NR511 Clinical Practice Guidelines
NR511 Clinical Practice Guidelines
Clinical Practice Guideline Assignment
Guidelines with Scoring Rubric
Purpose
Clinical practice guidelines (CPGs) are written to provide recommendations that are intended to assist providers in making decisions for specific circumstances or disease conditions. CPGs are based on systematic reviews of the best available evidenced based medicine research. Interpreting and learning to apply guidelines into practice is necessary to develop and enhance diagnostic reasoning skills.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1) Read and interpret a primary care related CPG for use in practice. (CO 3)
2) Identify the CPG recommendations and strength of evidence. (CO 3)
3) Compare and contrast the diagnosis and treatment of a patient seen in the clinical setting to the recommendations given in the CPG. (CO 3)
Due Date:
Students will be RANDOMLY assigned a CPG on a disease topic by their instructor in Week 1. Students will post a brief, narrated, PowerPoint presentation along with a copy of their CPG and a written transcript of their presentation by Wednesday 11:59 p.m. MT of Week 7. This will allow others to view their peer’s presentation in order to provide an evaluation before Sunday.
Total Points Possible: 150
Requirements:
1. Students will RANDOMLY be assigned a CPG on a disease topic by their instructor in
Week 1.
2. In Week 7, students will provide a brief, narrated PowerPoint presentation using VoiceThread or Kaltura while following the directions and rubric listed below.
3. In addition to the presentation, students will provide a written transcript to the Week 7 assignment box for the instructor’s reference. (NOTE: A written transcript is a word for word script of exactly what is said in the PowerPoint Narration. It is not a paper and does not need to be in APA format. See the transcripts under each lecture in the weekly lessons for examples).
4. Students will share a copy of their given CPG by attaching it to the discussion board where their presentation (or link) is posted. This will allow the instructor and peer to review along with your presentation.
5. The narrated PowerPoint presentation, copy of the CPG, and transcript are due before Wednesday 11:59pm MT of Week 7.
6. If any of the required items are missing or are submitted after the deadline, late penalties will be applied according to the Late Assignment Policy as discussion in the Syllabus.
Preparing the presentation:
The presentation should be developed using the following guidelines:
· All presentations must be in PowerPoint format and narrated using VoiceThread or Kaltura.
· Slides should be professional in appearance and easy to read.
· The presentation should be no more than 15min.
· The presentation should be shared with the class for viewing by posting a link in the Week 7 discussion board BEFORE Wednesday 11:59pm MT.
· Students should ensure that the publishing options in VoiceThread are set to allow everyone viewing privileges.
· Attach the CPG article to the Week 7 discussion board by using the paperclip icon.
· Submit a written transcript of your presentation (see definition above) to the Week 7 assignment box, before Wednesday 11:59 p.m. MT.
· Correct grammar, punctuation, and spelling should be observed in all slides.
· A reference slide should be included as the final slide and APA format should be observed.
| Category | Points | % | Description |
| Disease & Background | 15 | 10% | Identify the disease condition and give a brief statement of incidence and prevalence in the U.S. Discuss the pathophysiology of the disease and typical clinical presentation seen in patients with the condition. |
| Publication & Applicability in Primary Care | 30 | 20% | Identify the author, organization or group that developed the CPG along with the year of the original guideline publication Discuss why the CPG is applicable in the primary care setting. |
| Key Action statements and Body of Evidence | 45 | 30% | Provide each of the CPG’s “Key Action” or “Guideline Statements” up to a maximum of 5 relevant recommendations. Identify the evidence strength for each recommendation If the statement has applicability to other groups, only discuss the relevant primary care ones. |
| Application in your Clinical Rotation | 45 | 30% | Using an example of a patient from your clinical rotation with the same condition, discuss how the diagnosis and treatment of your patient compared to the recommendations given in the guidelines. |
| Presentation Quality | 15 | 10% | PowerPoint and Voicethread are used for the presentation. Slides are well organized and aesthetically pleasing. Student’s narration is understandable and well-paced. Written transcript provided. References are cited. |
| Total | 150 | 100% | A quality assignment will meet or exceed all of the above requirements. |
Topics for Clinical Practice Guideline Assignment
Suggestions
Acute Otitis Media
Lieberthal, A.S., Aaron, E.C., Chonmaitree, T., Ganiats, T.G., Hoberman, A., et al. (2013). The Diagnosis and Management of Acute Otitis Media. Pediatrics, 131(3), e964-e999.
Polycystic Ovarian Syndrome
Legro, R.S., Arslanian, S.A., Ehrmann, D.A., Hoeger, K.M., Murad, M.H., et al. (2013). Diagnosis and treatment of polycystic ovary syndrome: An Endocrine Society Clinical Practice Guideline. Journal of Clinical Endocrinology Metabolism, 98(12), 4565-92.
Acute Otitis Externa
Rosenfeld, R.M., Schwartz, S.R., RonCannon, C., Roland, P.S., Simon, G.R., et al. (2014). Clinical Practice Guideline: Acute Otitis Externa. Otolaryngology-head and Neck Surgery, 150(1), S1-S24.
Hypothyroidism
American Association of Clinical Endocrinologists and American Thyroid Association Taskforce. Clinical Practice Guidelines for Hypothyroidism in Adults. Endocrine Practice, 18(6).
Strep Pharyngitis
Shulman, S.T., Bisno, A.L., Clegg, H.W., Gerber, M.A., Kaplan, E.L., et al., (2012). Clinical Practice Guidelines for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Disease, 55(10), 1279-82.
Cholesterol
Jellinger, P.S., Handelsman, Y., Rosenblit, P.D., Bloomgarden, Z.T., Fonesca, V.A. et al., (2017). American Association of Clinical Endocrinologists and American College of Endocrinology Guidelines for the Management of Dyslipidemia and Prevention of Cardiovascular Disease. Endocrine Practice, 23 (S2).
Hypertension
James, P.A., Ortiz, E, et al. (2014). Evidence-based Guideline for the Management of High Blood Pressure in Adults: (JNC8). Journal of the American Medical Association, 311(5), 507-20.
Acute bacterial sinusitis in children
Wald, E.R., Applegate, K.E., Bordley, C., Darrow, D.H., Glode, M.P., et al. (2013). Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years. Pediatrics, 132(1), 1017.
Adult sinusitis
Rosenfeld, R.M., Piccirillo, J.F., Chandrasekhar, S.S., Brook, I., Kumar, K.A., et al. (2015). Clinical Practice Guideline (Update): Adult Sinusitis. Otolaryngology-Head and Neck Surgery, 152(2), SS1-S39.
Allergic rhinitis
Seidman, M.D., Gurgel, R.K., Lin, S. Y., Schwartz, S. R., Baroody, F. M., et al. (2015). Clinical Practice Guideline: Allergic Rhinitis. Otolaryngology-Head and Neck Surgery, 125(1S) S1-S43.
Acne vulgaris
Zaenglein, A. L., Pathy, A. L., Schlosser, B. J., Alikhan, A., Baldwin, H.E. (2016). Guidelines of care for the management of acne vulgaris. Journal of the American Academy of Dermatology, 74, 945-73.
Non-alcoholic fatty liver disease
Chalasani, N., Younossi, Z., Lavine, J., Charlton, M., Cusi, K., et al. (2018). The Diagnosis and Management of Nonalcoholic Fatty Liver Disease: Practice Guidance from the American Association for the Study of Liver Diseases. Hepatology, 67(1).
GERD in adults
Katz, P.O., Gerson, L.B., Vela, M.F. (2013). Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease. American Journal of Gastroenterology, 108, 308-328.
Obstructive sleep apnea
Kapur, V.K., Auckley, D.H., Chowdhuri, S., Kuhlmann, D.C., Mehra, R., et al. (2017). Clinical Practice Guideline for the Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline. Journal of Clinical Sleep Medicine, 13(3).
Cystitis
Gupta, K., Hooton, T., Naber, K., Wullt, B., Colgan, R., et al. (2011). International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clinical Infectious Diseases, 52(5), e103-e120.
Breast Cancer Screening
All 3 groups have recommendations. Might be fun to assign 1 to each student and they can compare as peer reviewers too. Up to you.
ACS
ACOG
USPSTF
Late penalty deductions will follow the Late Penalty Policy for assignments as specified in the Course Syllabus
