE STUDIES

Psychiatric Ward Clinical Teaching Plan

SAMPLE CLINICAL TEACHING PLAN ON CARE OF CLIENTS WITH MALADAPTIVE PATTERN OF BEHAVIOR

In partial fulfillment for the requirements in MAN 207 – Advance Clinical Teaching

Submitted to:

Dr. Alita R. Conde, RN, MAN

Instructor/Adviser

Submitted by:

Aldrin L. Reyes, RN

Graduate

Date Submitted:

September 8, 2011



Far Eastern University

Institute of Nursing

Graduate Studies

CLINICAL TEACHING PLAN ON NCM-105 PSYHCIATRIC NURSING

Course Code: NCM 105

Course Name:Care of Clients with

Maladaptive Patternsof Behavior

Course Description:The course id designed

to focus on health andillness across the

lifespan of clients, population groups

with acute or chronic

psychosocialdifficulties and

psychiatric illnesses.

Area of Exposure:St. Mary of Assisi

Rehabilitation Center (Mandaluyong City)

Contact Hours:102 hours

Course Credit:2 units Related

Learning Experience

General Objectives:After the course and given actual clients with maladaptive patterns of functioning, the student should be able to:

1. Utilize the nursing process in the care of individuals, families in community and hospital settings. a. Assess with client/s his/her/their condition through mental status examination, physical examination, and interpretation of

laboratory procedures. b. Identify actual or at risk nursing diagnosis. c. Plan appropriate nursing intervention with client/s and family for identified nursing diagnosis.

d. Implement plan of care with client/s and family. e. Evaluation the progress of client’s condition and outcomes of care .

2. Apply knowledge and understanding of maladaptive patterns of behavior in providing safe and quality care to clients.

3. Increase self-awareness and therapeutic use of self in the care of clients.

4. Ensure a well organized and accurate documentation system.

5. Relate with client/s and their family and the health team appropriately. 6. Observe bioethical concepts and principles, core values and nursing standards in the care of clients.

7. Promote a personal and professional growth of self and others.

Entry Competencies :1. Knowledge in the overview of Psychiatric nursing

Evolution of mental health-psychiatric nursing practice



Roles and essential qualities of a mental health nurseEffectiveness of the interdisciplinary team in mental health continuum

2. Skill in doing the Nursing Process especially assessment and intervention skills

Assessment of mental status, psychopharmacologyInterpretation of psychiatric diagnostic examination

Therapeutic communication and therapeutic use of self Application of Johari’s window to self and to clients

Application of different psychotherapy interventions (ECT, individual and group therapy, grieving therapy)Decision making skills/critical thinking skills

3. Proper attitude of prudence, patience, accuracy, and gentleness in handling clients and his/her relatives/significant others in stress and panic

ER Orientation Activities for Clinical Instructor:Must have been completed prior to student exposure and done in coordination with the affiliating hospital training officer or ER head nurse

for a week depending on hospital policies

ER Orientation Activities for Students: (done on the 1st

day of clinical exposure)Orientation on the following:

Expectations, rules and regulation Facility personnel/organization chart Facility set-up, supplies, instruments, equipments, and psycho drugs

Facility protocols, policies and guidelines

Facility records and forms (for documentation, requisition, referrals, etc.)

Practice of skills

Grading system and requirements – attendance, NCPs, EBNs, case study, return demonstrations, evaluation checklist

Daily Protocol after Orientation:1. Pre-Conference2. Actual clinical experience

3. Post conference

Last Day of Experience:Final evaluation of student performance through comprehensive case presentation and enhancement group activity for the clients

Clinical Experience Requirements:

Case Presentation

Manuscript of the RLE rotation

EBN journals

Performance Evaluation and Peer Tools

Grading System:Knowledge 30%

Skills 50%

Attitude 20%TOTAL 100%



OBJECTIVES &

OUTCOMES

INTERMEDIATE

COMPETENCIES

CLINICAL ACTIVITIES METHODOLOGY

METHODS OF

EVALUATIONFACULTY STUDENTS

After the clinicalexposure, the students

will be able:

1. To recognize the

different concepts andterminologies used in

psychiatric nursing.

2. To classify thedifferent theories

involving care for clients with mental

health alterations

3. To accomplish asound competency onthis specialty in

nursing study.

4. To attain confidence

in the practice of psychiatric nursing.

5. To develop a sense

of commitment in the practice of mentalhealth nursing.

6. To demonstrate a professionally

responsible caregiver to patients suffering

from mental healthalterations.

The nurse must becompetent in the

following Key Areas

of Responsibility andits respective core

competency standardsand indicators:

1. Safe and Quality

Nursing Carea. Performs

comprehensive andsystematic nursing

assessment

b. Promotes safety

and comfort and privacy of clients

c. Sets priorities in

- Supervises the

student inassessment of

clients

- Assist students in

developing a safeenvironment for

the patient

- Evaluates students

- Identifies wellness

potential andmental health

problems of the

client

- Gathers datarelated to healthcondition through

thorough mental

status assessmentfrom client’s SOs

- Performs mental

condition-specificsafety and comfort

measures in allaspects of clientmental health care

- Carry out mental

condition-specificmeasures to ensure

privacy in allaspects of care

interventions

- Identifies and

Direct observation on

patient assistiveintervention

Performance checklist

Quizzes



7. To build a working

environment

conducive for mentalhealth rehabilitation.

8. To ensure a safe

clinical practice in

mental healthinstitution through

upholding ethico-moral decision making

throughout the care.

nursing care based

on client’s needs

d. Administers psycho drugs and

other health

therapeutics

e. Formulates plan of

care incollaboration with

clients and other members of the

health team

f. Implements planned nursing

care to achieve

identifiedoutcomes

in setting different

health problems

based on sought problems from the

client

- Assist students ingiving patient- &

family-focused

interventions- Assists/supervises

the students incarrying out

doctor’s orders

- Assist students in

creating care planappropriate for the

client and family

- Provides necessaryfeedback in the

implementation of

the care- Supports students

analyzes the

priority needs of

client- Determines

appropriatenursing care to

address priority

needs or problems

- Conforms to the 10golden rules in

psycho medication

administration andhealth

- Includes family in

plan of care for the patient

- Developscomprehensive

client care plan

maximizingopportunities for

rehabilitation of

problems andenhancing

wellness response- Accomplishes

client-centereddischarge plan

- Explainsinterventions to

client and family

- Implementsnursing



g. Evaluates progresstowards expected

outcomes

throughout the

process

- Facilitates with thestudents the result

of the program and

provide additionalchanges before

recording

interventions that

are safe and

comfortable- Acts to improve

client’s mentalstatus

- Performs nursing

activitieseffectively and

time-manner - Uses the

participatory

approach toenhance client-

familyempowering

potential for

mental healthimprovement and

wellness

- Monitorseffectiveness of

nursing

interventions- Revises care plan

based on expected

outcomes2. Management of

Resources and

Managementa. Organizes work

load to facilitate

client care

- Reviews with thestudents the

concept of management of

resources and

environment

pertaining to theinstitutional

- Identifies tasks or activities that need

to be accomplished- Plans the

performance of

tasks or activities

based on priorities- Finishes work

Orientation to theinstitutional tools and

equipments

Performance Checklist



b. Maintains a safe

environment

guidelines

- Supervises

students inmaintaining a safe

environment for

better communication

and therapeuticcare

assignment on

time

- Complies with

standards andsafety codes

prescribed by law

and by theinstitution

- Adheres to policies,

procedures and

protocols of theinstitution

3. Health Educationa. Assesses the

learning needs of

the client and theSOs

b. Develops learningmaterials for health education

- Guides the

students in

developingeffective teaching plan

- Assist in giving

appropriateteaching strategies

- Supervisesstudents in giving

health education to

the clients, groups

and families

- Obtains learning

information

through mentalstatus assessment

- Analyzes relevant

information

- Completesassessment records

appropriately- Identify priority of

needs

- Developsinformationeducational

materials

appropriate to thelevel of the client

- Applied healtheducation

principles in the

development of

informationeducation


patient assistive

intervention

Health teaching

paraphernalia



c. Implements thehealth education

plan

d. Evaluates theoutcome of health

education

materials

- Provides aconduciveness

learning situationin terms of time

and place

- Considers client’sand family’s

preparedness- Utilizes

appropriate

strategies thatmaximize

opportunities for behavior change

for wellness and

healthy mentalstatus

- Providesreassuring

presence throughactive listening,

therapeutic use of

self and effectivecommunication

- Monitors client’s

and family’sresponses to health

education

- Utilizes evaluation parameters

- Documents

outcome of care- Revises health

education plan

based on client andfamily responses



4. Legal

Responsibilities

a. Adheres toorganizational

policies and procedures, local

and international

b. Documents care

rendered to clients

- Assists in proper documentation and

reporting

- Articulates thevisions and

mission of theinstitution where

one belongs

- Acts in accordancewith the

established normsof conduct of the

institution and

regulatoryrequirements

- Utilizes

appropriate client

care records andreports

- Accomplishesaccurate

documentation inall matters

concerning client

care in accordanceto the standards

Discussion of the

different protocols

within the institution

Direct observation


student’s behavior and

attitude towards care

5. Ethico-Moral

Responsibilitya. Respects the rights

of individual or

family or group

b. Acceptsresponsibility and

accountability for

own decisions and

actions

- Serves as rolemodel for students

in displaying

professionalattitudes and

values of a good psychiatric nurse

- Discusses with the

students the

significance of ethico-moral

- Renders nursingcare consistent

with the client’s

bill of rights

- Justifies basis for nursing actions

and judgment

- Projects a positive

image of the profession

Direct observation to

the students when performing care toclients, groups and

families


student’s behavior andattitude towards care



c. Adheres to the

national andinternational codes

of ethics

responsibilities

- Adheres to the

Code of Ethics for Nurses and abides

by its provisions- Reports unethical

and immoral

incidents to proper authorities

6. Personal and

Professional

Developmenta. Projects a

professional imageof a nurse

b. Possesses positive

attitude towards

change andcriticism

- Encourages

students to project beginning

professionalism

- Assist students to

accept criticisms

andrecommendationsfor improvement

- Demonstrate good

manners and rightconduct at all

times

- Dresses

appropriately- Demonstrates

congruence of

words and actions

- Behavesappropriately at all

times

- Listens to

suggestions and

recommendations- Tries new

strategies or

approaches

- Adapts to changeswillingly

Role modeling Direct observation on

student’s behavior and


7. Quality

Improvementa. Participates in

quality

improvement

- Discusses with thestudents the need

for prompt and

- Reports significantchanges in clients’

condition or

Orientation on thequality assurance

protocols andactivities

Direct observation onstudent’s behavior and




activities related to

care of patients in

the ER includingsepsis control and

documentation

accurate reporting

of variances,

facilitatediscussion of ward

audit during a postconference

- Coordinates with

proper authorityregarding validated

reports of variances

environment to

improve stay in the

institution- Shares with the

team relevantinformation

regarding client’s

condition andsignificant changes

in client’senvironment

- Encourages the

client to verbalizerelevant changes in

his/her condition- Provides

appropriate

suggestions oncorrective and

rehabilitativemeasures

- Communicatessolution to

appropriate

group/s

8. Researcha. Disseminates

results of researchfindings

b. Applies research

findings in nursing practice

- Observes

analyticaldiscussion of journal reports and

researches

presented by thestudent

- Discusses withstudents current

issues and trends

regarding health

care servicesrendered in the

- Shares or presents

results of findingswith colleagues,clients and family

- Utilizes findings in

research in the provision of

nursing care for

individuals,

groups, family andcommunity

Involvement in EBN

discussion and

sampling

EBN case presentation



institution - Makes use of

evidence-based

nursing to enhancenursing practice

9. Records

Managementa. Maintains updates

and accuratedocumentation of client care

b. Records outcome

of care

c. Observes legal

imperatives inrecord keeping

- Supervises

students on proper documentation atthe ER

- Observes accurate

documentation in patient’s chart and

other ER records

- Completes updated

documentation of client care

- Makes record

readily available

and accessible tofacilitate client

care

- Utilizes records

system

- Uses data indecision and policy making

activities

- Maintains

confidential inrecord keeping

- Maintains an

organized system

of filling andkeeping client’srecords in a

designated area

- Follows protocolin releasing

records and other information

Assistive coaching on

recording and

documentation

pertinent to care

Accuracy of

documentation and

reporting

Performance checklist

10. Communicationa. Establishes rapport

with clients,

- Assists the

students in

- Creates trust and

confidence

Orientation ondifferent means of

communication across

Performance Checklist



significant others

and members of

the health team

b. Identifies verbal

and non-verbalcues

c. Responds to needs

of individuals,family, group and

community

communicating

effectively with

clients andmembers of the

health team- Supervises

students during

endorsement

- Spends time with

the client and SOs

and members of the health care

team- Listens actively to

patient’s concerns

and SOs andmembers of the

health care team

- Interprets and

validates client’s body language and

facial expressions

- Provides

reassurancethrough

therapeutic, touch,warmth and

comforting wordsof encouragement

- Readily smiles

the institution

11. Collaboration

and Teamwork a. Establishes

collaborativerelationship withcolleagues and

other members of

the health team

- Facilitates

collaborativerelationship withmembers of the

health team

- Contributes to

decision makingregarding patients’needs and

concerns

- Participatesactively in patient

care managementincluding audit

- Respect the role of

other members of

the health team- Maintains good

Assistive involvement

of the students in the

collaboration of care

especiallyendorsement

Direct Observation on

student’s behavior



b. Collaborates planof care with other

members of thehealth team

interpersonal

relationship with

patients,colleagues and

other members of the health team

- Refers patients toallied health team

partners- Prepares accurate

documentation for

efficientcommunication of

services

Prepared by: Noted by: Approved by:

Aldrin L. Reyes, RN Dr. Alita R. Conde, RN, MAN Dr. Rosalinda P. Salustiano, RN, RM, MAN

Graduate Student Instructor Dean –

FEU-IN Graduate Studies