Student Performance Evaluation

Student Name: __________________________________Dates Observed: ________to_________

Course Title & Code: ____________________________ Preceptor Name:_________________

Preceptor Signature: ______________________________Date:______________________

(1) = Poor (2) = Fair Satisfactory (3) = Good (4) = Excellent (5) =

1 2 3 4 5
Critical Thinking: Synthesize knowledge, skills, and
technology from the established practice and science of
nursing.
Use effective communication and information
technology to communicate interpersonal and health
care information.
Demonstrate safe, ethical, culturally sensitive and
competent performance of nursing skills and
professional role behaviors in the clinical setting
Evaluates and implements evidence-based research
findings in education and healthcare fields as applied to
nursing.
Punctual: efficiently management of time
Attitude, behavior and interest towards work
Access to education, research, and appropriate
technologies
Promotion of evidence-based practice
Engages in collaboration, consultation, and referral with
other disciplines involved in nursing practice and
education.
Meet all expectations related to Practicum requirements
including, attendance, weekly objectives, class
preparation, making portfolio, active participation in all
practicum related activities