Clinical Reasoning and Care Coordination in Advanced Practice Nursing - Ruthanne Kuiper, Daniel J. Pesut, Tamatha E. Arms

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Clinical Reasoning and Care Coordination in Advanced Practice Nursing (eBook)

Ruthanne Kuiper, Daniel J. Pesut, Tamatha E. Arms (Autoren)

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2016 | 1., First Edition
416 Seiten
Springer Publishing Company (Verlag)
978-0-8261-3184-3 (ISBN)

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Teaches students how to"e; think like an APRN"e; This book describes an innovative model for helping APRN students develop the clinical reasoning skills required to navigate complex patient care needs and coordination in advanced nursing practice. This model, the Outcome-Present-State-Test (OPT), encompasses a clear, step-by-step process that students can use to learn the skills of differential diagnosis and hone clinical reasoning strategies. This method facilitates understanding of the relationship among patient problems, outcomes, and interventions that focus on promoting patient safety and care coordination. It moves beyond traditional ways of problem solving by focusing on patient scenarios and stories and juxtaposing issues and outcomes that have been derived from an analysis of patient problems, evidence-based interventions, and desired outcomes. The model offers a blueprint for using standardized health care languages and provides strategies for developing reflective and complex thinking that becomes habitual. It embodies several levels of perspective related to patient-centered care planning, team-centered negotiation, and health care system considerations. Through patient stories and case scenarios, the text highlights care coordination strategies critical in complex patient situations. It provides students with the tools to collect patient information, determine priorities for care, and test interventions to reach health care outcomes by making clinical judgments during the problem-solving process. Concept maps illustrate complex patient care issues and how they relate to each other. For faculty use, the text provides links to relevant APN competencies and provides guidelines for using the OPT when supervising students in field settings. Key Features: Delivers a concrete learning model for developing creative thinking and problem solving in the clinical setting Offers a blueprint and structure for using standardized health care languages Includes patient stories and case scenarios to illustrate effective use of the OPT model Highlights care coordination strategies associated with complex client situations with the use of the Care Coordination Clinical Reasoning model Reinforces methods of reaching a diagnosis, outcomes, and interventions and how to duplicate the process

TITLE PAGE

TABLE OF CONTENTS

Unit I CARE COORDINATION CLINICAL REASONING FOUNDATIONS

Care Coordination Clinical Reasoning: Contemporary Competency Expectations
1. Introduction
2. Learning Outcomes
3. Contemporary Policies and Competency Expectations
4. Nursing Art and Science
5. Essential Education Requirements
6. Interprofessionality
7. Clinical Reasoning Mind-Set
8. A Look Ahead
9. Summary
10. Key Concepts
11. Study Questions and Activities
12. References
13. Tables
  1. Table 1.1 - Comparison Table of Clinical Nurse Leader and Nurse Practitioner Competencies
  2. Table 1.2 - Domains of Interprofessional Practice
  3. Table 1.3 - Prompts for a Clinical Reasoning Mind-Set
Knowledge Complexity and Clinical Reasoning: Standardized Terminologies
1. Introduction
2. Learning Outcomes
3. Knowledge Work: Filters, Frames and Focus
4. Nursing Informatics: Evolving Nursing Knowledge Work
5. The Knowledge Complexity Archetype
6. Levels of Nursing Practice Data
  1. Individual Level Data
  2. Unit/Organization Level Data
  3. Network/State/Country Level Data
7. Summary
8. Key Concepts
9. Study Questions and Activities
10. References
11. Tables
  1. Table 2.1 - Knowledge Complexity Archetype
  2. Table 2.2 - Harmonizing Nursing Language and Domains, Taxonomy of Nursing Practice: A Common Unified Structure for Nursing Language
  3. Table 2.3 - Harmonizing Nursing Domains and Medical Diagnoses
12. Figures
  1. Figure 2.1 - Nursing Practice Data: Three levels
The Evolving Nature of Nursing Process and Clinical Reasoning
1. Introduction
2. Learning Outcomes
3. Developmental Generations of the Nursing Process
4. Mastering the OPT Model of Clinical Reasoning
5. Patient-Centered Reasoning: Activating Systems Thinking Skills Through the Use of Clinical Reasoning Webs
6. The OPT Clinical Reasoning Model
7. Clinical Reasoning: Framing and Perspectives
8. Reflection
9. Strategies that Support the Development of Clinical Reasoning
10. Summary
11. Key Points of This Chapter
12. Study Questions and Activities
13. References
14. Tables
  1. Table 3.1- Standardized Nursing Languages
  2. Table 3.2 - Questions that Guide the Use of the OPT Model
  3. Table 3.3 - Reflection Prompts to Support Self-regulated Clinical Reasoning
  4. Table 3. 4 - Thinking Strategies and Definitions
  5. Table 3.5 - Comparison of Thinking Strategies, Critical Thinking Skills, and Reflective Clinical Reasoning
15. Figures
  1. Figure 3.1 - OPT clinical reasoning web worksheet
  2. Figure 3.2 - OPT clinical reasoning model
Essentials of Care Coordination Clinical Reasoning
1. Introduction
2. Learning Outcomes
3. Care Coordination and Competing Values
4. Clinical Reasoning and Care Coordination: Levels and Perspectives
5. Clinical Reasoning Care Coordination Essentials
6. Creating a CCCR Systems Model Web
7. Creating a CCCR Systems Model
8. The Value Dimensions of Care Coordination Clinical Reasoning
9. Summary
10. Key Points of This Chapter
11. Study Questions and Activities
12. References
13. Tables
  1. Table 4.1 - Value-Added Reflection Questions
  2. Table 4.2 - Patient Centered Reflection Questions
  3. Table 4.3 - Team Centered Reflection Question
14. Figures
  1. Figure 4.1 - Competing Values Framework for Care Coordination Clinical Reasoning
  2. Figure 4.2 - CCCR Systems Model Web
  3. Figure 4.3- CCCR Systems Model
  4. Figure 4.4 - OPT Clinical Reasoning Model
  5. Figure 4.5 - Flow of Thinking
Thinking Skills that Support Care Coordination Clinical Reasoning
1. Introduction
2. Learning Outcomes
3. The Need for Care Coordination
4. Contrasting Case Management with Evolving Definitions of Care Coordination
5. Examples of Care Coordination Models
6. Care Coordination Clinical Reasoning: Levels of Perspectives and Types of Thinking
7. Self-Regulation in Action: Thinking Processes that Support Clinical Reasoning
8. Metacognition: Thinking About the Thinking for Care Coordination
9. Summary
10. Key Points of This Chapter
11. Study Questions and Activities
12. References
13. Tables
  1. Table 5.1 Care Coordination Clinical Reasoning Skills

Figures

Unit II CARE COORDINATION CLINICAL REASONING CASE STUDIES

Care Coordination across the Health Care Continuum: Health Care Issues for a Patient in Primary Community Health
1. Introduction
2. Learning Outcomes
3. The Patient Story
4. Patient-Centered Plan of Care Using OPT Worksheets
5. Care Coordination Using CCCR Model Worksheets
6. Clinical Judgments and Care Coordination Clinical Reasoning
7. Summary
8. Key Points of This Chapter
9. Study Questions and Activities
10. References
11. Tables
  1. Table 6.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
  2. Table 6.2 - Questions that Guide the Use of the OPT Model
  3. Table 6.3 - Patient Centered Systems Thinking Self-reflection Questions
  4. Table 6.4 - Value Definitions and Questions
  5. Table 6.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 6.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 6.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 6.3 - CCCR Systems Model Web
4. Figure 6.4- CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Psychological/Mental Health Patient

Introduction
Learning Outcomes
The Patient Story
Patient-Centered Plan of Care Using OPT Worksheets
Care Coordination Using CCCR Model Worksheets
Clinical Judgments and Care Coordination Clinical Reasoning
Summary
Key Points of This Chapter
Study Questions and Activities
References
Tables
1. Table 7.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
2. Table 7.2 - Questions that Guide the Use of the OPT Model
3. Table 7.3 - Patient Centered Systems Thinking Self-reflection Questions
4. Table 7.4 - Value Definitions and Questions
5. Table 7.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 7.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 7.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 7.3 - CCCR Systems Model Web
4. Figure 7.4 - CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Patient in Acute Care
1. Introduction
2. Learning Outcomes
3. The Patient Story
4. Patient-Centered Plan of Care Using OPT Worksheets
5. Care Coordination Using CCCR Model Worksheets
6. Clinical Judgments and Care Coordination Clinical Reasoning
7. Summary
8. Key Points of This Chapter
9. Study Questions and Activities
10. References
11. Tables
  1. Table 8.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
  2. Table 8.2 - Questions that Guide the Use of the OPT Model
  3. Table 8.3 - Patient Centered Systems Thinking Self-reflection Questions
  4. Table 8.4 Value Definitions and Questions
  5. Table 8.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 8.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 8.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 8.3 - CCCR Systems Model Web
4. Figure 8.4 - CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Veteran/Military Patient
1. Introduction
2. Learning Outcomes
3. The Patient Story
4. Patient-Centered Plan of Care Using OPT Worksheets
5. Care Coordination Using CCCR Model Worksheets
6. Clinical Judgments and Care Coordination Clinical Reasoning
7. Summary
8. Key Points of This Chapter
9. Study Questions and Activities
10. References
11. Tables
  1. Table 9.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
  2. Table 9.2 - Questions that Guide the Use of the OPT Model
  3. Table 9.3 - Patient Centered Systems Thinking Self-reflection Questions
  4. Table 9.4 - Value Definitions and Questions
  5. Table 9.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 9.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 9.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 9.4 - CCCR Systems Model Web
4. Figure 9.4 - CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Pediatric Patient
1. Introduction
2. Learning Outcomes
3. The Patient Story
4. Patient-Centered Plan of Care Using OPT Worksheets
5. Care Coordination Using CCCR Model Worksheets
6. Clinical Judgments and Care Coordination Clinical Reasoning
7. Summary
8. Key Points of This Chapter
9. Study Questions and Activities
10. References
11. Tables
  1. Table 10.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
  2. Table 10.2 - Questions that Guide the Use of the OPT Model
  3. Table 10.3 - Patient Centered Systems Thinking Self-reflection Questions
  4. Table 10.4 - Value Definitions and Questions
  5. Table 10.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 10.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 10.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 10.3 - CCCR Systems Model Web
4. Figure 10.4 - CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Maternity Patient

Introduction
Learning Outcomes
The Patient Story
Patient-Centered Plan of Care Using OPT Worksheets
Care Coordination Using CCCR Model Worksheets
Clinical Judgments and Care Coordination Clinical Reasoning
Summary
Key Points of This Chapter
Study Questions and Activities
References
Tables
1. Table 11.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
2. Table 11.2 - Questions that Guide the Use of the OPT Model
3. Table 11.3 - Patient Centered Systems Thinking Self-reflection Questions
4. Table 11.4 - Value Definitions and Questions
5. Table 11.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 11.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 11.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 11.3 - CCCR Systems Model Web
4. Figure 11.4 - CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Neonatal Patient

Introduction
Learning Outcomes
The Patient Story
Patient-Centered Plan of Care Using OPT Worksheets
Care Coordination Using CCCR Model Worksheets
Clinical Judgments and Care Coordination Clinical Reasoning
Summary
Key Points of This Chapter
Study Questions and Activities
References
Tables
1. Table 12.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
2. Table 12.2 - Questions that Guide the Use of the OPT Model
3. Table 12.3 - Patient Centered Systems Thinking Self-reflection Questions
4. Table 12.4 - Value Definitions and Questions
5. Table 12.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 12.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 12.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 12.3 - CCCR Systems Model Web
4. Figure 12.4 - CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Patient in Rehabilitation
1. Introduction
2. Learning Outcomes
3. The Patient Story
4. Patient-Centered Plan of Care Using OPT Worksheets
5. Care Coordination Using CCCR Model Worksheets
6. Clinical Judgments and Care Coordination Clinical Reasoning
7. Summary
8. Key Points of This Chapter
9. Study Questions and Activities
10. References
11. Tables
  1. Table 13.1 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
  2. Table 13.2 - Questions that Guide the Use of the OPT Model
  3. Table 13.3 - Patient Centered Systems Thinking Self-reflection Questions
  4. Table 13.4 - Value Definitions and Questions
  5. Table 13.5 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 13.1 - OPT Clinical Reasoning Web Worksheet
2. Figure 13.2 - OPT Clinical Reasoning Model for Care Coordination
3. Figure 13.3 - CCCR Systems Model Web
4. Figure 13.4 - CCCR Systems Model

Care Coordination across the Health Care Continuum: Health Care Issues for a Long Term Care for the Adult Patient
1. Introduction
2. Learning Outcomes
3. The Patient Story
4. Patient-Centered Plan of Care Using OPT Worksheets
5. Care Coordination Using CCCR Model Worksheets
6. Clinical Judgments and Care Coordination Clinical Reasoning
7. Summary
8. Key Points of This Chapter
9. Study Questions and Activities
10. References
11. Tables
  1. Table 14.1 - Body Mass Index
  2. Table 14.2 - Relationship Between Nursing Domains, Medical Diagnoses and Web Connections
  3. Table 14.3 - Questions that Guide the Use of the OPT Model
  4. Table 14.4 - Patient Centered Systems Thinking Self-reflection Questions
  5. Table 14.5 - Value Definitions and Questions
  6. Table 14.6 - Team Centered and Organizational Centered-Systems Thinking Self-reflection Questions

Figures
1. Figure 14.1 OPT Clinical Reasoning Web Worksheet
2. Figure 14.2 OPT Clinical Reasoning Model for Care Coordination
3. Figure 14.3 CCCR Systems Model Web
4. Figure 14.4 CCCR Systems Model

Unit III CARE COORDINATION CLINICAL REASONING INTO THE FUTURE

Care Coordination Clinical Reasoning: Future Trends and Challenges
1. Future Trends
2. Challenges for Nursing Education
  1. Education Issues for Care Coordination
  2. Care Coordination Curricula
  3. Teaching-Learning Strategies
3. Challenges for Advanced Practice Nursing
4. Summary
5. References
Glossary of Terms

ACKNOWLEGMENTS

ABOUT THE AUTHORS

PREFACE

Erscheint lt. Verlag	28.4.2016
Sprache	englisch
Maße	180 x 180 mm
Gewicht	454 g
Themenwelt	Medizin / Pharmazie ► Pflege
Schlagworte	Care Coordination Clinical Reasoning,CCCR,Outcome-Present State-Test,OPT,interprofessional care team,patient-centered care planning,health care system,primary care,acute care,rehabilitative care,long-term care,health care team
ISBN-10	0-8261-3184-0 / 0826131840
ISBN-13	978-0-8261-3184-3 / 9780826131843

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