Teaches students how to" think like an APRN"
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:
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Delivers a concrete learning model for developing creative thinking and problem solving in the clinical setting
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Offers a blueprint and structure for using standardized health care languages
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Includes patient stories and case scenarios to illustrate effective use of the OPT model
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Highlights care coordination strategies associated with complex client situations with the use of the Care Coordination Clinical Reasoning model
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Reinforces methods of reaching a diagnosis, outcomes, and interventions and how to duplicate the process
Autorentext
RuthAnne Kuiper, PhD, RN, CNE, ANEF, is a Professor of Nursing in the School of Nursing at the University of North Carolina Wilmington.
Inhalt
TITLE PAGE
TABLE OF CONTENTS
Unit I CARE COORDINATION CLINICAL REASONING FOUNDATIONS
Care Coordination Clinical Reasoning: Contemporary Competency Expectations
Introduction
Learning Outcomes
Contemporary Policies and Competency Expectations
Nursing Art and Science
Essential Education Requirements
Interprofessionality
Clinical Reasoning Mind-Set
A Look Ahead
Summary
Key Concepts
Study Questions and Activities
References
Tables
Table 1.1 - Comparison Table of Clinical Nurse Leader and Nurse Practitioner Competencies
Table 1.2 - Domains of Interprofessional Practice
Table 1.3 - Prompts for a Clinical Reasoning Mind-Set
Knowledge Complexity and Clinical Reasoning: Standardized Terminologies
Introduction
Learning Outcomes
Knowledge Work: Filters, Frames and Focus
Nursing Informatics: Evolving Nursing Knowledge Work
The Knowledge Complexity Archetype
Levels of Nursing Practice Data
Individual Level Data
Unit/Organization Level Data
Network/State/Country Level Data
Summary
Key Concepts
Study Questions and Activities
References
Tables
Table 2.1 - Knowledge Complexity Archetype
Table 2.2 - Harmonizing Nursing Language and Domains, Taxonomy of Nursing Practice: A Common Unified Structure for Nursing Language
Table 2.3 - Harmonizing Nursing Domains and Medical Diagnoses
Figures
Figure 2.1 - Nursing Practice Data: Three levels
The Evolving Nature of Nursing Process and Clinical Reasoning
Introduction
Learning Outcomes
Developmental Generations of the Nursing Process
Mastering the OPT Model of Clinical Reasoning
Patient-Centered Reasoning: Activating Systems Thinking Skills Through the Use of Clinical Reasoning Webs
The OPT Clinical Reasoning Model
Clinical Reasoning: Framing and Perspectives
Reflection
Strategies that Support the Development of Clinical Reasoning
Summary
Key Points of This Chapter
Study Questions and Activities
References
Tables
Table 3.1- Standardized Nursing Languages
Table 3.2 - Questions that Guide the Use of the OPT Model
Table 3.3 - Reflection Prompts to Support Self-regulated Clinical Reasoning
Table 3. 4 - Thinking Strategies and Definitions
Table 3.5 - Comparison of Thinking Strategies, Critical Thinking Skills, and Reflective Clinical Reasoning
Figures
Figure 3.1 - OPT clinical reasoning web worksheet
Figure 3.2 - OPT clinical reasoning model
Essentials of Care Coordination Clinical Reasoning
Introduction
Learning Outcomes
Care Coordination and Competing Values
Clinical Reasoning and Care Coordination: Levels and Perspectives
Clinical Reasoning Care Coordination Essentials
Creating a CCCR Systems Model Web
Creating a CCCR Systems Model
The Value Dimensions of Care Coordination Clinical Reasoning
Summary
Key Points of This Chapter
Study Questions and Activities
References
Tables
Table 4.1 - Value-Added Reflection Questions
Table 4.2 - Patient Centered Reflection Questions
Table 4.3 - Team Centered Reflection Question
Figures
Figure 4.1 - Competing Values Framework for Care Coordination Clinical Reasoning
Figure 4.2 - CCCR Systems Model Web
Figure 4.3- CCCR Systems Model
Figure 4.4 - OPT Clinical Reasoning Model
Figure 4.5 - Flow of Thinking
Thinking Skills that Support Care Coordination Clinical Reasoning
Introduction
Learning Outcomes
The Need for Care Coordination
Contrasting Case Management with Evolving Definitions of Care Coordination
Examples of Care Coordination Models
Care Coordination Clinical Reasoning: Levels of Perspectives and Types of Thinking
Self-Regulation in Action: Thinking Processes that Support Clinical Reasoning
Metacognition: Thinking About the Thinking for Care Coordination
Summary
Key Points of This Chapter
Study Questions…