NURS 2021H Clinical Course Evaluation

Final Evaluation

Student: ___________Ainsley Kinch______________

Clinical Instructor: __Joy St. Thomas & Kate
Burmingham_
Placement: _______Maternal Child___________
Satisfactory
Unsatisfactory
Please circle the appropriate outcome

NURS 2021H Clinical Course Final Evaluation

Course Objective
1. Demonstrate
competency in
navigating the
complexities of
family nursing.

Progress
Evidence/Indicators
Satis
facto
ry
While working in this
clinical placement, I was
able to approach each
family and treat their
care as individualistic to
their needs. For
example, I was working
with an antepartum
mother and after
completing a non stress
test, no one discussed
the results with the
mother and she was left
nervous and afraid. I
decided after I learned
exactly what the results
meant, I went back to
reassure the mother that
her baby was doing very
well and took the time to
explain what the test
does and what her
babys results meant. As
I took the time to look
over her chart, I saw that
this was her second
pregnancy but
previously had a
miscarriage so I wanted
to make the new momto-be as comfortable as
possible so alleviate any
concerns she may have.
On another occasion, I
was performing a basic
set of vitals and the
mother looked
concerned with what I
was doing. I took the

Unsati
sfacto
ry

2. Integrate
knowledge from
previous courses to
support diverse
populations.

time to ask her if she

had any questions and
thats when she took the
opportunity to ask what
the purpose of assessing
the fundus and what a
fundus even was. I felt
confident and was able
to use my knowledge to
address her concerns
and explain why this
assessment was
necessary.
When caring for
patients, I always try to
keep in mind the CNAs
code of ethics in terms
of the nursing values
and ethical
responsibilities to guide
my care. I strive to
provide safe,
compassionate, and
competent care
regardless of race, age,
or religion. During my
experience on a
maternal child floor, I
had the opportunity to
not only engage with
new mothers but as well
as young children,
teenagers, and an
elderly patient as well. I
made an effort to
engage with all different
age groups in an
appropriate manner and
I was able to apply my
knowledge acquired
from NURS 1002 to
communicate with an
elderly patient. I made a
conscious effort to speak
clearly and effectively as
well as to make sure not

3. Critically appraise
relational inquiry
processes and skills
to develop
meaningful
relationships with
health care
providers and
family members.

to infantilize the
individual. Unfortunately
I was not able to engage
with any different
ethnicities or religions
but when the time
comes, I will be
conscious of certain
religious practices and
treat everyone with the
same level of respect I
would want someone to
treat me.
As I became more
comfortable over time, I
was able to
communicate well with
the other health care
providers. I made an
effort to introduce
myself and always be
available as an extra
hand when needed. One
nurse actually
remembered me an was
conscious of my limited
experience so she made
an effort to invite me to
observe any practices
with which I had not
observed previously. She
took when she gave
injections, which I was
not familiar with and
explained why they are
necessary as well as
helped me with certain
documentation I had
never done. When I was
in labour and delivery, I
had to do a regular
assessment on the
mother and newborn
while she had plenty of
family members coming
to visit. While conducting

4. Collaboratively
formulate a plan of
care based on
knowledge of
family nursing,
related theories and
scholarly literature.

the neonatal
assessment, the aunt
wanted to take lots of
pictures when the baby
was unswaddled so I
accommodated to her
request and was able to
answer all of her
questions effectively. I
saw that the father was
having trouble swaddling
the newborn later that
day so I gave him some
tips and helped him in
an area that was more
comfortable to do so. He
thanked me and would
come to me specifically
intermittently
throughout the day if he
had any questions.
From the beginning, I
was able to formulate a
consistent care plan to
use as a reminder of
what assessments
needed to be done as
well as what questions
needed to be asked.
Towards the end, I was
able to create more of a
conversation and allow
the patient to engage
with me while getting
the information I
required. Some nurses
feel more comfortable
sticking to a set
guideline of questions to
get the information they
need and get out to
maximize efficiency.
However, as we learned
in NURS 2001, family
nursing can flourish
when we engage in

5. Develop,
implement and
evaluate the
effectiveness of
health-promoting,
evidence-based
practice, reflecting
principles of family
nursing as
relational
practise.

relational inquiry when

the patient becomes
part of her care and we
focus on the
conversation rather than
strict guidelines.
Allowing the mom to be
a part of her care allows
for collaboration so we
can tailor her care to her
individualistic needs. For
example, the mother I
was caring for had an
obsession with reality tv
and as I begun to talk to
her about it, she felt
more comfortable with
me to ask questions
about adjusting her care
with I further consulted
and was able to
accommodate to her
needs.
When I went to perform
my first assessment of
the day, I noticed that
both my mom and
newborn were sleeping
peacefully. Knowing she
was awake for most of
the night, I allowed the
mother to take this time
to rest and adjusted my
schedule knowing she
would really appreciate
that extra time. This
would improve of both
the health of the
newborn and the tired
mother. Another
instance was when I
noticed my mother was
by herself for the most
part and I sensed that
she could really use
some time to have a

6. Demonstrate
increasing
competence and
confidence in the
application of
psychomotor skills
in practice settings.

shower or just some

time to herself. I made
the effort to go in and be
with the newborn while
she was able to shower
and go get something to
eat. She really expressed
her appreciation, which
further enhanced my
relational practice. After
completing two LEARN
reflections, I now can
see the value it has in
nursing practice as I am
able to see how my
experiences impact me.
After reflecting on my
not so good experience
in labour and delivery, I
now realize that not all
people would feel
comfortable with a
student nurse for which I
can completely
understand. Moving
forward, I will know not
to be discouraged when
a patient has a
preference because they
are entitled to their own
opinion of their care.
Throughout my clinical
rotation, I have been
able to acquire the skill
of multitasking when
conducting my
assessments. I was able
to assess for fundus and
flow at the same time as
well as ask questions
about her pain or
feedings simultaneously.
I also took information
learned in previous
classes when it came to
assessing a newborns

7. Demonstrate
accountability and
professionalism
that is consistent
with a nurse
entering a selfregulating
profession.

reflexes. When I had a

newborn who was very
calm, I took the time to
use techniques to assess
his reflexes such as
Babinski, Moro, or
rooting. It was very
satisfying to see how I
could implement my lab
prep into clinical.
When I had down time, I
would find things to do
that were productive
such as set up new
rooms, clean equipment,
or stock the bassinettes.
Another example is
when I was given a
patient diagnosed with
pleural effusion with
which I was not familiar.
Before entering the
room, I made an effort to
educate myself on the
condition so I could be
aware and provide safe
and competent care.
When performing
assessments, if I see any
red flags or sense
something is wrong, I
always reassess and
check my values to
ensure I dont let
anything slip by
unnoticed. Doing double
checks is essential in the
nursing profession to
provide safe care. When
I could not attend a
clinical placement due to
a procedure I had done, I
notified my clinical
instructor in a timely and
efficient manner to
demonstrate

8. Select appropriate
community support
services for
families needing
referral to
enhance coping
with diverse
transitional
experiences.

accountability and
professionalism. I always
conduct myself
professionally when at
clinical by wearing the
appropriate uniform,
discussing my patient at
appropriate times, and
addressing each health
care professional with a
respectful regard.
In labour and delivery, I
learned about a new
resource existing in
Peterborough, which was
the Partners in
Pregnancy Clinic. This
part of the Peterborough
Networked Family Health
teams provided
obstetrical care to low
risk patients without a
family physician. Their
focus is on family
centered care, which
provides a collaborative
process with the mother
and family in their own
care plan. I found this a
great resource for
mothers to have if
needed. Another
resource I discovered
was the Peterborough
Family Resource Centre
who provides services
concerning parent
education, parent-child
programs, baby clinics
etc. in both urban and
rural locations. This can
be a valuable resource
for new mothers who
need help in caring for
their newborn to
navigate the new

journey of motherhood.

Student Areas of Strength

1. Finding and assessing a fundus confidently
2. Performing and demonstrating bathing a newborn
3. Communicating with the mother and family
Student Areas for Future Development
1. Auscultating and counting for a newborn heart rate
2. Confidence in own abilities
3. Taking on different experiences and opportunities I
may not feel comfortable will
Clinical Instructor Comments (All areas marked as
unsatisfactory must have a comment)

Attendance

Hrs.
Week
1
Week
2
Week
3
Week
4

Hrs.
Week 5
Week 6
Week 7
Week 8

Total number of clinical hours

completed_____________
Clinical Component
Satisfactory
Unsatisfactory
Please circle the appropriate outcome
Clinical Learning Center Completed _____________
Enhanced Learning Days Completed _____________

Signature of
Instructor____________________________________
Date_______________________________
Signature of
Student______________________________________
Date________________________________