Nursing Education Practicum Documentation Form (NEPD)
Using the \”Nursing Education Practicum Documentation (NEPD) Form,\” write goals of what you will accomplish in this topic and how you will evaluate your accomplishment.
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 NEPD form uses the nursing process and follows the format of a nursing care plan, so this should be familiar to you.
Refer to materials from previous courses in the nursing education track to be sure that your goals are written appropriately.
The written goals, resources, and criteria for evaluation columns (first three columns) must be written prior to the clinical experience for the topic.
Complete the fourth column (evaluation) at the end of each topic\’s clinical experience as you evaluate how you met the goals you wrote.
APA format is not required, but solid academic writing is expected.
I will be doing my practicum in a homecare setting as a student nurse educator. I will be working with patients that have chronic diseases like diabetes, Hypertension etc. My goal is to work on affective objectives that is designed to change my attitude from being a bedside nurse to and effective teacher in the classroom.
Using the “Nursing Education Practicum Documentation (NEPD) Form,” write goals of what you will accomplish in this topic and how you will evaluate your accomplishment.
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 NEPD form uses the nursing process and follows the format of a nursing care plan, so this should be familiar to you.
Refer to materials from previous courses in the nursing education track to be sure that your goals are written appropriately.
The written goals, resources, and criteria for evaluation columns (first three columns) must be written prior to the clinical experience for the topic.
Complete the fourth column (evaluation) at the end of each topic’s clinical experience as you evaluate how you met the goals you wrote.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin
NUR 665E
Nursing Education Practicum
Nursing Education Practicum Documentation Form (NEPD)
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.
| Student Name: Semester/Dates of Practicum Course: |
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| Topic 1-Week 1: Overall Practicum Goal: 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 nursing education or may choose to sample a variety of nursing education experiences within your selected practicum experience.
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| Learning Objectives:
This column is to be completed before you begin the week’s clinical. |
Resources and Strategies:
What type of resources or strategies will you utilize to accomplish your learning objectives? Include both human and material resources.
This column is to be completed before you begin the week’s clinical. |
Measurement:
How will you know that you have accomplished your learning objective? What criteria will you use to measure this?
This column is to be completed before you begin the week’s clinical. |
Evaluation:
What did you accomplish that you can use as evidence that you met your learning objectives?
This column is to be completed after you complete the week’s clinical. |
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| Topic 1 (Weeks 1-2) | |||||||
| Topic 1 – Week 2: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 1 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date: |
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| Date: Faculty Comments: |
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| Topic 2 (Weeks 3-4) | |||||||
| Topic 2 – Week 3: Date: My objective(s) for this week/Topic 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: | ||||
| Topic 2 – Week 4: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 2 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date: |
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| Date: Faculty Comments: |
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| Topic 3 (Weeks 5-6) | |||||||
| Topic 3 – Week 5: Date: My objective(s) for this week/Topic 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: | ||||
| Topic 3 – Week 6: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 3 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date: |
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| Date: Faculty Comments: |
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| Topic 4 (Weeks 7-8) | |||||||
| Topic 4 – Week 7: Date: My objective(s) for this week/Topic 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: | ||||
| Topic 4 – Week 8: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 4 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date:
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| Date: Faculty Comments: |
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| Topic 5 (Weeks 9-10) | |||||||
| Topic 5 – Week 9: Date: My objective(s) for this week/Topic 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: | ||||
| Topic 5 – Week 10: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 5 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date:
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| Date: Faculty Comments: |
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| Topic 6 (Weeks 11-12) | |||||||
| Topic 6 – Week 11: Date: My objective(s) for this week/Topic 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: | ||||
| Topic 6 – Week 12: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 6 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date: |
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| Date: Faculty Comments: |
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| Topic 7 (Weeks 13-14) | |||||||
| Topic 7 – Week 13: Date: My objective(s) for this week/Topic 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: | ||||
| Topic 7 – Week 14: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 7 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date: |
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| Date: Faculty Comments: |
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| Topic 8 (Weeks 15-16) | |||||||
| Topic 8 – Week 15: Date: My objective(s) for this week/Topic 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: | ||||
| Topic 8 – Week 16: Date: My objective(s) for this week/Topic 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: | ||||
| Student Comments on Topic 8 practicum experience:
Clinical Hours completed this Topic: Total Clinical Hours completed to date: |
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| Date: Faculty Comments: |
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| Evaluation of Overall Practicum Goal | |||||||
| Date: Student Final Evaluation of Overall Practicum Goal:
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| Date: Faculty Final Evaluation of Overall Practicum Goal: |
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