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rNURS 253 PRECEPTOR FEEDBACK

WRITTEN PERFORMANCE FEEDBACK OCCURS AT WEEK 7 AND WEEK 15

NOTE: Preceptors complete this written feedback form in Week 7 (Midterm Evaluation) and Week 15 (Final
Evaluation). ln Week 4 a discussion of student learning to date occurs; students who 'Need Development' or
are 'Unsatisfactory' in Week 4, 11 or as required, receive written feedback using this form which is submitted to
the Professor/Clinical Teacher.

"1.:.1.
coMpErENr AND SAFE FRAGfl cE wryIN A LE"g4h
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Model safe,
competent,
and ethical
practice in
compliance
with legaland
regulatory
frameworks
and the
policies and
procedures
of the
practice
setting.

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Comply with regulatory standards, relevant

legislation and the practice setting's policies and
procedures.
Act in a professional, responsible, elhical and
accountable manner.
Use the three factor and decision making
frameworks to determine strengths and limitations
and when to collaborate and consult with other
professionals.
lntegrate evidence-informed practice and a theory
based approach into nursing care.
Assess practices and risk management principles
and take action to ensure safety of clients, self, and
others.
Question and clarify unclear orders or directions
and when uncertain.
Question, clarify or challenge questionable orders,
decisions or actions by others.
Respond in a professional manner to situations in
which there is unsafe, unacceptable or
unprofessional behavior.
Demonstrate understanding about the role of the
nurse within health care.

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3. Engage

i.
in

relational
practice that is
caring,
compassionate
and respectful.

ii.
iii.
iv.

v.
vi.
vii.
viii.

Establish therapeutic caring, compassionate, and

culturally safe relationships with clients and health
care team members.
Establish a caring environment that supports clients
in meeting their needs and outcomes, managing
their illness, or experiencing a peaceful death
Demonstrate therapeutic use of self to foster client
well-being.
Utilize relational knowledge and skills, and ethical
principles to support clients and to interact with
health care providers
Use self-awareness to identify the effects that
beliefs, values, and personalexperiences have on
relational practice.
Collaborate with clients, members of the
interprofessional and health care teams; and,
consult appropriately.
Uphold practices and systems that support the
diversity of clients and of the interprofessional
health care team.
Provide etfective client education.

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i.
lntegrate the
nursing process
into all aspects
of nursing care
and across
diverse practice
settings.

ii.
iii.
iv.
v.
vi.

vii.
viii.

Formulates clinicaljudgments that meet clients'

unique and changing health needs and priorities,
outcomes, and overall condition and incorporates
these into evolving plans of care.
Devise evidence-informed plans of care that are
holistic and client-centred.
Use clinical judgment to assess clients, prioritize
needs, outcomes, and nursing interventions.
Collaborate in the evaluation, refinement and
modification of plans of care.
Safely and competently perform treatments and
use techniques, and technology autonomously
and in collaboration with clients and members of
the interprofessional health care team.
Collaborate with the clients across the lifespan
and wth members of the interprofessionalhealth
care team to create a client centered plan of care
that is articulated with competence both in writing
and orally.
Use awareness of own knowledge and skills, the
three factors of nurse, client and environment
and the practice decision-making framework to
guide practice.
Manage workload, time, and physical resources
to provide effective, etficient and ethicalcare.

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i.
Engage in

Ouality
Assurance
consastent with
the regulatory
framework.

ii.
iii.

Act in the best interests of clients and protect clients

from harm through collaboration and consultation
with other members of the interprofessionaland

health care teams and by through competent and

safe practice.
Gommit to Quality Assurance practice to identify
strengths and areas {or professional growth and in
accordance with the regulatory framework (CNO).
Create, implement, and evaluate a learning plan
consistent with the Quality Assurance program

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(cNo).

iv.

v.
vi.

Comments

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Assume responsibility to seek out feedback for

colleagues and peers and learning opportunities
that foster professional development.
Consistently review nursing research and
information about health care to improve
competence and to support clients
Develop professional responses to health care
system changes resulting from advances in
research, technology, and changes in societal and
political forces.

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