Assignment: NUR646 how to evaluate preceptor using “Evaluation of Clinical Preceptor by Student” form
Assignment NUR646 how to evaluate preceptor using “Evaluation of Clinical Preceptor by Student” form
Week 8 Assignment
Clinical Evaluation of Preceptor by Student
Evaluate your preceptor using “Evaluation of Clinical Preceptor by Student” form.
Although this is an ungraded submission, it is a requirement for course completion.
Grand Canyon University
College of Nursing
Clinical Evaluation of Preceptor by Student
Student _________________________ Semester _________________________
Location of practicum experience _________________________
Start Date _____________ End Date _____________
Preceptor Name ___________________ Preceptor Position ___________________
1=Unacceptable, 2=Below Expectations, 3=Meets Expectations
Area of Evaluation Evaluation
Availability 1 2 3 N/A
Expectation: Available to answer your questions, review your goals and objectives, listen to your presentations, and give meaningful feedback.
Comments:
Role models 1 2 3 N/A
Expectation: Demonstrates understanding of the Nurse Educator role; serves as a good role model for the role.
Comments:
Allow practice opportunities 1 2 3 N/A
Expectation: Allows you opportunities to assume increasing responsibility in program planning, implementation and evaluation, while considering limits according to present knowledge and experience.
Comments:
Evidence-based Reasoning 1 2 3 N/A
Expectation: Leads you through steps of program planning and evaluation rather than enforcing personal thoughts and impressions.
Comments:
Spirituality Dimension 1 2 3 N/A
Expectation: Incorporates spirituality into their education/practice.
Comments:
Caring Dimension 1 2 3 N/A
Expectation: Demonstrates caring dimensions utilizing advocacy in their practice with an appreciation for social and ethical circumstances that may arise.
Comments:
Critical Thinking Skills 1 2 3 N/A
Expectation: Applies critical thinking skills in educational practice.
Comments:
Feedback 1 2 3 N/A
Expectation: Provides immediate and adequate feedback to questions, clinical performance, formal and informal presentations.
Comments:
Research/Quality 1 2 3 N/A
Expectation: Implements evidence-based practice and applies continuous quality improvement in delivery of education.
Comments:
Space/Time 1 2 3 N/A
Expectation: Adequate space and time is available for you to meet course objectives.
Comments:
Client types 1 2 3 N/A
Expectation: Opportunities to provide health promotion and disease prevention education as well as education on disease diagnosis and management and nursing theory.
Comments:
Diversity 1 2 3 N/A
Expectation: Varied types of students/clients as to educational level, SES and other demographic characteristics.
Comments:
Experience Selection 1 2 3 N/A
Expectation: You are allowed to select experiences according to your learning needs and opportunities to master new skills.
Comments:
Support staff 1 2 3 N/A
Expectation: Accepting and appropriately helpful to you.
Teaching/Education opportunities 1 2 3 N/A
Expectation: Instructional & AV materials available to supplement learning such as PowerPoint capability, simulation, computer support and site specific policy & procedure manuals as necessary for the practicum experience
Team approach/Community Resources 1 2 3 N/A
Expectation: Utilizes other members of the health team such as physicians, nutritionist, school nurse, etc. to plan and implement educational offerings.
When appropriate, community resources, other agencies and professional disciplines are involved with planning educational needs.
Comments:
You are encouraged (but not required) to share this evaluation with your preceptor. If you share the evaluation, the preceptor should indicate that by signing below. A positive evaluation is a document the preceptor can place in their professional portfolio. Electronic signatures required in Word format.
Electronic signatures required in Word format
Preceptor’s Signature _________________________ Date
Student’s Signature _________________________ Date
Faculty Review _________________________ Date
NUR646 Nursing Education Seminar 1
Week 8 Assignment
Clinical Evaluation of Preceptor by Student
Evaluate your preceptor using “Evaluation of Clinical Preceptor by Student” form.
Although this is an ungraded submission, it is a requirement for course completion.
Grand Canyon University
College of Nursing
Clinical Evaluation of Preceptor by Student
Student _________________________ Semester _________________________
Location of practicum experience _________________________
Start Date _____________ End Date _____________
Preceptor Name ___________________ Preceptor Position ___________________
1=Unacceptable, 2=Below Expectations, 3=Meets Expectations
Area of Evaluation Evaluation
Availability 1 2 3 N/A
Expectation: Available to answer your questions, review your goals and objectives, listen to your presentations, and give meaningful feedback.
Comments:
Role models 1 2 3 N/A
Expectation: Demonstrates understanding of the Nurse Educator role; serves as a good role model for the role.
Comments:
Allow practice opportunities 1 2 3 N/A
Expectation: Allows you opportunities to assume increasing responsibility in program planning, implementation and evaluation, while considering limits according to present knowledge and experience.
Comments:
Evidence-based Reasoning 1 2 3 N/A
Expectation: Leads you through steps of program planning and evaluation rather than enforcing personal thoughts and impressions.
Comments:
Spirituality Dimension 1 2 3 N/A
Expectation: Incorporates spirituality into their education/practice.
Comments:
Caring Dimension 1 2 3 N/A
Expectation: Demonstrates caring dimensions utilizing advocacy in their practice with an appreciation for social and ethical circumstances that may arise.
Comments:
Critical Thinking Skills 1 2 3 N/A
Expectation: Applies critical thinking skills in educational practice.
Comments:
Feedback 1 2 3 N/A
Expectation: Provides immediate and adequate feedback to questions, clinical performance, formal and informal presentations.
Comments:
Research/Quality 1 2 3 N/A
Expectation: Implements evidence-based practice and applies continuous quality improvement in delivery of education.
Comments:
Space/Time 1 2 3 N/A
Expectation: Adequate space and time is available for you to meet course objectives.
Comments:
Client types 1 2 3 N/A
Expectation: Opportunities to provide health promotion and disease prevention education as well as education on disease diagnosis and management and nursing theory.
Comments:
Diversity 1 2 3 N/A
Expectation: Varied types of students/clients as to educational level, SES and other demographic characteristics.
Comments:
Experience Selection 1 2 3 N/A
Expectation: You are allowed to select experiences according to your learning needs and opportunities to master new skills.
Comments:
Support staff 1 2 3 N/A
Expectation: Accepting and appropriately helpful to you.
Teaching/Education opportunities 1 2 3 N/A
Expectation: Instructional & AV materials available to supplement learning such as PowerPoint capability, simulation, computer support and site specific policy & procedure manuals as necessary for the practicum experience

Team approach/Community Resources 1 2 3 N/A
Expectation: Utilizes other members of the health team such as physicians, nutritionist, school nurse, etc. to plan and implement educational offerings.
When appropriate, community resources, other agencies and professional disciplines are involved with planning educational needs.
Comments:
You are encouraged (but not required) to share this evaluation with your preceptor. If you share the evaluation, the preceptor should indicate that by signing below. A positive evaluation is a document the preceptor can place in their professional portfolio. Electronic signatures required in Word format.
Electronic signatures required in Word format
Preceptor’s Signature _________________________ Date
Student’s Signature _________________________ Date
Faculty Review _________________________ Date
Grading Rubric
Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
|
Failing level
of performance 55% or less 0 points |
Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three or more of the following elements
|
16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in the all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three of the following elements
|
10 Points | 9 Points | 6 Points | 0 Points | |||
Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
|
Demonstrated 3 of the following:
|
Demonstrated 2 of the following:
|
Demonstrated 1 or less of the following:
|
||
8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
0 Points Deducted | 5 Points Lost | |||||
Participation
Requirements |
Demonstrated the following:
|
Failed to demonstrate the following:
|
||||
0 Points Lost | 5 Points Lost | |||||
Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |