School of Health & Social Sciences

Diploma in Nursing
Module: HS3214 – Nursing Practice 3D

Assessment of Case Presentations during PRCP

Introduction

With reference to the learning outcomes of PRCP, students are expected to present a minimum of 3 holistic
case studies outlining (verbal presentation):
1.1 Patient’s current issues / needs and the causes.
1.2 Interventions that reduced and solved these issues / needs.
1.3 Rationales of interventions.
1.4 Evaluation of the interventions and treatment.
1.5 Presentation to include:
- Patient’s primary diagnosis.
- Pathophysiology, medication and investigation related to patient’s condition.
- Link issues based on patient’s assessment.
- Prioritise actions.
- Discharge planning.

The case presentations provide opportunities for students to demonstrate their understanding of the
patient’s needs/problems and clinical management.

Weighting of the 3 Case Presentations in the module:

Assessment components Weighting

Clinical Performance Appraisal (CPA) 80%
Case Presentation 20%
1st presentation (non-graded,
for feedback)
2nd presentation – 10%
3rd presentation – 10%

Presentation period

The 3 case presentations will take place from week 3 to week 11 of PRCP as scheduled by NYP coordinator:

1st presentation: week 3 to 5

2nd presentation: week 6 to 8

3rd presentation: week 9 to 11

Duration of EACH presentation

20 mins, followed by 10 min Q&A

Assessors

NYP coordinator and hospital clinical instructors (CI) /preceptor

Venue of presentation

Ward or discussion room, as planned by NYP coordinator

HS3214 Rubric for the Assessment of Case Presentation Year 2018 Sem 2 Page | 1
Information to Students

1. For each presentation, you are required to identify a patient who is under your care and prepare
the case presentation.

2. Select a patient:
2.1 with condition(s) that are common in your ward, and
2.2 with low to moderate complexed problems (patient has only a few alternative diagnoses or
multiple clear co-morbidities; complains of mild to moderate symptoms that interfere with
daily functions)

3. The case presentations cannot be on the same patient.

4. Obtain assessment data with NYP Patient Assessment Form & derive a care plan with Care Plan
template available on NYP Blackboard.

5. Your presentation should include:

- Patient’s primary diagnosis, chief complaint & reason for admission.
- Pathophysiology, medication and investigation related to patient’s condition.
- Link issues based on patient’s assessment.
- Explain patient’s AL problems with assessment findings and pathophysiology.
- Prioritise actions.
- Discuss nursing care with rationales, including patient education and discharge planning
- Evaluate the patient’s health status & next plan of care for patient.
- Reflect on what has helped patient and what could have been done better.

6. Provide 2 copies of your case study and marking rubric to the assessors (one copy per assessor) on
the day of assessment. The copies help assessors to understand your explanation better, not for
marking.

7. Please refer to the Rubric for the Assessment of Case Presentation during PRCP when preparing
for the presentation.

8. It is your responsibility to ensure appointments with assessors are made.

9. Please seek feedback after each presentation for your learning and improvement.

10. If you fail to present on scheduled date without a valid reason, you will be awarded ZERO for the
respective case presentation.

Information to Assessors

1. NYP coordinator will lead the assessment who will coordinate the presentation schedule based on
the availability of all parties.

2. Please refer to Information to Students to set consistent expectation between assessors.

(The identified problems need NOT be labelled with Nursing Diagnoses, but they must be based on
assessment findings)

3. Please provide feedback with the provided Rubric after each presentation. The feedback aims for
students to learn from the presentation and identify strengths and areas for improvement.

4. Each assessor shall score independently after presentations 2 & 3.

5. You are not required to mark the written work of the case study.

HS3214 Rubric for the Assessment of Case Presentation Year 2018 Sem 2 Page | 2
 School of Health & Social Sciences
Diploma in Nursing
Module: HS3214 – Nursing Practice 3D

Rubric for the Assessment of Case Presentation during PRCP

A B C D F
Criteria
Very Good Good Satisfactory Acceptable Yet to meet expectation
Patient Management Obtain an accurate, relevant Obtain an accurate and Obtain sufficient subjective Obtain superficial Obtain scanty or
and thorough subjective and relevant subjective and and objective data of the subjective and objective irrelevant subjective and
1. Accuracy & comprehensiveness in objective data of the patient. objective data of the patient. data of the patient. objective data of the
patient’s assessment & care patient. patient.
planning Identify, analyse and prioritise Identify, analyse and Identify, analyse but did
2. Analysis of patient’s assessment all patient’s problems Identify, analyse and prioritise some patient’s not prioritise some Identify few/incorrect
findings precisely. prioritise almost all patient’s problem. patient’s problems. patient’s problems and
3. Identification of patient’s problem. did not analyse and
problems Plan safe, effective and Plan safe and appropriate Plan some appropriate prioritise patient’s
4. Prioritization of care/decisions comprehensive nursing / Plan safe and appropriate nursing / collaborative nursing / collaborative problems.
5. Understanding of patient’s collaborative interventions nursing / collaborative interventions (with some interventions (without
problems and care (with rationales) relevant to interventions (with rationales) relevant to rationales) relevant to Plan nursing /
6. Approach: systematic & holistic patient’s condition which are rationales) relevant to patient’s condition. patient’s condition. collaborative
7. Ability to make sound decisions evidenced-based. patient’s condition which interventions without
8. Credibility of the sources that are evidenced-based. Provide appropriate Provide adequate rationales that are not
support the decisions made Provide a relevant & discharge plan for the discharge plan for the related to patient’s
9. Legal & ethical consideration in comprehensive discharge plan Provide relevant discharge patient and family. patient and family. conditions.
plan of care for the patient and family. plan for the patient and
family. Consider some legal and Consider minimal legal No or minimal discharge
Consider legal and ethical ethical aspect in the and ethical aspect in the planning for patient and
aspect in the delivery of care. Consider legal and ethical delivery of care. delivery of care. family.
aspect in the delivery of
Provide a thorough and care. Provide an accurate Provide an appropriate No legal and ethical
accurate evaluation of plan of evaluation of part of the but incomplete evaluation consideration in plan of
care (up to the point of Provide a thorough plan of care (up to the of the plan of care (up to care.
presentation). evaluation of plan of care point of presentation). the point of presentation).
(up to the point of No or inappropriate
presentation). evaluation of care.

25 marks 20 - 25 17 - 19 15 - 16 13 - 14 0 – 12

HS3214 Rubric for the Assessment of Case Presentation Year 2018 Sem 2 Page |3
 A B C D F
Criteria
Very Good Good Satisfactory Acceptable Yet to meet expectation
Integration of theory with practice Discuss the disease process, Discuss the disease process, Discuss the disease Discuss the disease Provide inaccurate
pathophysiology, simple pathophysiology, simple process, pathophysiology, process, pathophysiology, information about
Ability to relate the following investigations, treatment & investigations, treatment & simple investigations, simple investigations, disease process,
knowledge with patient’s condition(s): prescribed medications clearly prescribed medications treatment & prescribed treatment & prescribed pathophysiology,
and thoroughly. clearly. medications adequately medications superficially treatment & prescribed
1. patient’s clinical manifestations, with minimal verbal with some guidance. medications with
2. investigations, Relate the disease process, Relate the disease process, prompts. frequent verbal prompts
3. medical/surgical treatment, pathophysiology, simple pathophysiology, Relate the disease
4. prescribed medications, and investigation, treatment & investigations, treatment & Relate the disease process, process, pathophysiology, Unable to relate the
5. nursing care. prescribed medications to the prescribed medications to pathophysiology, investigations, treatment disease process
patient condition very clearly the patient condition very investigations, treatment & & some of the prescribed pathophysiology,
and concisely. clearly. some of the prescribed medications to the patient treatment & prescribed
medications to the patient condition with guidance. medications to the
condition adequately. patient condition despite
guidance.
15 marks 14 - 15 12 - 13 10 - 11 8-9 0-7

Overall Presentation/Discussion of Systematic, clear and concise. Systematic and clear. Clear presentation Clear but not well- Vague & disorganised.
Case Study organised.
Present within 20 mins. Present within 20 mins. Present within 20 minutes Present longer than
1. Organisation Present within 20 minutes stipulated timeframe.
2. Clarity and conciseness Confident and familiar with Familiar with patient’s Familiar with patient’s
3. Knowledge about patient patient’s problems/needs and problems/needs and plan of problems/needs and plan Knows patient’s Unsure of patient’s
4. Time Frame (20 min presentation) plan of care when presenting care when presenting and of care when presenting problems/needs and plan problems/needs and plan
5. Handling of questions posed by and when responding to when responding to and when responding to of care when presenting of care when presenting
assessors questions. questions. questions. and when responding to and when responding to
6. Credibility of References questions. questions.
References are evidenced- Require occasional Require direct occasional
based and current. supportive cues to explain verbal prompts to explain Lacks confidence. Require Lacks confidence. Unable
clearly. clearly. frequent direct verbal to explain despite
prompts to explain frequent direct verbal
References are evidenced- Some references are clearly. prompts.
based and current. evidenced-based and
current. References are not No or minimal references.
evidenced-based and
current.
10 marks 9 - 10 7-8 6 5 0-4

HS3214 Rubric for the Assessment of Case Presentation Year 2018 Sem 2 Page |4
Score Sheet by NYP coordinator and HCI CI/Preceptor
(Each assessor shall score independently after each presentation. One score sheet per assessor)

Name of Student: ____________________________________ Admission No.:____________ Tutorial group: ___________ HCI/Ward:____________________

1st Presentation 2nd Presentation 3rd Presentation

Case Presentation (e.g. Patient with Case Presentation (e.g. Patient with Case Presentation (e.g. Patient with
stroke & dementia): stroke & dementia): stroke & dementia):

Criteria Max Score Non-graded, for feedback, please Score Awarded (whole number, no Score Awarded (whole, no decimal
decimal points) points)
Patient Management 25
N.A.
Integration of theory with practice 15
N.A.
Overall Presentation/Discussion 10 N.A.

TOTAL 50
N.A.

____________________________ ____________________________ ____________________________

Assessor’s Name & Signature, Date Assessor’s Name & Signature, Date Assessor’s Name & Signature, Date

Feedback on 1st presentation:

Feedback on 2nd presentation:

Feedback on 3rd presentation:

HS3214 Rubric for the Assessment of Case Presentation Year 2018 Sem 2 Page |5