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Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse

Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse

Practicum Experience Plan


Your Name

Department of ABC, University of ABC

ABC 101: Course Name

Professor (or Dr.) Firstname Lastname


Practicum Experience Plan


Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.

As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A

Quarter/Term/Year: 2022

Student Contact Information


Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:



Preceptor Contact Information



Street Address:

City, State, Zip:

Work Phone:

Cell Phone:


Professional/Work E-mail:


Part 2: Individualized Practicum Learning Objectives Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.


In this section, I will discuss my three goals for individualized practicum learning. My objectives will work in tandem with the planned activities to ensure that the smart goals are met effectively. My first goal is to learn more about how to care for people who have mental health issues. My secondary goal is to improve my listening skills and decision-making abilities. And my last goal is to ensure that I use appropriate tone when speaking with inmates who have mental health issues. The objectives and planned activities are outlined below and directly shows how I will undergo my practicum learning.

Objective 1: To improve my listening skills and decision-making abilities

Planned Activities: To work on how to improve listening skills

Mode of Assessment: The mode of assessment for the objective is focused assessment that provides details to specific body system associated with problems of a patient.

PRAC Course Outcome(s) Addressed:

· To get to the near perfect

· To gain more confidence

Objective 2: To acquire more knowledge in my listening skills and ability to make judgment Parreira et al., (2021).

Planned Activities: I will evaluate the areas I need to improve

Mode of Assessment: For this objective, the mode of assessment will be through observation.

PRAC Course Outcome(s) Addressed:

· To gain more knowledge on listening skills

· To adhere to the recommended instructions for women health experts

Objective 3: To make sure I use the right tone when I talk to patients with mental health problems Langegård et al., (2021).

Planned Activities: I will monitor patients under care, conduct interview on the patients to understand their views on the care and develop appropriate care plan based on the information they provide.

Mode of Assessment: The use of observation will used for this objective when making assessment.

PRAC Course Outcome(s) Addressed:

· To gain more knowledge on tone variation

· Evaluate the best use of tone

· Collaborate with my preceptor in evaluating the differences in tones


The above outlined objectives define my practicum learning. Under the objectives, I have the planned activities. The planned activities according to Gold et al., (2021), defines exact activities that will enable one to achieve the set objectives. To achieve the above objectives, I will adhere to the plan and make full use of any and all resources at my disposal in order to define and realize my objectives. I plan to prepare myself for the national certification exam that I need to take by drawing from a variety of relevant resources so that I can feel confident and prepared for it.





Gold, S. B., Green, L. A., & Westfall, J. M. (2021). Heeding the Call for Urgent Primary Care Payment Reform: What Do We Know about How to Get Started? The Journal of the American Board of Family Medicine34(2), 424-429.

Kverno, K. S., & Fenton, A. (2021). Specialization within a Specialty: Advanced Practice Psychiatric Nursing Pathways for the Greatest Good. Journal of psychosocial nursing and mental health services59(10), 13-18.

Langegård, U., Kiani, K., Nielsen, S. J., & Svensson, P. A. (2021). Nursing students’ experiences of a pedagogical transition from campus learning to distance learning using digital tools. BMC nursing20(1), 1-10.

Parreira, P., Santos-Costa, P., Neri, M., Marques, A., Queirós, P., & Salgueiro-Oliveira, A. (2021). Work methods for nursing care delivery. International Journal of Environmental Research and Public Health18(4), 2088.

Peterson, B. L., Pittenger, A. L., Kaas, M. J., & Lounsbery, J. L. (2019). Partnering for a sustainable interprofessional psychiatric mental health nurse practitioner education curriculum. Journal of Nursing Education58(12), 723-727.





Part 3: Projected Timeline/Schedule

Estimate how many hours you expect to work on your Practicum each week. *Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.


  Number of Clinical Hours Projected for Week (hours you are in Practicum Setting at your Field Site) Number of Weekly Hours for Professional Development (these are not practicum hour) Number of Weekly Hours for Practicum Coursework (these are not practicum hours)
Week 1      
Week 2      
Week 3      
Week 4      
Week 5      
Week 6      
Week 7      
Week 8      
Week 9      
Week 10      
Week 11      
Total Hours (must meet the following requirements)      








Part 4 – Signatures

Student Signature (electronic): Date:

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

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