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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

CLINICAL TEACHING PLAN ON NCM-105 PSYHCIATRIC NURSING


Course Code:
NCM 105

Course Name:
Care of Clients with
Maladaptive Patterns
of Behavior

Course Description:
The course id
designed to focus on
health and illness
across the lifespan of
clients, population
groups with acute or
chronic psychosocial
difficulties 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 clients 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 nurse
Effectiveness of the interdisciplinary team in mental health continuum
2. Skill in doing the Nursing Process especially assessment and intervention skills
Assessment of mental status, psychopharmacology
Interpretation of psychiatric diagnostic examination

Therapeutic communication and therapeutic use of self


Application of Joharis 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:
Last Day of Experience:
1. Pre-Conference
Final evaluation of student performance through comprehensive case
2. Actual clinical experience
presentation and enhancement group activity for the clients
3. Post conference
Clinical Experience Requirements:
Grading System:
Knowledge 30%
Case Presentation
Skills
50%
Manuscript of the RLE rotation
Attitude
20%
EBN journals
TOTAL
100%
Performance Evaluation and Peer Tools

OBJECTIVES &
OUTCOMES
After the clinical
exposure, the students
will be able:
1. To recognize the
different concepts and
terminologies used in
psychiatric nursing.
2. To classify the
different theories
involving care for
clients with mental
health alterations

INTERMEDIATE
COMPETENCIES
The nurse must be
competent in the
following Key Areas
of Responsibility and
its respective core
competency standards
and indicators:

CLINICAL ACTIVITIES
FACULTY
STUDENTS

1. Safe and Quality


Nursing Care
a. Performs
comprehensive
and systematic
nursing assessment

Supervises the
student in
assessment of
clients

3. To accomplish a
sound competency on
this 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 mental
health nursing.
6. To demonstrate a
professionally
responsible caregiver

b. Promotes safety
and comfort and
privacy of clients

Assist students in
developing a safe
environment for
the patient

Identifies wellness
potential and
mental health
problems of the
client
Gathers data
related to health
condition through
thorough mental
status assessment
from clients SOs
Performs mental
condition-specific
safety and comfort
measures in all
aspects of client
mental health care
Carry out mental
condition-specific
measures to ensure
privacy in all

METHODOLOGY

Direct observation on
patient assistive
intervention

METHODS OF
EVALUATION

Performance checklist
Quizzes

to patients suffering
from mental health
alterations.
7. To build a working
environment
conducive for mental
health rehabilitation.

aspects of care
interventions

c. Sets priorities in
nursing care based
on clients needs

8. To ensure a safe
clinical practice in
mental health
institution through
upholding ethicomoral decision making d. Administers
throughout the care.
psycho drugs and
other health
therapeutics

e. Formulates plan of
care in
collaboration with
clients and other
members of the
health team

Evaluates students
in setting different
health problems
based on sought
problems from the
client

Assist students in
giving patient- &
family-focused
interventions
Assists/supervises
the students in
carrying out
doctors orders

Conforms to the
10 golden rules in
psycho medication
administration and
health

Includes family in
plan of care for the
patient
Develops
comprehensive
client care plan
maximizing
opportunities for
rehabilitation of
problems and
enhancing
wellness response

Assist students in
creating care plan
appropriate for the
client and family

Identifies and
analyzes the
priority needs of
client
Determines
appropriate
nursing care to
address priority
needs or problems

f. Implements
planned nursing
care to achieve
identified
outcomes

Provides necessary
feedback in the
implementation of
the care
Supports students
throughout the
process

Accomplishes
client-centered
discharge plan

Explains
interventions to
client and family
Implements
nursing
interventions that
are safe and
comfortable
Acts to improve
clients mental
status
Performs nursing
activities
effectively and
time-manner
Uses the
participatory
approach to
enhance clientfamily
empowering
potential for
mental health
improvement and
wellness

g. Evaluates progress
towards expected
outcomes

2. Management of
Resources and
Management
a. Organizes work
load to facilitate
client care

b. Maintains a safe
environment

3. Health Education
a. Assesses the

Facilitates with the


students the result
of the program and
provide additional
changes before
recording

Reviews with the


students the
concept of
management of
resources and
environment
pertaining to the
institutional
guidelines

Supervises
students in
maintaining a safe
environment for
better
communication
and therapeutic
care

Guides the

Monitors
effectiveness of
nursing
interventions
Revises care plan
based on expected
outcomes
Orientation to the
institutional tools and
equipments

Performance Checklist

Direct observation on
patient assistive

Health teaching
paraphernalia

Identifies tasks or
activities that need
to be accomplished
Plans the
performance of
tasks or activities
based on priorities
Finishes work
assignment on
time
Complies with
standards and
safety codes
prescribed by law
and by the
institution
Adheres to
policies,
procedures and
protocols of the
institution
Obtains learning

learning needs of
the client and the
SOs
-

b. Develops learning
materials for
health education

c. Implements the
health education
plan

students in
developing
effective teaching
plan
Assist in giving
appropriate
teaching strategies
Supervises
students in giving
health education to
the clients, groups
and families

information
through mental
status assessment
Analyzes relevant
information
Completes
assessment records
appropriately
Identify priority of
needs

Develops
information
educational
materials
appropriate to the
level of the client

Applied health
education
principles in the
development of
information
education
materials

Provides a
conduciveness
learning situation
in terms of time
and place
Considers clients
and familys

intervention

d. Evaluates the
outcome of health
education

4. Legal
Responsibilities

preparedness
Utilizes
appropriate
strategies that
maximize
opportunities for
behavior change
for wellness and
healthy mental
status
Provides
reassuring
presence through
active listening,
therapeutic use of
self and effective
communication
Monitors clients
and familys
responses to health
education

Utilizes evaluation
parameters
Documents
outcome of care
Revises health
education plan
based on client and
family responses
Discussion of the
different protocols

Direct observation on
students behavior and

a. Adheres to
organizational
policies and
procedures, local
and international

Assists in proper
documentation and
reporting

b. Documents care
rendered to clients

5. Ethico-Moral
Responsibility
a. Respects the rights
of individual or
family or group

Serves as role
model for students
in displaying
professional
attitudes and

Articulates the
visions and
mission of the
institution where
one belongs
Acts in accordance
with the
established norms
of conduct of the
institution and
regulatory
requirements

within the institution

attitude towards care

Direct observation

Utilizes
appropriate client
care records and
reports
Accomplishes
accurate
documentation in
all matters
concerning client
care in accordance
to the standards

Renders nursing
care consistent
with the clients
bill of rights

Direct observation to
the students when
performing care to
clients, groups and
families

Direct observation on
students behavior and
attitude towards care

b. Accepts
responsibility and
accountability for
own decisions and
actions

values of a good
psychiatric nurse
Discusses with the
students the
significance of
ethico-moral
responsibilities

c. Adheres to the
national and
international codes
of ethics

6. Personal and
Professional
Development
a. Projects a
professional image
of a nurse

Adheres to the
Code of Ethics for
Nurses and abides
by its provisions
Reports unethical
and immoral
incidents to proper
authorities
Role modeling

Encourages
students to project
beginning
professionalism

b. Possesses positive
attitude towards

Justifies basis for


nursing actions
and judgment
Projects a positive
image of the
profession

Assist students to
accept criticisms
and

Demonstrate good
manners and right
conduct at all
times
Dresses
appropriately
Demonstrates
congruence of
words and actions
Behaves
appropriately at all
times

Listens to
suggestions and

Direct observation on
students behavior and
attitude towards care

change and
criticism

recommendations
for improvement

7. Quality
Improvement
a. Participates in
quality
improvement
activities related to
care of patients in
the ER including
sepsis control and
documentation

Discusses with the


students the need
for prompt and
accurate reporting
of variances,
facilitate
discussion of ward
audit during a post
conference
Coordinates with
proper authority
regarding
validated reports
of variances

recommendations
Tries new
strategies or
approaches
Adapts to changes
willingly

Reports significant
changes in clients
condition or
environment to
improve stay in the
institution
Shares with the
team relevant
information
regarding clients
condition and
significant changes
in clients
environment
Encourages the
client to verbalize
relevant changes in
his/her condition
Provides
appropriate
suggestions on
corrective and
rehabilitative
measures
Communicates
solution to
appropriate

Orientation on the
quality assurance
protocols and
activities

Direct observation on
students behavior and
attitude towards care

group/s
8. Research
a. Disseminates
results of research
findings

b. Applies research
findings in nursing
practice

9. Records
Management
a. Maintains updates
and accurate
documentation of
client care

b. Records outcome
of care

Observes
analytical
discussion of
journal reports and
researches
presented by the
student
Discusses with
students current
issues and trends
regarding health
care services
rendered in the
institution

Supervises
students on proper
documentation at
the ER
Observes accurate
documentation in
patients chart and
other ER records

Shares or presents
results of findings
with colleagues,
clients and family

Utilizes findings in
research in the
provision of
nursing care for
individuals,
groups, family and
community
Makes use of
evidence-based
nursing to enhance
nursing practice

Involvement in EBN
discussion and
sampling

Assistive coaching on
recording and
Completes updated documentation
documentation of
pertinent to care
client care
Makes record
readily available
and accessible to
facilitate client
care
Utilizes records
system
Uses data in
decision and

EBN case presentation

Accuracy of
documentation and
reporting
Performance checklist

policy making
activities
c. Observes legal
imperatives in
record keeping

10. Communication
a. Establishes rapport
with clients,
significant others
and members of
the health team

b. Identifies verbal
and non-verbal
cues

Assists the
students in
communicating
effectively with
clients and
members of the
health team
Supervises
students during
endorsement

Maintains
confidential in
record keeping
Maintains an
organized system
of filling and
keeping clients
records in a
designated area
Follows protocol
in releasing
records and other
information
Creates trust and
confidence
Spends time with
the client and SOs
and members of
the health care
team
Listens actively to
patients concerns
and SOs and
members of the
health care team
Interprets and
validates clients
body language and
facial expressions

Orientation on
different means of
communication across
the institution

Performance Checklist

c. Responds to needs
of individuals,
family, group and
community

11. Collaboration
and Teamwork
a. Establishes
collaborative
relationship with
colleagues and
other members of
the health team

Facilitates
collaborative
relationship with
members of the
health team

b. Collaborates plan
of care with other

Provides
reassurance
through
therapeutic, touch,
warmth and
comforting words
of encouragement
Readily smiles

Contributes to
decision making
regarding patients
needs and
concerns
Participates
actively in patient
care management
including audit
Respect the role of
other members of
the health team
Maintains good
interpersonal
relationship with
patients,
colleagues and
other members of
the health team
Refers patients to
allied health team
partners
Prepares accurate

Assistive involvement
of the students in the
collaboration of care
especially
endorsement

Direct Observation on
students behavior

members of the
health team

documentation for
efficient
communication of
services