Clinical Judgment Measurement Model: Key Skills for Nurses
School
Delgado Community College**We aren't endorsed by this school
Course
NUR 328
Subject
Nursing
Date
Dec 10, 2024
Pages
2
Uploaded by MasterNewtMaster749
12-220192 ©2022 Chamberlain University LLC. All rights reserved. 0822pflcpeADAChamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661The Clinical Judgment Measurement ModelPage 1 of 2THE CLINICAL JUDGMENT MEASUREMENT MODELThe Clinical Judgment Measurement Model (CJMM) identifies six cognitive skills needed to make appropriate clinical judgments. Complete the following section using the CJMM and reflecting on all the data/cues (Assessment, Labs/Diagnostics, Prescriptions/Orders and Patient Information) from your assigned patient.Recognize Cues – Identify relevant and important information from different sources (e.g., medical history, vital signs).List the data/cues that are relevant and are interpreted as clinically significant.Significant Data/Cue 1Significant Data/Cue 2Significant Data/Cue 3Significant Data/Cue 4Significant Data/Cue 5Analyze Cues – Organizing and linking the recognized cues to the client’s clinical presentation.Interpret the relevant clinical data/cues. Identify the top three most likely problems. Is additional data needed to confirm the clinical significance of the cues at this point? Be specific; what additional data is needed to confirm?Potential Problem 1Potential Problem 2Potential Problem 3Additional DataAdditional DataAdditional DataPrioritize Hypothesis – Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time, etc.).Of the potential problems you identified, which problem(s) is most likely present? Which problem is the most concerning and why?RECOGNIZE CUESANALYZE CUESPRIORITIZE HYPOTHESISGENERATE SOLUTIONSTAKE ACTIONEVALUATE OUTCOMESASSESSMENTANALYSISPLANNINGIMPLEMENTATIONEVALUATION
12-220192 ©2022 Chamberlain University LLC. All rights reserved. 0822pflcpeADAChamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661The Clinical Judgment Measurement ModelPage 2 of 2Generate Solutions – Identifying expected outcomes and using hypotheses to define a set of interventions for the expected outcomes.Based on the most urgent problem, what are the priority actions/interventions? For each priority action, what are the desired outcomes? Priority Action/Intervention 1Priority Action/Intervention 2Priority Action/Intervention 3Expected OutcomesExpected OutcomesExpected OutcomesAre there any interventions or actions that should be avoided? Include rationale.Take Action – Implementing the solution(s) that addresses the highest priorities.How should the interventions or actions above be accomplished? (Performed, administered, requested, communicated, taught, documented, etc..). List environmental and/or individual factors impacting the ability of the nurse to generate solutions and take action.Environmental Factor 1Individual Factor 1Environmental Factor 2Individual Factor 2Environmental Factor 3Individual Factor 3Evaluate Outcomes – Comparing observed outcomes against expected outcomes.Compare observed outcomes to expected outcomes – has the patient’s status improved, declined or remain unchanged?Does the observed outcome match expected outcome? If not, what are the additional actions/interventions that should be considered? Observed OutcomesObserved OutcomesObserved Outcomes Matches Expected Outcome?Matches Expected Outcome?Matches Expected Outcome?If the patient status has not improved, what other issues may be present?List environmental and/or individual factors impacting the achievement of outcomes.Environmental Factor 1Individual Factor 1Environmental Factor 2Individual Factor 2Environmental Factor 3Individual Factor 3