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Journal of General Practice Nursing (GPN) | September 2019

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Exploring the decision-making processes utilised by advanced nurse practitioners: a case study

Exploring the decision-making processes utilised by advanced nurse practitioners: a case study
Case study

Article topics: Advanced nurse practitioner, Case history, Decision-making, Diagnosis, Out-of-hours

Clinicians working within primary care services tend to do so in isolation and without direct access to investigative resources. This places emphasis on the clinician’s abilities to perform a focused clinical examination and employ sound clinical decision-making processes to reach a definitive diagnosis. This article looks at the case history of a patient presenting to a GP out-of-hours service with an acute, undifferentiated illness, and explores the decisionmaking processes used by the author, a trainee advanced nurse practitioner at the time, to support a working diagnosis and justify a clinically suitable management plan.

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