Discuss Best Practices For Optimal Outcomes.
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Chamberlain College of Nursing
Grand Rounds
Guidelines with Scoring Rubric
Purpose
The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of multiple pharmacological agents through facilitated discussion.
Description
In Week 6, you will create a PowerPoint Grand Rounds presentation on the topic assigned to you by the faculty member. In Week 7, you will lead a discussion based on your presentation as well as interact with peers in discussions related to their Grand Rounds presentations.
Course Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Describe the most commonly prescribed drugs use in primary care for the chose condition.
2. Utilize clinical guidelines, research articles or other materials to support your findings.
3. Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).
4. Discuss best practices for optimal outcomes.
Due Dates: Week 6: Grand Rounds PowerPoint Presentation due by Sunday 11:59 p.m. MT at the end of Week 6.
Week 7: Presentation must be uploaded to Week 7 discussion by Sunday 11:59 p.m. MT at the end of Week 6. Three responses to a peer’s presentations are due by Thursday 11:59 p.m. MT of Week 7, answers five questions in three different presentations (total of 15) and all follow-up posts to your presentation due by Sunday at 11:59 p.m. MT at the end of Week 7.
Total Points Possible: Week 6 PowerPoint- 75 points
Week 7 Discussion- 75 points
Requirements:
In Week 6, create a PowerPoint presentation related to a common condition in primary care. Your professor will assign you the condition that you are to present.
In a PowerPoint presentation of 15 slides or less, describe the most commonly prescribed drugs for your assigned condition. Provide evidence by sharing clinical guidelines, research articles, or other scholarly materials to support your findings. You will identify barriers to practice or additional issues related to the condition and the use of pharmacologic treatment, including potential issues related to cultural diversity and healthcare literacy.
Read the following article and incorporate evidence from it as a part of your presentation: Dreischulte, T., & Guthrie, B. (2012). High-risk prescribing and monitoring in primary care: how common is it, and how can it be improved?. Therapeutic advances in drug safety, 3(4), 175-184. The article can be found at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110851/
Finally, you will describe the expected outcomes for medication management, including expectations for follow up care. Citations should be provided at the bottom of slides, and a full reference list should be included in APA format on the final slide. You will create five (5) multiple choice or true-false questions created from your presentation content. Provide the answers to the questions you have created. The PowerPoint presentation and questions are due by Sunday 11:59 p.m. MT at the end of Week 6.
In Week 7, you will post the PowerPoint presentation you have created to the discussion area, but first remove the answers to the questions you have created. Please post the presentation including five (5) questions to the discussion area by Sunday 11:59 p.m. MT at the end of Week 6 to facilitate a robust discussion.
Participating in the Discussion: You will be required to respond to at least three other students, who have no responses to their posting.** In your post, you will discuss a drug that could be prescribed for the condition DIFFERENT than those presented. Come up with a different treatment plan from the Walmart or Target $4 RX list, and offer reasons for the change or if the drug is not on the list, why? Use references to support your responses. You should also answer the presenter’s five questions.
Three responses to a peer’s presentations are due by Thursday 11:59 p.m. MT of Week 7 so that the presenting student can interact with you.
**If all students have a response, then choose the student with the least responses to their posting.
Leading the Discussion: You must respond to any student who posts to you by THURSDAY regarding your case with a substantial response, either answering their questions or noting their response and acting as leader. You also must respond to any faculty responses to your initial posting if posted by THURSDAY. Use references to support your responses. All FINAL responses to your initial posts must be completed by Sunday, 11:59 p.m. MT.
Preparing the power point presentation
Grand Rounds PowerPoint Week 6
Category
Points
%
Description
Case Study Presentation
15
Presents a case using a fictional patient who presents to clinic with assigned medical condition. Provides detailed description of patient, including signs and symptoms of condition
Medication Management
20
Describes, in detail, the most commonly prescribed drugs for condition, including trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions. Describes alternate therapies.
Evidence Based Support
10
Provides evidence from clinical guidelines, research-based articles, or other appropriate provider-level resources. Includes evidence from Dreischulte & Guthrie (2012) article.
Barriers to Practice
5
Describes potential barriers, issues, or problems related to disease process and prescribing, including potential issues related to cultural or socioeconomic diversity and healthcare literacy
Identifying Outcomes
5
Describe optimal outcomes after treatment with suggested medication
Test Questions
15
Includes five (5) knowledge-based questions related to presentation materials
Formatting
5
Slides are clear and easy to read. No more than 15 slides (excluding test question and reference slides) are submitted. References use APA format.
Total
75
100
A quality assignment will meet or exceed all of the above requirements.
Grading Rubric PowerPoint Presentation- Week 6
Criterion
Exceptional
Outstanding or highest level of performance
Exceeds
Very good or high level of performance
Meets
Satisfactory level of performance
Needs Improvement
Poor or failing level of performance
Developing
Unsatisfactory level of performance
Content
Possible Points = 70
Case Study Presentation
15 Points
13 Points
12 Points
6 Points
0 Points
Presents a case using a fictional patient who presents to clinic with assigned medical condition. Provides detailed description of patient, including signs and symptoms of condition.
Presents a case using a fictional patient who presents to clinic with assigned medical condition. Provides detailed description of patient, but omits some signs and symptoms of condition.
Presents a case using a fictional patient who presents to clinic with assigned medical condition. Provides vague description of patient and omits some signs and symptoms of condition.
Presents a case using a fictional patient who presents to clinic with assigned medical condition, but does not provide description of patient, including signs and symptoms of condition.
Does not present a case study.
Medication Management
20 Points
18 Points
16 Points
8 Points
0 Points
Describes, in detail, the first line prescribed drugs for condition, including trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions. Describes alternate therapies.
Generally describes the first line prescribed drugs for condition, omitting one of the following: trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions, and alternate therapies.
Generally describes the first line prescribed drugs for condition, omitting 2-3 of the following: trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions, and alternate therapies.
Generally describes the first line prescribed drugs for condition, or incorrectly identifies first line drug, omitting 4 or more of the following: trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions, and alternate therapies.
Does not describe medications for condition.
Evidence-Based Support
10 Points
9 Points
8 Points
4 Points
0 Points
Provides evidence from clinical guidelines, research-based articles, or other appropriate provider-level resources. Includes evidence from Dreischulte & Guthrie (2012) article.
Provides evidence from clinical guidelines, research-based articles, or other appropriate provider-level resources. Does not include evidence from Dreischulte & Guthrie (2012) article.
Provides evidence from sources other than clinical guidelines, research-based articles, or other appropriate provider-level resources. Includes evidence from Dreischulte & Guthrie (2012) article.
Provides evidence from sources other than clinical guidelines, research-based articles, or other appropriate provider-level resources. Does not include evidence from Dreischulte & Guthrie (2012) article.
Does not provide evidence to support.
Barriers to Practice
5 Points
4 Points
3 Points
1 Point
0 Points
Describes potential barriers, issues, or problems related to disease process and prescribing, including potential issues related to cultural or socioeconomic diversity and healthcare literacy.
Describes potential barriers, issues, or problems related to disease process and prescribing, but omits potential issues related to either cultural, socioeconomic diversity, or healthcare literacy.
Describes potential barriers, issues, or problems related to disease process and prescribing, but omits potential issues related to two of the following: cultural, socioeconomic diversity, or healthcare literacy.
Describes potential barriers, issues, or problems related to disease process and prescribing, but omits potential issues related to cultural, socioeconomic diversity, AND healthcare literacy.
Does not describe potential barriers.
Identifying Outcomes
5 Points
4 Points
3 Points
1 Point
0 Points
Describe optimal outcomes after treatment with suggested medication, including expected follow up care.
Describe optimal outcomes after treatment with suggested medication, does not include expected follow up care.
Incorrectly identifies optimal outcomes after treatment with suggested medication, including expected follow up care.
Incorrectly identifies optimal outcomes after treatment with suggested medication, does not include expected follow up care.
Does not address outcomes.
15 Points
13 Points
12 Points
6 Points
0 Points
Test Questions
Includes five (5) knowledge-based questions with correct responses related to presentation materials.
Includes four (4) knowledge-based questions with correct responses related to presentation materials.
Includes two-three (2-3) knowledge-based questions related to presentation materials
OR
Includes five (5) questions but does not include correct responses.
Includes one (1) knowledge-based question related to presentation materials.
Does not include questions.
Content Subtotal
of 70 points
Format
Possible Points = 5 Points
Grammar, APA Formatting, Syntax, Spelling, & Punctuation
5 Points
4 Points
3 Points
1 Point
0 Points
Discuss Best Practices For Optimal Outcomes.
Discuss Best Practices For Optimal Outcomes.
Discuss Best Practices For Optimal Outcomes.
Discuss Best Practices For Optimal Outcomes.
Discuss Best Practices For Optimal Outcomes.
APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.
Two to four errors in APA format, grammar, spelling, and syntax noted
Five to seven errors in APA format, grammar, spelling, and syntax noted.
More than 7 errors in APA format, grammar, spelling, and syntax noted
Post contains ten or more errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback
Format Subtotal
of 75 points
Total Points
of 75 points
Grand Rounds Discussion Week 7
Category
Points
%
Description
Leading the Discussion
25
Posts PowerPoint presentation by Sunday 11:59 p.m. at the end of Week 6. Responds substantively to all peers who interact with PowerPoint presentation, and answers any faculty questions posted to discussion by Sunday 11:59 p.m. MT at the end of Week 7.
Participating in the Discussion
10
Responds substantively to at least three different peer presentations by Thursday 11:59 p.m. MT of Week 7.
Identifying best practices
20
In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Presents an alternate treatment plan from the Walmart or Target $4 RX list, and offers reasons for the change or if the drug is not on the list, why? Uses scholarly, evidenced based references to support responses.
Responding to questions
15
Answers five (5) questions for three different presentations for a total of 15 questions.
Format
5
Compose the posts in clear, concise, and organized manner using proper APA format, grammar and syntax.
Total
75
Grading Rubric Grand Rounds Discussion- Week 7
Criterion
Exceptional
Outstanding or highest level of performance
Exceeds
Very good or high level of performance
Meets
Satisfactory level of performance
Needs Improvement
Poor or failing level of performance
Developing
Unsatisfactory level of performance
Content
Possible Points = 70
Leading the Discussion
25 Points
22 Points
21 Points
10 Points
0 Points
Posts PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds substantively to all peers who interact with PowerPoint presentation, and answers any faculty questions posted to discussion by Sunday 11:59 p.m. MT at the end of Week 7.
Posts PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds substantively to some peers who interact with PowerPoint presentation, and answers any faculty questions by Sunday 11:59 p.m. MT at the end of Week 7.
Posts PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds with limited substance to some peers who interact with PowerPoint presentation, but does not answer faculty questions by Sunday 11:59 p.m. MT at the end of Week 7.
Posts PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds to faculty questions, but does not respond to peers in own presentation discussion.
Does not post PowerPoint presentation in the discussion.
10 Points
9 Points
8 Points
4 Points
0 Points
Participating in the Discussion
Student responds substantively to at least three different peer presentations by Thursday 11:59 p.m. MT.
Student responds substantively to at least two different peer presentations by Thursday 11:59 p.m. MT.
Student responds substantively to at least three different peer presentations by Sunday 11:59 p.m. MT.
Student responds substantively to one peer presentation by Thursday 11:59 p.m. MT.
Student does not participate; or, student responds to less than three peer presentations by after Thursday 11:59 p.m. MT.
Identifying Best Practices (Participant)
20 Points
18 Points
16 Points
8 Points
0 Points
In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Presents an alternate treatment plan from the Walmart or Target $4 RX list, and offers reasons for the change or if the drug is not on the list, why? Uses scholarly, evidenced based references to support responses in ALL responses to presentations.
In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Presents an alternate treatment plan from the Walmart or Target $4 RX list, but does not provide reasons for the change or why the drug is not on the list. Uses scholarly, evidenced based references to support responses in at least 2 responses to presentations.
In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Does not present alternate treatment.
Uses scholarly, evidenced based references to support responses in at least 2 responses to presentations.
In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Does not present alternate treatment. Does not provide scholarly, evidence based references.
Does not provide substantive responses to peer presentations. Does not include different drugs nor provide scholarly resources.
Responding to questions (Participant)
15 Points
13 Points
12 Points
6 Points
0 Points
Answers five questions for three different presentations for a total of fifteen questions.
Answers three-four questions for three different presentations for a total of nine-twelve questions.
Answers three-five questions for two different presentations for a total of six-ten questions.
Answers three-five questions for one presentation.
Does not answer presentation questions.
Content Subtotal
_____of 70 points
Format
Possible Points = 5 Points
Grammar, APA Formatting, Syntax, Spelling, & Punctuation
5 Points
4 Points
3 Points
1 Point
0 Points
APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.
Two to four errors in APA format, grammar, spelling, and syntax noted.
Five to seven errors in APA format, grammar, spelling, and syntax noted.
More than 7 errors in APA format, grammar, spelling, and syntax noted.
Post contains ten or more errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.
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