Overview

Course Number:

NR603

Course Title:

Advanced Clinical Diagnosis and Practice Across the Lifespan

Course Credits:

3 credits (0.5 Theory; 2.5 Clinical)

Prerequisite:

NR601, NR602

Course Description

This course continues to expand the theoretical and practical knowledge of diagnostic principles specific to the role of the FNP for the healthcare needs of individuals of all ages. Students will further develop their skills related to health promotion, prevention of illness, diagnosis, and management of complex acute and chronic conditions, including behavioral health. Care strategies will include patient education, protocol development, follow-up, and referral through a clinical practicum experience in a precepted advanced practice setting.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

Author, A. A., & Author, B. B. (year of publication). Title of textbook in italics (X ed.). City, ST: Publisher.

Information regarding supplementary material, software, etc.

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Optional Textbooks

The following books are required for this course:

Book Title

Information regarding supplementary material, software, etc.

Physical Books and Supplies

To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

Access E-Book

Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandburg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). Retrieved from https://online.vitalsource.com


The following book is required across all FNP courses:

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

The following book is recommended across all FNP courses:

Access E-Book

Goroll, A. H., & Mulley, A. G. (2014). Primary care medicine: Office evaluation and management of the adult patient (7th ed.). China: Wolters Kluwer.


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

This book is recommended and available in the library.

Physical Books and Supplies

To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.

eBook Details

First Time Using VitalSource?

Step 1: View the VitalSource Video

Step 2: Register with VitalSource Bookshelf Online

  1. Click the cover or title of your eBook. A new window will open.
  2. Enter email address and password. Bookshelf Online will open.

Step 3: Access the Desktop and Mobile Versions

You must complete Step 2 prior to using the desktop or mobile versions.

Already Registered?   3 Ways to Access Your eBooks

Bookshelf

Online

Access your eBook by clicking on the book cover or title in the syllabus page. Bookshelf Online will open.

Desktop devices

Desktop

Download your eBooks and use them whether you're connected to the Internet or not.

Mobile devices

Mobile

Download the app and get your eBooks on your iPhone, iPad, or Android device.

Program Outcomes

Program Outcomes of Chamberlain nursing programs can be found in the Program Descriptions section of your College Catalog. You can access your College Catalog at http://www.chamberlain.edu/msncatalog.

The MSN program outcomes are aligned with the American Association of Colleges of Nursing publication, The Essentials of Master's Education in Nursing (2011). Upon completion of the MSN degree program, the graduate will be able to:

1

Practice safe, high-quality advanced nursing care based on concepts and knowledge from nursing and related disciplines.

2

Construct processes for leading and promoting quality improvement and safety in advanced nursing practice and healthcare delivery.

3

Use contemporary communication modalities effectively in advanced nursing roles.

4

Evaluate the design, implementation and outcomes of strategies developed to meet healthcare needs.

5

Develop a plan for lifelong personal and professional growth that integrates professional values regarding scholarship, service and global engagement.

6

Apply legal, ethical and human-caring principles to situations in advanced nursing practice.

7

Design patient-centered care models and delivery systems using the best available scientific evidence.

8

Manage human, fiscal and physical resources to achieve and support individual and organizational goals.

9

Compose a plan for systematic inquiry and dissemination of findings to support advanced nursing practice, patient-care innovation, and the nursing profession.

10

Collaborate interprofessionally in research, education, practice, health policy and leadership to improve population health outcomes.

11

Apply principles of informatics to manage data and information in order to support effective decision making.

Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. The COs that will be covered in detail each week can be found in the Overview page in that particular week. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.

Upon completion of this course, the student will be able to do the following.

1

Utilize critical inquiry and judgment to evaluate the design, implementation, and outcomes of strategies developed for health promotion, health protection, disease prevention, and treatment models across diverse healthcare delivery systems. (PO 7)

2

Assimilate primary care competencies into specialty nurse practitioner practice that exemplify professional values, scholarship, service, and culturally competent global awareness and support ongoing professional and personal development. (PO 9)

3

Plan for healthcare delivery system negotiation and management of human and physical resources in a fiscally responsible manner to support high-quality and cost-effective care and decision making. (PO 3)

4

Synthesize health promotion, health protection, disease prevention, and treatment across the lifespan. (PO 1)

5

Demonstrate patient-centered care through the nurse practitioner patient relationship across the lifespan. (PO 7)

6

Promote safety and quality patient outcomes through integration of the teaching-coaching functions across the lifespan. (PO 1)

7

Exemplify a commitment to the professional role of the family nurse practitioner when providing care across the lifespan. (PO 5)

8

Apply management and leadership concepts in diverse healthcare delivery systems to improve health outcomes across the lifespan. (PO 8)

9

Utilize continuous quality improvement strategies to promote healthcare quality and safety across the lifespan. (PO 2)

10

Incorporate cultural preferences, values, health beliefs, and behaviors into healthcare across the lifespan. (PO 7)

11

Formulate differential diagnosis using critical thinking and integration and interpretation of different forms of data. (PO 1)

12

Reflect on personal and professional growth toward achieving competence as a family nurse practitioner. (PO 5, 10)

Course Schedule

Week, COs, and TopicsReadingsAssignments

Week 1

CO 1, 2, 4, 5, 10, and 11

Neurologic Issues

Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandburg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). Retrieved from https://online.vitalsource.com

  • Chapter 9: Cognitive Development
  • Chapter 32: Head Trauma
  • Chapter 36: Syncope
  • Chapter 84: Inner Ear Disturbances
  • Chapter 194: Dizziness and Vertigo
  • Chapter 196: Headache
  • Chapter 197: Infections of the Central Nervous System
  • Chapter 201: Seizure Disorder
  • Chapter 202: Trigeminal Neuralgia
  • Chapter 203: Intracranial Tumors

Leddy, J. J., Sandhu, H., Sodhi, V., Baker, J. G., & Willer, B. (2012). Rehabilitation of concussion and post-concussion syndrome. Sports Health, 4(2), 147-154. link to article retrieval

Website Exploration:

American College of Radiology ACR Appropriateness Criteria located at https://acsearch.acr.org/docs/69482/Narrative/

Clinical Encounter Log in eLogs

Case Study Discussion

Week 2

COs 1, 3, 4, 5, 6, 8, 9, 10, and 11

Pulmonary and Infectious Conditions in Primary Care

Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandburg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). Retrieved from https://online.vitalsource.com

  • Chapter 24: Acute Bronchospasm
  • Chapter 29: Chemical Exposure
  • Chapter 31: Environmental and Food Allergies
  • Chapter 92: Sinusitis
  • Chapter 101: Pharyngitis and Tonsillitis
  • Chapter 102: Acute Bronchitis
  • Chapter 103: Asthma
  • Chapter 104: Chest Pain
  • Chapter 105: Chronic Cough
  • Chapter 106: Chronic Obstructive Pulmonary Disease
  • Chapter 107: Dyspnea
  • Chapter 109: Lung Cancer
  • Chapter 111: Pneumonia
  • Chapter 113: Pulmonary Embolism
  • Chapter 231: Influenza

Ilmarinen, P., Tuomisto, L. E., & Kankaanranta, H. (2015). Phenotypes, risk factors, and mechanisms of adult-onset asthma. Mediators Of Inflammation, 2015, p. 514868. doi:10.1155/2015/514868 link to article

Clinical Encounter Log in eLogs (required, but not graded)

Case Study Discussion

Week 3

CO 1, 3, 4, 5, 6, 8, 9, 10, and 11

Cardiovascular and Hematological Conditions in Primary Care

Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandburg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). Retrieved from https://online.vitalsource.com

  • Chapter 28: Cardiac Arrest
  • Chapter 33: Hypotension
  • Chapter 116: Cardiac Diagnostic Testing; Noninvasive Assessment of Coronary Artery Disease
  • Chapter 117: Abdominal Aortic Aneurysm
  • Chapter 118: Cardiac Arrhythmias
  • Chapter 119: Carotid Artery Disease
  • Chapter 120: Chest Pain and Coronary Artery Disease
  • Chapter 121: Heart Failure
  • Chapter 122: Hypertension
  • Chapter 123: Infective Endocarditis
  • Chapter 126: Valvular Heart Disease and Cardiac Murmurs
  • Chapter 211: Lipid Disorders
  • Chapter 212: Metabolic Syndrome

James, P.A. et al, (2013) 2014 Evidence-based guideline for the management of high blood pressure in adults: Report From the panel members appointed to the eighth Joint National Committee (JNC 8). JAMA.311(5):507-520. doi:10.1001/jama.2013.284427.

Clinical Encounter Log in eLogs (required, but not graded)

Case Study Discussion

Week 4

CO 1, 3, 4, 5, 6, 8, 9, 10, 11

APEA Predictor Exam

No assigned readings.

Clinical Encounter Log in eLogs (required, but not graded)

APEA Predictor Exam Assignment (graded)

Midterm Clinical Performance Evaluation in eLogs (required)

Week 5

CO 1, 3, 4, 5, 6, 8, 9, 10, and 11

Integumentary and Altered Mental Status

Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandburg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). Retrieved from https://online.vitalsource.com

  • Chapter 38: Examination of Skin and Approach to Diagnosing Skin Disorders
  • Chapter 40: Principles of Dermatologic Therapy
  • Chapter 41: Screening for Skin Cancer
  • Chapter 47: Cellulitis
  • Chapter 48: Contact Dermatitis
  • Chapter 50: Cutaneous Herpes
  • Chapter 52: Dry Skin
  • Chapter 188: Neuropsychological Evaluation
  • Chapter 190: Bell Palsy
  • Chapter 191: Cerebrovascular Events
  • Chapter 192: Delirium
  • Chapter 193: Dementia
  • Chapter 200: Parkinson's Disease

Galvin, J. & Sadowsky, C. (2012). Practical guidelines for the recognition and diagnosis of dementia. Journal of the American Board of Family Medicine 23(3). doi: 10.3122/jabfm.2012.03.100181

Clinical Encounter Log in eLogs (required, but not graded)

Case Study Discussion

Week 6

CO 1, 3, 4, 5, 6, 8, 9, 10, and 11

Psychiatric-Mental Health Issues in Primary Care

Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandburg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). Retrieved from https://online.vitalsource.com

  • Chapter 247: Anxiety Disorders
  • Chapter 248: Mood Disorders
  • Chapter 249: Substance Use Disorders
  • Chapter 250: Other Mental Health Disorders

Locke, A., Kirst, N., & Shultz, C. (n.d). Diagnosis and management of Generalized Anxiety Disorder and Panic Disorder in adults. American Family Physician, 91(9), 617-624. link to article

Murphy, S.A. (2009). Screening, intervention, and referral in primary care: A continuing challenge. Journal of Addictions Nursing, 20, 63-65. link to article

Scrandis,D.A. & Watt,M. (2013). Antidepressant medication management in primary care: Not just another pill. The Journal for Nurse Practitioners, 9 (7), 449-457. link to article

Willenbring, M., Massey, S., & Gardner, M. (2009). Helping patients who drink too much: An evidence-based guide for primary care clinicians. American Family Physician, 80(1), 44-50. link to article

Worley, J. (2014). What prescribers can learn from doctor shoppers. The Journal for Nurse Practitioners, 10 (2), 75-82. link to article

Supplemental (not required):

DiSantostefano, J. (2010). Getting to know the ICD-10-CM:Decoding codes. The Journal for Nurse Practitioners, 6(2), 149-150. link to article

Clinical Encounter Log in eLogs (required, but not graded)

Clinical Case Presentation (graded)

Week 7

CO 1, 3, 4, 5, 6, 8, 9 10, and 11

Gastrointestinal and Genitourinary Conditions in Primary Care

Buttaro, T., Trybulski, J., Polgar-Bailey, P., & Sandburg-Cook, J. (2017). Primary care: A collaborative practice. (5th ed.). Retrieved from https://online.vitalsource.com

  • Chapter 127: Abdominal Pain and Infections
  • Chapter 129: Cholelithiasis and Cholecystitis
  • Chapter 130: Cirrhosis
  • Chapter 133: Diverticular Disease
  • Chapter 135: Gastroesophageal Reflux Disease
  • Chapter 136: Gastrointestinal Hemorrhage
  • Chapter 137: Hepatitis
  • Chapter 138: Inflammatory Bowel Disease
  • Chapter 140: Jaundice
  • Chapter 141: Nausea and Vomiting
  • Chapter 142: Pancreatitis
  • Chapter 143: Tumors of the GI Tract
  • Chapter 144: Peptic Ulcer Disease
  • Chapter 153: Urinary Tract Infections and Sexually Transmitted Diseases
  • Chapter 230: HIV Infection

Benedict, D.G. (2008). Walking the tightrope: Chronic pain and substance abuse. The Journal for Nurse Practitioners, 4 (8), 604-609. link to article

Garcia, A. M. (2013). State laws regulating prescribing of controlled substances: balancing the public health problems of chronic pain and prescription painkiller abuse and overdose. The Journal Of Law, Medicine & Ethics: A Journal Of The American Society Of Law, Medicine & Ethics, 41 42-45. doi:10.1111/jlme.12037 link to article

Hand, K. (2014). Hepatitis C screening and guideline update. The Journal for Nurse Practitioners (10)1, 64-66. link to article

Clinical Encounter Log in eLogs (required, but not graded)

Case Study Discussion

Week 8

CO 12

Cultural Diversity Issues in Primary Care


Centers for Disease Control and Prevention. (2012). American Indian/Alaskan Native. Retrieved from http://www.cdc.gov/minorityhealth/populations/REMP/aian.html

Centers for Disease Control and Prevention. (2013). Asian American Populations. Retrieved from http://www.cdc.gov/minorityhealth/populations/REMP/asian.html

Centers for Disease Control and Prevention. (2014). Black or African American. Retrieved from http://www.cdc.gov/minorityhealth/populations/REMP/black.html

Centers for Disease Control and Prevention. (2013). Hispanic or Latino Populations. Retrieved from http://www.cdc.gov/minorityhealth/populations/REMP/hispanic.html

Centers for Disease Control and Prevention. (n.d.). White. Retrieved from http://www.cdc.gov/omhd/Populations/White.htm

Clinical Encounter Log (graded)

Clinical Performance Evaluation (graded)

Reflection (graded)


Late Assignment Policy

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.

In the event of an emergency that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.

This Policy applies to assignments that contribute to the numerical calculation of the course letter grade.

Evaluation Methods

The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.

Graded ItemPointsWeighting
Case Study Discussions (100 points, Weeks 1, 2, 3, 5, & 7)500
50%

APEA Predictor Exam Assignment (Week 4)

10010%

Clinical Case Presentation (Week 6)

10010%

Reflection

(due Week 8)

505%

Clinical Encounter Log

(due Weeks 1–8)

Clinical Performance Evaluation

(due Week 8)

Final clinical performance evaluation pass and documentation of 125 hours* = 250 points    

Fail or unsatisfactory on clinical performance evaluation and less than 125 hours documented* =0 points

*A maximum of fifteen (15) alternative hours is allowed in each FNP clinical course. The alternative hours can only be documented in the three (3) approved categories (1. Lab review 2. Telephone management 3. Prescription refills).

25025%
Total1,000

100%

 

No extra credit assignments are permitted for any reason.

All of your course requirements are graded using points. At the end of the course, the points are converted to a letter grade using the scale in the table below. Percentages of 0.5% or higher are not raised to the next whole number. A final grade of 76% (letter grade C) is required to pass the course.

Letter GradePointsPercentage
A  940–1,00094% to 100%
A- 920–93992% to 93%
B+890–91989% to 91%
B  860–88986% to 88%
B- 840–85984% to 85%
C+810–83981% to 83%
C  760–80976% to 80%
F  759 and below75% and below

NOTE:To receive credit for a week's discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week's assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.

Students agree that, by taking this course, all required papers may be subject to submission for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such papers. Use of the Turnitin.com service is subject to the Terms and Conditions of Use posted on the Turnitin.com site.

Participation for MSN

Threaded Discussion Guiding Principles

The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD's ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.

Participation Guidelines

Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.

Grading Rubric Guidelines

Performance Category109840

Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category 109
8
40

Application of Course Knowledge -

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor's launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category
 54
3
20

Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer
Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students' comments
  • Does not post to the thread
  • No connections are made to the topic
 Minus 1 PointMinus 2 PointMinus 3 PointMinus 4 PointMinus 5 Point

Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost   -5 points lost

Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day.

   

The student does not meet the minimum requirement of two postings on two different days

Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.

   

The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

NOTE: To receive credit for a week's discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week's assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.

Participation for MSN

Participation Guidelines

The weekly case study discussion is worth up to 100 points. Students are expected to participate a minimum of four times (once in Part One by Tuesday, 11:59 p.m. MT, once in Part Two by Thursday, 11:59 p.m. MT, provide a written summary in SOAP format to the Dropbox by Sunday, 11:59 p.m. MT, and one post to a student peer as required in the interactive dialogue criterion). The student must provide answers to the graded case study questions from Part One, post a treatment plan for Part Two and provide a written summation of their case in SOAP format to the Dropbox for Part Three. The written summation must be submitted in a Word document and the following file naming convention be used: Last name.week#.SOAP For example: if your last name is Smith then your Week 1 SOAP note would be saved as Smith.Week1.SOAP

Grading Rubric

Criteria

Exceptional

Outstanding or highest level of performance

Exceeds

Very good or high level of performance

Meets

Satisfactory level of performance

Needs Improvements

Poor or failing  level of performance

Developing

Unsatisfactory level of performance

 Total Points Possible= 100     
   30 Points 26 Points  24 Points  11 Points  0 Points
Application of Course KnowledgePost contributes unique perspectives/insights applicable to the results from the physical exam and diagnosis (es).

Part One: Initial post includes at least three (3) appropriate differential diagnoses with rationale and answers all questions presented in the case. Demonstrates course knowledge/assigned readings by: linking questions and tests/interventions to diagnoses,linking diseases by identifying symptoms and patient information.

Parts Two and Three: Primary and secondary diagnoses and treatment plan supported with rationale from the literature. Differential diagnoses are eliminated.

All five (5) parts of the treatment plan are thorough, specific and evidence-based.

 

Post contributes unique perspectives or insights, but may lack some applicability to presented case study patients.

Part One: Initial post includes at least two (2) appropriate differential diagnoses with rationale and answers most of the questions presented in the case. One to two (1-2) elements of specificity identified in course expectations not met

Parts Two and Three: Confirmed diagnosis (es) and treatment plan partially applicable and evidence-based for each case study patient.


 

Post has limited perspective, insights and/or applicability to presented case study patients.

Part One: Initial post does not address each patient or does not include at least two (2) differential diagnoses for each patient. Some evidence-based rationale may be missing. Does not answer questions presented in the case. Two (2) or more elements of specificity from course expectations not met.

Parts Two and Three: Confirmed diagnosis and treatment plan are not applicable to specific case study or some sections may not be evidence-based.


 

Post perspectives are not consistent with current practice. Three (3) or more elements from course expectations missing from parts two and/or three, differential diagnoses not eliminated from Part Two and/or Three.

 

Post offers no insight or application to the case study presentation.

 

   30 Points  26 Points24 Points  11 Points 0 Points
Support from Evidence-Based Practice (EBP)Initial discussion posts in Parts One, Two and SOAP note are supported by evidence from appropriate sources published within the last 5 years. In-text citations and full references are provided.

 

Initial discussion posts for Parts One, Two, and SOAP note are partially supported by evidence from appropriate sources published within the last 5 years.

 

In-text citations and full references are provided.

Evidence-based reference( s) used but may not fully support the treatment plan.

Initial discussion posts for Parts One, Two, and SOAP note are partially supported by evidence.

Sources may not be scholarly in nature or may be older than 5 years.

In-text citations and/or full references may be incomplete or missing.



Citations to non-scholarly websites given as rationale to support differential diagnoses and/or treatment plan.

 

 
Discussion posts contain no evidence-based practice reference or citation.

 

*Students should note that factitious sources, sources that are clearly not read by the student and used, or sources that have incorrect dates will result in an automatic zero (0) for this section for the week.

    10 Points   9 Points   8 Points   4 Points   0 Points
OrganizationDiscussion posts and SOAP notes presents case study findings in a logical, meaningful, and understandable sequence. Each problem-based learning case study patient is presented individually in all discussion posts and SOAP notes.

 

Part One: Discussion questions addressed individually for each patient.


 

Discussion posts and SOAP notes are relevant to the topic but may be unclear or difficult to follow in places.

 

Part One: Discussion questions may not be addressed individually for each patient.

Part Two or SOAP note contains all elements but may not be written following SOAP note format.

 

Discussion posts and SOAP notes not fully relevant to the topic. May be unclear or difficult to follow in places.

 

Part Two and SOAP note do not contain all components and/or may be missing data.



Discussion post presents case findings and plan or intervention that are sometimes unclear to follow and may not always be relevant to topic.
Discussion post is not relevant to case study.

 

 

26 Points

23 Points

  21 Points

  10 Points

 0 Points

Interactive DialoguePresents case study findings and responds substantively to at least one topic-related post of a peer including evidence from appropriate sources, and all direct faculty questions posted in Parts One and Two.

 


 

Presents case study findings and responds substantively to at least one topic-related post of a peer. Does include evidence from appropriate sources.

 

Responds to some direct faculty questions posted in Parts One and Two. 

 

Responds to a student peer and faculty questions but the posts adds limited content or insights to the discussion.

 

Does include evidence from appropriate sources.

 

Responds to a student peer and/or faculty, but the nature of the response is not substantive.

 

Does not include evidence from any sources.

 

Does not respond to a topic-related peer post and/or does not respond to faculty questions posted by Sunday.

 

 

  4 Points

  3 Points

  2 Points

  1 Points

  0  Points

Grammar, Syntax, APA

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.

Eight to nine errors in APA format, grammar, spelling, and syntax noted.

Post contains greater than ten errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.

 0 Points Deducted

 

  Points Deducted for Late or Missing Posts

Participation

Enters first post to part one by 11:59 p.m. MT on Tuesday; First post to part two by 11:59 p.m. MT on Thursday; and submits written summation by Sunday 11:59 p.m. MT. Written submission (SOAP notes) will NOT be accepted after Sunday 11:59 p.m. MT.
Enters first post to Part One by 11:59 p.m. MT on Tuesday; first post to Part Two by 11:59 p.m. MT on Thursday; and enters peer response/faculty responses and written summation (SOAP) by Sunday 11:59 p.m. MT.

 

 

 

 

Ten percent (10%) per day for each late discussion post.

*See Calculating Late Posting Penalty Document

Written submissions including SOAPs will not be accepted after Sunday 11:59 p.m. MT of the week they are due.

33 points deducted per part if Part One, Part Two or SOAP note is/are not submitted by Sunday by 11:59 p.m. MT of the week they are due.

Webliography Disclaimer

The purpose of the Webliography is to provide students with annotated bibliographies of world wide websites relevant to their courses. These websites are not meant to be all inclusive of what is available for each course's subjects and have not been sanctioned as academically rigorous or scholarly by Chamberlain College of Nursing. Please exercise caution when using these websites for course assignments and references.

Professional Portfolio

Select assignments from courses across the FNP program will be compiled as artifacts within a Professional Portfolio to demonstrate your professional growth and expertise. Your final portfolio, which will be submitted in the final course NR661, will be assessed against the learning outcomes of the program. The Professional Portfolio will include the following:

  • Reflections from Week 8 for all FNP courses
  • Five exemplar case studies (student selects top five)
  • eLogs portfolio
  • Curriculum vitae
  • Professional development plan paper from NR510