Preceptor Evaluation for Nursing Leadership by Kimberly Kraeger M.S., R. N.
SUNY Institute of Technology
School of Nursing and Health Systems
Preceptor/Student Evaluation Form
NUR 444 - Nursing Leadership
The following criteria will be used to determine a student’s clinical competence. A satisfactory level of achievement on the following criteria is required for the student to pass the clinical component of NUR 444.
During the clinical experience, the student: Sat. Unsat.
B. Demonstrated appropriate assertiveness techniques _____X _____
C. Utilized effective communication skills _____X _____
D. Demonstrated responsibility to the nursing profession _____X _____
E. Demonstrated personal accountability _____X _____
B. Collaborated with appropriate persons to develop and
implement clinical proposal X
C. Utilized formal and/or informal teaching opportunities _____X _____
3. Utilized nursing process for problem-solving and goal achievement
A. Developed objectives that guided clinical activity _____X _____
B. Evaluated achievement of objectives _____X _____
C. Revised objectives to enhance learning experience, if necessary _____X _____
A. Demonstrated awareness of conflict management strategies _____X _____
B. Utilized effective decision-making techniques _____X _____
C. Compared the effects of different leadership styles on the work
environment _____X _____
Student Comments: The experience was very pleasant and Kim was a great mentor. Hope more students go to her in the future.
Student Signature: Emily Alicea Date: 4/25/16
Preceptor Comments:
The student was a pleasure to have. She was prepared for the presentation and did a wonderful job presenting to the students. The students enjoyed the presentation. It was very informative and the presentation did keep the students involved for 35 minutes. I wish her all the best in her nursing career.
Preceptor Signature: Date: 4/18/16
Kimberly Kraeger M.S., R. N.
School of Nursing and Health Systems
Preceptor/Student Evaluation Form
NUR 444 - Nursing Leadership
The following criteria will be used to determine a student’s clinical competence. A satisfactory level of achievement on the following criteria is required for the student to pass the clinical component of NUR 444.
During the clinical experience, the student: Sat. Unsat.
- Demonstrated professional role development:
B. Demonstrated appropriate assertiveness techniques _____X _____
C. Utilized effective communication skills _____X _____
D. Demonstrated responsibility to the nursing profession _____X _____
E. Demonstrated personal accountability _____X _____
- Collaborated with others in the achievement of the professional role
B. Collaborated with appropriate persons to develop and
implement clinical proposal X
C. Utilized formal and/or informal teaching opportunities _____X _____
3. Utilized nursing process for problem-solving and goal achievement
A. Developed objectives that guided clinical activity _____X _____
B. Evaluated achievement of objectives _____X _____
C. Revised objectives to enhance learning experience, if necessary _____X _____
- Integrated leadership and management principles into professional
A. Demonstrated awareness of conflict management strategies _____X _____
B. Utilized effective decision-making techniques _____X _____
C. Compared the effects of different leadership styles on the work
environment _____X _____
Student Comments: The experience was very pleasant and Kim was a great mentor. Hope more students go to her in the future.
Student Signature: Emily Alicea Date: 4/25/16
Preceptor Comments:
The student was a pleasure to have. She was prepared for the presentation and did a wonderful job presenting to the students. The students enjoyed the presentation. It was very informative and the presentation did keep the students involved for 35 minutes. I wish her all the best in her nursing career.
Preceptor Signature: Date: 4/18/16
Kimberly Kraeger M.S., R. N.