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Final Evaluation
Student: ____________________________________
Clinical Instructor: ____________________________
Placement: __________________________________
Satisfactory
Unsatisfactory
Please circle the appropriate outcome
Course Objective
Recognize and begin to navigate the complexities of
family nursing.
Unsatisfac
tory
Satisfac
tory
To be completed by student:
Student Areas of Strength
1. Listening and following instructions
2. Initiative
3. Responsibility
Student Areas for Future Development
1. Communication skills
2. Organization
3. Confidence
Clinical Instructor Comments (All areas marked as unsatisfactory must have a
comment)
Attendance
Hrs.
Hrs.
5
Week
1
Week
2
Week
3
Week
4
Week 5
Week 6
Week 7
Week 8
Signature of Instructor____________________________________
Date_______________________________
Signature of Student______________________________________
Date________________________________