Clinical Experience Paper




Clinical Experience Paper



Purpose of Signature Assignment:


Signature assignment requires students to demonstrate and apply their proficiency in one or more key learning outcomes. This often means synthesizing, analyzing, and applying cumulative knowledge and skills through problem-or inquiry-based assignments or projects. This design invites students to produce meaningful examples of their learning that document their progress and culminating skills and abilities.

Purpose of the Assignment

The purpose of this activity is to evaluate, in the context of one patient encounter, the full spectrum of primary health care services to include health promotion disease prevention, health protection, anticipatory guidance, counseling, disease management, palliative and end of life care.  Additionally, evaluate the results of interventions using accepted outcomes criteria, revise the plan accordingly, consult/refer when needed, and perform peer review of outcomes.


Standards & Learning outcome


This course meets the AACN Essentials of Master’s Education for Advanced Practice Nursing (2011) In addition the course incorporates the NONPF Nurse Practitioner Core Competencies (2017) and the Population-Focused Nurse Practitioner Competencies for Family/Across the Lifespan (2013).

  1. Learning outcomes:
    1. Students will utilize standards of care in health promotion and anticipatory guidance.
    2. Students will evaluate management of disease processes using evidence-based guidelines.
    3. Students will evaluate the results of interventions and describe how to revise plans for continuous improvement.




  1. Student will select an actual patient case and address all 6 core competencies as described in Quality and Safety Education for Nurses (QSEN).


  1. The following questions need to be addressed:
  2. Patient Centered Care: Were the patient’s and/or family’s preferences assessed? If so, how was this was done? Were patient wishes carried out? How do you know? Were there cultural considerations? Were barriers to care identified?
  3. Teamwork and Collaboration: Describe the encounter in terms of your collaboration with the preceptor. What communication strategies worked well? What could have been improved?
  4. Evidence Based Practice: What reputable evidence was used to formulate plan of care for this patient? How did you know it was appropriate for this specific patient?
  5. Continuous Quality Improvement: How could this encounter have been improved for the patient? What went right for this patient? What could have been done differently?
  6. Safety: What risks are identified for this patient and what is a reasonable way to address them today? What steps need to be taken regarding medication reconciliation with this patient? What places this patient at highest risk? What can go wrong? What could you have done to further address this issue?
  7. Informatics: What types of electronics (EHR, data bases) were used for this patient? Was the technology helpful? How so? What additional form of electronic information could have been useful to you or would have been helpful to your patient?
  8. Plan for Improvement: Reflects on a plan on how to improve practice, when faced with a similar situation.


  1. Submit a maximum of 5-page paper addressing all the questions in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing graduate professional.


  1. Each student will access the appropriate research literature that includes scholarly periodicals (journals) that are peer-reviewed, and that are prepared specifically for a scholarly or professional audience. At least three reference sources in APA format from the scholarly periodical (journal) literature must be included. Other sources, such as textbooks, electronic resources such as web sites, and publications for the lay public may be included, but are in addition to the scholarly periodical references required.


  1. Include a title page and an APA-format abstract that briefly describes the content of your discussion (see grading rubric).



Grading Rubric

This paper is worth 20 points and will be judged according to the following criteria













Developing/ Needs work

(79 and below)








Introduction clearly conveys topic, subtopic, and a general thesis statement.

The topic is presented clearly, and its relevance and significance are explicitly stated.


Introduction clearly conveys topic, subtopic, and a general thesis statement.


The topic is clearly presented but it is not clear to the reader as to its relevance or importance.


Introduction does not convey topics, subtopics and thesis statement.

The topic is not clearly stated in the introduction, nor is there any supporting data showing its significance and relevance

Body of paper




The paper is strongly organized with transitions linking all topics.


Clear evidence of critical thinking as demonstrated.

The body of paper is thorough, thoughtfully discussed and supported by evidence.

Paper is organized with clear transitions.


Writing generally demonstrates evidence of critical thinking.

The body of paper is supported by evidence.


Paper is not logically organized and lacks transitions between sentences and paragraphs.


Evidence of critical thinking and support of evidence is lacked.

Conclusion Conclusion strongly reflects key points and integrates these ideas is the thesis statement. Conclusion moderately reflects key ideas that relate to the thesis statement. Conclusion does not reiterate and lacks synthesis of information 5%
Evidence/sources Sources are credible, come largely from peer-reviewed journals and are cited correctly.


All references in the reference section appear in the paper, and all references in the paper can be found in the reference section.

Sources contain some elements of research that support the thesis statement.


Some sources from the reference section are missing in the text, and some in the text are not listed in the reference list.

Sources are non-existent or not considered scholarly in nature


Several sources in the reference section are missing from the text, and vice versa. Infrequent content match between text sources and reference list.

APA Format
Title page






Correct running head

Title of project follow APA

School name, student name all centered

Correct running head

Title of project does not follow APA

Missing one of the defined requirements for the title page

Not-correct running head

Title of project does not follow APA

Missing more than one of the defined requirements for the title page

Abstract Follow APA

150–250-word count

Key words

Word count < 150

Key words missing

Missing requirements for the abstract page


APA style, citations, and references


No APA errors are seen with page format.

Paper is written in a scholarly style.
All sources are correctly written in the in-text citation and references page.

APA page format is mostly correct.

Paper is written in a scholarly style with occasional headings.
Some source is incorrectly written in either the in-text and in the references page.

APA page format is incorrect.

Paper is informal in tone and word choice.
Errors with in-text citations Reference page with incorrect APA format

Grammar and mechanics The paper is free of grammatical, spelling, and punctuation errors.


Sentences are complete.

Grammatical, spelling, and punctuation errors occur occasionally in the paper and do not interfere with reading the paper. Grammatical errors, punctuation errors, and spelling errors significantly interfere with reading the paper. 20%
Total 100%