NR640 Week 1 Project Practicum Learning Agreement

NR640 Week 1 Project Practicum Learning Agreement

NR640 Week 1 Project Practicum Learning Agreement

Project Practicum Learning Agreement

Student Name: Student D# _________

Student E-mail and Phone:

Mentor Name and Credentials:

Mentor Contact Information (Work Phone, Cell Phone, E-mail and Work Addresses):

Directions

For Week 1, fill out the learning agreement with self-identified measurable, specific goals to meet course outcomes and initial plans to meet those goals; review the goals and plans with your mentor. The agreement should be revised each week to reflect completed goals, additional goals, or changes to the plan dictated by the actual experience or revisions suggested by your professor and/or mentor. At the end of Week 7 of the practicum experience, evaluate the success with your mentor using the metrics you identified and obtain the mentor’s signature at the bottom of the agreement. Save this form as a Word document, and enter required information directly onto it; submit the completed Learning Agreement in Weeks 1 and 7.

Learning agreement consists of three sections.

Student Learning Outcomes Table
Signatures and mentor approving the plan (Week 1)
Signatures and mentor verification (Week 7)

Note: Each section in the table must be completed and the signatures must be included prior to submission for faculty approval. If you have more than one mentor, please include each of them, provide their information on page 1, and have them each sign.

Due Dates:

Initial/draft Learning Agreement is submitted by 11:59 p.m. MT Sunday of Week 1.
Revised/completed Learning Agreement is submitted by 11:59 p.m. MT Sunday of Week 7.

A minimum of 100 hours practicum experience is required.

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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.
CO2: Demonstrate effective leadership skills and advanced roles that promote successful planning, management and evaluation of projects and teams.
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.
CO4: Contribute to the body of nursing informatics knowledge through participation in and application of systematic utilization of evidence-based knowledge in creation of effective project plans and teams.
CO5: Plan for management of human and physical resources in a fiscally responsible manner to support effective decision-making.
CO6: Contribute to the body of nursing informatics knowledge through participation in systematic utilization of evidence-based knowledge.
CO7: Explore trends and issues in NI and their impact on nursing practice in all domains. (POs 9, 11)

II. Signature Section (Week 1)

Submitted by: (Student) ­­­­­­­­­­­­­­­­­___________________________________ Date: _____________

Electronic signature:

Accepted by: (Faculty) __________________________________ Date: ____________

Electronic signature:

Mentor Sign-off: ___________________________________ Date: ____________

Electronic signature:

III. Verification at Conclusion of Practicum (Week 7)

At the conclusion of the Practicum experience, verification of achievement of student-identified goals is necessary. Please explain if certain goals were not met.

Submitted by: (Student)­­­­­­­­­­­­­­­­­­___________________________________ Date: ______________ Electronic signature:

Mentor Sign-off: __________________________________ Date: ______________

Electronic signature:

Comments: