7102NRS Trimester 3, 2022
Written Assignment Task 3 – Coroner’s case study Essay: 2000 words
Weighting: 40%
Due Date: Monday 6th February 2023.
Aim:
The aim of this essay is for you to demonstrate critical evaluation of a patient deterioration event that ended in death. Patients who deteriorate and die when accessing health services are rarely simple cases and all members of the team usually have a part to play in the events that occur. You will develop an applied understanding of how to identify factors that lead to poor outcomes and suggest ways to avoid these outcomes in the future. Safe patient care is often determined by the vigilance of staff caring for them and this essay will assist you to identify where vigilance is necessary for patient safety in a complex situation.
This assessment addresses learning outcomes 1, 2, and 4
- Apply critical thinking and problem-solving skills to design comprehensive situational assessment for complex clients.
- Interpret evidence to identify and manage deteriorating clients and support their families.
4. Apply advanced knowledge and judgement to manage ethical and legal issues in high-risk situations to promote best health outcomes
Task description:
For this task you need to write a 2000 word essay in which you critically evaluate a case study of a patient who has died, related to your clinical specialty.
You must structure your essay using the following headings and inclusions:
- Introduction: Introduce the topic [100 words]
- Recognition and response to deterioration in complex clients: Discuss and justify how recognition and response to deteriorating clients influences patient outcomes. [200 words]
- Case study evaluation: Review the case study.
- Research the condition and management recommendations for the patient in the case study.
- Critically evaluate the case study and identify the situational factors and most important points of time during the care where incorrect decisions or missed opportunities to intervene influenced the deterioration of the client.
- Identify patient-related complexities that contributed to the outcome.
- Outline legal and ethical issues if they exist as well as best practice requirements that were missed or not well applied.
- Support your evaluation with reference to the literature. [800 words]
- Recommendations: Provide recommendations/strategies for improvement related to the trigger points you identified to reduce the risk of future errors or poor patient outcomes.
- Explain how applying leadership approaches to the situation may promote alternate outcomes.
- Align your recommendations with the quality health standards pertinent to your practice (In Australia these are the National Safety and Quality Health Service (NSQHS) Standards).
- Support your recommendations/strategies with rationales underpinned with research evidence. [800 words]
- Conclusion: Conclude with a summary statement about the priority areas of discussion for this case study related to the effective management of complex clients [100 words]
Other elements:
- Always refer to the Health Writing and Referencing Guide.
- Use APA 7th edition referencing style.
- Ensure that you use scholarly literature1 (digitised readings, research articles, relevant Government reports and text books) that has been published within the last five years; you may use seminal literature as relevant.
- Use academic language2 throughout.
- The use of headings in this essay is appropriate.
- Word limit of 2000 words needs to be strictly adhered to. The word limit for an assessment item includes in-text citations, tables and quotations. The word limit DOES NOT include the reference list and headings. Please note the marker will cease marking your submitted work once they have reached the allocated word limit.
- Refer to the marking guidelines when writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
Assessment 3 7102NRS GRADING RUBRIC
| Task-specific criteria | 20-17 | 16.5-15 | 14.5-13 | 12.5-10 | 9.5-0 |
| Recognition and response to deterioration (Total possible marks 20) | Clearly and concisely evaluates the situational factors generally related to patient deterioration.Use of the literature demonstrated evidence of wide reading.Able to discriminate high quality evidence-based literature that is highly relevant to the issues identified.Concise and excellent justification and application of evidence presented. | Clearly evaluates the situational factors generally related to patient deterioration.Use of the literature demonstrated evidence of wide reading.Able to discriminate high quality evidence-based literature that is mostly relevant to the issues identified.Detailed justification and application of evidence presented. | Evaluates most of the situational factors generally related to patient deterioration.Use of the literature demonstrated evidence of wide reading.Mostly able to discriminate high quality evidence-based literature generally relevant to the issues identified.Sound justification and application of evidence presented. | Evaluates the essential situational factors generally related to patient deterioration.Use of the literature demonstrated evidence of adequate reading.Generally able to discriminate evidence- based literature relevant to the issues identified.Basic justification and application of evidence presented. | Discussion provided only, evaluation not undertaken, of the essential situational factors generally related to patient deterioration.Use of the literature demonstrated limited scope of reading.Literature cited often not relevant to chosen patient case presented or not from valid academic sources (e.g., websites) OR parts of your assignment were not supported by appropriate references.Poor justification of evidence presented. Links to the chosen patient case are unclear. |
| 40-34 | 33-30 | 29-26 | 25-20 | 19-0 | |
| Case study critical evaluation (Total possible marks 40) | Clearly and concisely evaluates the situational factors related to the patient’s deterioration in the chosen case study.Includes strong justification for evaluation of case study with reference to best practice guidelines and a wide range of scholarly literatureClearly and concisely discusses patient factors that created complexity in the chosen case.Comprehensive, concise and relevant discussion of all/any legal or ethical issues identified in the chosen case study.Able to discriminate high quality evidence-based literature that is highly relevant to the issues identified. | Clearly evaluates the situational factors related to the patient’s deterioration in the chosen case study.Able to justify evaluation of case study with reference to best practice guidelines and a wide range of scholarly literatureClearly discusses patient factors that created complexity in the chosen case.Comprehensive and relevant discussion of all/any legal or ethical issues identified in the chosen case study.Able to discriminate high quality evidence-based literature that is mostly relevant to the chosen patient case. | Evaluates most of the situational factors related to the patient’s deterioration in the chosen case study.Most often able to justify evaluation of case study with reference to best practice guidelines and a range of scholarly literatureDetailed discussion of many patient factors that created complexity in the chosen case.Detailed and relevant discussion of most/any legal or ethical issues identified in the chosen case study.Mostly able to discriminate high quality evidence-based literature generally relevant to the chosen patient case. | Evaluates the essential situational factors related to the patient’s deterioration in the chosen case study.Able to justify essential elements of evaluation of case study with reference to best practice guidelines and a range of scholarly literatureDiscusses main patient factors that created complexity in the chosen case. Relevant discussion of many/any legal or ethical issues identified in the chosen case study.Generally able to discriminate evidence- based literature relevant to the chosen patient case. | Discussion provided only, evaluation not undertaken, or situational factors discussed not relevant to the patient as described.Inadequate justification of evaluation of case study OR does not regularly reference best practice guidelines using a range of scholarly literatureUnclear or inadequate discussion of many patient factors that created complexity in the chosen case.Inadequate discussion of many/any legal or ethical issues identified in the chosen case study.Literature cited often not relevant to chosen patient case presented or not from valid academic sources (e.g., lay websites). |
| 30-25.5 | 25-22.5 | 22-19.5 | 19-15 | 14.5-0 | |
| Recommendations for improvement to reduce risk of future errors (Total possible marks 30) | Excellent, comprehensive and relevant recommendations developed supported by concise and thorough justification and application of evidence presented.All recommendations showed strong links to quality standards, ethical and legal principles (where appropriate) and how this could impact positively on patient outcomes. | Detailed and relevant recommendations developed supported by concise and excellent justification and application of evidence presented.All recommendations showed direct links to quality standards, ethical and legal principles (where appropriate) and how this could impact positively on patient outcomes. | Credible and relevant recommendations developed supported by sound justification and application of evidence presented.Most recommendations showed links to quality standards, ethical and legal principles (where appropriate) and how this could impact positively on patient outcomes. | Recommendations developed were mostly relevant and supported by justification and application of evidence presented.Some recommendations showed some links to quality standards, ethical and legal principles (where appropriate) and how this could impact positively on patient outcomes. | Inadequate recommendations developed. Links to the chosen patient case may be unclear.Recommendations were poorly linked to quality standards, ethical and legal principles (where appropriate) or how this could impact positively on patient outcomes. |
| 10-8.5 | 8-7.5 | 7-6.5 | 6-5 | 5-0 | |
| Referencing style and essay presentation (Total possible marks 10) | References cited using APA 7th edition in-text and reference list, consistent with very few if any, minor errors.References are predominantly sourced from a range of peer- reviewed research. There are 20 or more references.100% correct spelling, grammar and punctuationExcellent organisation of ideas / logical sequenceKey points clear and relevant to topic | References cited using APA 7 in-text and reference list, consistent with few minor errors.At least half of the references are sourced from peer-reviewed research. There are 18-20 or more references provided.100% correct spelling, grammar and punctuationVery good organisation of ideas / logical sequenceKey points clear and relevant to topic. | References cited using APA 7 in-text and reference list, consistent with some minor errors.At least half of the references are sourced from peer-reviewed articles. There are 16-20 references provided.Mostly correct spelling, grammar and punctuation (1-2 minor errors)Good organisation of ideas / logical sequence Key points clear and relevant to topic. | References cited using APA 7 in-text and reference list; may be some major or minor errors.The references are predominantly from websites or grey literature. There are less than 12 references provided.Mostly correct spelling, grammar, punctuation (4-6 minor errorsOrganisation of ideas / logical sequenceKey points clear and relevant to topic | References not consistently cited using APA 7 in-text and reference list; major errors in applying APA 7 style.The references are from non-peer reviewed sources. There are less than 12 references provided.Multiple errors in spelling, grammar, punctuationOrganisation of ideas / sequence lack logical arrangementKey points clear and relevant to topic |
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