Patient-centered clinical reasoning is the initial step in care coordination. Priorities are established between and among the patient’s comorbidities at this point. The OPT model provides a structure, a process, and a method for patient-centered clinical reasoning. One of OPT’s main focuses is filters, framing, and situational concentration. It also identifies disconnects between problems and desired solutions. The patient’s tale, which is clarified through a physical examination and history, is the source of this gap. This is expressly emphasized to discover relationships in circumstances or backgrounds, as well as the existing state and desired objectives. The emphasis in this model is on concurrent and evolving reasoning as it compares the outcomes of current-state information from the patient’s story. This comparison uncovers gaps that can be investigated and examined further. In test conditions, judgment and conclusions can be reached, leading to decisions and actions that will close the gaps. The OPT clinical reasoning model requires critical thinking skills such as analyzing, synthesizing, evaluating, creativity, and judgment.
Care coordination clinical reasoning (CCCR) is a notion that has been around for a while and is still evolving as a model of care. According to them, it has a triple goal: to improve patient experiences of high-quality care, lower costs, and promote community health. The combination of evidence-based practice and patient choices are known as care coordination. Patient-centered-systems thinking, team-centered-systems thinking, and organizational-centered-systems thinking are all used in the process of care coordination clinical reasoning. Because of their knowledge, abilities, and experiences, advanced practice registered nurses is thought to be in the best position to coordinate care.
Furthermore, their education and training emphasize the development of clinical reasoning abilities, which are critical in the management of all elements of the healthcare continuum and the patient’s role as a crucial member of the healthcare team. In the clinical setting, either model provides a framework for addressing complex patient demands. Care coordination is a critical step in powering today’s astronomically high healthcare expenditures. The OPT or CCCR paradigm in the clinical setting might be integrated into care to allow for coordination. Care coordination has been shown to lower healthcare expenses and use; in one research of surgical outpatients before and after implementation of care coordination, length of stay, readmissions, and complications were all reduced.
Benner P. Uncovering the wonders of professional practices by listening to nurses’ stories. Crit Care Nurs.
Kautz, D. D., Kuiper, R. A., Pesut, D. J., Knight-Brown, P., & Daneker, D. (2005, January 24). We are promoting clinical reasoning in undergraduate nursing students: Application and evaluation of the Outcome Present State Test (OPT) clinical reasoning model. De Gruyter. Retrieved February 21, 2022, from https://www.degruyter.com/document/doi/10.2202/1548-923x.1052/html
Kuiper R. Enhancing metacognition through the reflective use of self-regulated learning strategies. J Cont Educ Nurs.
Kuiper R. Nursing student’s experience with the OPT Model of reflective clinical reasoning Unpublished pilot study. Winston-Salem: Winston-Salem State University; 2002.
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