What email address or phone number would you like to use to sign in to Docs.com?
If you already have an account that you use with Office or other Microsoft services, enter it here.
Or sign in with:
Signing in allows you to download and like content, which the author will be aware of.
Embed code for: Appendix E, Clinical Practice Evaluation Rubric
Select a size
Appendix E: Clinical Practice Evaluation Rubric
Instructions for Learner and Clinical Instructor (or Faculty Advisor and Preceptor):
It is expected that the clinical instructor (or faculty advisor and preceptor) will work in consultation with the learner to complete the following evaluation. Please indicate the level that best describes the learner’s performance based on the following Rating Scale, by placing an "x" in the column against each indicator. Provide comments where prompted and include examples of how the learner has/has not demonstrated competency.
Self-Directed (SD): Demonstrates understanding of the competency, working mostly independently, seeking information and consultation only when required.
Meets Expectations (ME): Demonstrates understanding of the competency most of the time, requiring occasional direction and information.
Unable to Meet Expectations (UE): Unable to meet competency, requires frequent clarification, direction and information.
No Opportunity (NO): There is no opportunity.
NOTE: The performance expectations upon which this clinical evaluation is based, are taken directly from the College of Nurses of Ontario. (2014a). Competencies for Entry-Level Registered Nurse Practice; and College of Nurses of Ontario. (2014b). Entry-to-Practice Competencies for Ontario Registered Practical Nurses.
Clinical Practice Evaluation Form
Name of Learner:
Date of Evaluation:
Mid-Course / Final Evaluation:
Competency Indicator #1: Professional Responsibility and Accountability
a] Demonstrates professional presence by adhering to policies and standards of the clinical facility, George Brown College and the College of Nurses of Ontario.
b] Demonstrates accountability for own actions and decisions.
c] Recognizes own competence within legislated scope of practice, seeking support and assistance when necessary.
d] Displays initiative, confidence and self-awareness to encourage collaborative interactions within the nursing and health care team.
e] Responds to own learning needs through critical inquiry, and proactively seeking information, knowledge and best practice.
f] Organizes own workload using time-management skills.
Comments and Rationale:
Competency Indicator #2: Knowledge-Based Practice
a] Demonstrates knowledge in health, nursing and social sciences, including anatomy, physiology, pathophysiology, pharmacology, nutrition, communication, learning, leadership, conflict resolution, health care issues, and cultural safety.
b] Uses relational skills such as listening, questioning, empathy and reflection to promote development of relationships with patients and health care providers.
c] Conducts a comprehensive assessment of physical, emotional, spiritual, cognitive, social and learning needs in collaboration with the patient.
d] Interprets assessment data to draw conclusions about patient health status.
e] Facilitates patient involvement in planning and implementation of the health care plan.
f] Collaborates with health team members to develop and deliver comprehensive care.
g] Provides comprehensive nursing care to multiple patients within scope of practice based on critical inquiry and evidence-informed decision making.
h] Recognizes the need for immediate assistance in rapidly changing patient conditions.
i] Performs therapeutic interventions safely within scope of practice.
j] Implements evidence-informed medication practices.
k] Applies principles of health promotion to prevent illness, assisting patients to understand and support healthy lifestyle choices.
l] Implements preventive and therapeutic strategies to ensure the safety of patients, self and colleagues.
m] Uses critical inquiry to evaluate effectiveness of care and modifies care as needed.
n] Records assessment data, nursing care, and its evaluation as per the policies of the clinical facility and Standards of Practice.
Comments and Rationale:
Competency Indicator #3: Ethical Practice
a] Identifies the effect of own values, beliefs and experiences in relationships with patients and health care providers.
b] Maintains professional boundaries.
c] Supports patients in making informed decisions.
d] Ensures that informed consent is provided.
e] Demonstrates ethical responsibilities and legal obligations related to maintaining patient privacy, confidentiality and security in all forms of communication.
Competency Indicator #4: Service to the Public
a] Demonstrates leadership in the coordination of health care by advocating for and facilitating patient care.
b] Contributes to nursing and health care team development by promoting interprofessional collaboration and providing and encouraging constructive feedback.
Competency Indicator #5: Self Regulation
a] Practices within defined scope of nursing practice.
b] Reflects critically on own practice and competence to identify learning needs.
c] Implements a Personal Learning Plan to maintain and enhance competence.
Summary of Strengths and Areas for Development
Final Course Mark:
Not Pass (NP)
Clinical Instructor or Faculty Advisor:
Preceptor (if applicable): (optional)
From: NURS 1052 [Clinical Practice] and NURS 1066 [Clinical Practice Consolidation] Course Outline
Appendix E: Clinical Practice Evaluation Rubricability
Competency Indicator #