Clinical Reasoning and Care Coordination in Advanced Practice Nursing / Edition 1

by RuthAnne Kuiper PhD, RN, CNE, ANEF, Daniel J. Pesut PhD, RN, PMHCNS-BC, FAAN, Tamatha E. Arms DNP, PMHNP-BC, NP-C

Overview

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 andcoordination 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 relationships among patient problems, outcomes, and interventions that focus on promoting patient safety and care coordination. It moves beyond traditional ways of problemsolving 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 thatbecomes habitual. It embodies several levels of perspective related to patient-centered care planning, team-centered negotiation, and health care systemconsiderations. Through patient stories and case scenarios, the text highlights care coordination strategies critical in complex patient situations. Itprovides students with the tools to collect patient information, determine priorities for care, and test interventions to reach health care outcomes bymaking 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

Product Details

ISBN-13:	9780826131836
Publisher:	Springer Publishing Company
Publication date:	04/21/2016
Pages:	416
Product dimensions:	7.00(w) x 9.90(h) x 0.90(d)

About the Author

RuthAnne Kuiper, PhD, RN, CNE, ANEF, is a Professor of Nursing in the School of Nursing at the University of North Carolina Wilmington.

Daniel J. Pesut, PhD, RN, PMHCNS-BC, FAAN, is a Professor of Nursing in the Nursing Population Health and Systems Cooperative Unit of the School of Nursing at the University of Minnesota. And Director of the Katharine J. Densford International Center for Nursing Leadership.

Tamatha E. Arms, DNP, RN, PMHNP-BC, NP-C, is an assistant professor of nursing in the School of Nursing in the College of Health and Human Services at the University of North Carolina at Wilmington.

Table of Contents

CONTENTS

Preface

Acknowledgments

PART I: CARE COORDINATION CLINICAL REASONING FOUNDATIONS

1. Care Coordination Clinical Reasoning: Contemporary Competency Expectations

2. Knowledge Complexity and Clinical Reasoning: Standardized Terminologies

3. The Evolving Nature of Nursing Process and Clinical Reasoning

4. Essentials of Care Coordination Clinical Reasoning

5. Thinking Skills That Support Care Coordination Clinical Reasoning

PART II: CARE COORDINATION CLINICAL REASONING CASE STUDIES

6. Care Coordination for a Patient in Primary Community Health

7. Care Coordination for a Psychological/Mental Health Patient

8. Care Coordination for a Patient in Acute Care

9. Care Coordination for a Veteran/Military Patient

10. Care Coordination for a Pediatric Patient

11. Care Coordination for a Maternity Patient

12. Care Coordination for a Neonatal Patient

13. Care Coordination for a Patient in Rehabilitation

14. Care Coordination for Long-Term Care of the Adult Patient

PART III: CARE COORDINATION CLINICAL REASONING INTO THE FUTURE

15. Future Trends and Challenges

Glossary

Index

Editorial Reviews

Reviewer: Kathleen M. Woodruff, DNP, RN, ANP-BC(USC School of Social Work)
Description: Using the Outcome-Present State Test (OPT) model and the Care Coordination Clinical Reasoning (CCCR) model, this book provides a step-by-step approach for developing differential diagnoses and the clinical reasoning skills needed to coordinate complex patient care.
Purpose: The purpose is to provide advanced practice nursing students with an innovative model of care coordination and clinical reasoning that is appropriate in the current healthcare environment. This resource is focused on assisting students to think creatively and develop improved problem-solving strategies. This clear, step-by-step guide acts a blueprint for creating innovative solutions.
Audience: This is an excellent resource for students, faculty, and current advanced practice nurses. The authors are experts in the field and have contributed to academia for many years.
Features: The first of the book's three sections focuses on the basic foundations of the model, the second section presents a variety of case studies, and the final section explores challenges and strategies for the future. The chapters are constructed in an organized and concise manner. The use of tables, figures, and illustrations highlight the material. The use of case studies bridges the theoretical material to the clinical setting.
Assessment: This is an excellent resource that challenges advanced practice nursing students and/or practicing nurses to engage in broadening their approach to and understanding of differential diagnosis. This approach, using the OPT and CCCR models, focuses on standardizing healthcare language and providing strategies for developing reflective and complex thinking that becomes the standard in patient care.

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