Part 4: Nuts and Bolts 202 - Clinical Learning

C. Developmental Learning

Three major skill areas, encompassing many different behaviors, are simultaneously developed during the clinical practicum:

  1. Psychomotor skills

    Examples: Pelvic examination, hand maneuvers for birth, suturing, use of voice and touch, efficiency of movement.

  2. Critical thinking skills

    Examples: Making connections between data and possible meanings; ordering priorities for attention and action; selecting appropriate options for diagnosis and therapeutics; seeing "the whole patient" in "the whole picture"-targeting outcomes, considering resources, projecting consequences.

  3. Professional role acquisition

    Examples: Personal bearing and demeanor; resource recognition within the whole team and community; use of self; discovery of appropriate patient/clinician boundaries; differentiating caring from encouraging dependency; responsibility for actions and choices; appropriate interactions with consultants; accuracy and completeness of documentation.

Despite aptitudes and previous experiences, students’ start as beginners. They are often surprised and discouraged by the experience, as they have been proficient in their previous roles. With the preceptor's help, they will progress from novice to advanced beginner to competent beginning practitioner during the clinical practicum.

The job of the preceptor is to recognize the student's stage and her/his progress and to use an effective approach to precepting for that stage. There are four developmental stages of successful precepting that to some extent relate to the student's developmental stage. The use of a particular approach to precepting will (we hope) be a conscious choice of the preceptor, based on assessment of the student's needs and abilities in a given situation.

rev. 2/23/04

 

“Birth is a normal process. It is not an illness!” - Cindy Stewart, CNM and Mary Kay Miller, CNM, Lee OB/GYN Associates, Ft. Meyers, Florida

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