CALIFORNIASTATEUNIVERSITY,SACRAMENTO

SchoolofNursing

NURS144ClinicalPerformanceEvaluation

StudentName
RosemaryCastro
Semester
Spring2016

Agency
SacramentoCityUnifiedSchoolDistrict
ClinicalFaculty
EdenJoseph

SCALE

STANDARD

PERFORMANCE
QUALITY

LEVELOF
ASSISTANCE

DEPENDENT

UNMET1

PROVISIONAL

UNMET2

ASSISTED

MET3

SUPERVISED

MET4

INDEPENDENT

MET5

Unsafe
Inaccurate
Incomplete

Undersupervision
issafe
Questionable
accuracy

Safe
Accurate

Safe
Accurate

Safe
Accurate
Comprehensive

Attemptsactivity
butisunableto
demonstrate
rationaleor
purpose.Performs
inunprepared
mannerlacks
organization.
Appears
judgmental
towardsstaffor
clients.Ineffective
writtenandoral
communication.
Unabletoidentify
principlesofpublic
health.Focuses
entirelyontaskor
self.
Continuous
verbaland/or
physicaldirection

Lackofskill
uncoordinatedin
majorityofefforts.
Considerable
delayactivities
disrupted,
incomplete,or
omitted.Ineffective
writtenandoral
communication
majorityoftime.
Identifies
fragmentsofpublic
healthprinciples
appliesprinciples
inappropriately.
Focusesentirely
ontaskorself.

Partial
demonstrationof
skills.Inefficientor
uncoordinated
effortsin
performance.
Effectivewritten
andoral
communication
someofthetime.
Delayedtime
expenditure.
Identifies
principles,but
needsdirectionto
applythem.
Focusesprimarily
ontask.

Efficient,
coordinated,
generallyrelaxed
andconfidentin
performance.
Effective
communication
mostofthetime.
Spends
reasonabletimeon
task.Applies
theoretical
knowledge
accuratelywith
occasionalcues.
Focuseson
client/community
andtask.

Proficient,
coordinated,
confidentin
performance.
Effectivewritten
andoral
communicationat
alltimes.
Expedientuseof
time.Applies
theoretical
knowledge
accuratelyeach
time.Focuseson
client/community
whilegivingcare.

Continuous
verbaland/or
physicaldirection

Frequent
verbaland/or
physicaldirection

Occasional
verbaland/or
physicaldirection

Without
Direction


NURS144

CLINICALPERFORMANCEINDICATORS

MIDTERM

FINAL

Enterappropriatenumberfromabove

1.ASSESSMENT

Student

Faculty

Student

Faculty

Appraisesthehealthneeds,resourcesandperceptionsofindividuals,
families,aggregates,and/orcommunities
Identifiesexamplesofassuranceofavailabilityofandaccesstohealth
careservicesessentialtosustainandimprovethehealthofthe
population.
Identifiesrelevantandcurrentlocal,state,andnationalpoliciesthatare
conducivetopopulationhealth.

Describestherolesandresponsibilitiesofcommunity/publichealth
nursesanddiscussesthedifferencesbetweenacutecareand
populationbasednursing.
Recognizestherolesandfunctionsofmajorcommunityagencies.

Identifiesrelevantandpopulationbaseddatafromhealthinformation
sourcesanddeterminesappropriateusesandlimitationsofboth
quantitativeandqualitativedata.
Usesfacultyapprovedassessmenttoolstocollectaccurateand
comprehensivedata.
Obtainsandinterpretsinformationregardingrisksandbenefitstothe
community.
Partnerswithcommunitiestoattachmeaningtocollectedquantitative
andqualitativedata.

Identifiestheroleofcultural,social,andbehavioralfactorsin
determiningthedeliveryofpublichealthservices.

Identifiesownviews,beliefs,andvaluesthatmayleadtoadissonance
inprovidinghealthcareofanindividual,family,group,orcommunity.

2.DIAGNOSIS
Describestwohealthpolicyeffectsonthehealthofaparticular
communityortargetpopulationbasedonhistorical,legal,social,
cultural,political,socialjustice,oreconomicfactorsandtwo
contemporaryissuesthatdirectlyimpactthehealthofthepublic.
Constructsdatabasednursingandcommunitydiagnosesthatfocuson
healthpromotionanddiseasepreventionneedsofindividual,families,
aggregates,and/orcommunities.
UsingtheMinnesotaInterventionWheel,givesexamplesoftwo
appropriateinterventionsattheindividual,community,andsystems
levelsforonehealthissue.
3.OUTCOMEIDENTIFICATIONandPLANNING

Developsarealistichealthpromotionplanwithagoal,specific
measurableoutcomeobjectives,andeffectivestrategies

Fulfillsroleexpectationsofthecommunity/publichealthnurseina
mannerthatdemonstratesresponsibilitytowardclientsandagencies.

Demonstratescriticalthinkingskillsandapplicationoftheoretical
conceptsintheuseofthenursingprocesswithhealthcareclientsand

thecommunitythroughclinicalperformance,theuseofjournals,and
participationinclinicalconference.

4.IMPLEMENTATION

Utilizestheresourcesofcommunityagencieswithclients.
Utilizesdatacollectedtodeterminecontemporaryissuesthataffectthe
healthoftheparticularcommunityofinterest.
Thehealthpromotioninterventionreflects:
identified/validatedneeds,
communityinterests,and
themissionoftheagency
Takesinitiativeinadaptinghealthpromotionplantomakethe
interventionworkisspiteofbarriersordifficultiesencountered.
Listenstoothersinanunbiasedmanner,respectspointsofviewof
others,andpromotestheexpressionofdiverseopinionsand
perspectives.
Establishesandmaintainscooperativeandprofessionalrelationships
withcolleagues,clinicalfaculty,andagencystaff.
Communicatesorallyandinwritingwithclinicalfacultyinanappropriate
manneranddemonstratesaccuratecommunicationwithclinicalfaculty
withinestablishedtimeframesandguidelines.
Utilizeseffectivestrategiesforinteractingwithpersonsfromdiverse
populations.
Utilizesleadershipandmanagementprinciplestopromotehealthwhen
workingwithindividuals,families,groups,andcommunities.

Student

Faculty

Student

Faculty

Demonstratesprofessionalbehaviorininteractionswiththehealthcare
client,faculty,staff,andothers.
Appliesethicalprinciplestothecollection,maintenance,use,and
disseminationofdataandinformation.

5.EVALUATION

Recognizeshowthedatailluminateethical,political,scientific,
economic,andoverallpublichealthissues.

Conductsongoingevaluationsofinterventionsandprojectstomeasure
effectivenessofstrategiesanddetermineifobjectivesweremet.
Considersculturalandenvironmentalvariablesthataffectthehealth
promotioninterventionrelevanttotheagencyandthecommunity

StudentsName:
RosemaryCastro

STUDENTS
NarrativePortionofEvaluation

MIDTERMEVALUATION

Student
Comments
:
Thankyoufortheopportunitytolearnaboutpublichealth.Ithasbeenafabulousexperiencetolearn
theinsandoutsofhowtotakeacommunity,examthem,andmakerecommendationstoward
improvingtheirhealth.Itisvital,Ihavefound,toexplorethepublichealthpeiceofnursinginorderto
understandwhereourclientsarecomingfrom,whetherweendupinthehospitalordoingfieldwork.
Thissemester,Ihavepracticedexercisingmyvoiceandstatingmyneeds.Itisdifficulttoflexthis
muscleasIwouldprefertoquietlypleaseeveryone.IthasbeenapleasureworkingwithEden
Josephassheclearlycaresaboutherstudentsandencouragesthemtomoveintoanunderstanding
ofpublichealthinwaysthatradiatewiththem.Thisencouragementwasjustwhatweneededthis
semester.

Goalsfortheremainderofthesemester:
Fortheremainderofthesemester,Iwishtolearnmore
deeplytheservicesbywhichmycommunitycanbetteritself.Ialsowanttolearnhowtomorereadily
usethePublicHealthInterventionWheel.Iwanttolearnhowtoeffectivelyteachchildrensensitive
healthrelatedmaterialinameaningfulway.

Student
Date
Faculty
Date

FINALEVALUATION

Student
Comments:
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Signaturesindicateeachpartyhasreviewedwhattheotherhaswritten,andmayormaynotagree.

Student
Date
Faculty
Date

StudentsName:_______________________________________________

FACULTYS
NarrativePortionofEvaluation

MIDTERMEVALUATION

Faculty
Comments:
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Goalsfortheremainderofthesemester:
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Student
Date
Faculty
Date

FINALEVALUATION

Faculty
Comments:
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________________________________________________________________________________
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Signaturesindicateeachpartyhasreviewedwhattheotherhaswritten,andmayormaynotagree.

Student
Date
Faculty
Date

Iconfirmthatthisstudenthasmettherequirementfor90hoursintheclinicalsetting.

________________________________
Facultysignature
Date