Directions:
For Week 1, fill out the learning agreement with self-identified goals to meet course outcomes and initial plans to meet those self-identified goals; review the goals and plans with mentor. In Week 4 the goals, plan to meet the goals and actual goal attained is to be identified and submitted. At Week 7 of the practicum experience, evaluate success with your mentor and obtain the mentor’s signature at the bottom of agreement. Save this form as a Word document and enter required information directly onto it. See Learning Agreement Grading Rubric for grading details
The learning agreement is to be submitted Weeks 1, 4, and 7.
Learning agreement consists of three sections:
- Student Learning Outcomes Table
- Signatures approving plan (Week 1)
- Signatures at mid-point (Week 4)
- Signatures and mentor verification (Week 7)
Note: Each section in table and signatures must be completed prior to submission for faculty approval.
Due Dates:
- InitialLearningAgreement is submitted by 11:59 pm MT Sunday of Week 1.
- Mid-point evaluation and revision is submitted by 11:59 pm MT Sunday of Week 4.
- Completed Learning Agreement is submitted by 11:59 pm MT Sunday of Week 7.
Minimum of 100 hours practicum experience required.
- Student Learning Outcomes
| Course Outcomes | Student Identified Practicum Goals to Meet Course Outcomes(Week 1) | Plan to Meet Student Identified Practicum Goals(Week 1) | Mid-Point Narrative Description of Attainment of Student Identified Goals with revisions(Week 4) |
| 1. Synthesize knowledge from evidence-based literature as a foundation for the executive role. | |||
| 2. Demonstrate leadership skills of the nurse executive in an organizational setting | |||
| 3. Integrate effective communication techniques and relationship management in the role of the nurse leader | |||
| 4. Utilize critical inquiry and judgment in organizational decision-making | |||
| 5. Exemplify professional values and scholarship that support leadership and professional development | |||
| 6. Demonstrate the elements of human caring, legal and ethical principles into the role of the nurse executive | |||
| 7. Advocate for health care policy to meet the needs of a diverse society in a changing health care environment | |||
| 8. Delineate effective resource management and fiscal responsibilities of the nurse executive |
Copy your goals and plan from above table (columns 2 & 3) to this table in columns 2 & 3
| Course Outcomes | Student Identified Practicum Goals to Meet Course Outcomes(week 4) | Plan to Meet Student Identified Practicum Goals(week 4) | Final Narrative Description of Attainment of Student Identified Goals (week 7) |
| 1. Synthesize knowledge from evidence-based literature as a foundation for the executive role. | |||
| 2. Demonstrate leadership skills of the nurse executive in an organizational setting | |||
| 3. Integrate effective communication techniques and relationship management in the role of the nurse leader | |||
| 4. Utilize critical inquiry and judgment in organizational decision-making | |||
| 5. Exemplify professional values and scholarship that support leadership and professional development | |||
| 6. Demonstrate the elements of human caring, legal and ethical principles into the role of the nurse executive | |||
| 7. Advocate for health care policy to meet the needs of a diverse society in a changing health care environment | |||
| 8. Delineate effective resource management and fiscal responsibilities of the nurse executive |
- Signature Section (Week 1)
Submitted by: (Student) __________________________ Date: ____________________
Accepted by: (Faculty) ________________________ Date: _____________________
Mentor Sign-off: __________________________Date: ______________________
III. Mid-point evaluation (Week 4)
Submitted by: (Student) ___________________________ Date: ____________________
Accepted by: (Faculty) ___________________________ Date: _____________________
Mentor Sign-off: ____________________________ Date: ______________________
III. Verification at Conclusion of Practicum (Week 7)
At conclusion of Practicum experience, verification of achievement of student-identified goals. Please explain if certain goals were not met.
Submitted by: (Student) __________________________ Date: ____________________
Mentor Sign-off: ___________________________ Date: _____________________
Solution:
Student Learning Outcomes Table
| Course Outcomes | Student Identified specific, measurable Practicum Goals to Meet Course Outcomes (Week 1) | Plan to Meet Student Identified Practicum Goals (Week 1); Goals must be specific, include due dates | Description of Attainment of Student Identified Goals with revisions (Week 7); Include due dates, metrics, how met |
| CO1Synthesize knowledge, apply person-centered principles and concepts from nursing-informatics and project management to develop project plans and teams. | Synthesize knowledge regarding the healthcare setting; apply personal principles and concepts from nursing informatics and project management to develop a management based practicum plan in determining staffing teams. | · Conduct a comprehensive literature review concerning staffing plans
· Conduct a thorough review regarding state and national laws and regulations that govern then nursing practice · Research on evidence based practices in the staffing plans |
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| CO2: Demonstrate effective leadership skills and advanced roles that promote successful planning, management and evaluation of projects and teams. | Demonstrate effective leadership skills of the nurse executive in the healthcare organizational setup | · Identify the primary objectives of the practicum experience
· Establish strategies for effective planning, management and evaluation of healthcare operations · Identify and utilize efficient communication approaches relevant to the practicum experience |
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| CO3: Incorporate the standards of practice for nursing informatics that exemplify professional values and scholarship to support professional growth, leadership skills and advance personal development. | Exemplify professional values and scholarship with regards to developing autonomy in the profession of nursing informatics | · Carry out a comprehensive literature review regarding professional values for healthcare development
· Identify and employ evidence based strategies for leadership and professional development · Assess several relevant frameworks for the development of the nursing informatics leadership and professionalism |
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