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Clinical Reasoning and Care Coordination in Advanced Practice Nursing (Paperback)
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Clinical Reasoning and Care Coordination in Advanced Practice Nursing (Paperback)
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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.
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