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1-Major Clinical Project Semester 2 Updated 8.11.22

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COLLIN COLLEGE ADN PROGRAM – RNSG 2361
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RNSG 2361
Major Clinical Project
Supporting Your Patient with Proper Education
Teach interventions to prevent frequent hospital readmissions in a patient with Chronic Disease
COLLIN COLLEGE ADN PROGRAM – RNSG 2361
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Major Clinical Project Focus: Patient Education
Description
Objectives:
a.
b.
c.
d.
e.
Explore nursing teaching modalities
Discuss specific patient education strategies used in patient education
Recognize the correlation between patient problems and patient learning needs
Manage the patient education safely and effectively
Investigate the RN scope of practice in patient education
Introduction:
Chronic conditions affect patients every single day. Teaching is an essential skill in nursing to prevent multiple
patient readmissions. This project aims to provide continuity of care after hospital discharge and empower clients to
maintain or improve their health status. Thus, an essential part of this project is effective teaching using appropriate
methodologies and accurate information.
Case Study:
Your patient is being discharged home with one of the conditions cited below. Your job is threefold. First, write a 2page paper identifying patient variables that may affect the teaching/learning outcomes based on the chronic
condition/target population assigned by the clinical instructor. Second, develop a teaching content for the patient
before discharge (pamphlet). Third, present a virtual follow-up visit using a video modality of your choosing to teach
the patient about the condition and how to prevent recurrent hospitalizations. Your teaching must contain
evidence-based interventions, and your instructor will assign each student the chronic condition/Target Population.
Chronic condition/Target Population
Below are possible “patients”, your clinical instructor may assign a different condition &/or target
population
Asthma
Female - 20 years
Right and left Congestive Health Failure
Female - 65 years old
Chronic Obstructive Pulmonary Disease (COPD) Male - 50 years old -smoker
Chronic Anemia
Female - 65 years old- alcoholic
Diabetes Type 1
Non-binary -15 years old
Diabetes Type 2
Male: 45 years old – 350 Lbs.
Peripheral Vascular Disease
Female: 60 Years old- smoker
Depression/ Anxiety
Female (Transsexual)- 40 years old
Pneumonia
Male: 70 years old
DVT
Female: 40 years old- smoker
Chronic Condition Assigned by Clinical
Target Population Assigned by Clinical Instructor
Instructor
Project Instructions:
1. Write a two-page paper identifying the following:
a. Chronic condition/Target Population assigned by the clinical instructor
COLLIN COLLEGE ADN PROGRAM – RNSG 2361
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b. Identify patient variables that may affect the teaching/learning outcomes.
Consider each of the following and incorporate these variables into the teaching strategies
planned:
i. Neurological and functional status (alertness, sensory, movement)
ii. Educational level/reading, comprehension, and writing ability
iii. Readiness to learn
iv. Preferred style of learning (auditory, visual, kinesthetic)
v. Age/developmental level that impacts outcomes/teaching strategies
vi. Barriers to learning: pain, medications, drug/alcohol abuse, staff attitudes, and illness
experience, etc.
vii. Estimate of learning potential as evidenced by: strengths, weaknesses, non-compliance
issues, barriers to compliance, recurrent admits, and/or self-care initiatives which the
client or caregiver can state, note on the chart, or observe by the nurse
viii. Estimate of learning needs based on variables of, but not limited to, language, religion,
or other ethnic customs and habits.
ix. Psycho/social issues: coping, finances, resources –human & material, family problems,
living arrangements, caregiver interest/support, lifestyle (dines out often, travels
frequently, etc.)
c. Client/Care Giver Learning Outcomes Identify learning outcomes (goals) in BCTM or SMART
terms. The desired client behaviors, conditions, time frames, measurement of the goals to be
accomplished
i. Identify learning outcomes by learning domains: cognitive, psychomotor, or affective
ii. Construct outcomes that are relevant to the problem and are realistically attainable
d. Must be in APA format and include APA in-text citations and references
2. Create a one-page pamphlet
a. Creativity is critical as you help the patient remember the critical points of prevention to avoid
hospital readmission in chronic conditions.
b. Must contain a description of the condition, evidence-based interventions, tertiary prevention,
and when and how to consult the primary physician or return to the emergency department in
an emergent situation.
c. Must include APA in-text citations and references
3. Create and submit in Canvas a 10-minute video OR can be completed in post conference
a. Simulate calling the patient for follow-up care after being discharged from the hospital
b. Introduce yourself and explain why the follow-up call is important, i.e., to prevent
hospitalizations, rehospitalization, and so on
c. Explain the goals of the call
d. Explain the interventions cited in the pamphlet
e. Explain s/s for a worsening of the condition and when to contact the primary provider
f. Provide a follow phone number or website where the patient and/or family can reach you
g. The video format is your choice. It is highly recommended to use Studio (A platform inside
Canvas) to complete the video portion of the assignment. More information on how to utilize
the studio platform is found on the "Page" for this assignment
COLLIN COLLEGE ADN PROGRAM – RNSG 2361
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h. Other Requirements for the assignment
i. Absolute professional environment
ii. Professional dress code.
4. Submit all pieces of the assignment in Canvas by the date assigned by your clinical instructor.
Chronic Condition Patient Education Grading Criteria
Area
Teaching & Learning Assessment (Paper Assignment)
1. Discusses and incorporates teaching methodology/strategy for the assigned
patient (Instructor will select a Chronic condition/Target Population form
the list above)
2. Identify patient variables that may affect the teaching/learning outcomes.
Consider each of the following and incorporate these variables into the
teaching strategies planned:
a. Chronic condition/Target Population assigned by the clinical instructor
b. Identify patient variables that may affect the teaching/learning
outcomes.
Consider each of the following and incorporate these variables into the
teaching strategies planned:
i. Neurological and functional status (alertness, sensory, movement)
ii. Educational level/reading, comprehension, and writing ability
iii. Readiness to learn
iv. Preferred style of learning (auditory, visual, kinesthetic)
v. Age/developmental level that impacts outcomes/teaching strategies
vi. Barriers to learning: pain, medications, drug/alcohol abuse, staff
attitudes, and illness experience, etc.
vii. Estimate of learning potential as evidenced by: strengths,
weaknesses, non-compliance issues, barriers to compliance,
recurrent admits, and/or self-care initiatives which the client or
caregiver can state, note on the chart, or observe by the nurse
viii. Estimate of learning needs based on variables of, but not limited to,
language, religion, or other ethnic customs and habits.
ix. Psycho/social issues: coping, finances, resources –human & material,
family problems, living arrangements, caregiver interest/support,
lifestyle (dines out often, travels frequently, etc.)
3. APA format that includes in-text citations and three scholarly references
(One of the three references must be a research article, the remaining
references can come from the required text)
4. The paper must be a minimum of 500 words that does not include the title
page or references
POTENTIAL
POINTS
35
POINTS
EARNED
35
COLLIN COLLEGE ADN PROGRAM – RNSG 2361
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Teaching & Learning Material (Pamphlet)
1. Clearly identify the chronic condition/target Population.
2. Professional and creative
3. Ideas flow logically
4. Demonstrate a commitment to the successful completion of the project.
5. Good use of visual aids
6. Contains:
a. Description of the condition
b. Evidence-based interventions
c. Tertiary prevention strategies
d. When and how to consult the primary physician or return to the emergency
department in an emergent situation.
7. The presentation must include relevant and peer-reviewed literature. Include
the research literature links.
8. Must include APA in-text citations and references
Teaching & Learning Experience (10 minutes Presentation)
1. Simulate calling the patient for follow-up care after being discharged from
the hospital
2. Introduce yourself and explain why the follow-up call is important, i.e., to
prevent hospitalizations, rehospitalization, and so on
3. Explain the goals of the call
4. Explain the interventions cited in the pamphlet
5. Provide evidence of how the teaching is related to the cause of the patient's
problem.
6. Provide appropriate and individualized teaching to client/family situations.
7. Present the best evidence to answer the clinical question.
8. Briefly describe the problem's background, its clinical significance, and
how you searched for the best evidence to answer the question.
9. Explain the interventions cited in the pamphlet
10. Explain s/s for a worsening of the condition and when to contact the
primary provider
11. Provide a follow phone number or website where the patient and/or family
can reach you
12. If you choose a video format. The video format is your choice. Please make
sure the video is correctly uploaded.
13. Other requirements for the assignment
1. Absolute professional environment
2. Professional dress code.
Total Earned Points
35
35
30
100
30
100
COLLIN COLLEGE ADN PROGRAM – RNSG 2361
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Chronic Condition Patient Education Grading Criteria
The following criteria must be met for the project to be accepted and graded:
1. Submit Teaching & Learning Assessment (Paper Assignment)
2. Teaching & Learning Material (Pamphlet)
3. Submits (if a video) or Presents a Teaching & Learning Experience (10 minute presentation)
Grade:
Student Signature:
Instructor Signature:
Date:
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