Practicum Learning Agreement: Learning Strategies and Evidence of Accomplishments
Open the uploaded Learning Agreement (Week 1 has been done containing the Goal and Objectives. We will now work on Week 2 –Columns 2 and 3)

Complete the Draft of Learning Strategies and Evidence of Accomplishments columns of the Practicum Learning Agreement. (ONLY COLUMNS 2 AND 3 for Week 2)

Measuring Attainment of Objectives (400 words)
Each learning strategy listed in your learning agreement must be implemented and evaluated. Consider how you will measure attainment of each objective and respond to the following questions using specific examples and resources supporting your responses.
Describe how you plan to measure attainment of each practicum objective.
What difficulties might arise in your attempts to measure attainment of each practicum objective?
How might you work around these difficulties?
How accurate do you think your measures may be?
Learning Strategies (400 words)
Review the sample learning agreements and your learning objectives to determine what theories might be useful as you develop your practicum project. Respond to the questions below using at least 275 words, specific examples, and resources.

What types of learning strategies and resources will you be using for your practicum project? Why?
Provide some specific examples including the theory or theories that supports your project.

Mentor (275)
What is the value in identifying clinical or practice experts to help you achieve your learning objectives?
How do you select and work with a mentor?

Note. Evidence of Accomplishments is the documentation of your work. The document is tangible and is submitted during the NUR/590B course. All evidence of accomplishments must be submitted to the NUR/590B classroom as an attachment. A single attachment may not be more than 13 megabytes in size. Scanned items, animation, and sound in a Microsoft® PowerPoint® presentation may make file sizes too large to be submitted to the NUR/590B classroom. Zipped items are also not acceptable in the NUR/590B classroom.

The second column of the learning agreement (Week 2 Assignment) is to identify strategies (including resources) that you can use to meet your objectives. Resources can include experts in practice for a specific topic and can include others in your area besides your mentor. Resources can include the literature specific to your topic identified in the objective or literature that might help guide specific strategies that you identified as important for meeting the objective. Resources might also include equipment and the knowledge to utilize the equipment.
Strategies are specific key steps that you need to take before you can achieve the objective you outlined. This might include such things as developing a learning needs assessment tool, a staff opinion survey, a comparison of important documents, interviews, or observations etc.

To develop your learning strategies you need to think about the following:
1. Are there learning strategies for each objective?
2. Do the strategies outline the steps or actions needed to achieve the objective?
3. Are the strategies ordered correctly and flow easily?
4. What learning is needed to do the identified strategies? Is a literature review needed? Are there experts in the organization who can facilitate learning? Are there seminars or classes you can attend to help you gain the information you need to complete the strategy? Can your mentor give you feedback and input?
5. Is it easy to identify the strategies and learning resources that go with each objective?

Formatting can be very helpful to align everything in the agreement. It is helpful if you number the objectives and then number the learning resources and strategies with the same numbers to match the objectives. For example: Objective 1. Assess the learning needs of staff in preventing pressure ulcers. Strategy 1A Conduct a literature review to identify possible staff development assessment tools. Strategy 1B Select a tool and adapt it for assessing pressure ulcer prevention knowledge.


Project idea: Design and implement a quality improvement program for preventing pressure ulcers in acutely ill patients.

Objective 1: Analyze the prevalence and incidence rate of pressure ulcer development in medical/surgical patients

1-A Conduct a literature analysis of at least 15 peer-reviewed articles and synthesis about the national prevalence and incidence rates of pressure ulcers in medical/surgical patients

1-B Consult with the quality improvement department and the wound ostomy continence nurses to identify possible measurement strategies for the incidence and prevalence of pressure ulcers

1-C Develop a method to assess the prevalence and incidence rate of pressure ulcers in the medical/surgical units
1-D Create and administer a needs assessment for nursing staff on medical/surgical unit related to their current knowledge level for providing effective wound care

Objective 2: Develop a quality improvement plan for preventing the incidence of pressure ulcers for patients admitted to the medical/surgical nursing units.

2-A Identify members for a pressure ulcer task team
2-B Critique strategies already implemented as to their effectiveness in decreasing the pressure ulcer rate.

2-C Conduct a literature analysis and synthesis of effective improvement methods for preventing skin ulcers, concentrating on published national guidelines.

2-D Conduct a survey of the nursing staff about the barriers to preventing skin impairment and the supports currently available that help them prevent pressure ulcer formation.

2-E Conduct a literature review for example surveys that could be used or adopted for the project.

2-F Consult with the organization’s expert for survey development to assist with developing a reliable and valid survey tool.

2-G Consult with mentor to develop a plan to administer and analyze the survey results.

This example is not meant to be all-inclusive, but to give you an example of how to complete this column of your learning agreement. Each strategy needs an Evidence of Accomplishment (Column 3 in Learning Agreement) document to demonstrate you implemented the strategy. The actual Evidence of Accomplishment (EOA) documents will be submitted in 590/B and must be ready for submission on Day 1 of that course.

A couple of recommendations for everyone:
1. Plan for APA formatted documents for all EOA documents except for maybe mentor reviews. While a summary EOA document can demonstrate higher level critical thinking, a comprehensive journal entry may be appropriate. (3a, 3b. 2b and 2d needs to be in journal and EOA documents)
2. EOA for any data should be to Submit chart or graph of data results with narrative analysis. This will meet MSN rigor better than summary.
3. Name the organizations you plan to research for the standards and regulations: QSEN, ANA, Joint Commission, DHEC, What others might apply to your project?