one atached is instuctiosn on smart goals the ppt attahced is the smart goals you will base if off
Smart Goals
Improve Psychotherapy Competencies with Patients
Specific: I aim to improve my capacity to provide effective psychotherapy, with an emphasis on CBT and supportive therapy techniques.
Measurable: My preceptor will provide me with weekly feedback, and I will monitor my progress in my clinical logs.
Achievable: With supervision, I will use psychotherapy methods in at least one session each week.
Relevant: For my growth as a PMHNP, it is crucial to enhance therapeutic skills.
Timely: By the conclusion of week 8 of this clinical term, I will have accomplished this.
Wheeler, 2020
This objective aims to enhance my skills in delivering psychotherapy, particularly with techniques such as CBT and supportive therapy. My goal is to boost my confidence in session management, addressing client needs, and real-time application of theoretical knowledge. I will think back on every session and get weekly feedback from my preceptor to help me grow. At the end of the term, I hope to feel more secure in my identity as a future PMHNP-psychotherapist.
2
Articulate 5 DSM-5 Diagnoses
Specific: My goal is to accurately develop a minimum of five DSM-5 diagnoses throughout my clinical rotations.
Measurable: My preceptor will review and confirm the accuracy of the diagnoses.
Achievable: This can be reached with ongoing exposure to patient cases and supervision.
Relevant: A fundamental competency and objective of the course for PMHNPs is diagnostic accuracy.
Timely: The midpoint of the clinical term (week 6) will see the goal achieved.
American Nurses Credentialing Center, 2023
This objective is aimed at ensuring that patients are accurately diagnosed in accordance with the DSM-5 framework. I aim to have made accurate diagnoses for at least five patients by the midpoint of the term. Preceptor confirmation allows for measuring the goal. It is attainable, as I will be exposed to more cases each week and will have the opportunity to review the criteria and apply what I’ve learned. As a fundamental skill for PMHNPs, diagnosis is in keeping with the aims of the course.
3
Create and Execute 3 Treatment Plans Based on Evidence
Specific: My goal is to create and carry out a minimum of three treatment plans grounded in evidence for patients suffering from mood or anxiety disorders.
Measurable: My preceptor will assess each plan and record the evaluations in clinical notes.
Achievable: With regular oversight and clinical case opportunities, this can be accomplished.
Relevant: In PMHNP practice, treatment planning is essential.
Timely: Should be finalized by the end of week 10 of the clinical term.
American Nurses Credentialing Center, 2023
This objective focuses on the development and execution of three evidence-based treatment plans for patients suffering from anxiety or mood disorders. I will discuss and evaluate each plan with my preceptor. To make certain that every treatment plan conforms to best-practice standards, I will depend on academic resources and clinical guidelines. I selected this because I want to master treatment planning, which is a crucial skill, before graduation.
4
Improve Knowledge of Psychopharmacology
Specific: My goal is to enhance my knowledge of psychotropic medications, especially SSRIs, stimulants, and antipsychotics.
Measurable: I will carry out weekly medication reviews and talk about them with my preceptor.
Achievable: My textbook, online modules, and discussions with my preceptor are among the resources.
relevant :Core element of psychiatric nursing practice: Medication management.
Timely: I will monitor learning progress and complete the goal by the end of the clinical term.
Wheeler, 2020
With this goal, I aim to enhance my understanding of psychopharmacology. I will examine important categories of medication, including SSRIs, stimulants, and antipsychotics. This will be assessed by means of medication reviews, weekly discussions with my preceptor, and self-reflection. I selected this because managing medication can seem daunting, and I aim to enhance my understanding and self-assurance in this domain.
5
Build Rapport with At Least 10 Patients
Specific: My goal is to establish a successful therapeutic rapport with no fewer than 10 patients.
Measurable: Patient feedback, preceptor notes, and clinical reflections will indicate the success of rapport-building.
Achievable: I will apply methods of involvement, empathy, and attentive listening in every interaction with patients.
Relevant: A strong therapeutic alliance enhances outcomes and is an essential skill for PMHNPs.
Timely: The goal will be achieved by the end of the 12-week term.
Wheeler, 2020
It is vital for therapy to succeed that a good relationship with patients is developed. I aim to connect with at least 10 patients in a meaningful way, utilizing empathy, active listening, and engagement skills. Feedback and clinical documentation will reflect how strong these relationships are. I aim to achieve this goal by the end of the term. This will assist me in establishing trust and honing my therapeutic communication style.
6
Master Use of Screening Tools (PHQ-9, GAD-7, Vanderbilt)
Specific: My goal is to administer and interpret at least three standardized screening tools during clinical sessions with confidence.
Measurable: My preceptor will assess my comprehension and application of each tool via observation and chart reviews.
Achievable: I will be able to practice these tools often during my clinical term, as they are commonly used.
Relevant: In psychiatric evaluations, precise screening is crucial and consistent with the aims of the program.
Timely: The completion of this goal is scheduled for week 9 of the clinical term.
American Nurses Credentialing Center, 2023
For this purpose, I aim to become skilled in using important screening tools such as the PHQ-9, GAD-7, and Vanderbilt forms. During patient intake or follow-up visits, I will practice using them, and my preceptor will assess how I score and interpret results. These tools are crucial for ensuring informed clinical decisions and enhancing patient outcomes.
7
Rehearse evaluation of suicide risk and planning for safety
Specific: I will carry out a comprehensive suicide risk evaluation on no fewer than five patients showing signs of depression or suicidal thoughts.
Measurable: My preceptor will review and document each assessment.
Achievable: I will utilize the Columbia-Suicide Severity Rating Scale (C-SSRS) and safety planning templates under supervision.
Relevant: Preventing suicide is crucial in psychiatric care, and it corresponds with the objectives of the course.
Timely: The completion of this goal is scheduled for week 10 of the term.
American Nurses Credentialing Center, 2023
This aim focuses on building confidence in conducting suicide risk assessments and developing safety plans. I intend to utilize organized tools such as the Columbia-Suicide Severity Rating Scale and safety planning templates. To guarantee that my evaluations are comprehensive and suitable for the risk level of each patient, I will collaborate closely with my preceptor.
8
Participate in at Least 2 Family Sessions
Specific: During my clinical rotation, I aim to observe or co-lead a minimum of two sessions focused on family therapy or psychoeducation.
Measurable: My preceptor will keep a record of and assess attendance and participation.
Achievable: There are opportunities for family involvement in outpatient and pediatric settings.
Relevant: In the field of child and adolescent psychiatry, it is essential to comprehend family dynamics.
Timely: Should be finished by the end of week 11.
Wheeler, 2020
I aim to acquire experience in dealing with families, particularly regarding mental health issues in children and adolescents. I will strive to attend or help lead at least two family sessions, where I will observe communication patterns and the therapist’s role. This will aid me in providing better support for family systems and overall patient care.
9
Present 1 Case Study During Clinical Rounds
Specific: I will present a detailed psychiatric case, along with its diagnosis and treatment plan, to my clinical team.
Measurable: My preceptor or instructor will schedule and evaluate the presentation.
Achievable: I will select a patient I’ve been monitoring and prepare with my preceptor’s guidance.
Relevant: Showcasing patient cases enhances critical thinking and equips me for actual teamwork.
Timely: The completion will occur by the end of week 12.
Wheeler, 2020
To achieve this goal, I intend to present a comprehensive case study during rounds. I will choose a patient I have collaborated with and provide a summary of their history, diagnosis, treatment, and response. This exercise will assist in developing my confidence regarding the articulation of clinical reasoning and communication with interdisciplinary teams.
10
Enhance the accuracy of documentation and charting
Specific: I will enhance my clinical documentation by ensuring all chart entries are completed within 24 hours and obtaining weekly feedback from my preceptor.
Measurable: The accuracy and timeliness will be monitored through the examination of chart audits and preceptor notes.
Achievable: I will maintain structure by using EMR templates and charting checklists.
Relevant: Safe and legal psychiatric practice relies heavily on accurate documentation.
Timely: This will be upheld consistently over the course of the term and reviewed every two weeks.
American Nurses Credentialing Center, 2023
This goal pertains to clinical documentation, which is vital for continuity of care, legal precision, and effective communication. To keep organized, I will utilize checklists and EMR templates, and I will make sure to document all encounters within a 24-hour timeframe. My notes will be reviewed weekly by my preceptor for feedback.
11
References
American Nurses Credentialing Center. (2023). Scope and standards of practice for psychiatric-mental health nursing.
Wheeler, K. (2020). Psychotherapy for the Advanced Practice Psychiatric Nurse: A How-To Guide for Evidence-Based Practice (3rd ed.). Springer Publishing.
