Nursing Education Practicum Documentation
(NEPD) Form: Competency 1-on
Diabetes Education and management in Adults with Type 2 Diabetes.

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
1 and  2
Nurse Educator Competency 1: Facilitate Learning.
 Learner Name:    Date(s):
Complete this section before you begin the weeks’ clinical.Learning Goals: What do you want to accomplish for Competency 1: Facilitate Learning? 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 Bloom’s taxonomy.
My goal/s for this competency is/are to:
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(s) 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 the weeks’ clinical.Evaluation: Did you meet your goal? What did you accomplish that you can use as evidence that you met your learning goals?  
Did you meet your goal? Why or why not?
Reflect on Competency 1, 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:

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