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OBJECTIVE STRUCTURED CLINICAL ASSESSMENT (OSCE) RUBRICSPSYCHIATRICNURSING
SCORING RUBRICS
PRIMARY RESTRAINTS TECHNIQUE TO PATIENTS WITH TEMPER TANTRUM
No. Assessment Variables Total Score
Score
0 1 2 3 4
A. PRE-INTERACTION PHASE
1. Make sure whether or not you have temper tantrum patients, ensure that there are enough helpers (minimum 4 helpers) and safe environment.
2
2 PRT (Primary Restrain Technique) / Standing Position
3
B ORIENTATION PHASE
1. Restrainer asks for a help loudly. (For example : “I have a temper tantrum patient, I need some help!”)
5
C WORKING PHASE
2. Restrainer stands behind the patient and is ready to catch him/her.
10
3. Put your arms in front of the patient’s armpit, embracing to the back.
15
4. The nurse’s legs should be between the patient’ legs.
10
5. The restrainer’s right leg is hooked around the patient’s
15
right leg.
6. The restrainer’s left hand is on the right hand, or vice versa, pressing the back to the front.
10
7. Fingers hook the hand below it, pulling the client’s back.
15
8. Ask the team to pull and lie the PRT patient down on the bed.
10
D TERMINATION PHASE
1. The four helpers hold the patient and take him/her to the bed.
2
2. Put the patient on the bed and get ready for extremity restraints.
3
TOTAL 100
RUBRIC : The Assessment of Primary Restraint Technique Procedure
No The Assessed Aspects
Score
0 1 2 3 4
1 PRE-INTERACTION PHASE
Not observing
the patient/rea
ding the cases/
preparing the tools
If tested for tool
preparation of 25% of pre-
interaction phase
components
If tested for tool
preparation of
50% of pre-
interaction phase
components
If tested for tool
preparation of 75% of pre-
interaction phase
components
If tested for tool
preparation of
100% of pre-
interaction phase
components
2 ORIENTATION Not Carrying Carrying Carrying Carrying
PHASE carrying out the work properly
the work, but less properly
the work somewha
t properly
the work properly
the work very well
3 WORKING PHASE
Not carrying out the work
properly
Carrying the work, but less properly
Carrying the work somewha
t properly
Carrying the work properly
Carrying the work very well
4 TERMINATION PHASE
Not carrying out the work
properly
Carrying the work, but less properly
Carrying the work somewha
t properly
Carrying the work properly
Carrying the work very well
TECHNICAL GUIDELINES/RUBRICS OF SELF-CONCEPT ASSESSMENT
NO
SCORE DESCRIPTION
Pre-interaction Phase
1 0 If the student does not read the case.
1 If the student does not read the case carefully and thoroughly.
2 If the student reads the case carefully and thoroughly.
2 0 When writing less than 5 types of therapeutic communication techniques to be used.
1 When writing 5-10 types of therapeutic communication techniques to be used.
2 When writing minimum 10 types of therapeutic communication techniques to be used.
3 0 If not preparing the tools or the patient.
1 If preparing less than 3 types of tools.
2 If preparing 3 types of tools.
Orientation Phase
4 0 When not greeting the patient.
1 When greeting the patient, but not applying the therapeutic communication techniques of making observation.
2 When greeting the patient and applying the therapeutic communication techniques of making observation.
5 0 If not responding the patient’s question.
1 If not using the therapeutic communication technique of validation related to the patient’s answer to maintain trust.
2 If using therapeutic communication technique of validation related to the patient’s answer to maintain trust.
6 0 If not measuring the patient’s blood pressure or performing other simple checks as a means of establishing trust.
1 If measuring the patient’s blood pressure or other checks.
2 If performing a simple examination by applying therapeutic communication technique.
7 0 If not conducting the contract of topic and time to be discussed.
1 If conducting the contract of topic and time to be discussed, but not applying the therapeutic communication technique of offering self.
2 If conducting the contract of topic and time to be discussed using the therapeutic communication technique of offering self.
8 0 If not conducting the contract of place for discussion.
1 If conducting the contract of place for discussion, but not applying the therapeutic communication technique of broad opening.
2 If conducting the contract of place for discussion by applying the therapeutic communication technique of broad opening.
Working Phase
9 0 Not conducting a self-image assessment to the patient.
1 If asking the client’s perception of his/her height, weight, hair color, and eyes color without using the communication technique of broad opening.
2 If asking the client’s perception of his/her height, weight, hair color, and eyes color using the communication technique of broad opening.
10 0 Not conducting a self-role study to the patient.
1 If asking the patient’s roles before being sick without using the communication technique of broad opening (self-role).
2 If asking the patient’s roles before being sick using the communication technique of broad opening (self-role).
11 0 Not conducting an ideal self-study to the patient.
1 If asking the client’s hopes or ideas before being sick without using the communication technique of broad opening (ideal self).
2 If asking the client’s hopes or ideas before being sick using the
communication technique of broad opening (ideal self).
12 0 Not conducting a self-identity assessment to the patient.
1 If asking the patient’s position in his/her family and society without using the communication technique of broad opening (self-identity).
2 If asking the patient’s position in his/her family and society using the communication technique of broad opening (self-identity).
13 0 Not conducting a self-esteem assessment to the patient.
1 If asking the client’s hope of the aforementioned 4 self-concept components without using the communication technique of broad opening (self-esteem).
2 If asking the client’s hope of the aforementioned 4 self-concept components using the communication technique of broad opening (self-esteem).
14 0 Not using a communicative language.
1 If not using the words which are easily understood by the patient / operational language according to his/her current condition.
2 If using the words which are easily understood by the patient / operational language according to his/her current condition.
15 0 Not performing therapeutic attitude and position.
1 If performing therapeutic attitudes (showing empathy, being honest, maintaining eye contact if possible, sitting position), but without therapeutic position (the sitting position of the nurse and client).
2 If performing therapeutic attitudes (showing empathy, being honest, maintaining eye contact if possible, sitting position) using therapeutic position (the sitting position of the nurse and client).
16 0 If applying the therapeutic communication technique of
reinforcement with only 1 patient’s appropriate answer.
1 If applying the therapeutic communication technique of reinforcement with fewer than 4 patient’s appropriate answers.
2 If applying the therapeutic communication technique of reinforcement with minimums 4 patient’s appropriate answers.
17 0 Not responding to the patient’s answer.
1 If applying the therapeutic communication technique of validation to fewer than 4 answers delivered by the patient.
2 If applying the therapeutic communication technique of validation to minimums 4 answers delivered by the patient.
18 0 Not conducting confirmation communication to the patient’s answer.
1 If not applying minimums 2 communication technique of confirmation to the patient’s answers primarily having 2 meanings.
2 If applying minimums 2 communication technique of confirmation to the patient’s answers primarily having 2 meanings.
Termination Phase
19 0 Not concluding the meeting results.
1 When concluding the meeting results without using the therapeutic communication technique of summarizing.
2 When concluding the meeting results using the therapeutic communication technique of summarizing.
20 0 Not evaluating the patient’s feelings.
1 If evaluating the patient’s feelings without applying the therapeutic communication technique of giving recognition.
2 If evaluating the patient’s feelings using the therapeutic communication technique of giving recognition.
21 0 Not conducting the contract of topic and time for the next meeting.
1 If conducting the contract of topic and time to be discussed for the next meeting without applying the therapeutic communication technique of offering self.
2 If conducting the contract of topic and time to be discussed for the next meeting using the therapeutic communication technique of offering self.
22 0 Not conducting the contract of place for the next meeting.
1 If conducting the contract of the discussion place for the next meeting without applying the therapeutic communication technique of broad opening.
2 If conducting the contract of the discussion place for the next meeting by applying the therapeutic communication technique of broad opening.
THE ASSESSMENT FORMAT OF THE PRACTICE OF MENTAL HEALTH LABORATORIUM“PSYCHOEDUCATION &
PSYCHOPHARMACY”
Name: ; S I N:
No Assessment Variable Score
B 1 2 3 4
PRE-INTERACTION PHASE
1. Identify the patient’s name and the prescribed medication, identify the psychoeducation location, notify the patient and relatives, prepare the props, and arrange for the other supports.
5
2. Perform self readiness by practicing therapeutic attitudes (showing empathy, being honest, eye contact if possible, and the sitting position) and therapeutic position (the nurse and client’s sitting position).
5
ORIENTATION PHASE
3. Establish and maintain trust by calling the client’s name and greeting him/her, applying the therapeutic communication technique of giving recognition and validation using operational language.
5
4. Conduct the contract of time, place, and topic to be discussed using operational language, offering self, and broad opening.
5
WORKING PHASE
5. Review the level of the patient and relatives’ knowledge about the medication taken by the patient, including what medicine it is, who consumes it, why he/she consumes it, when he/she consumes it, how to consume it, and whether or not he/she understands its side effects. Use the communication technique of exploring, validation, and reinforcement.
5
6. Introduce anti-psychotic drugs to the patient (eg. CPZ, Haloperidol, and Trihexilpenidine) using the therapeutic communication techniques of giving information, exploring, and confirmation.
5
7. Explain the advantages of the above-mentioned drugs using operational language and the techniques of exploring, giving
10
information, validation, reinforcement, and confirmation.
8. Explain the side effects of the drugs using operational language, and the techniques of exploring, giving information, validation, and reinforcement. The effects include vomiting, nausea, dry mouth, vertigo, and extrapyramidal rigidity.
10
9. Explain the way to cope with the drugs’ side effects using operational language and the techniques of exploring, giving information, validation, and reinforcement. For instance, how to deal with the following effects:
Shaking –take a rest
Extrapyramidal rigidity – restrict activities
Nausea – take the medicine soon after eating to reduce nausea
Dizziness/vertigo – sleep with a neutral position of 15 degrees (one pillow)
Dry mouth – drink plenty of warm water, chew low-sugar candy or gum, often clean mouth to reduce dry mouth (oral hygiene)
15
10. Use the drug sample, flip chart and/or leaflet, other props as the tools to explain to the patient and relatives.
10
TERMINATION PHASE
11. Evaluate the client’s responses using the technique of giving recognition, and evaluate the patient’s knowledge using the techniques of exploration, validation, confirmation, and reinforcement.
5
12. Make the conclusion of the meeting results with the patient, and conduct the contract of time, topic, and place for the next meeting using operational language, offering self, and broad opening.
5
FINAL SCORE = Numbers x scores = …………
4
Surakarta, November 2019
Observer
(............................................)
THE TECHNICAL GUIDELINES OF ASSESSMENT (RUBRICS)
THE SKILLS OF PSYCHOEDUCATION AND PSYCHOPHARMACY
N0 The Assessed Aspects
Scores1 2 3 4
If tested to complete 25% of the components to each of the assessment items
If tested to complete 50% of the components to each of the assessment items
If tested to complete 75% of the components to each of the assessment items
If tested to complete all of the components to each of the assessment items
1 Pre-interaction Phase
2 Orientation Phase
3 Working Phase
4 Termination Phase
THE COPING SKILLS FOR HALLUCINATION THROUGH THE PHASE OF N-C RELATIONSHIP AND THE THERAPEUTIC
COMMUNICATION TECHNIQUE
Student’s Name : ………………………………… SIN : ……………………………
No Assessment Variable Total Score
S 1 2 3 4
PRE-INTERACTION PHASE
1. Determine the client according to the indication, review his/her case, identify the focus data, determine potential therapeutic communication techniques to answer his/her responses (case check).
5
ORIENTATION PHASE
2. Establish and maintain trust (for instance, by calling the patient’s name and greeting him/her, giving recognition, etc. Develop it according to the client’s data).
5
3. Conduct evaluation of validation on the nurse on the previous meeting and the current condition. Meanwhile, for the patient’s negative insights, use the therapeutic communication technique according to the client’s data and responses.
10
4. Conduct the contract of time, place, and topic to be discussed (use broad opening and other required therapeutic communication techniques).
10
WORKING PHASE
5. Review the patient’s understanding of hallucination.
5 Critical point
6. Study the content of thoughts and voices heard by the patient.
10
7. Introduce hallucination by presenting reality.
10
8. Ask the patient about how he/she is feeling when the voices appear/are heard.
5
9. Review the coping conducted when the voices come or are heard.
10
10. Explain other ways to control the voices, such as cognitive therapy, group therapy, etc.
10
TERMINATION PHASE
11. Evaluate the client’s responses and study his/her feeling during and after the meeting using the therapeutic communication technique of giving recognition.
10
12. Conclude the meeting results with the patient and conduct the contract of time, topic, and place for the next meeting using the therapeutic communication techniques of offering self, broad opening, etc.
10
TOTAL SCORE = numbers x score = ………………. 4
THE SKILLS OF COGNITIVE-ASSERTIVE THERAPY PROCEDURE TO AUDITORY HALLUCINATION PATIENTS THROUGH N-C RELATIONSHIP AND
THERAPEUTICAL COMMUNICATION TECHNIQUE
Student’s Name : ………………………………… SIN : ……………………….
No. Variables of Assessment Score
S 1 2 3
PRE-INTERACTION PHASE
1. Review the client's case, identify the data focus, determine the potential therapeutic communication techniques to answer the client's responses.
5
2. Establish and maintain trust (eg. calling the name & greeting the client, giving recognition, etc and develop them according to the patient).
5
ORIENTATION PHASE
3. Conduct validation evaluation of the nurses at the previous meeting and the current condition about the patient’s negative insights and introduce hallucination (use the therapeutic communication according to data and patient’s responses).
10
4. Conduct the contract of time, place, and topic to be discussed (use broad opening and other required therapeutic communication techniques).
10
WORKING PHASE
5. Validate hallucination content containing voices the patient believes to hear (negative insights/voices).
10
Critical point
6. Conduct the validation of the patient’s knowledge of hallucinations by presenting reality.
5
7. Study the patient’s abilities or strengths. 5
8. Give an example of how to take a deep breath as the starting point for simulating the next
5
procedure.
9. Stimulate assertive ways to balance negative thoughts (negative insights) to keep the patient’s feeling positive beginning with a deep breath.
10
10. Practice how to change negative into positive insights with the patient (the nurse becomes the voices the patient hears, and the patient becomes the patient’s thoughts).
15
TERMINATION PHASE
11. Evaluate the client’s responses and study the client during and after the meeting using the therapeutic communication technique of giving recognition.
10
12. Conclude the meeting results with the patient and conduct the contract of time, topic, and place for the next meeting using the therapeutic communication techniques of offering self, broad opening, etc.
10
TOTAL SCORE = numbers x score = ………………. 4
Note: The critical point mentioned in the assessment means that it is compulsory. Meanwhile, the scores remain in the range. Surakarta, …… 2019
Observer(……………………….)
SKILLS TO STUDY ILLUSION/DELUSIONTHROUGH N-C RELATIONSHIP AND THERAPEUTIC COMMUNICATION
TECHNIQUES
Student’s Name : ………………………………… SIN : ……………………………
No Assessment Variables Score
S 1 2 3 4
PRE-INTERACTION PHASE
13. Determine the client the indication basis, review his/her case, identify the focus data, determine the potential therapeutic communication techniques to respond client (case check).
5
ORIENTATION PHASE
14. Establish and maintain trust (such as calling and greeting the client, giving recognition, etc, elaborate it according to the client’s data).
5
15. Conduct evaluation of validation of the nurse in the previous meeting and the current condition. Use the therapeutic communication techniques according to the client’s data and responses to cope with his/her negative insights.
10
16. Conduct the contract of time, place, and topic to be discussed (use broad opening and other required therapeutic communication techniques).
10
WORKING PHASE
17. Validate the patient’s idea/belief related to the illusion containing negative insights.
5 Critical point18. Introduce illusion by presenting reality. 10
19. Study the patient’s feeling or what he/she will do when the illusion comes.
10
20. Study how to cope with illusion comes if it comes in anxiety.
5
21. Orient the reality by presenting the facts which are related to the patient’s illusion (teaching how to exercise self-control through the mind).
10
22. Ask the patient to repeat the comparison results by concluding them.
10
TERMINATION PHASE
23. Evaluate the client’s responses and review his/her feeling during and after the meeting using the therapeutic communication technique of giving recognition.
10
24. Conclude the meeting results with the patient and conduct the contract of time, topic, and place for the next meeting using the therapeutic communication techniques of offering self, broad opening, etc.
10
TOTAL SCORE = numbers x score = ……………….4
Note: The critical point mentioned in the assessment is compulsory. Meanwhile, the scores remain in the range.
Surakarta, …… 2019 Observer
(……………………….)
SKILLS OF REALITY ORIENTED THERAPY FOR DELUSION PATIENTSTHROUGH N-C RELATIONSHIP PHASE AND THERAPEUTICAL
COMMUNICATION TECHNIQUES
Student’s Name : ………………………………… SIN : ……………………………
No Assessment Variables Score
S 1 2 3 4
PRE-INTERACTION PHASE
25. Determine the client based on indications, review the client’s case, identify the focus data, determine the potential therapeutic communication techniques to answer his/her responses (case check).
5
ORIENTATION PHASE
26. Establish and maintain trust (such as calling and greeting the client, giving recognition, etc; elaborate it according to the client’s data).
5
27. Conduct an evaluation of the nurse in the previous meeting and the current condition. Use the therapeutic communication techniques according to the client’s data and responses to cope with his/her negative insights.
10
28. Conduct the contract of time, place, and topic to be discussed (use broad opening and the required therapeutic communication techniques).
10
WORKING PHASE
29. Validate the patient’s belief related to the illusion comprising negative insights (ask him/her to tell about the disturbing thoughts when he/she is anxious, describe the features).
5 Critical point
30. Study the patient’s feeling or what he/she does when the illusion comes.
5
31. Orientate reality utilizing presenting the facts which are related to the patient’s illusion.
10
32. Compare the patient’s illusion with the facts that should be linked with the illusion: cognitive therapy through comparative strategy.
10
33. Guide the patient to conclude the results of the comparison; the nurse concludes it.
10
34. Ask the patient to repeat the comparison results by concluding them.
10
TERMINATION PHASE
35. Evaluate the client’s response and review his/her feeling during and after using the therapeutic communication technique of giving recognition.
10
36. Conclude the meeting results with the patient and conduct the contract of time, topic, and place for the next meeting using the therapeutic communication techniques of offering self, broad opening, etc.
10
TOTAL SCORE = numbers x score = ……………….4
Surakarta, …… 2019 Observer
(……………………….)
NO RATED ASPECT POINT SCORE
YES NO
LABORATORY PRACTICE OF PSYCHIATRIC NURSING
SCORING RUBRIC OF THERAPEUTIC COMMUNICATION BETWEEN NURSE AND SOCIALLY ISOLATED / WITHDRAWN
PATIENTS
(GUIDING PATIENTS TO INTERACT WITH OTHERS)
Action Procedures
Name :____________________
ID Number: ________________
A. ORIENTATION PHASE( 20%)
1. Giving therapeutic greetings and introduction:
a. Greeting. 2
b. Introducing self and asking the patient’s name. 2
c. Mentioning the preferred nickname. 2
d. Conveying the purpose of interaction. 2
2. Conducting evaluation and data validation:
a. Asking the patient’s feelings today. 2
b. Validating/ evaluatingthepatient’sproblems. 4
3. Delivering the contract :
a. Time. 2
b. Place. 2
c. Topic. 2
B. WORKING PHASE ( 45%)
1. Assessing the patient’s knowledge of withdrawal behaviour
and its signs.
10
2. Giving patient the opportunity to convey the advantages of
having lots of friends/ socializing and the disadvantages of
being withdrawn people
8
3. Assessing the patient’s ability to interact with others (Patient - Nurse).
10
4. Encouraging and helping the patient to interact with others (Patient - Nurse).
10
5. Providing positive reinforcement. 7
C. TERMINATION PHASE ( 15%)
1. Evaluating the patient’s response to actions in the form of objective and sunjective data.
4
2. Conducting a follow-up plan. 5
3. Conveying the contract for the next meeting related to: 1) time, 2) place, and 3) topic.
6
D. THERAPEUTIC ATTITUDE (10%)
1. Facing and maintaining eye contact. 3
2. Bending over the patient with an open and relaxed attitude. 3
3. Maintainingtherapeutic distance. 4
E. COMMUNICATION TECHNIQUE ( 10%)
1. Using words that are easy to understand. 5
2.Using the appropriate communication techniques. 5
TOTAL 100
RUBRIC TITLE : THERAPEUTIC COMMUNICATION OF NURSES AND SOCIALLY ISOLATED / WITHDRAWN PATIENTS
(GUIDING PATIENTS TO INTERACT WITH OTHERS)
COURSE : PSYCHIATRIC NURSING
Competency Number
1InformationScore RUBRIC GUIDELINE
(language must be operational based on based applicative on
bloom taxonomy)ORIENTATION PHASE (20%)
Therapeutic Greetings Giving therapeutic greetings and introduction:
2 1 Student is able to greet
0 Student is not able to greet
2 1 Student is able to introduce self and ask the patient’s name.
0 Student is not able to introduce self and ask the patient’s name.
2 1 Student is able to call the nickname preferred by the client.
0 Student is not able to call the nickname preferred by the client.
2 1 Student is able to convey the purpose of interaction.
0 Student is not able to convey the purpose of interaction.
Conducting evaluation and validation:
2 1 Student is able to ask the patient’s feeling today
0 Student is not able to ask the patient’s feeling today
4 1 Student is able to validate/ evaluate the patient’s problems.
0 Student is not able to validate/ evaluate the patient’s problems.
Conveying contract:
2 1 Student is able to convey contract of therapeutic communication related to time with the client.
0 Student is not able to convey contract of therapeutic communication related to time with the client.
2 1 Student is able to convey contract of therapeutic communication related to place with the client.
0 Student is not able to convey contract of therapeutic communication related to place with the client.
2 1 Student is able to convey contract of therapeutic communication related to topic with the client.
0 Student is not able to convey contract of therapeutic communication related to topic with the client.
WORKING PHASE (45%)
Inviting the client to get acquainted/ socialize/ interact with others
10 1 Student is able to assess the patient’s knowledge of withdrawal behaviour and its signs.
0 Student is not able to assess the patient’s knowledge of withdrawal behaviour and its signs.
8 1 Student is able to give patient the opportunity to convey the advantages of having lots of friends/ socializing and the disadvantages of being withdrawn people.
0 Student is not able to give patient the opportunity to convey the advantages of having lots of friends/ socializing and the disadvantages of being withdrawn people.
10 1 Student is able to assessing the patient’s ability to interact with others (Patient - Nurse).
0 Student is not able to assessing the patient’s ability to interact with others (Patient - Nurse).
10 1 Student is able to encourage and help the patient to interact with others (Patient – Nurse).
0 Student is not able to encourage and help the patient to interact with others (Patient – Nurse).
7 1 Student is able to provide positive reinforcement for the client
0 Student is not able to provide positive reinforcement for the client
TERMINATION PHASE ( 15%)
4 1 Student is able to evaluate the patient’s response to actions in the form of objective and sunjective data.
0 Student is not able to evaluate the patient’s response to actions in the form of objective and sunjective data.
5 1 Student is able to invite the patient to conduct a follow-up plan
0 Student is not able to invite the patient to conduct a follow-up plan
6 1 Student is able to invite the patient to convey the contract for the next meeting related to: 1) time, 2) place, and 3) topic.
0 Student is not able to invite the patient to convey the contract for the next meeting related to: 1) time, 2) place, and 3) topic.
THERAPEUTIC ATTITUDE (10%)
3 1 Student is able to face and maintain the eye contact with the client during the interaction.
0 Student is not able to face and maintain the eye contact with the client during the interaction.
3 1 Students is able to bend over the patient with an open and relaxed attitude during the interaction
0 Students is not able to bend over the patient with an open and relaxed attitude during the interaction
4 1 Student is able to maintain therapeutic distance with the client during the interaction
0 Student is not able to maintain therapeutic distance with the client during the interaction
COMMUNICATION TECHNIQUE
( 10%)
5 1 Student is able to use words that are easy to understand during the interaction with the client
0 Student is not able to use words that are easy to understand during the interaction with the client
5 1 Student is able to use the appropriate communication techniques during the interaction with the client
0 Student is able to use the appropriate communication techniques during the interaction with the client
RUBRIC TITLE : THERAPEUTIC COMMUNICATION OF NURSES AND SOCIALLY ISOLATED / WITHDRAWN PATIENTS
(GUIDING PATIENTS TO INTERACT WITH OTHERS)
COURSE : PSYCHIATRIC NURSING
Competency Number
1InformationScor
e RUBRIC GUIDELINE (language must be operational based on based applicative on bloom
taxonomy)
ORIENTATION PHASE (20%)
Therapeutic Greetings Giving therapeutic greetings and introduction:
2 1 Student is able to greet
0 Student is not able to greet
2 1 Student is able to introduce self and ask the patient’s name.
0 Student is not able to introduce self and ask the patient’s name.
2 1 Student is able to call the nickname preferred by the client.
0 Student is not able to call the nickname preferred by the client.
2 1 Student is able to convey the purpose of interaction.
0 Student is not able to convey the purpose of interaction.
Conducting evaluation and validation:
2 1 Student is able to ask the patient’s feeling today
0 Student is not able to ask the patient’s feeling today
4 1 Student is able to validate/ evaluate the patient’s problems.
0 Student is not able to validate/ evaluate the patient’s problems.
Conveying contract:
2 1 Student is able to convey contract of therapeutic communication related to time with the client.
0 Student is not able to convey contract of therapeutic communication related to time with the client.
2 1 Student is able to convey contract of therapeutic communication related to place with the client.
0 Student is not able to convey contract of therapeutic communication related to place with the client.
2 1 Student is able to convey contract of therapeutic communication related to topic with the client.
0 Student is not able to convey contract of therapeutic communication related to topic with the client.
WORKING PHASE (45%)
Inviting the client to get acquainted/ socialize/ interact with others
10 1 Student is able to assess the patient’s knowledge of withdrawal behaviour and its signs.
0 Student is not able to assess the patient’s knowledge of withdrawal behaviour and its signs.
8 1 Student is able to give patient the opportunity to convey the advantages of having lots of friends/
socializing and the disadvantages of being withdrawn people.
0 Student is not able to give patient the opportunity to convey the advantages of having lots of friends/ socializing and the disadvantages of being withdrawn people.
10 1 Student is able to assessing the patient’s ability to interact with others (Patient - Nurse).
0 Student is not able to assessing the patient’s ability to interact with others (Patient - Nurse).
10 1 Student is able to encourage and help the patient to interact with others (Patient – Nurse).
0 Student is not able to encourage and help the patient to interact with others (Patient – Nurse).
7 1 Student is able to provide positive reinforcement for the client
0 Student is not able to provide positive reinforcement for the client
TERMINATION PHASE ( 15%)
4 1 Student is able to evaluate the patient’s response to actions in the form of objective and sunjective data.
0 Student is not able to evaluate the patient’s response to actions in the form of objective and sunjective data.
5 1 Student is able to invite the patient to conduct a follow-up plan
0 Student is not able to invite the patient to conduct a follow-up plan
6 1 Student is able to invite the patient to convey the contract for the next meeting related to: 1) time, 2) place, and 3) topic.
0 Student is not able to invite the patient to convey the contract for the next meeting related to : 1) time, 2) place, and 3) topic.
THERAPEUTIC ATTITUDE (10%)
3 1 Student is able to face and maintain the eye contact with the client during the interaction.
0 Student is not able to face and maintain the eye contact with the client during the interaction.
3 1 Students is able to bend over the patient with an open and relaxed attitude during the interaction
0 Students is not able to bend over the patient with an open and relaxed attitude during the interaction
4 1 Student is able to maintain therapeutic distance with the client during the interaction
0 Student is not able to maintain therapeutic distance with the client during the interaction
COMMUNICATION TECHNIQUE ( 10%)
5 1 Student is able to use words that are easy to understand during the interaction with the client
0 Student is not able to use words that are easy to understand during the interaction with the client
5 1 Student is able to use the appropriate communication techniques during the interaction with the client
0 Student is able to use the appropriate communication techniques during the interaction with the client
NO RATED ASPECT POINTSCORE
YES NO
A. ORIENTATION PHASE ( 20%)
1. Giving therapeutic greetings and introduction:
a. Greeting. 2
b. Introducing self and asking the patient’s name. 2
c. Mentioning the preferred nickname. 2
LABORATORY PRACTICE OF PSYCHIATRIC NURSING
SCORING RUBRIC OF THERAPEUTIC COMMUNICATION BETWEEN NURSE AND SOCIALLY ISOLATED / WITHDRAWN
PATIENTS
(GUIDING PATIENTS TO INTERACT WITH OTHERS)
Action Procedures
Name :____________________
ID Number: ________________
d. Conveying the purpose of interaction. 2
2. Conducting evaluation and data validation:
a. Asking the patient’s feelings today. 2
b. Validating/ evaluating the patient’s problems. 4
3. Delivering the contract :
a. Time. 2
b. Place. 2
c. Topic. 2
B. WORKING PHASE ( 45%)
3. Assessing the patient’s knowledge of withdrawal behaviour
and its signs.
10
4. Giving patient the opportunity to convey the advantages of
having lots of friends/ socializing and the disadvantages of
being withdrawn people
8
3.Assessing the patient’s ability to interact with others (Patient - Nurse).
10
4. Encouraging and helping the patient to interact with others (Patient - Nurse).
10
5. Providing positive reinforcement. 7
C. TERMINATION PHASE ( 15%)
1. Evaluating the patient’s response to actions in the form of objective and sunjective data.
4
2. Conducting a follow-up plan. 5
3. Conveying the contract for the next meeting related to: 1) time, 2) place, and 3) topic.
6
D. THERAPEUTIC ATTITUDE (10%)
1. Facing and maintaining eye contact. 3
2. Bending over the patient with an open and relaxed attitude. 3
3. Maintainingtherapeutic distance. 4
E. COMMUNICATION TECHNIQUE ( 10%)
1. Using words that are easy to understand. 5
2.Using the appropriate communication techniques. 5
TOTAL 100
RUBRIC TITLE : THERAPEUTIC COMMUNICATION OF NURSES AND SOCIALLY ISOLATED / WITHDRAWN PATIENTS
(GUIDING PATIENTS TO INTERACT WITH OTHERS)
COURSE :PSYCHIATRIC NURSING
Competency Number
1 InformationScore RUBRIC GUIDELINE (language must be operational based on based applicative on bloom taxonomy)
ORIENTATION PHASE (20%)
Therapeutic Greetings Giving therapeutic greetings and introduction:
2 1 Student is able to greet
0 Student is not able to greet
2 1 Student is able to introduce self and ask the patient’s name.
0 Student is not able to introduce self and ask the patient’s name.
2 1 Student is able to call the nickname preferred by the client.
0 Student is not able to call the nickname preferred by the client.
2 1 Student is able to convey the purpose of interaction.
0 Student is not able to convey the purpose of interaction.
Conducting evaluation and validation:
2 1 Student is able to ask the patient’s feeling today
0 Student is not able to ask the patient’s feeling today
4 1 Student is able to validate/ evaluate the patient’s problems.
0 Student is not able to validate/ evaluate the patient’s problems.
Conveying contract:
2 1 Student is able to convey contract of therapeutic communication related to time with the client.
0 Student is not able to convey contract of therapeutic communication related to time with the client.
2 1 Student is able to convey contract of therapeutic communication related to place with the client.
0 Student is not able to convey contract of therapeutic communication related to place with the client.
2 1 Student is able to convey contract of therapeutic communication related to topic with the client.
0 Student is not able to convey contract of therapeutic communication related to topic with the client.
WORKING PHASE(45%)
Inviting the client to get acquainted/ socialize/ interact with others
10 1 Student is able to assess the patient’s knowledge of withdrawal behaviour and its signs.
0 Student is not able to assess the patient’s knowledge of withdrawal behaviour and its signs.
8 1 Student is able to give patient the opportunity to convey the advantages of having lots of friends/ socializing and the disadvantages of being withdrawn people.
0 Student is not able to give patient the opportunity to convey the advantages of having lots of friends/ socializing and the disadvantages of being withdrawn people.
10 1 Student is able to assessing the patient’s ability to interact with others (Patient - Nurse).
0 Student is not able to assessing the patient’s ability to interact with others (Patient - Nurse).
10 1 Student is able to encourage and help the patient to interact with others (Patient – Nurse).
0 Student is not able to encourage and help the patient to interact with others (Patient – Nurse).
7 1 Student is able to provide positive reinforcement for the client
0 Student is not able to provide positive reinforcement for the client
TERMINATION PHASE( 15%)
4 1 Student is able to evaluate the patient’s response to actions in the form of objective and sunjective data.
0 Student is not able to evaluate the patient’s response to actions in the form of objective and sunjective data.
5 1 Student is able to invite the patient to conduct a follow-up plan
0 Student is not able to invite the patient to conduct a follow-up plan
6 1 Student is able to invite the patient to convey the contract for the next meeting related to : 1) time, 2) place, and 3) topic.
0 Student is not able to invite the patient to convey the contract for the next meeting related to: 1) time, 2) place, and 3) topic.
THERAPEUTIC ATTITUDE (10%)
3 1 Student is able to face and maintain the eye contact with the client during the interaction.
0 Student is not able to face and maintain the eye contact with the client during the interaction.
3 1 Students is able to bend over the patient with an open and relaxed attitude during the interaction
0 Students is not able to bend over the patient with an open and relaxed attitude during the interaction
4 1 Student is able to maintain therapeutic distance with the client during the interaction
0 Student is not able to maintain therapeutic distance with the client during the interaction
COMMUNICATION TECHNIQUE ( 10%)
5 1 Student is able to use words that are easy to understand during the interaction with the client
0 Student is not able to use words that are easy to understand during the interaction with the client
5 1 Student is able to use the appropriate communication techniques during the interaction with the client
0 Student is able to use the appropriate communication techniques during the interaction with the client