Part 1
What is the impact of the nurse educator role on organizational effectiveness? Identify one area in
your practicum setting/organization that needs improvement. Choose a theory or change model
with which you have experience. Applying the identified theory/change model, propose a change
and describe the organizational impact in your practicum setting.
Part 2
The “Nursing Education Practicum Documentation (NEPD) Forms” provide weekly, competency based documentation of clinical practicum activities and are utilized by learners to communicate
practicum experiences to course faculty. Be sure to read the instructions on the form for
information on how to complete the assignment before you begin.
Using the “Nursing Education Practicum Documentation (NEPD) Form: Competency 6,” write goals
for what you will accomplish in this topic and how you will evaluate your accomplishments. The
NEPD form uses the nursing process and follows the format of a nursing care plan, so this sh ould
be familiar to you.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to
become familiar with the expectations for successful completion.
Nursing Education Practicum Documentation
(NEPD) Form: Competency 6
NUR-665E Nursing Education Practicum
Directions: Complete the documentation form. Type in your response in the unshaded box
below each question. The form will expand for as long as you type. The purpose of this
assignment is to document meeting the competency and to promote deep reflection on your
practicum activities. Consider reviewing course textbooks: Certified Nurse Educator Review
Book: The Official NLN Guide to the CNE Exam and NLN Core Competencies for Nurse
Educators: A Decade of Influence for suggested practicum activities
Weeks
11 and 12
Nurse Educator Competency 6: Function as a Change Agent and Leader.
Learner Name: Date(s):
Learning Goals: What do you want to accomplish for Competency 6:
Function as a Change Agent and Leader?
Be sure your goals are specific, measurable, achievable, relevant, and time
bound (S.M.A.R.T. goals).
Some goals should reflect higher cognitive learning levels in BloomÊtaxonomy.
My goal/s for this competency is/are to:
Complete this
section before
you begin the
weeks#linical.
Resources and Strategies: What type of resources or strategies will you utilize
to accomplish your learning goals? Include both human and material resources.
The resources (human and material) and strategies I need to meet my weekly
goal are:
Measurement: How will you know that you have accomplished your learning
goal(s)? What criteria will you use to measure this?
The criteria I will use to measure my goals are:
Complete this
section after
you complete
Evaluation: Did you meet your goal? What did you accomplish that you can
use as evidence that you met your learning goals?
2
the weeks£linical.
Did you meet your goal? Why or why not?
Reflect on Competency 6, analyzing your practicum experiences: Be sure to
connect your experiences directly to the competency.
Reflection:
Clinical hours completed this topic:
Total clinical hours completed to date:
3

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