Module 7: Care Coordination and Transition Management: Nursing Process: Proxy for Monitoring and Evaluation

NOTE: Slides for this session are contained at the back of the PDF handout which is available after module is purchased.

We all know Nursing Process. It is the essential core of our practice and has been engrained in us from our basic training forward. And we know patient and family-centered care is essential in designing a plan of care that will achieve optimal outcomes. We will review nursing process, but more importantly in this presentation is how the RN in the CCTM role will enhance nursing process. Health coaching to facilitate behavior change over time, self-management, autonomy, informed decision making, accessing resources and adherence to the medical regimen will also be discussed. Critical thinking is applied in every step; and the knowledge, skills, and attitudes will be identified with emphasis on the CCTM role.

Purpose:
The purpose of this chapter is to enable the reader to use the required steps in the nursing process when performing in the role of the RN in CCTM.

Recommended Reading:

Sanson, G., Vellone, E., Kangasniemi, M., Alvaro, R., & D'Agostino, F.
    (2017). Impact of nursing diagnoses on patient and organisational
    outcomes: a systematic literature review. Journal of Clinical
    Nursing, 26(23-24), 3764-3783. doi:10.1111/jocn.13717

Contact hours available until 7/1/2024.

Learning Outcome:

After completing this learning activity, the learner will be able to demonstrate application of the steps in the nursing process when performing in the RN Care Coordination and Transition Management (RN-CCTM) role.

Objectives:

1. Outline the steps of the nursing process and how the steps promote critical thinking.
2. Identify the skills necessary for application of the nursing process in ambulatory care.
3. Apply the nursing process in ambulatory care.
4. Explain how to determine if outcomes are achieved.
5. Explain adaptations and additions to the steps in the nursing process required when performing as an RN in CCTM.
6. Demonstrate the knowledge, skills, and attitudes required for the Nursing Process dimension.

Requirements for Successful Completion:

1. Read the PDF handout which is the chapter of the CCTM Core Curriculum that corresponds with this module.
2. Listen to the module in its entirety.
3. Complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Speaker(s) have no disclosures to declare.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
This educational activity has been co-provided by Anthony J. Jannetti, Inc. and AAACN.

Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation

AAACN is a provider approved by the California Board of Registered Nursing, provider number CEP 5366.