Other Titles

Dimensions of care coordination clinical reasoning: Systems thinking, value network analysis, and health analytics [Symposium]

Abstract

Session presented on Sunday, November 8, 2015:

The development, progression and evolution of the nursing process which begins with a foundation for patient problem management also parallels with dynamic thinking processes. The third generation of nursing process or the Outcome-Present State - Test (OPT) emphasized clinical reasoning that was reflective, creative and outcome specific given a client's story. However, healthcare practice has yet shifted again to a focus on care coordination, systems thinking, value network and analysis to determine priority patient healthcare issues that interface with interdependent health care provider roles and relationships. The authors propose a Care Coordination Clinical Reasoning model that includes structure, content and process to guide the novice practitioner through individual-systems thinking, team-systems thinking and organizational-systems thinking. The Care Coordination Clinical Reasoning (CCCR) systems model web shows essential care coordination practice issues and organizes thinking to focus on the priority needs within health care systems. This framework utilizes standardized languages that are used to communicate between and among interprofessional health care providers. For example, the Care coordination reasoning web organizes thinking to focus on priority health problems associated with ICD-9/ICD-10 medical diagnosis codes and aligns these with domains of nursing diagnoses. The purpose of this presentation is to display an example of an unfolding case study commonly seen by nurse practitioner students in the primary care office setting. This case study will show how the nurse practitioner uses the nursing process to assess, develop, implement, and evaluate an individualized plan of care with management and coordination across health care contexts. A new care coordination clinical reasoning systems model will show the use of team and organizational-systems thinking to achieve health outcomes. The participants will be engaged in an actual case development with the model worksheets for practice with care coordination essentials. The target audience of this presentation is graduate nurse clinical educators who teach advanced practice nursing students with a care coordination model.

Description

43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.

Authors

Tamatha Arms

Author Details

Tamatha Arms, RN, PMHNP-BC, NP-C

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Advanced Practice Nursing, Care Coordination, Case Management

Conference Name

43rd Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Las Vegas, Nevada, USA

Conference Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Acquisition

Proxy-submission

Share

COinS
 

Unfolding case study exemplifying care coordination with advance practice nursing

Las Vegas, Nevada, USA

Session presented on Sunday, November 8, 2015:

The development, progression and evolution of the nursing process which begins with a foundation for patient problem management also parallels with dynamic thinking processes. The third generation of nursing process or the Outcome-Present State - Test (OPT) emphasized clinical reasoning that was reflective, creative and outcome specific given a client's story. However, healthcare practice has yet shifted again to a focus on care coordination, systems thinking, value network and analysis to determine priority patient healthcare issues that interface with interdependent health care provider roles and relationships. The authors propose a Care Coordination Clinical Reasoning model that includes structure, content and process to guide the novice practitioner through individual-systems thinking, team-systems thinking and organizational-systems thinking. The Care Coordination Clinical Reasoning (CCCR) systems model web shows essential care coordination practice issues and organizes thinking to focus on the priority needs within health care systems. This framework utilizes standardized languages that are used to communicate between and among interprofessional health care providers. For example, the Care coordination reasoning web organizes thinking to focus on priority health problems associated with ICD-9/ICD-10 medical diagnosis codes and aligns these with domains of nursing diagnoses. The purpose of this presentation is to display an example of an unfolding case study commonly seen by nurse practitioner students in the primary care office setting. This case study will show how the nurse practitioner uses the nursing process to assess, develop, implement, and evaluate an individualized plan of care with management and coordination across health care contexts. A new care coordination clinical reasoning systems model will show the use of team and organizational-systems thinking to achieve health outcomes. The participants will be engaged in an actual case development with the model worksheets for practice with care coordination essentials. The target audience of this presentation is graduate nurse clinical educators who teach advanced practice nursing students with a care coordination model.