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. 2. 3. 4. Describe the most commonly prescribed drugs use in primary care for the chose condition. Utilize clinical guidelines, research articles or other materials to support your findings. Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy). Discuss best practices for optimal outcomes. REQUIREMENTS : In Week 6, create a narrated PowerPoint presentation related to a common condition in primary care. Your professor will assign you the condition that you are to present. Please use the Voice Thread feature available in your classroom to record and submit your presentation. Additional instructions on Voice Thread can be found under Course Resources. Thread narrated PowerPoint presentation of 15 slides, 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. The length of your presentation should be between 8-12 minutes total. 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/ NR508 Directions & Rubric.docx revised 8/20/18 jbb/kk 1 CHAMBERLAIN COLLEGE OF NURSING 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. Include the questions in the presentation, but DO NOT give the answers. Instead, provide the answers to the questions you have created in a comment to the Assignment; this allows your instructor to see the correct answers. 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 Voice Thread presentation you have created to the discussion area, without the answers to the multiple choice questions. Please post the presentation to the discussion area by Sunday 11:59 p.m. MT at the end of Week 6 to facilitate a robust discussio PREPARING THE POWER POINT PRESENTATION Grand Rounds PowerPoint Week 6 Category Points % Description Case Study Presentation 15 Presents a narrated case using a fictional patient who presents to clinic with assigned medical condition. Provides detailed description of patient, patient’s current medical conditions, gender, race, age, weight vital signs, smoker nonsmoker and current medications. Also include 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 such as herbal medication, homeopathic methods; acupuncture, tai chi, yoga etc. Alternative therapies must apply to the students case study. 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 NR508 Directions & Rubric.docx revised 8/20/18 jbb/kk 2 CHAMBERLAIN COLLEGE OF NURSING 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. Oral presentation is no less than 8 mins and no longer than 12 minutes .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 Meets Very good or high level of performance Satisfactory level of performance 13 Points 12 Points Needs Improvement Poor or failing level of performance Developing Unsatisfactory level of performance Content Possible Points = 70 Case Study Presentation 15 Points NR508 Directions & Rubric.docx revised 8/20/18 jbb/kk 6 Points 0 Points 3 CHAMBERLAIN COLLEGE OF NURSING Medication Management NR508 Directions & Rubric.docx Presents a narrated Voice Thread 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 narrated Voice Thread 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 narrated Voice Thread 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 narrated Voice Thread 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 narrated case study. 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 23 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. 10 Points 9 Points 8 Points 4 Points 0 Points revised 8/20/18 jbb/kk 4 CHAMBERLAIN COLLEGE OF NURSING Evidence-Based Support Barriers to Practice NR508 Directions & Rubric.docx Provides evidence from clinical guidelines, researchbased 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 providerlevel 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, researchbased articles, or other appropriate provider-level resources. Does not include evidence from Dreischulte & Guthrie (2012) article. Does not provide evidence to support. 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. 5 Points 4 Points 3 Points 1 Point 0 Points revised 8/20/18 jbb/kk 5 CHAMBERLAIN COLLEGE OF NURSING Identifying Outcomes Test Questions 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 Includes five (5) knowledge-based questions with correct responses related to presentation materials submitted as a comment to the assignment dropbox. Includes four (4) knowledge-based questions with correct responses related to presentation materials submitted as a comment to the assignment dropbox. Can we just have the student add their questions to their presentation without the answer and discuss the answers durning week 7 Content Subtotal Includes two-three (2-3) knowledgebased 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. of 70 points Format Possible Points = 5 Points 5 Points NR508 Directions & Rubric.docx revised 8/20/18 jbb/kk 0 Points 6 CHAMBERLAIN COLLEGE OF NURSING Slides are clear and easy to read. No more than 15 slides (excluding test question and reference slides) are submitted. Oral presentation is no less than 8 mins and no longer than 12 minutes. References use APA format. Formatting Slides are not clear and easy to read. More than 15 slides (excluding test question and reference slides) are submitted. Oral presentation is less than 8 mins or more than 12 minutes. References include errors in APA format. Format Subtotal Total Points of 75 points of 75 points Grand Rounds Discussion Week 7 Category Leading the Discussion Points 25 NR508 Directions & Rubric.docx % Description Posts the narrated 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 revised 8/20/18 jbb/kk 7 CHAMBERLAIN COLLEGE OF NURSING 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 NR508 Directions & Rubric.docx revised 8/20/18 jbb/kk 8 CHAMBERLAIN COLLEGE OF NURSING Criterion Exceptional Needs Improvement Exceeds Meets Very good or high level of performance Satisfactory level of performance 25 Points 22 Points 21 Points 10 Points Posts narrated 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 narrated 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 narrated 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 narrated 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. Outstanding or highest level of performance Poor or failing level of performance Developing Unsatisfactory level of performance Content Possible Points = 70 Leading the Discussion NR508 Directions & Rubric.docx revised 8/20/18 jbb/kk 0 Points Does not post narrated PowerPoint presentation in the discussion. 9 CHAMBERLAIN COLLEGE OF NURSING 10 Points Participating in the Discussion Identifying Best Practices (Participant) NR508 Directions & Rubric.docx Student responds substantively to at least three different peer presentations by Thursday 11:59 p.m. MT. 9 Points Student responds substantively to at least two different peer presentations by Thursday 11:59 p.m. MT. 20 Points 18 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, 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. revised 8/20/18 jbb/kk 8 Points Student responds substantively to at least three different peer presentations by Sunday 11:59 p.m. MT. 16 Points 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. 4 Points 0 Points 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. 8 Points 0 Points 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. 10 CHAMBERLAIN COLLEGE OF NURSING why? Uses scholarly, evidenced based references to support responses in ALL responses to presentations. Responding to questions (Participant) 15 Points Answers five questions for three different presentations for a total of fifteen questions. 13 Points Answers three-four questions for three different presentations for a total of ninetwelve questions. 12 Points Answers three-five questions for two different presentations for a total of six-ten questions. 6 Points 0 Points Answers three-five questions for one presentation. Content Subtotal Does not answer presentation questions. _____of 70 points Format Possible Points = 5 Points Grammar, APA Formatting, Syntax, Spelling, & Punctuation NR508 Directions & Rubric.docx 5 Points APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors. revised 8/20/18 jbb/kk 4 Points Two to four errors in APA format, grammar, spelling, and syntax noted. 3 Points 1 Point 0 Points 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. 11 CHAMBERLAIN COLLEGE OF NURSING Format Subtotal Total Points NR508 Directions & Rubric.docx revised 8/20/18 jbb/kk of 5 points of 75 points 12
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