11.9 Clinical Performance Concern
Overview
The School of Nursing is committed to preparing graduates who provide safe, competent, and compassionate nursing care. Clinical competency develops progressively through meaningful learning experiences in clinical practice, simulation, and laboratory settings, supported by intentional practice, reflection, faculty coaching, and guided learning.
The purpose of this policy is to establish a consistent process for identifying students who require additional competency development, implementing individualized remediation, documenting progress, and supporting students in demonstrating the competencies and course outcomes expected for their current level of learning.
Clinical Performance Concerns
Faculty continuously assess student performance throughout each clinical experience using direct observation, coaching, student reflection, feedback, and documented evidence of competency development.
When a student has not yet demonstrated an expected competency, faculty will provide timely feedback, coaching, and opportunities for continued learning and improvement.
Routine coaching and feedback are expected components of every clinical experience and are not considered formal remediation. Formal remediation is initiated when a student requires additional guided learning beyond routine coaching to demonstrate the expected competencies for the course.
Individualized Remediation
When formal remediation is needed, faculty will develop an individualized remediation plan designed to support the student’s continued competency development and successful achievement of course outcomes.
A lab prescription will be completed to document the individualized remediation plan. The lab prescription identifies:
The competency requiring additional development
Individualized learning objectives
Prescribed learning activities
Timeline for completion
Methods for evaluating progress
Criteria for demonstrating competency
Remediation activities may include, but are not limited to:
Simulation experiences
Skills laboratory practice
Medication calculation or medication administration remediation
Focused clinical learning activities
Case studies
Reflective learning assignments
Additional guided practice
Other learning activities identified by course faculty
Students are expected to complete all assigned remediation activities within the established timeframe and subsequently demonstrate the expected competencies appropriate for their current level of learning.
Failure to complete required remediation or subsequently demonstrate the expected competencies may prevent successful achievement of course outcomes and may affect progression in the nursing program.